Rainy Lake Medical Center — Pricing
770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Showing all 770 procedures
Procedures with negotiated rates only
These 770 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $173,300 – $260,622 · median $216,961 | 2 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $70,076 – $105,386 · median $87,731 | 2 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $131,257 – $197,394 · median $164,326 | 2 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $85,657 – $128,818 · median $107,238 | 2 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $63,760 – $95,888 · median $79,824 | 2 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $28,675 – $43,124 · median $35,900 | 2 plans |
| 007 | LUNG TRANSPLANT | $80,084 – $120,437 · median $100,260 | 2 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $34,659 – $52,123 · median $43,391 | 2 plans |
| 010 | PANCREAS TRANSPLANT | $44,375 – $66,734 · median $55,554 | 2 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $33,728 – $50,723 · median $42,226 | 2 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $26,072 – $39,209 · median $32,640 | 2 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $17,821 – $26,801 · median $22,311 | 2 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $74,319 – $111,766 · median $93,043 | 2 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $36,669 – $55,146 · median $45,908 | 2 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $33,593 – $50,520 · median $42,057 | 2 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $267,042 – $401,600 · median $334,321 | 2 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $44,120 – $66,352 · median $55,236 | 2 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $48,661 – $73,180 · median $60,920 | 2 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $32,737 – $49,232 · median $40,985 | 2 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $19,649 – $29,550 · median $24,599 | 2 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $35,436 – $53,292 · median $44,364 | 2 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $24,191 – $36,381 · median $30,286 | 2 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $28,117 – $42,284 · median $35,201 | 2 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $19,227 – $28,916 · median $24,071 | 2 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $15,602 – $23,463 · median $19,532 | 2 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $37,155 – $55,877 · median $46,516 | 2 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $21,097 – $31,728 · median $26,413 | 2 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $13,575 – $20,415 · median $16,995 | 2 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $27,707 – $41,669 · median $34,688 | 2 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $13,178 – $19,818 · median $16,498 | 2 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $10,283 – $15,465 · median $12,874 | 2 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $23,936 – $35,998 · median $29,967 | 2 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $14,783 – $22,232 · median $18,507 | 2 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $12,014 – $18,068 · median $15,041 | 2 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $20,358 – $30,617 · median $25,487 | 2 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $10,034 – $15,090 · median $12,562 | 2 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,269 – $10,932 · median $9,101 | 2 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $23,878 – $35,909 · median $29,893 | 2 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $13,597 – $20,448 · median $17,022 | 2 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $10,684 – $16,068 · median $13,376 | 2 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $11,201 – $16,845 · median $14,023 | 2 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,055 – $9,107 · median $7,581 | 2 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,442 – $14,200 · median $11,821 | 2 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,305 – $9,482 · median $7,894 | 2 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $14,366 – $21,605 · median $17,985 | 2 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,012 – $12,049 · median $10,031 | 2 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $10,572 – $15,898 · median $13,235 | 2 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,674 – $11,540 · median $9,607 | 2 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,688 – $8,554 · median $7,121 | 2 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $17,050 – $25,641 · median $21,345 | 2 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $10,867 – $16,342 · median $13,604 | 2 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,681 – $13,055 · median $10,868 | 2 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $12,436 – $18,702 · median $15,569 | 2 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,248 – $9,396 · median $7,822 | 2 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,232 – $6,365 · median $5,299 | 2 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,082 – $13,659 · median $11,371 | 2 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,345 – $8,039 · median $6,692 | 2 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,940 – $7,429 · median $6,184 | 2 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $10,295 – $15,483 · median $12,889 | 2 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $6,345 – $9,542 · median $7,943 | 2 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,676 – $7,033 · median $5,855 | 2 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $9,921 – $14,920 · median $12,420 | 2 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,374 – $9,586 · median $7,980 | 2 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $11,858 – $17,833 · median $14,845 | 2 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,103 – $7,674 · median $6,389 | 2 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $11,193 – $16,833 · median $14,013 | 2 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,538 – $8,329 · median $6,934 | 2 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $14,134 – $21,256 · median $17,695 | 2 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,632 – $12,981 · median $10,806 | 2 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,911 – $8,889 · median $7,400 | 2 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $14,049 – $21,129 · median $17,589 | 2 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,056 – $12,115 · median $10,086 | 2 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,657 – $8,507 · median $7,082 | 2 plans |
| 088 | CONCUSSION WITH MCC | $8,360 – $12,572 · median $10,466 | 2 plans |
| 089 | CONCUSSION WITH CC | $6,794 – $10,217 · median $8,505 | 2 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,091 – $7,656 · median $6,373 | 2 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $10,860 – $16,333 · median $13,597 | 2 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,326 – $9,514 · median $7,920 | 2 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,924 – $7,406 · median $6,165 | 2 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $21,764 – $32,730 · median $27,247 | 2 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $15,950 – $23,987 · median $19,968 | 2 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $15,950 – $23,987 · median $19,968 | 2 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $22,335 – $33,590 · median $27,963 | 2 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $14,192 – $21,343 · median $17,767 | 2 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,425 – $12,670 · median $10,548 | 2 plans |
| 100 | SEIZURES WITH MCC | $11,977 – $18,012 · median $14,995 | 2 plans |
| 101 | SEIZURES WITHOUT MCC | $5,582 – $8,394 · median $6,988 | 2 plans |
| 102 | HEADACHES WITH MCC | $6,932 – $10,424 · median $8,678 | 2 plans |
| 103 | HEADACHES WITHOUT MCC | $5,172 – $7,778 · median $6,475 | 2 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $14,539 – $21,865 · median $18,202 | 2 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,367 – $12,583 · median $10,475 | 2 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,492 – $14,275 · median $11,883 | 2 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $11,181 – $16,815 · median $13,998 | 2 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,709 – $10,090 · median $8,399 | 2 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,194 – $10,819 · median $9,006 | 2 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,859 – $7,308 · median $6,084 | 2 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,939 – $7,427 · median $6,183 | 2 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,182 – $12,305 · median $10,243 | 2 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,748 – $7,141 · median $5,944 | 2 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $13,419 – $20,181 · median $16,800 | 2 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,279 – $9,442 · median $7,860 | 2 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $9,234 – $13,887 · median $11,560 | 2 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,480 – $8,242 · median $6,861 | 2 plans |
| 139 | SALIVARY GLAND PROCEDURES | $7,642 – $11,492 · median $9,567 | 2 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $26,377 – $39,667 · median $33,022 | 2 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,488 – $20,284 · median $16,886 | 2 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,872 – $14,847 · median $12,359 | 2 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $23,169 – $34,843 · median $29,006 | 2 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $10,716 – $16,116 · median $13,416 | 2 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,435 – $11,181 · median $9,308 | 2 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $13,094 – $19,692 · median $16,393 | 2 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $7,863 – $11,825 · median $9,844 | 2 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,929 – $7,413 · median $6,171 | 2 plans |
| 149 | DYSEQUILIBRIUM | $4,648 – $6,990 · median $5,819 | 2 plans |
| 150 | EPISTAXIS WITH MCC | $8,234 – $12,383 · median $10,308 | 2 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,539 – $6,826 · median $5,683 | 2 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,311 – $10,994 · median $9,153 | 2 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,565 – $6,865 · median $5,715 | 2 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $9,669 – $14,541 · median $12,105 | 2 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $5,668 – $8,523 · median $7,096 | 2 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,274 – $6,427 · median $5,350 | 2 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $10,617 – $15,966 · median $13,291 | 2 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,626 – $8,461 · median $7,044 | 2 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,381 – $6,589 · median $5,485 | 2 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $27,715 – $41,681 · median $34,698 | 2 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $15,608 – $23,473 · median $19,541 | 2 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,837 – $17,802 · median $14,820 | 2 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $23,114 – $34,761 · median $28,937 | 2 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $11,152 – $16,772 · median $13,962 | 2 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,450 – $12,708 · median $10,579 | 2 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $18,406 – $27,681 · median $23,043 | 2 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,494 – $12,774 · median $10,634 | 2 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $4,978 – $7,487 · median $6,232 | 2 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $9,664 – $14,533 · median $12,098 | 2 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,036 – $9,077 · median $7,556 | 2 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,669 – $7,022 · median $5,845 | 2 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $10,921 – $16,424 · median $13,672 | 2 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,623 – $9,960 · median $8,292 | 2 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,662 – $7,010 · median $5,836 | 2 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $9,461 – $14,228 · median $11,844 | 2 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,580 – $9,896 · median $8,238 | 2 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,864 – $7,314 · median $6,089 | 2 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $9,638 – $14,494 · median $12,066 | 2 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,117 – $9,199 · median $7,658 | 2 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,435 – $6,670 · median $5,553 | 2 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,640 – $11,489 · median $9,564 | 2 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,850 – $10,302 · median $8,576 | 2 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,213 – $7,840 · median $6,527 | 2 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $3,970 – $5,971 · median $4,970 | 2 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,128 – $12,224 · median $10,176 | 2 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,984 – $7,495 · median $6,239 | 2 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,887 – $5,845 · median $4,866 | 2 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $11,670 – $17,551 · median $14,611 | 2 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $5,869 – $8,827 · median $7,348 | 2 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,429 – $6,661 · median $5,545 | 2 plans |
| 199 | PNEUMOTHORAX WITH MCC | $10,909 – $16,406 · median $13,658 | 2 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,798 – $10,223 · median $8,511 | 2 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,422 – $6,650 · median $5,536 | 2 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,006 – $9,032 · median $7,519 | 2 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,143 – $6,231 · median $5,187 | 2 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,993 – $7,509 · median $6,251 | 2 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $11,323 – $17,028 · median $14,176 | 2 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,820 – $8,752 · median $7,286 | 2 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $39,792 – $59,843 · median $49,817 | 2 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $16,998 – $25,563 · median $21,280 | 2 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $69,995 – $105,265 · median $87,630 | 2 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $67,245 – $101,129 · median $84,187 | 2 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $35,291 – $53,074 · median $44,183 | 2 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $61,574 – $92,600 · median $77,087 | 2 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $60,497 – $90,980 · median $75,738 | 2 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $40,662 – $61,150 · median $50,906 | 2 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $40,662 – $61,150 · median $50,906 | 2 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $47,483 – $71,408 · median $59,445 | 2 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $32,978 – $49,595 · median $41,287 | 2 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $31,169 – $46,874 · median $39,021 | 2 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $30,595 – $46,011 · median $38,303 | 2 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $19,477 – $29,290 · median $24,383 | 2 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $52,131 – $78,398 · median $65,264 | 2 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $37,491 – $56,382 · median $46,937 | 2 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $47,278 – $71,100 · median $59,189 | 2 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $33,781 – $50,803 · median $42,292 | 2 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $36,291 – $54,578 · median $45,435 | 2 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $25,904 – $38,956 · median $32,430 | 2 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $30,436 – $45,772 · median $38,104 | 2 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $17,627 – $26,510 · median $22,069 | 2 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $8,561 – $12,875 · median $10,718 | 2 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $19,744 – $29,693 · median $24,719 | 2 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $13,177 – $19,817 · median $16,497 | 2 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $11,178 – $16,810 · median $13,994 | 2 plans |
| 245 | AICD GENERATOR PROCEDURES | $28,214 – $42,430 · median $35,322 | 2 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $13,497 – $20,297 · median $16,897 | 2 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $9,242 – $13,899 · median $11,570 | 2 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $21,572 – $32,441 · median $27,006 | 2 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $16,051 – $24,139 · median $20,095 | 2 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $11,018 – $16,570 · median $13,794 | 2 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $16,681 – $25,086 · median $20,883 | 2 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,500 – $15,790 · median $13,145 | 2 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,754 – $10,157 · median $8,456 | 2 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $19,431 – $29,222 · median $24,326 | 2 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $12,505 – $18,806 · median $15,655 | 2 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $20,115 – $30,251 · median $25,183 | 2 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $11,691 – $17,582 · median $14,636 | 2 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $10,079 – $15,158 · median $12,619 | 2 plans |
| 263 | VEIN LIGATION AND STRIPPING | $18,907 – $28,434 · median $23,670 | 2 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $20,658 – $31,068 · median $25,863 | 2 plans |
| 265 | AICD LEAD PROCEDURES | $22,375 – $33,649 · median $28,012 | 2 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $37,898 – $56,994 · median $47,446 | 2 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $29,441 – $44,275 · median $36,858 | 2 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $42,533 – $63,964 · median $53,249 | 2 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $26,116 – $39,276 · median $32,696 | 2 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $32,629 – $49,070 · median $40,849 | 2 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $21,992 – $33,074 · median $27,533 | 2 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $15,788 – $23,743 · median $19,765 | 2 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $25,512 – $38,367 · median $31,940 | 2 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $20,356 – $30,613 · median $25,484 | 2 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $44,094 – $66,313 · median $55,204 | 2 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $37,145 – $55,861 · median $46,503 | 2 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $28,561 – $42,952 · median $35,756 | 2 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $34,421 – $51,766 · median $43,094 | 2 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $22,302 – $33,540 · median $27,921 | 2 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $9,920 – $14,918 · median $12,419 | 2 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,684 – $8,548 · median $7,116 | 2 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,472 – $6,725 · median $5,598 | 2 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $12,249 – $18,421 · median $15,335 | 2 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,281 – $6,437 · median $5,359 | 2 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,704 – $5,570 · median $4,637 | 2 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $13,684 – $20,579 · median $17,132 | 2 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,618 – $9,952 · median $8,285 | 2 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $16,735 – $25,168 · median $20,951 | 2 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $10,555 – $15,874 · median $13,215 | 2 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,749 – $8,646 · median $7,198 | 2 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $7,939 – $11,939 · median $9,939 | 2 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,250 – $7,896 · median $6,573 | 2 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,500 – $5,264 · median $4,382 | 2 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $9,659 – $14,526 · median $12,092 | 2 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,921 – $5,896 · median $4,908 | 2 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,814 – $4,232 · median $3,523 | 2 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $10,097 – $15,184 · median $12,640 | 2 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,601 – $9,928 · median $8,265 | 2 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,451 – $6,693 · median $5,572 | 2 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,400 – $11,128 · median $9,264 | 2 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,163 – $6,261 · median $5,212 | 2 plans |
| 304 | HYPERTENSION WITH MCC | $7,359 – $11,067 · median $9,213 | 2 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,670 – $7,022 · median $5,846 | 2 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,745 – $14,655 · median $12,200 | 2 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,647 – $8,493 · median $7,070 | 2 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,446 – $11,197 · median $9,321 | 2 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,550 – $6,842 · median $5,696 | 2 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,501 – $5,265 · median $4,383 | 2 plans |
| 311 | ANGINA PECTORIS | $4,341 – $6,528 · median $5,434 | 2 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,390 – $8,106 · median $6,748 | 2 plans |
| 313 | CHEST PAIN | $4,452 – $6,696 · median $5,574 | 2 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $12,895 – $19,392 · median $16,144 | 2 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $5,957 – $8,959 · median $7,458 | 2 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,218 – $6,344 · median $5,281 | 2 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $41,349 – $62,184 · median $51,767 | 2 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $14,979 – $22,526 · median $18,753 | 2 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $27,599 – $41,505 · median $34,552 | 2 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $14,874 – $22,369 · median $18,622 | 2 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $16,825 – $25,303 · median $21,064 | 2 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $10,902 – $16,396 · median $13,649 | 2 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $26,761 – $40,245 · median $33,503 | 2 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $19,486 – $29,304 · median $24,395 | 2 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $19,853 – $29,857 · median $24,855 | 2 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $30,842 – $46,383 · median $38,612 | 2 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $15,115 – $22,731 · median $18,923 | 2 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $9,909 – $14,901 · median $12,405 | 2 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $28,425 – $42,747 · median $35,586 | 2 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $14,824 – $22,294 · median $18,559 | 2 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,407 – $15,651 · median $13,029 | 2 plans |
| 332 | RECTAL RESECTION WITH MCC | $22,390 – $33,673 · median $28,031 | 2 plans |
| 333 | RECTAL RESECTION WITH CC | $14,484 – $21,782 · median $18,133 | 2 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,129 – $15,232 · median $12,681 | 2 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $22,082 – $33,209 · median $27,646 | 2 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $13,040 – $19,611 · median $16,326 | 2 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,492 – $14,276 · median $11,884 | 2 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $15,972 – $24,020 · median $19,996 | 2 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,305 – $13,994 · median $11,649 | 2 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,335 – $11,032 · median $9,184 | 2 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $14,196 – $21,349 · median $17,773 | 2 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,094 – $12,172 · median $10,133 | 2 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,384 – $8,097 · median $6,740 | 2 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $15,410 – $23,175 · median $19,292 | 2 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,428 – $14,178 · median $11,803 | 2 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,222 – $10,861 · median $9,041 | 2 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $17,946 – $26,989 · median $22,467 | 2 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,404 – $15,646 · median $13,025 | 2 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,317 – $12,509 · median $10,413 | 2 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $27,165 – $40,853 · median $34,009 | 2 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $14,381 – $21,627 · median $18,004 | 2 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,645 – $13,000 · median $10,823 | 2 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $21,264 – $31,979 · median $26,622 | 2 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $14,930 – $22,453 · median $18,692 | 2 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $9,844 – $14,805 · median $12,324 | 2 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,185 – $9,302 · median $7,744 | 2 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,334 – $6,517 · median $5,426 | 2 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $10,965 – $16,490 · median $13,727 | 2 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,314 – $9,495 · median $7,905 | 2 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,498 – $6,765 · median $5,632 | 2 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $13,226 – $19,890 · median $16,558 | 2 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,480 – $11,249 · median $9,365 | 2 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,716 – $8,596 · median $7,156 | 2 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $11,304 – $17,000 · median $14,152 | 2 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,065 – $9,121 · median $7,593 | 2 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,898 – $5,863 · median $4,881 | 2 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $12,134 – $18,248 · median $15,191 | 2 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,700 – $10,077 · median $8,388 | 2 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,951 – $7,446 · median $6,198 | 2 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $8,538 – $12,841 · median $10,689 | 2 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,286 – $7,950 · median $6,618 | 2 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $9,785 – $14,715 · median $12,250 | 2 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,037 – $9,080 · median $7,559 | 2 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,213 – $6,336 · median $5,275 | 2 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,133 – $13,734 · median $11,433 | 2 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,884 – $7,345 · median $6,115 | 2 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,364 – $5,059 · median $4,212 | 2 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $7,843 – $11,795 · median $9,819 | 2 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,821 – $7,250 · median $6,036 | 2 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $9,890 – $14,873 · median $12,382 | 2 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,786 – $8,702 · median $7,244 | 2 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,013 – $6,036 · median $5,025 | 2 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $14,810 – $22,273 · median $18,541 | 2 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $9,360 – $14,076 · median $11,718 | 2 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,079 – $10,646 · median $8,862 | 2 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $24,863 – $37,391 · median $31,127 | 2 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $33,830 – $50,876 · median $42,353 | 2 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $17,935 – $26,972 · median $22,453 | 2 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $13,726 – $20,642 · median $17,184 | 2 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $22,050 – $33,160 · median $27,605 | 2 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $13,464 – $20,249 · median $16,857 | 2 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,818 – $14,766 · median $12,292 | 2 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $20,428 – $30,721 · median $25,574 | 2 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $13,002 – $19,553 · median $16,278 | 2 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,269 – $15,443 · median $12,856 | 2 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $22,031 – $33,132 · median $27,582 | 2 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $12,780 – $19,220 · median $16,000 | 2 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,431 – $12,679 · median $10,555 | 2 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $14,758 – $22,194 · median $18,476 | 2 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,461 – $15,732 · median $13,096 | 2 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,446 – $12,702 · median $10,574 | 2 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $21,070 – $31,686 · median $26,378 | 2 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,745 – $16,159 · median $13,452 | 2 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $8,655 – $13,015 · median $10,835 | 2 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $25,682 – $38,623 · median $32,153 | 2 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $13,530 – $20,347 · median $16,939 | 2 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,278 – $13,953 · median $11,615 | 2 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $68,155 – $102,497 · median $85,326 | 2 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $44,640 – $67,133 · median $55,886 | 2 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $34,766 – $52,285 · median $43,526 | 2 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $55,715 – $83,789 · median $69,752 | 2 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $35,664 – $53,634 · median $44,649 | 2 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $12,171 – $18,304 · median $15,238 | 2 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,532 – $9,823 · median $8,177 | 2 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,406 – $6,626 · median $5,516 | 2 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,358 – $17,081 · median $14,220 | 2 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $6,995 – $10,519 · median $8,757 | 2 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,277 – $7,936 · median $6,606 | 2 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,081 – $15,161 · median $12,621 | 2 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,202 – $7,823 · median $6,513 | 2 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,843 – $5,779 · median $4,811 | 2 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $11,098 – $16,691 · median $13,895 | 2 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $5,969 – $8,977 · median $7,473 | 2 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,327 – $6,507 · median $5,417 | 2 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $10,333 – $15,539 · median $12,936 | 2 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,768 – $10,178 · median $8,473 | 2 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,116 – $7,694 · median $6,405 | 2 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $41,319 – $62,139 · median $51,729 | 2 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $26,225 – $39,439 · median $32,832 | 2 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $32,958 – $49,565 · median $41,262 | 2 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $19,977 – $30,043 · median $25,010 | 2 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $51,967 – $78,152 · median $65,059 | 2 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $36,876 – $55,457 · median $46,166 | 2 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $25,803 – $38,805 · median $32,304 | 2 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $34,154 – $51,364 · median $42,759 | 2 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $16,449 – $24,738 · median $20,594 | 2 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $35,246 – $53,005 · median $44,126 | 2 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $19,261 – $28,967 · median $24,114 | 2 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,278 – $16,960 · median $14,119 | 2 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $32,190 – $48,410 · median $40,300 | 2 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $21,808 – $32,797 · median $27,303 | 2 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $16,994 – $25,556 · median $21,275 | 2 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $18,757 – $28,209 · median $23,483 | 2 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $11,928 – $17,939 · median $14,934 | 2 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $29,861 – $44,907 · median $37,384 | 2 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $18,219 – $27,399 · median $22,809 | 2 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $15,097 – $22,704 · median $18,901 | 2 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $26,547 – $39,924 · median $33,236 | 2 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $14,073 – $21,164 · median $17,618 | 2 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,298 – $10,976 · median $9,137 | 2 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $21,363 – $32,128 · median $26,746 | 2 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $15,208 – $22,871 · median $19,039 | 2 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $11,495 – $17,288 · median $14,392 | 2 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $18,010 – $27,084 · median $22,547 | 2 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $12,952 – $19,479 · median $16,216 | 2 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $10,086 – $15,168 · median $12,627 | 2 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $17,141 – $25,779 · median $21,460 | 2 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $19,956 – $30,012 · median $24,984 | 2 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $12,931 – $19,447 · median $16,189 | 2 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,685 – $14,566 · median $12,126 | 2 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $10,939 – $16,451 · median $13,695 | 2 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $6,906 – $10,386 · median $8,646 | 2 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $22,705 – $34,146 · median $28,426 | 2 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $15,683 – $23,586 · median $19,634 | 2 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $12,408 – $18,660 · median $15,534 | 2 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $22,421 – $33,719 · median $28,070 | 2 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $11,155 – $16,776 · median $13,966 | 2 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $7,472 – $11,237 · median $9,355 | 2 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $18,656 – $28,056 · median $23,356 | 2 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $12,460 – $18,738 · median $15,599 | 2 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $19,571 – $29,433 · median $24,502 | 2 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $10,810 – $16,257 · median $13,534 | 2 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,323 – $12,517 · median $10,420 | 2 plans |
| 503 | FOOT PROCEDURES WITH MCC | $17,260 – $25,957 · median $21,609 | 2 plans |
| 504 | FOOT PROCEDURES WITH CC | $11,559 – $17,384 · median $14,471 | 2 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $11,087 – $16,673 · median $13,880 | 2 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $8,343 – $12,548 · median $10,446 | 2 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $11,171 – $16,800 · median $13,985 | 2 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,365 – $14,084 · median $11,724 | 2 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $18,679 – $28,091 · median $23,385 | 2 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $12,859 – $19,338 · median $16,099 | 2 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $10,237 – $15,395 · median $12,816 | 2 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,735 – $14,641 · median $12,188 | 2 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,322 – $9,507 · median $7,915 | 2 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $19,708 – $29,638 · median $24,673 | 2 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $12,851 – $19,326 · median $16,089 | 2 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,503 – $14,291 · median $11,897 | 2 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $23,111 – $34,757 · median $28,934 | 2 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,369 – $18,602 · median $15,486 | 2 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $9,238 – $13,893 · median $11,566 | 2 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $17,749 – $26,693 · median $22,221 | 2 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $13,096 – $19,695 · median $16,395 | 2 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,695 – $14,580 · median $12,137 | 2 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,985 – $7,497 · median $6,241 | 2 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $7,928 – $11,923 · median $9,925 | 2 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,994 – $7,511 · median $6,252 | 2 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,901 – $8,875 · median $7,388 | 2 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,454 – $6,699 · median $5,577 | 2 plans |
| 539 | OSTEOMYELITIS WITH MCC | $12,181 – $18,318 · median $15,249 | 2 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,016 – $12,056 · median $10,036 | 2 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,869 – $7,323 · median $6,096 | 2 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $10,924 – $16,428 · median $13,676 | 2 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,357 – $9,560 · median $7,959 | 2 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,666 – $7,018 · median $5,842 | 2 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $15,347 – $23,080 · median $19,213 | 2 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,133 – $10,727 · median $8,930 | 2 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,171 – $7,777 · median $6,474 | 2 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $11,941 – $17,957 · median $14,949 | 2 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,465 – $11,227 · median $9,346 | 2 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,405 – $8,129 · median $6,767 | 2 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $10,365 – $15,588 · median $12,976 | 2 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,945 – $8,940 · median $7,442 | 2 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,016 – $12,056 · median $10,036 | 2 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,133 – $7,720 · median $6,427 | 2 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,174 – $12,293 · median $10,233 | 2 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,136 – $7,725 · median $6,431 | 2 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,195 – $13,828 · median $11,512 | 2 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,524 – $8,307 · median $6,915 | 2 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,533 – $17,344 · median $14,438 | 2 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $6,964 – $10,473 · median $8,718 | 2 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $4,971 – $7,476 · median $6,224 | 2 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $8,811 – $13,251 · median $11,031 | 2 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $5,538 – $8,328 · median $6,933 | 2 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,546 – $14,355 · median $11,951 | 2 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,026 – $9,062 · median $7,544 | 2 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,634 – $6,968 · median $5,801 | 2 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $18,188 – $27,352 · median $22,770 | 2 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,448 – $15,712 · median $13,080 | 2 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,089 – $10,661 · median $8,875 | 2 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $40,514 – $60,928 · median $50,721 | 2 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,467 – $32,284 · median $26,876 | 2 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,113 – $16,712 · median $13,912 | 2 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $30,309 – $45,581 · median $37,945 | 2 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $16,392 – $24,652 · median $20,522 | 2 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $9,934 – $14,940 · median $12,437 | 2 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $20,027 – $30,118 · median $25,072 | 2 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $10,686 – $16,070 · median $13,378 | 2 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $8,924 – $13,421 · median $11,172 | 2 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $11,914 – $17,917 · median $14,916 | 2 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $10,664 – $16,037 · median $13,350 | 2 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $13,238 – $19,909 · median $16,573 | 2 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $11,930 – $17,941 · median $14,935 | 2 plans |
| 592 | SKIN ULCERS WITH MCC | $11,968 – $17,998 · median $14,983 | 2 plans |
| 593 | SKIN ULCERS WITH CC | $7,336 – $11,033 · median $9,184 | 2 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,360 – $8,061 · median $6,711 | 2 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $13,114 – $19,723 · median $16,418 | 2 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,694 – $10,067 · median $8,381 | 2 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $10,309 – $15,504 · median $12,907 | 2 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $6,996 – $10,521 · median $8,759 | 2 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,758 – $7,155 · median $5,957 | 2 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,441 – $9,687 · median $8,064 | 2 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,741 – $5,627 · median $4,684 | 2 plans |
| 602 | CELLULITIS WITH MCC | $8,789 – $13,218 · median $11,004 | 2 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,386 – $8,099 · median $6,743 | 2 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,103 – $13,691 · median $11,397 | 2 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,665 – $8,519 · median $7,092 | 2 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $9,358 – $14,073 · median $11,715 | 2 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,605 – $8,430 · median $7,017 | 2 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $13,554 – $20,384 · median $16,969 | 2 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $8,653 – $13,013 · median $10,833 | 2 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $21,566 – $32,433 · median $26,999 | 2 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,566 – $17,394 · median $14,480 | 2 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,771 – $13,190 · median $10,980 | 2 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $17,856 – $26,853 · median $22,354 | 2 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $9,896 – $14,883 · median $12,390 | 2 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,328 – $14,028 · median $11,678 | 2 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $22,010 – $33,101 · median $27,555 | 2 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,093 – $16,683 · median $13,888 | 2 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,742 – $11,643 · median $9,692 | 2 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $18,676 – $28,087 · median $23,382 | 2 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,272 – $13,944 · median $11,608 | 2 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,214 – $12,353 · median $10,284 | 2 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $23,047 – $34,659 · median $28,853 | 2 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $13,474 – $20,263 · median $16,868 | 2 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $9,026 – $13,573 · median $11,299 | 2 plans |
| 637 | DIABETES WITH MCC | $8,885 – $13,361 · median $11,123 | 2 plans |
| 638 | DIABETES WITH CC | $5,542 – $8,335 · median $6,938 | 2 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,842 – $5,777 · median $4,809 | 2 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,259 – $12,421 · median $10,340 | 2 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,812 – $7,237 · median $6,025 | 2 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $8,794 – $13,226 · median $11,010 | 2 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,179 – $15,309 · median $12,744 | 2 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,339 – $9,533 · median $7,936 | 2 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,751 – $7,145 · median $5,948 | 2 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $29,073 – $43,723 · median $36,398 | 2 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $22,917 – $34,464 · median $28,690 | 2 plans |
| 652 | KIDNEY TRANSPLANT | $19,971 – $30,034 · median $25,003 | 2 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $32,135 – $48,327 · median $40,231 | 2 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $17,311 – $26,033 · median $21,672 | 2 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,089 – $19,684 · median $16,387 | 2 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $19,689 – $29,609 · median $24,649 | 2 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,317 – $17,019 · median $14,168 | 2 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,596 – $14,432 · median $12,014 | 2 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $15,713 – $23,630 · median $19,672 | 2 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,173 – $12,292 · median $10,233 | 2 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,403 – $9,629 · median $8,016 | 2 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $18,932 – $28,472 · median $23,702 | 2 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,401 – $14,138 · median $11,769 | 2 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,474 – $9,736 · median $8,105 | 2 plans |
| 665 | PROSTATECTOMY WITH MCC | $19,302 – $29,027 · median $24,164 | 2 plans |
| 666 | PROSTATECTOMY WITH CC | $10,818 – $16,268 · median $13,543 | 2 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,841 – $10,288 · median $8,564 | 2 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $18,057 – $27,156 · median $22,607 | 2 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $9,598 – $14,434 · median $12,016 | 2 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,044 – $9,089 · median $7,566 | 2 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $11,100 – $16,694 · median $13,897 | 2 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,676 – $10,039 · median $8,357 | 2 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $25,983 – $39,075 · median $32,529 | 2 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $14,462 – $21,749 · median $18,105 | 2 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $10,150 – $15,265 · median $12,708 | 2 plans |
| 682 | RENAL FAILURE WITH MCC | $9,159 – $13,773 · median $11,466 | 2 plans |
| 683 | RENAL FAILURE WITH CC | $5,416 – $8,145 · median $6,780 | 2 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,712 – $5,583 · median $4,648 | 2 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $11,154 – $16,774 · median $13,964 | 2 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,480 – $9,745 · median $8,112 | 2 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,887 – $7,350 · median $6,119 | 2 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,175 – $10,791 · median $8,983 | 2 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,006 – $7,528 · median $6,267 | 2 plans |
| 693 | URINARY STONES WITH MCC | $8,314 – $12,504 · median $10,409 | 2 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,834 – $7,270 · median $6,052 | 2 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,073 – $10,637 · median $8,855 | 2 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,261 – $6,408 · median $5,334 | 2 plans |
| 697 | URETHRAL STRICTURE | $6,665 – $10,024 · median $8,344 | 2 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,231 – $15,386 · median $12,808 | 2 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,277 – $9,440 · median $7,858 | 2 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,266 – $6,416 · median $5,341 | 2 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $12,370 – $18,603 · median $15,486 | 2 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,487 – $14,268 · median $11,878 | 2 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $14,391 – $21,642 · median $18,016 | 2 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $8,665 – $13,031 · median $10,848 | 2 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $12,886 – $19,379 · median $16,133 | 2 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,801 – $10,227 · median $8,514 | 2 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,297 – $13,982 · median $11,639 | 2 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,539 – $9,834 · median $8,186 | 2 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $13,835 – $20,807 · median $17,321 | 2 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $9,097 – $13,680 · median $11,388 | 2 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,691 – $17,582 · median $14,636 | 2 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,306 – $12,491 · median $10,398 | 2 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $11,191 – $16,830 · median $14,011 | 2 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,066 – $10,627 · median $8,847 | 2 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,055 – $6,098 · median $5,076 | 2 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,237 – $10,883 · median $9,060 | 2 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,465 – $6,715 · median $5,590 | 2 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,170 – $13,791 · median $11,481 | 2 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,016 – $7,544 · median $6,280 | 2 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,547 – $9,846 · median $8,196 | 2 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,156 – $6,250 · median $5,203 | 2 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $13,172 – $19,809 · median $16,490 | 2 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,321 – $12,513 · median $10,417 | 2 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $22,105 – $33,243 · median $27,674 | 2 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $12,743 – $19,164 · median $15,953 | 2 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,081 – $13,657 · median $11,369 | 2 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $22,156 – $33,320 · median $27,738 | 2 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $11,191 – $16,829 · median $14,010 | 2 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,819 – $13,263 · median $11,041 | 2 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $11,346 – $17,064 · median $14,205 | 2 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,672 – $11,539 · median $9,606 | 2 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $12,672 – $19,057 · median $15,864 | 2 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,034 – $10,579 · median $8,807 | 2 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,742 – $16,155 · median $13,449 | 2 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,316 – $7,995 · median $6,656 | 2 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,579 – $12,902 · median $10,740 | 2 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $15,878 – $23,879 · median $19,878 | 2 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,126 – $13,725 · median $11,426 | 2 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,389 – $17,128 · median $14,258 | 2 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,727 – $10,117 · median $8,422 | 2 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,940 – $8,933 · median $7,436 | 2 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,855 – $13,317 · median $11,086 | 2 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,054 – $9,105 · median $7,579 | 2 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,104 – $6,171 · median $5,138 | 2 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,230 – $9,370 · median $7,800 | 2 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,528 – $5,306 · median $4,417 | 2 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $3,147 – $3,300 · median $3,224 | 2 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,450 – $15,715 · median $13,082 | 2 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,201 – $9,325 · median $7,763 | 2 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,049 – $6,089 · median $5,069 | 2 plans |
| 779 | ABORTION WITHOUT D&C | $5,203 – $7,824 · median $6,513 | 2 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $3,147 – $4,300 · median $3,724 | 2 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $3,147 – $4,300 · median $3,724 | 2 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,147 – $4,300 · median $3,724 | 2 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $3,147 – $4,300 · median $3,724 | 2 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $3,147 – $4,300 · median $3,724 | 2 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $3,147 – $4,300 · median $3,724 | 2 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | — | 2 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | — | 2 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | — | 2 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | — | 2 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | — | 2 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | — | 2 plans |
| 795 | NORMAL NEWBORN | $640 – $970 · median $805 | 2 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $3,147 – $3,300 · median $3,224 | 2 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $3,147 – $3,300 · median $3,224 | 2 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,147 – $3,300 · median $3,224 | 2 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $28,007 – $42,119 · median $35,063 | 2 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $17,373 – $26,127 · median $21,750 | 2 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $11,805 – $17,753 · median $14,779 | 2 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $24,638 – $37,052 · median $30,845 | 2 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $11,495 – $17,288 · median $14,392 | 2 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,386 – $12,611 · median $10,498 | 2 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,147 – $3,300 · median $3,224 | 2 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,147 – $3,300 · median $3,224 | 2 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,147 – $3,300 · median $3,224 | 2 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $13,654 – $20,533 · median $17,094 | 2 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,828 – $11,773 · median $9,801 | 2 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,472 – $9,733 · median $8,103 | 2 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,684 – $13,060 · median $10,872 | 2 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,678 – $8,539 · median $7,109 | 2 plans |
| 813 | COAGULATION DISORDERS | $9,432 – $14,185 · median $11,809 | 2 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $13,152 – $19,778 · median $16,465 | 2 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,271 – $9,430 · median $7,850 | 2 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,908 – $5,878 · median $4,893 | 2 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $14,109 – $21,219 · median $17,664 | 2 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $7,168 – $10,781 · median $8,975 | 2 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,318 – $7,997 · median $6,657 | 2 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $36,268 – $54,543 · median $45,405 | 2 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $13,844 – $20,819 · median $17,331 | 2 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,446 – $11,197 · median $9,321 | 2 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $28,352 – $42,639 · median $35,496 | 2 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $14,010 – $21,070 · median $17,540 | 2 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,345 – $12,549 · median $10,447 | 2 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $28,928 – $43,504 · median $36,216 | 2 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $14,292 – $21,494 · median $17,893 | 2 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,536 – $15,845 · median $13,191 | 2 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $19,541 – $29,388 · median $24,465 | 2 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,307 – $13,997 · median $11,652 | 2 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $7,436 – $11,183 · median $9,310 | 2 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,462 – $6,711 · median $5,587 | 2 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,234 – $4,863 · median $4,048 | 2 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $33,950 – $51,056 · median $42,503 | 2 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $12,899 – $19,398 · median $16,148 | 2 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $7,541 – $11,341 · median $9,441 | 2 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $29,710 – $44,680 · median $37,195 | 2 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $12,908 – $19,413 · median $16,161 | 2 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,929 – $13,428 · median $11,179 | 2 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $20,005 – $30,085 · median $25,045 | 2 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $10,089 – $15,172 · median $12,630 | 2 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,248 – $9,397 · median $7,823 | 2 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $12,336 – $18,552 · median $15,444 | 2 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,528 – $11,322 · median $9,425 | 2 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,266 – $7,920 · median $6,593 | 2 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $16,032 – $24,110 · median $20,071 | 2 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $8,090 – $12,166 · median $10,128 | 2 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,253 – $7,899 · median $6,576 | 2 plans |
| 849 | RADIOTHERAPY | $16,756 – $25,198 · median $20,977 | 2 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $53,550 – $80,533 · median $67,042 | 2 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $30,540 – $45,929 · median $38,235 | 2 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $12,356 – $18,582 · median $15,469 | 2 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,259 – $13,924 · median $11,591 | 2 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $28,129 – $42,303 · median $35,216 | 2 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,243 – $19,916 · median $16,580 | 2 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,614 – $12,954 · median $10,784 | 2 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $11,278 – $16,960 · median $14,119 | 2 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,171 – $9,280 · median $7,726 | 2 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,490 – $8,256 · median $6,873 | 2 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,265 – $13,934 · median $11,600 | 2 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,378 – $8,087 · median $6,732 | 2 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $12,944 – $19,467 · median $16,206 | 2 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,376 – $9,589 · median $7,983 | 2 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,512 – $6,786 · median $5,649 | 2 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $42,743 – $64,280 · median $53,511 | 2 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $12,012 – $18,065 · median $15,039 | 2 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,328 – $9,517 · median $7,922 | 2 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $23,901 – $35,944 · median $29,922 | 2 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $5,938 – $8,930 · median $7,434 | 2 plans |
| 881 | DEPRESSIVE NEUROSES | $5,819 – $8,750 · median $7,284 | 2 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $6,640 – $9,986 · median $8,313 | 2 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $12,160 – $18,287 · median $15,223 | 2 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $9,949 – $14,963 · median $12,456 | 2 plans |
| 885 | PSYCHOSES | $8,638 – $12,990 · median $10,814 | 2 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $12,834 – $19,300 · median $16,067 | 2 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $6,622 – $9,959 · median $8,291 | 2 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,815 – $5,737 · median $4,776 | 2 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $8,754 – $13,165 · median $10,960 | 2 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $10,792 – $16,229 · median $13,511 | 2 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $5,459 – $8,210 · median $6,835 | 2 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $25,952 – $39,028 · median $32,490 | 2 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $11,839 – $17,805 · median $14,822 | 2 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,233 – $10,877 · median $9,055 | 2 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $22,714 – $34,160 · median $28,437 | 2 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $9,173 – $13,796 · median $11,484 | 2 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $12,147 – $18,268 · median $15,208 | 2 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $23,742 – $35,705 · median $29,724 | 2 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,338 – $18,555 · median $15,447 | 2 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,118 – $12,208 · median $10,163 | 2 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $10,108 – $15,202 · median $12,655 | 2 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,476 – $8,235 · median $6,856 | 2 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $10,399 – $15,639 · median $13,019 | 2 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,120 – $6,197 · median $5,158 | 2 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $9,699 – $14,586 · median $12,143 | 2 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,300 – $7,971 · median $6,636 | 2 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $11,322 – $17,026 · median $14,174 | 2 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,198 – $9,321 · median $7,760 | 2 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,257 – $6,402 · median $5,330 | 2 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $10,818 – $16,269 · median $13,544 | 2 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,293 – $9,465 · median $7,879 | 2 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $132,031 – $198,560 · median $165,296 | 2 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $44,356 – $66,706 · median $55,531 | 2 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $19,917 – $29,953 · median $24,935 | 2 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $24,082 – $36,216 · median $30,149 | 2 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $13,670 – $20,559 · median $17,114 | 2 plans |
| 935 | NON-EXTENSIVE BURNS | $12,739 – $19,158 · median $15,949 | 2 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $22,439 – $33,745 · median $28,092 | 2 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $14,451 – $21,733 · median $18,092 | 2 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $12,539 – $18,858 · median $15,698 | 2 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $7,850 – $11,805 · median $9,828 | 2 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,950 – $7,445 · median $6,197 | 2 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,357 – $11,064 · median $9,211 | 2 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,882 – $5,838 · median $4,860 | 2 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,438 – $5,171 · median $4,305 | 2 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $41,625 – $62,599 · median $52,112 | 2 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $23,270 – $34,996 · median $29,133 | 2 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $47,121 – $70,865 · median $58,993 | 2 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $26,059 – $39,189 · median $32,624 | 2 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $18,206 – $27,380 · median $22,793 | 2 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $16,906 – $25,424 · median $21,165 | 2 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,478 – $14,253 · median $11,865 | 2 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,816 – $8,747 · median $7,281 | 2 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $37,854 – $56,928 · median $47,391 | 2 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $16,310 – $24,528 · median $20,419 | 2 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $17,847 – $26,840 · median $22,343 | 2 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,008 – $12,044 · median $10,026 | 2 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,582 – $8,395 · median $6,989 | 2 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $8,025 – $12,069 · median $10,047 | 2 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $29,014 – $43,634 · median $36,324 | 2 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,203 – $22,864 · median $19,034 | 2 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,599 – $15,940 · median $13,270 | 2 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $21,201 – $31,884 · median $26,543 | 2 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,164 – $15,285 · median $12,725 | 2 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,416 – $11,153 · median $9,284 | 2 plans |
| 945 | REHABILITATION WITH CC/MCC | $9,577 – $9,577 · median $9,577 | 1 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,092 – $7,092 · median $7,092 | 1 plans |
No procedures match that keyword.