Sanford Bemidji Medical Center — Pricing
776 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 776 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 776 procedures
Procedures with negotiated rates only
These 776 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 | $203,743 – $373,815 · median $220,900 | 13 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $82,826 – $148,110 · median $89,801 | 13 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $154,493 – $284,414 · median $167,503 | 13 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $101,078 – $187,517 · median $109,589 | 13 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $75,427 – $141,325 · median $81,779 | 13 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $34,329 – $64,353 · median $37,220 | 13 plans |
| 007 | LUNG TRANSPLANT | $94,549 – $173,433 · median $102,511 | 13 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $41,338 – $73,254 · median $44,819 | 13 plans |
| 010 | PANCREAS TRANSPLANT | $52,719 – $105,810 · median $57,159 | 13 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $40,248 – $71,609 · median $43,637 | 13 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $31,279 – $55,105 · median $33,913 | 13 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $21,614 – $37,666 · median $23,434 | 13 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $87,796 – $173,871 · median $95,189 | 13 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $43,693 – $80,101 · median $47,373 | 13 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $40,090 – $80,101 · median $43,466 | 13 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $313,553 – $564,414 · median $339,958 | 13 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $52,421 – $105,201 · median $56,836 | 13 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $57,740 – $106,976 · median $62,602 | 13 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $39,087 – $73,356 · median $42,378 | 13 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $23,756 – $46,854 · median $25,756 | 13 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $42,249 – $75,711 · median $45,806 | 13 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $29,076 – $51,130 · median $31,525 | 13 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $33,675 – $59,427 · median $36,510 | 13 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $23,262 – $40,638 · median $25,220 | 13 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $19,014 – $32,975 · median $20,616 | 13 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $44,262 – $80,680 · median $47,990 | 13 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $25,452 – $44,591 · median $27,595 | 13 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $16,641 – $29,532 · median $18,042 | 13 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $33,195 – $58,562 · median $35,991 | 13 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,175 – $28,342 · median $17,538 | 13 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,785 – $21,735 · median $13,861 | 13 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $28,778 – $51,607 · median $31,201 | 13 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $18,055 – $31,245 · median $19,576 | 13 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,812 – $25,393 · median $16,059 | 13 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $24,586 – $44,071 · median $26,657 | 13 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,493 – $21,382 · median $13,545 | 13 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,254 – $15,364 · median $10,033 | 13 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $28,709 – $50,467 · median $31,127 | 13 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $16,666 – $29,975 · median $18,069 | 13 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,254 – $23,325 · median $14,370 | 13 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $13,860 – $26,708 · median $15,027 | 13 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,832 – $12,798 · median $8,491 | 13 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,799 – $19,957 · median $12,793 | 13 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,125 – $14,478 · median $8,809 | 13 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $17,567 – $33,232 · median $19,046 | 13 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,124 – $17,714 · median $10,976 | 13 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,122 – $24,496 · median $14,227 | 13 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,728 – $16,238 · median $10,547 | 13 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,402 – $12,022 · median $8,025 | 13 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $20,711 – $36,036 · median $22,455 | 13 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,468 – $23,634 · median $14,602 | 13 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,908 – $18,643 · median $11,826 | 13 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $15,306 – $26,399 · median $16,595 | 13 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $8,057 – $13,497 · median $8,736 | 13 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,696 – $9,135 · median $6,176 | 13 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,378 – $19,321 · median $12,336 | 13 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,000 – $11,700 · median $7,590 | 13 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,525 – $10,620 · median $7,075 | 13 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $12,798 – $23,075 · median $13,876 | 13 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $8,171 – $13,986 · median $8,859 | 13 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,216 – $9,955 · median $6,740 | 13 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,360 – $20,969 · median $13,401 | 13 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,206 – $13,834 · median $8,897 | 13 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $14,629 – $25,062 · median $15,861 | 13 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,716 – $12,169 · median $7,282 | 13 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $13,850 – $26,381 · median $15,016 | 13 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,226 – $12,008 · median $7,835 | 13 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $17,295 – $30,792 · median $18,752 | 13 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,850 – $18,452 · median $11,763 | 13 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,662 – $12,688 · median $8,308 | 13 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,196 – $30,072 · median $18,644 | 13 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,175 – $17,407 · median $11,032 | 13 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,365 – $11,955 · median $7,985 | 13 plans |
| 088 | CONCUSSION WITH MCC | $10,531 – $18,721 · median $11,418 | 13 plans |
| 089 | CONCUSSION WITH CC | $8,697 – $14,359 · median $9,429 | 13 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,702 – $11,376 · median $7,266 | 13 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $13,460 – $24,192 · median $14,594 | 13 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,149 – $14,052 · median $8,835 | 13 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,507 – $10,475 · median $7,055 | 13 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $26,233 – $48,420 · median $28,442 | 13 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $19,422 – $33,711 · median $21,058 | 13 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $19,422 – $33,711 · median $21,058 | 13 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $26,902 – $47,576 · median $29,168 | 13 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $17,363 – $29,995 · median $18,825 | 13 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,608 – $18,490 · median $11,501 | 13 plans |
| 100 | SEIZURES WITH MCC | $14,769 – $26,347 · median $16,012 | 13 plans |
| 101 | SEIZURES WITHOUT MCC | $7,277 – $12,231 · median $7,890 | 13 plans |
| 102 | HEADACHES WITH MCC | $8,858 – $15,387 · median $9,604 | 13 plans |
| 103 | HEADACHES WITHOUT MCC | $6,797 – $11,284 · median $7,369 | 13 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $17,770 – $30,730 · median $19,266 | 13 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,540 – $17,684 · median $11,427 | 13 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,857 – $20,318 · median $12,856 | 13 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $13,836 – $23,632 · median $15,002 | 13 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,598 – $14,315 · median $9,322 | 13 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,165 – $15,436 · median $9,937 | 13 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,431 – $10,271 · median $6,972 | 13 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,524 – $10,660 · median $7,073 | 13 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,323 – $17,304 · median $11,192 | 13 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,300 – $10,958 · median $6,831 | 13 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $16,458 – $31,997 · median $17,844 | 13 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,093 – $13,270 · median $8,775 | 13 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,555 – $19,517 · median $12,528 | 13 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,158 – $11,583 · median $7,761 | 13 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,690 – $18,221 · median $10,506 | 13 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $31,636 – $56,126 · median $34,300 | 13 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $16,538 – $28,512 · median $17,931 | 13 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,303 – $20,867 · median $13,339 | 13 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $27,879 – $48,969 · median $30,226 | 13 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,292 – $23,313 · median $14,411 | 13 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,448 – $15,723 · median $10,244 | 13 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $16,077 – $30,444 · median $17,431 | 13 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,949 – $16,619 · median $10,787 | 13 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,513 – $10,627 · median $7,061 | 13 plans |
| 149 | DYSEQUILIBRIUM | $6,183 – $9,921 · median $6,704 | 13 plans |
| 150 | EPISTAXIS WITH MCC | $10,384 – $18,343 · median $11,258 | 13 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,056 – $10,060 · median $6,566 | 13 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,302 – $15,452 · median $10,086 | 13 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,086 – $9,649 · median $6,599 | 13 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,064 – $21,582 · median $13,080 | 13 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,378 – $12,390 · median $7,999 | 13 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,745 – $9,033 · median $6,229 | 13 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $13,175 – $22,439 · median $14,284 | 13 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,329 – $12,482 · median $7,946 | 13 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,871 – $9,260 · median $6,365 | 13 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $33,205 – $61,168 · median $36,001 | 13 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $19,022 – $33,402 · median $20,624 | 13 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $14,605 – $25,019 · median $15,835 | 13 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $27,814 – $51,109 · median $30,157 | 13 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,802 – $24,249 · median $14,965 | 13 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,637 – $17,967 · median $11,532 | 13 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $22,300 – $40,723 · median $24,177 | 13 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,689 – $18,701 · median $11,589 | 13 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,570 – $10,810 · median $7,123 | 13 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,059 – $21,454 · median $13,074 | 13 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,809 – $13,167 · median $8,466 | 13 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,208 – $10,215 · median $6,731 | 13 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $13,531 – $23,195 · median $14,671 | 13 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,497 – $14,734 · median $9,212 | 13 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,199 – $11,115 · median $6,721 | 13 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,821 – $21,065 · median $12,817 | 13 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,447 – $14,174 · median $9,158 | 13 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,436 – $10,320 · median $6,978 | 13 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $12,028 – $20,969 · median $13,041 | 13 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,904 – $13,323 · median $8,569 | 13 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,934 – $9,743 · median $6,434 | 13 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,688 – $16,424 · median $10,504 | 13 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,763 – $14,908 · median $9,501 | 13 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,845 – $11,402 · median $7,422 | 13 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,389 – $8,589 · median $5,843 | 13 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,260 – $17,489 · median $11,124 | 13 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,576 – $10,883 · median $7,130 | 13 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,291 – $8,266 · median $5,737 | 13 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $14,409 – $25,006 · median $15,623 | 13 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,614 – $13,138 · median $8,255 | 13 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,927 – $9,361 · median $6,426 | 13 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,518 – $23,427 · median $14,656 | 13 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,702 – $14,697 · median $9,435 | 13 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,919 – $9,347 · median $6,417 | 13 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,774 – $12,830 · median $8,429 | 13 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,592 – $9,241 · median $6,063 | 13 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,587 – $10,762 · median $7,142 | 13 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $14,002 – $25,053 · median $15,181 | 13 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,556 – $12,301 · median $8,192 | 13 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $47,351 – $85,837 · median $51,339 | 13 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $20,650 – $35,926 · median $22,389 | 13 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $79,510 – $144,570 · median $86,206 | 13 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $72,867 – $140,603 · median $79,003 | 13 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $71,605 – $128,077 · median $77,635 | 13 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $48,370 – $85,941 · median $52,443 | 13 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $48,370 – $85,941 · median $52,443 | 13 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $56,360 – $102,683 · median $61,106 | 13 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $39,369 – $70,291 · median $42,684 | 13 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $37,250 – $65,877 · median $40,386 | 13 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $36,577 – $66,131 · median $39,658 | 13 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $23,553 – $41,223 · median $25,537 | 13 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $61,804 – $112,456 · median $67,009 | 13 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $44,656 – $81,067 · median $48,416 | 13 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $56,120 – $103,729 · median $60,846 | 13 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $40,310 – $71,399 · median $43,705 | 13 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $43,251 – $78,088 · median $46,893 | 13 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $31,082 – $54,749 · median $33,700 | 13 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $36,391 – $66,843 · median $39,456 | 13 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $21,387 – $38,647 · median $23,189 | 13 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $10,767 – $20,038 · median $11,674 | 13 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $23,867 – $45,017 · median $25,877 | 13 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,175 – $29,897 · median $17,537 | 13 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,832 – $23,951 · median $14,997 | 13 plans |
| 245 | AICD GENERATOR PROCEDURES | $33,788 – $64,852 · median $36,634 | 13 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $16,549 – $30,693 · median $17,942 | 13 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,565 – $20,737 · median $12,539 | 13 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $26,008 – $45,593 · median $28,198 | 13 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $19,541 – $33,925 · median $21,187 | 13 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,645 – $23,287 · median $14,794 | 13 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $20,278 – $35,256 · median $21,986 | 13 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,038 – $22,477 · median $14,136 | 13 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,650 – $14,275 · median $9,379 | 13 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $23,500 – $41,068 · median $25,479 | 13 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $15,387 – $26,430 · median $16,682 | 13 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $24,302 – $45,214 · median $26,348 | 13 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,433 – $25,182 · median $15,649 | 13 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $12,546 – $21,303 · median $13,602 | 13 plans |
| 263 | VEIN LIGATION AND STRIPPING | $22,886 – $39,961 · median $24,814 | 13 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $24,938 – $46,383 · median $27,038 | 13 plans |
| 265 | AICD LEAD PROCEDURES | $26,949 – $47,339 · median $29,218 | 13 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $45,132 – $80,100 · median $48,933 | 13 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $35,226 – $62,435 · median $38,192 | 13 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $50,562 – $89,896 · median $54,820 | 13 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $31,331 – $55,215 · median $33,970 | 13 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $38,960 – $68,963 · median $42,241 | 13 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $26,500 – $46,482 · median $28,732 | 13 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $19,232 – $33,369 · median $20,852 | 13 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $30,624 – $53,922 · median $33,202 | 13 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $24,584 – $43,024 · median $26,654 | 13 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $52,391 – $93,784 · median $56,803 | 13 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $44,250 – $82,205 · median $47,976 | 13 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $34,195 – $61,742 · median $37,074 | 13 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $41,060 – $72,752 · median $44,518 | 13 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $26,863 – $47,137 · median $29,125 | 13 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,359 – $21,785 · median $13,399 | 13 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,396 – $12,234 · median $8,019 | 13 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,977 – $9,623 · median $6,480 | 13 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $15,087 – $25,951 · median $16,358 | 13 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,753 – $9,833 · median $6,237 | 13 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,077 – $7,828 · median $5,505 | 13 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $16,768 – $29,374 · median $18,180 | 13 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,490 – $14,461 · median $9,205 | 13 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $20,342 – $36,249 · median $22,055 | 13 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $13,103 – $22,310 · median $14,207 | 13 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,473 – $12,993 · median $8,103 | 13 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $10,038 – $17,318 · median $10,884 | 13 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,889 – $11,431 · median $7,469 | 13 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,839 – $7,398 · median $5,246 | 13 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,053 – $21,743 · median $13,068 | 13 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,331 – $9,349 · median $5,780 | 13 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,035 – $5,948 · median $4,375 | 13 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,566 – $21,470 · median $13,624 | 13 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,471 – $14,207 · median $9,185 | 13 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,952 – $9,467 · median $6,453 | 13 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,407 – $15,640 · median $10,199 | 13 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,615 – $8,924 · median $6,088 | 13 plans |
| 304 | HYPERTENSION WITH MCC | $9,359 – $15,592 · median $10,147 | 13 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,208 – $9,963 · median $6,731 | 13 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,154 – $20,596 · median $13,177 | 13 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,354 – $12,294 · median $7,973 | 13 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,460 – $16,006 · median $10,257 | 13 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,068 – $9,812 · median $6,579 | 13 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,839 – $7,425 · median $5,247 | 13 plans |
| 311 | ANGINA PECTORIS | $5,823 – $9,270 · median $6,313 | 13 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,052 – $11,564 · median $7,646 | 13 plans |
| 313 | CHEST PAIN | $5,954 – $9,467 · median $6,456 | 13 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $15,844 – $28,579 · median $17,178 | 13 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,717 – $12,771 · median $8,366 | 13 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,680 – $9,059 · median $6,158 | 13 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $49,175 – $87,395 · median $53,316 | 13 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $33,068 – $58,332 · median $35,852 | 13 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $18,162 – $31,438 · median $19,692 | 13 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $20,448 – $37,780 · median $22,170 | 13 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $13,510 – $24,010 · median $14,647 | 13 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $32,086 – $56,561 · median $34,788 | 13 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $23,564 – $42,403 · median $25,549 | 13 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $23,995 – $41,961 · median $26,015 | 13 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $36,867 – $67,403 · median $39,972 | 13 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $18,444 – $32,225 · median $19,997 | 13 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,346 – $21,147 · median $13,385 | 13 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $34,035 – $60,940 · median $36,902 | 13 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,104 – $31,370 · median $19,628 | 13 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,929 – $21,996 · median $14,018 | 13 plans |
| 332 | RECTAL RESECTION WITH MCC | $26,967 – $47,324 · median $29,238 | 13 plans |
| 333 | RECTAL RESECTION WITH CC | $17,705 – $30,613 · median $19,196 | 13 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,603 – $22,010 · median $13,665 | 13 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $26,606 – $48,095 · median $28,847 | 13 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $16,014 – $28,035 · median $17,362 | 13 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,858 – $20,372 · median $12,857 | 13 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $19,448 – $35,759 · median $21,086 | 13 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,639 – $19,764 · median $12,619 | 13 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,331 – $16,526 · median $10,117 | 13 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $17,368 – $31,409 · median $18,830 | 13 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,219 – $17,106 · median $11,080 | 13 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,045 – $11,691 · median $7,638 | 13 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $18,790 – $32,570 · median $20,372 | 13 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,782 – $19,970 · median $12,774 | 13 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,198 – $15,264 · median $9,973 | 13 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $21,761 – $38,923 · median $23,593 | 13 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,926 – $22,576 · median $14,014 | 13 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,482 – $17,692 · median $11,364 | 13 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $32,560 – $57,415 · median $35,302 | 13 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,584 – $30,395 · median $19,065 | 13 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,865 – $18,271 · median $11,780 | 13 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,270 – $22,162 · median $13,304 | 13 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,984 – $13,505 · median $8,656 | 13 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,815 – $9,262 · median $6,305 | 13 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,583 – $23,203 · median $14,727 | 13 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,135 – $13,661 · median $8,820 | 13 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,008 – $9,626 · median $6,514 | 13 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $16,231 – $28,023 · median $17,598 | 13 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,501 – $16,307 · median $10,301 | 13 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,434 – $12,081 · median $8,060 | 13 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,981 – $24,129 · median $15,158 | 13 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,843 – $13,085 · median $8,503 | 13 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,305 – $8,449 · median $5,752 | 13 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,953 – $25,647 · median $16,212 | 13 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,587 – $14,454 · median $9,311 | 13 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,538 – $10,464 · median $7,089 | 13 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,740 – $18,046 · median $11,645 | 13 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,931 – $11,541 · median $7,514 | 13 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,201 – $21,562 · median $13,228 | 13 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,811 – $13,171 · median $8,469 | 13 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,674 – $8,905 · median $6,152 | 13 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,436 – $19,509 · median $12,400 | 13 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,460 – $10,640 · median $7,004 | 13 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,679 – $7,261 · median $5,073 | 13 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,926 – $17,053 · median $10,762 | 13 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,386 – $10,356 · median $6,924 | 13 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,324 – $21,977 · median $13,362 | 13 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,517 – $12,493 · median $8,150 | 13 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,440 – $8,483 · median $5,898 | 13 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $18,087 – $32,882 · median $19,610 | 13 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,703 – $20,084 · median $12,689 | 13 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $9,031 – $14,962 · median $9,791 | 13 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $29,863 – $52,549 · median $32,378 | 13 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $40,367 – $72,044 · median $43,766 | 13 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $21,748 – $37,907 · median $23,579 | 13 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $16,817 – $29,011 · median $18,233 | 13 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $26,568 – $46,604 · median $28,805 | 13 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $16,511 – $28,458 · median $17,901 | 13 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,240 – $20,752 · median $13,271 | 13 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $24,668 – $43,175 · median $26,745 | 13 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $15,969 – $28,289 · median $17,314 | 13 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,767 – $22,063 · median $13,842 | 13 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $26,546 – $46,564 · median $28,781 | 13 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $15,710 – $27,012 · median $17,033 | 13 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,614 – $18,185 · median $11,508 | 13 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $18,026 – $31,540 · median $19,544 | 13 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,992 – $22,110 · median $14,087 | 13 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,632 – $17,851 · median $11,528 | 13 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $25,419 – $46,838 · median $27,560 | 13 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,325 – $22,710 · median $14,447 | 13 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,876 – $19,500 · median $11,792 | 13 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $30,823 – $54,281 · median $33,418 | 13 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $16,588 – $30,301 · median $17,984 | 13 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,607 – $20,514 · median $12,584 | 13 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $80,576 – $144,051 · median $87,361 | 13 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $53,030 – $94,350 · median $57,496 | 13 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $41,464 – $73,481 · median $44,956 | 13 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $66,004 – $117,759 · median $71,562 | 13 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $42,515 – $75,378 · median $46,095 | 13 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,996 – $26,001 · median $16,259 | 13 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,390 – $14,197 · median $9,096 | 13 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,900 – $9,313 · median $6,397 | 13 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $14,044 – $24,214 · median $15,226 | 13 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,932 – $14,965 · median $9,684 | 13 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,920 – $11,153 · median $7,503 | 13 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,548 – $22,081 · median $13,604 | 13 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,832 – $11,416 · median $7,408 | 13 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,240 – $8,163 · median $5,681 | 13 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,739 – $25,087 · median $14,896 | 13 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,731 – $12,823 · median $8,382 | 13 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,807 – $9,325 · median $6,296 | 13 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,843 – $22,356 · median $13,924 | 13 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,666 – $14,392 · median $9,396 | 13 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,731 – $10,813 · median $7,298 | 13 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $49,140 – $88,976 · median $53,278 | 13 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $31,459 – $55,429 · median $34,108 | 13 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $39,346 – $69,660 · median $42,659 | 13 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $24,139 – $42,222 · median $26,172 | 13 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $61,613 – $112,392 · median $66,801 | 13 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $43,935 – $77,940 · median $47,635 | 13 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $30,965 – $57,303 · median $33,572 | 13 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $40,747 – $81,444 · median $44,178 | 13 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $20,008 – $38,005 · median $21,692 | 13 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $42,026 – $74,494 · median $45,565 | 13 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $23,301 – $40,710 · median $25,264 | 13 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,949 – $23,836 · median $15,124 | 13 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $38,446 – $68,036 · median $41,684 | 13 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $26,285 – $46,094 · median $28,499 | 13 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $20,645 – $35,917 · median $22,384 | 13 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $22,711 – $43,378 · median $24,623 | 13 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $14,711 – $25,211 · median $15,950 | 13 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $35,718 – $64,460 · median $38,725 | 13 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $22,080 – $38,507 · median $23,939 | 13 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $18,423 – $31,909 · median $19,975 | 13 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $31,836 – $59,515 · median $34,517 | 13 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,224 – $29,744 · median $18,674 | 13 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,288 – $15,435 · median $10,070 | 13 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $25,764 – $45,639 · median $27,933 | 13 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $18,553 – $32,143 · median $20,115 | 13 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $14,204 – $24,296 · median $15,401 | 13 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $21,835 – $39,032 · median $23,674 | 13 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,911 – $27,537 · median $17,251 | 13 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,553 – $21,318 · median $13,611 | 13 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $20,818 – $36,230 · median $22,571 | 13 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $24,116 – $42,783 · median $26,146 | 13 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,886 – $28,145 · median $17,224 | 13 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,084 – $20,971 · median $13,102 | 13 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $13,552 – $26,083 · median $14,694 | 13 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,829 – $16,438 · median $9,572 | 13 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $27,336 – $47,989 · median $29,637 | 13 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $19,110 – $33,148 · median $20,719 | 13 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $15,274 – $26,226 · median $16,560 | 13 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $27,003 – $47,389 · median $29,277 | 13 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $13,806 – $26,184 · median $14,969 | 13 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,491 – $17,824 · median $10,291 | 13 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $22,592 – $39,431 · median $24,495 | 13 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $15,334 – $26,334 · median $16,625 | 13 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $23,664 – $42,051 · median $25,657 | 13 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,402 – $23,689 · median $14,530 | 13 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,488 – $18,542 · median $11,371 | 13 plans |
| 503 | FOOT PROCEDURES WITH MCC | $20,957 – $36,481 · median $22,722 | 13 plans |
| 504 | FOOT PROCEDURES WITH CC | $14,279 – $24,431 · median $15,481 | 13 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,726 – $23,433 · median $14,881 | 13 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,512 – $19,894 · median $11,397 | 13 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $13,824 – $25,722 · median $14,988 | 13 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,709 – $19,794 · median $12,695 | 13 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $22,619 – $39,479 · median $24,524 | 13 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $15,802 – $27,178 · median $17,132 | 13 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,730 – $21,637 · median $13,802 | 13 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,143 – $20,577 · median $13,165 | 13 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,144 – $13,532 · median $8,830 | 13 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $23,824 – $41,654 · median $25,831 | 13 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $15,792 – $27,161 · median $17,122 | 13 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,870 – $20,085 · median $12,870 | 13 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $27,811 – $48,848 · median $30,153 | 13 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $15,228 – $26,168 · median $16,510 | 13 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,560 – $19,526 · median $12,534 | 13 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $21,530 – $38,682 · median $23,343 | 13 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $16,079 – $27,979 · median $17,433 | 13 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $12,095 – $20,490 · median $13,113 | 13 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,578 – $10,802 · median $7,132 | 13 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,025 – $17,650 · median $10,870 | 13 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,589 – $10,762 · median $7,144 | 13 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,651 – $12,473 · median $8,296 | 13 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,956 – $9,415 · median $6,458 | 13 plans |
| 539 | OSTEOMYELITIS WITH MCC | $15,007 – $26,845 · median $16,271 | 13 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,129 – $17,179 · median $10,982 | 13 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,442 – $11,610 · median $6,985 | 13 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,535 – $24,750 · median $14,675 | 13 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,185 – $14,079 · median $8,875 | 13 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,205 – $10,029 · median $6,727 | 13 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $18,716 – $33,534 · median $20,292 | 13 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,094 – $15,365 · median $9,860 | 13 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,796 – $10,929 · median $7,368 | 13 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,726 – $26,736 · median $15,966 | 13 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,483 – $15,992 · median $10,282 | 13 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,071 – $11,442 · median $7,666 | 13 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,880 – $22,645 · median $13,965 | 13 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,702 – $12,791 · median $8,351 | 13 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,129 – $17,337 · median $10,982 | 13 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,752 – $11,077 · median $7,320 | 13 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,314 – $17,870 · median $11,182 | 13 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,755 – $10,856 · median $7,324 | 13 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,510 – $20,567 · median $12,479 | 13 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,209 – $11,674 · median $7,816 | 13 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,248 – $24,634 · median $15,448 | 13 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,896 – $15,114 · median $9,645 | 13 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,562 – $10,851 · median $7,115 | 13 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $11,060 – $19,426 · median $11,991 | 13 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,226 – $11,861 · median $7,834 | 13 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,920 – $20,826 · median $12,924 | 13 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,797 – $13,532 · median $8,454 | 13 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,166 – $9,927 · median $6,686 | 13 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $22,044 – $39,953 · median $23,900 | 13 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,977 – $22,227 · median $14,070 | 13 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $9,042 – $15,162 · median $9,804 | 13 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $48,197 – $85,629 · median $52,255 | 13 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $25,885 – $45,982 · median $28,065 | 13 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,756 – $26,497 · median $14,914 | 13 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $36,243 – $71,599 · median $39,295 | 13 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $19,940 – $35,337 · median $21,619 | 13 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,375 – $22,433 · median $13,417 | 13 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $24,198 – $43,254 · median $26,236 | 13 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,256 – $23,529 · median $14,372 | 13 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,192 – $19,099 · median $12,135 | 13 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $14,695 – $25,181 · median $15,932 | 13 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $13,230 – $22,538 · median $14,344 | 13 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $16,246 – $27,980 · median $17,614 | 13 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,713 – $26,344 · median $15,952 | 13 plans |
| 592 | SKIN ULCERS WITH MCC | $14,758 – $27,289 · median $16,001 | 13 plans |
| 593 | SKIN ULCERS WITH CC | $9,332 – $16,226 · median $10,118 | 13 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,018 – $11,329 · median $7,609 | 13 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $16,101 – $28,070 · median $17,457 | 13 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,580 – $14,347 · median $9,303 | 13 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,815 – $23,312 · median $13,894 | 13 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,934 – $14,786 · median $9,686 | 13 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,312 – $11,346 · median $6,844 | 13 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,284 – $13,614 · median $8,981 | 13 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,121 – $7,956 · median $5,552 | 13 plans |
| 602 | CELLULITIS WITH MCC | $11,034 – $19,501 · median $11,964 | 13 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,047 – $11,691 · median $7,641 | 13 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,402 – $19,718 · median $12,363 | 13 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,374 – $12,259 · median $7,995 | 13 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,700 – $21,369 · median $12,685 | 13 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,304 – $11,847 · median $7,920 | 13 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $16,616 – $30,243 · median $18,015 | 13 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,875 – $19,017 · median $11,791 | 13 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $26,001 – $51,294 · median $28,191 | 13 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,287 – $25,644 · median $15,490 | 13 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,013 – $18,538 · median $11,940 | 13 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $21,655 – $37,739 · median $23,478 | 13 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,331 – $21,194 · median $13,369 | 13 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,665 – $19,715 · median $12,648 | 13 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $26,521 – $49,689 · median $28,755 | 13 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,734 – $25,402 · median $14,890 | 13 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,807 – $16,363 · median $10,633 | 13 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $22,616 – $39,474 · median $24,521 | 13 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,600 – $20,030 · median $12,577 | 13 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,361 – $17,361 · median $11,233 | 13 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $27,735 – $52,374 · median $30,071 | 13 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $16,522 – $29,863 · median $17,913 | 13 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,311 – $19,076 · median $12,264 | 13 plans |
| 637 | DIABETES WITH MCC | $11,146 – $19,328 · median $12,085 | 13 plans |
| 638 | DIABETES WITH CC | $7,231 – $12,173 · median $7,839 | 13 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,239 – $8,316 · median $5,680 | 13 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,414 – $17,626 · median $11,291 | 13 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,376 – $10,372 · median $6,913 | 13 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $11,040 – $18,587 · median $11,970 | 13 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,663 – $21,995 · median $13,729 | 13 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,164 – $13,716 · median $8,851 | 13 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,304 – $10,339 · median $6,835 | 13 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $34,795 – $61,449 · median $37,725 | 13 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $27,583 – $48,436 · median $29,906 | 13 plans |
| 652 | KIDNEY TRANSPLANT | $24,133 – $42,211 · median $26,165 | 13 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $38,381 – $73,979 · median $41,613 | 13 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $21,017 – $37,451 · median $22,786 | 13 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,071 – $27,665 · median $17,425 | 13 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $23,802 – $43,235 · median $25,806 | 13 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,995 – $24,261 · median $15,174 | 13 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,980 – $20,283 · median $12,989 | 13 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $19,145 – $34,297 · median $20,757 | 13 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,313 – $17,783 · median $11,181 | 13 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,239 – $13,625 · median $8,933 | 13 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $22,916 – $41,400 · median $24,846 | 13 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,751 – $20,270 · median $12,740 | 13 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,322 – $14,331 · median $9,023 | 13 plans |
| 665 | PROSTATECTOMY WITH MCC | $23,348 – $45,567 · median $25,315 | 13 plans |
| 666 | PROSTATECTOMY WITH CC | $13,410 – $22,864 · median $14,540 | 13 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,752 – $14,458 · median $9,489 | 13 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $21,891 – $38,702 · median $23,734 | 13 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,981 – $20,538 · median $12,990 | 13 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,818 – $12,774 · median $8,476 | 13 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,741 – $23,461 · median $14,899 | 13 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,558 – $14,523 · median $9,279 | 13 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $31,175 – $55,608 · median $33,800 | 13 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,679 – $30,635 · median $19,168 | 13 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,629 – $21,454 · median $13,692 | 13 plans |
| 682 | RENAL FAILURE WITH MCC | $11,467 – $19,934 · median $12,433 | 13 plans |
| 683 | RENAL FAILURE WITH CC | $7,083 – $11,797 · median $7,679 | 13 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,087 – $8,063 · median $5,516 | 13 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,805 – $25,025 · median $14,967 | 13 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,329 – $13,970 · median $9,030 | 13 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,463 – $10,329 · median $7,008 | 13 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,144 – $15,533 · median $9,914 | 13 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,603 – $10,652 · median $7,159 | 13 plans |
| 693 | URINARY STONES WITH MCC | $10,478 – $19,513 · median $11,360 | 13 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,401 – $10,370 · median $6,940 | 13 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,024 – $14,966 · median $9,784 | 13 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,730 – $9,180 · median $6,212 | 13 plans |
| 697 | URETHRAL STRICTURE | $8,546 – $14,087 · median $9,266 | 13 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,723 – $22,308 · median $13,794 | 13 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,091 – $13,534 · median $8,773 | 13 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,736 – $9,212 · median $6,219 | 13 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $15,229 – $26,145 · median $16,511 | 13 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,852 – $20,053 · median $12,850 | 13 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $17,596 – $30,416 · median $19,078 | 13 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,889 – $19,925 · median $11,806 | 13 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $15,834 – $27,236 · median $17,167 | 13 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,705 – $14,373 · median $9,438 | 13 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,629 – $19,650 · median $12,608 | 13 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,398 – $13,821 · median $9,106 | 13 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $16,945 – $29,970 · median $18,372 | 13 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,394 – $19,226 · median $12,354 | 13 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $14,433 – $24,709 · median $15,649 | 13 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,468 – $17,555 · median $11,349 | 13 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $13,848 – $23,653 · median $15,014 | 13 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,016 – $14,935 · median $9,775 | 13 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,488 – $9,670 · median $5,951 | 13 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,215 – $16,763 · median $9,991 | 13 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,969 – $9,878 · median $6,471 | 13 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,481 – $19,500 · median $12,447 | 13 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,615 – $10,844 · median $7,172 | 13 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,408 – $14,609 · median $9,116 | 13 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,607 – $8,783 · median $6,079 | 13 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,168 – $27,906 · median $17,530 | 13 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,485 – $17,586 · median $11,368 | 13 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $26,632 – $52,255 · median $28,875 | 13 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $15,665 – $26,933 · median $16,985 | 13 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,376 – $20,130 · median $12,334 | 13 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $26,692 – $52,831 · median $28,940 | 13 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,847 – $24,131 · median $15,013 | 13 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,069 – $18,640 · median $12,001 | 13 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $14,030 – $24,242 · median $15,211 | 13 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,726 – $16,216 · median $10,545 | 13 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $15,582 – $26,782 · median $16,894 | 13 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,979 – $14,868 · median $9,735 | 13 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $13,322 – $22,704 · median $14,444 | 13 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,966 – $12,676 · median $7,553 | 13 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,788 – $18,132 · median $11,697 | 13 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $19,338 – $34,352 · median $20,967 | 13 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,429 – $19,289 · median $12,392 | 13 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,080 – $24,072 · median $15,265 | 13 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,619 – $14,733 · median $9,344 | 13 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,696 – $12,673 · median $8,345 | 13 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,111 – $18,782 · median $12,047 | 13 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,830 – $13,528 · median $8,490 | 13 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,546 – $8,673 · median $6,013 | 13 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $8,037 – $13,168 · median $8,714 | 13 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,871 – $8,413 · median $5,281 | 13 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $8,501 – $14,550 · median $9,217 | 13 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,979 – $22,086 · median $14,072 | 13 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,002 – $14,279 · median $8,676 | 13 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,481 – $9,468 · median $5,943 | 13 plans |
| 779 | ABORTION WITHOUT D&C | $6,833 – $12,405 · median $7,408 | 13 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $18,523 – $32,089 · median $20,083 | 13 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,418 – $14,373 · median $9,127 | 13 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,677 – $12,519 · median $8,323 | 13 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $12,687 – $21,560 · median $13,756 | 13 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,829 – $14,597 · median $9,572 | 13 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,684 – $12,532 · median $8,331 | 13 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $13,794 – $23,925 · median $14,955 | 13 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $43,793 – $78,900 · median $47,481 | 13 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $30,142 – $53,884 · median $32,680 | 13 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $18,480 – $32,513 · median $20,037 | 13 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $30,943 – $55,351 · median $33,549 | 13 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $11,430 – $19,592 · median $12,392 | 13 plans |
| 795 | NORMAL NEWBORN | $1,947 – $2,652 · median $2,370 | 13 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $9,192 – $16,943 · median $9,966 | 13 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,985 – $13,076 · median $8,658 | 13 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $7,672 – $12,850 · median $8,318 | 13 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $33,546 – $63,100 · median $36,371 | 13 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $21,090 – $38,668 · median $22,866 | 13 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $14,567 – $24,950 · median $15,793 | 13 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $29,599 – $52,074 · median $32,092 | 13 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $14,204 – $24,296 · median $15,401 | 13 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,561 – $17,723 · median $11,451 | 13 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $8,556 – $14,106 · median $9,277 | 13 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $6,201 – $9,855 · median $6,723 | 13 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,622 – $8,812 · median $6,096 | 13 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $16,733 – $30,397 · median $18,142 | 13 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,909 – $16,546 · median $10,743 | 13 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,320 – $13,679 · median $9,021 | 13 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,911 – $18,671 · median $11,830 | 13 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,390 – $12,248 · median $8,012 | 13 plans |
| 813 | COAGULATION DISORDERS | $11,788 – $20,543 · median $12,780 | 13 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $16,144 – $27,797 · median $17,504 | 13 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $8,084 – $13,485 · median $8,765 | 13 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,317 – $8,751 · median $5,764 | 13 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $17,266 – $33,645 · median $18,720 | 13 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,136 – $17,094 · median $9,905 | 13 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,968 – $11,239 · median $7,554 | 13 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $43,223 – $77,266 · median $46,863 | 13 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $16,955 – $29,625 · median $18,383 | 13 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,460 – $15,737 · median $10,257 | 13 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $33,951 – $62,101 · median $36,810 | 13 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $17,150 – $29,612 · median $18,595 | 13 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,514 – $17,637 · median $11,399 | 13 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $34,624 – $63,375 · median $37,540 | 13 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $17,481 – $31,317 · median $18,953 | 13 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,081 – $22,269 · median $14,182 | 13 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $23,630 – $41,302 · median $25,619 | 13 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,641 – $19,671 · median $12,621 | 13 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,449 – $15,717 · median $10,245 | 13 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,966 – $9,918 · median $6,468 | 13 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,526 – $6,899 · median $4,908 | 13 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $40,507 – $73,351 · median $43,918 | 13 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $15,848 – $28,346 · median $17,183 | 13 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,573 – $16,864 · median $10,379 | 13 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $35,541 – $66,449 · median $38,534 | 13 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $15,860 – $27,283 · median $17,195 | 13 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,198 – $18,872 · median $12,141 | 13 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $24,172 – $42,329 · median $26,208 | 13 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,556 – $21,323 · median $13,614 | 13 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,058 – $13,959 · median $8,736 | 13 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $15,189 – $26,073 · median $16,468 | 13 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,557 – $15,912 · median $10,362 | 13 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,908 – $11,131 · median $7,489 | 13 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $19,519 – $33,891 · median $21,162 | 13 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $10,215 – $17,099 · median $11,075 | 13 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,892 – $11,102 · median $7,472 | 13 plans |
| 849 | RADIOTHERAPY | $20,366 – $35,447 · median $22,081 | 13 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $63,468 – $122,249 · median $68,812 | 13 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $36,514 – $66,378 · median $39,588 | 13 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,213 – $26,519 · median $16,494 | 13 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,584 – $21,573 · median $12,560 | 13 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $33,689 – $59,872 · median $36,526 | 13 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $16,252 – $28,918 · median $17,620 | 13 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,829 – $18,206 · median $11,741 | 13 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,949 – $24,401 · median $15,124 | 13 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,967 – $13,270 · median $8,638 | 13 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,169 – $11,917 · median $7,773 | 13 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,592 – $19,588 · median $12,568 | 13 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,038 – $11,741 · median $7,631 | 13 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,902 – $28,457 · median $17,241 | 13 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,208 – $13,935 · median $8,899 | 13 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,024 – $9,549 · median $6,532 | 13 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $50,807 – $92,324 · median $55,086 | 13 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,810 – $26,043 · median $16,057 | 13 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,151 – $13,683 · median $8,838 | 13 plans |
| 881 | DEPRESSIVE NEUROSES | $7,554 – $12,298 · median $8,191 | 13 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,517 – $14,035 · median $9,234 | 13 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $14,982 – $25,700 · median $16,244 | 13 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,393 – $22,165 · median $13,437 | 13 plans |
| 885 | PSYCHOSES | $10,857 – $18,706 · median $11,771 | 13 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $15,772 – $27,125 · median $17,100 | 13 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $10,993 – $19,216 · median $11,919 | 13 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $13,380 – $23,634 · median $14,507 | 13 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $31,139 – $58,796 · median $33,761 | 13 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,607 – $25,182 · median $15,837 | 13 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,211 – $16,178 · median $9,987 | 13 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $27,346 – $51,241 · median $29,649 | 13 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,484 – $21,873 · median $12,451 | 13 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $14,968 – $28,964 · median $16,228 | 13 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $28,550 – $52,868 · median $30,955 | 13 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $15,192 – $26,769 · median $16,471 | 13 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,248 – $17,157 · median $11,111 | 13 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,580 – $21,476 · median $13,639 | 13 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,153 – $12,161 · median $7,755 | 13 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,920 – $23,064 · median $14,008 | 13 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,565 – $8,812 · median $6,034 | 13 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $12,100 – $21,760 · median $13,119 | 13 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,947 – $11,737 · median $7,532 | 13 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $14,001 – $24,200 · median $15,180 | 13 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,999 – $13,481 · median $8,673 | 13 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,725 – $9,126 · median $6,207 | 13 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,411 – $22,865 · median $14,541 | 13 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $8,111 – $13,534 · median $8,794 | 13 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $155,401 – $314,841 · median $168,487 | 13 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $52,697 – $93,750 · median $57,135 | 13 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $24,070 – $42,207 · median $26,097 | 13 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $28,948 – $57,423 · median $31,386 | 13 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $16,752 – $28,893 · median $18,163 | 13 plans |
| 935 | NON-EXTENSIVE BURNS | $15,661 – $29,149 · median $16,980 | 13 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $27,023 – $47,426 · median $29,299 | 13 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $17,667 – $30,544 · median $19,155 | 13 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $15,427 – $26,503 · median $16,726 | 13 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,957 – $20,258 · median $12,963 | 13 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $9,046 – $14,989 · median $9,808 | 13 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,934 – $17,069 · median $10,771 | 13 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,537 – $10,544 · median $7,088 | 13 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,357 – $15,550 · median $10,145 | 13 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,286 – $8,204 · median $5,731 | 13 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,766 – $7,524 · median $5,168 | 13 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $49,498 – $90,618 · median $53,667 | 13 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $27,998 – $50,727 · median $30,355 | 13 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $55,937 – $99,595 · median $60,647 | 13 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $31,264 – $55,077 · median $33,897 | 13 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $22,066 – $38,480 · median $23,924 | 13 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $20,542 – $36,054 · median $22,272 | 13 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,841 – $20,032 · median $12,838 | 13 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,552 – $12,293 · median $8,187 | 13 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $45,081 – $83,929 · median $48,877 | 13 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $19,844 – $35,212 · median $21,515 | 13 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $21,645 – $39,629 · median $23,467 | 13 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,119 – $18,863 · median $10,972 | 13 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,278 – $13,310 · median $7,891 | 13 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,139 – $19,135 · median $10,993 | 13 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $34,726 – $63,097 · median $37,650 | 13 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,548 – $32,496 · median $20,110 | 13 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,155 – $22,403 · median $14,262 | 13 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $25,574 – $46,491 · median $27,727 | 13 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,645 – $22,774 · median $13,710 | 13 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,426 – $15,674 · median $10,219 | 13 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $82,732 – $147,941 · median $89,698 | 12 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $42,079 – $74,591 · median $45,623 | 12 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $18,285 – $31,659 · median $19,825 | 12 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $25,648 – $44,944 · median $27,807 | 12 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $18,228 – $31,556 · median $19,763 | 12 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $28,736 – $50,516 · median $31,156 | 12 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,694 – $12,550 · median $8,342 | 12 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,496 – $13,997 · median $9,212 | 12 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,207 – $8,063 · median $5,646 | 12 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $7,134 – $11,539 · median $7,734 | 12 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $20,521 – $20,521 · median $20,521 | 1 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $13,242 – $13,242 · median $13,242 | 1 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $8,848 – $8,848 · median $8,848 | 1 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $16,296 – $16,296 · median $16,296 | 1 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $10,482 – $10,482 · median $10,482 | 1 plans |
| 509 | ARTHROSCOPY | $23,312 – $23,312 · median $23,312 | 1 plans |
No procedures match that keyword.