Citizens Memorial Hospital — 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.
Estimate your out-of-pocket cost
Enter what's left on your plan this year, then choose a procedure — click any row below or its “Estimate” button.
No procedure selected yet — pick a row in the table below to see an estimate here.
Estimate only. Your plan's actual negotiated rate, network status, and benefit rules control what you pay — confirm with your insurer. Professional fees (surgeon, anesthesia) are usually billed separately.
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 |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROC EXCEPT STERIL &/OR D&C | $3,474 – $13,926 · median $10,202 | 14 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $6,065 – $27,752 · median $20,331 | 14 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH COMPLICATION | $6,065 – $13,812 · median $10,119 | 14 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT COMPLICATION/COMORBITY | $6,065 – $12,793 · median $9,372 | 14 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMORBITY | $6,065 – $19,680 · median $14,418 | 14 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMPLICATION | $6,065 – $14,376 · median $10,532 | 14 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT COMPLICATION/COMORBITY | $6,065 – $12,803 · median $9,380 | 14 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $3,474 – $14,876 · median $10,898 | 14 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION/D&C WITH COMPLICATION | $3,474 – $13,217 · median $9,683 | 14 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY | $3,474 – $12,786 · median $9,367 | 14 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMORBITY | $3,474 – $14,002 · median $10,258 | 14 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMPLICATION | $3,474 – $10,764 · median $7,886 | 14 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY | $3,474 – $9,970 · median $7,304 | 14 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $232,072 – $316,779 · median $232,072 | 10 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $93,841 – $128,093 · median $93,841 | 10 plans |
| 003 | ECMO OR TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITH MAJ O.R. | $175,771 – $239,927 · median $175,771 | 10 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $114,707 – $156,575 · median $114,707 | 10 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $85,384 – $116,549 · median $85,384 | 10 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $38,400 – $52,416 · median $38,400 | 10 plans |
| 007 | LUNG TRANSPLANT | $107,244 – $146,388 · median $107,244 | 10 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $46,413 – $63,354 · median $46,413 | 10 plans |
| 010 | PANCREAS TRANSPLANT | $59,424 – $81,113 · median $59,424 | 10 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $45,167 – $61,653 · median $45,167 | 10 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $34,914 – $47,657 · median $34,914 | 10 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $23,865 – $32,576 · median $23,865 | 10 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $99,523 – $135,849 · median $99,523 | 10 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $49,105 – $67,029 · median $49,105 | 10 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $44,986 – $61,406 · median $44,986 | 10 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $357,607 – $488,133 · median $357,607 | 10 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $59,083 – $80,649 · median $59,083 | 10 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $65,163 – $88,948 · median $65,163 | 10 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $43,839 – $59,840 · median $43,839 | 10 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $26,313 – $35,917 · median $26,313 | 10 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $47,454 – $64,775 · median $47,454 | 10 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $32,395 – $44,220 · median $32,395 | 10 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $37,652 – $51,395 · median $37,652 | 10 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $25,748 – $35,146 · median $25,748 | 10 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $20,893 – $28,519 · median $20,893 | 10 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $49,756 – $67,917 · median $49,756 | 10 plans |
| 029 | SPINAL PROCEDURES WITH COMPLICATION OR SPINAL NEUROSTIMULATORS | $28,252 – $38,564 · median $28,252 | 10 plans |
| 030 | SPINAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $18,398 – $25,113 · median $18,398 | 10 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $37,104 – $50,647 · median $37,104 | 10 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $17,930 – $24,474 · median $17,930 | 10 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $14,515 – $19,813 · median $14,515 | 10 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $32,054 – $43,754 · median $32,054 | 10 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $19,822 – $27,058 · median $19,822 | 10 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $16,557 – $22,600 · median $16,557 | 10 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $27,263 – $37,214 · median $27,263 | 10 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $14,221 – $19,412 · median $14,221 | 10 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $10,960 – $14,961 · median $10,960 | 10 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $31,976 – $43,647 · median $31,976 | 10 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $18,423 – $25,148 · median $18,423 | 10 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $14,988 – $20,459 · median $14,988 | 10 plans |
| 052 | SPINAL DISORDERS & INJURIES WITH COMPLICATION/COMORBITY | $15,598 – $21,291 · median $15,598 | 10 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $9,528 – $13,006 · median $9,528 | 10 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $13,523 – $18,459 · median $13,523 | 10 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $9,823 – $13,409 · median $9,823 | 10 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH COMORBITY | $19,331 – $26,387 · median $19,331 | 10 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT COMORBITY | $11,836 – $16,157 · median $11,836 | 10 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $14,855 – $20,277 · median $14,855 | 10 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $11,437 – $15,612 · median $11,437 | 10 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $9,095 – $12,415 · median $9,095 | 10 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $22,832 – $31,166 · median $22,832 | 10 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $15,203 – $20,752 · median $15,203 | 10 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $12,626 – $17,234 · median $12,626 | 10 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY | $17,054 – $23,279 · median $17,054 | 10 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS | $9,755 – $13,316 · median $9,755 | 10 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION/COMORBITY | $7,378 – $10,071 · median $7,378 | 10 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $13,099 – $17,880 · median $13,099 | 10 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $8,691 – $11,863 · median $8,691 | 10 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $8,213 – $11,210 · median $8,213 | 10 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMORBITY | $14,529 – $19,832 · median $14,529 | 10 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION | $9,870 – $13,472 · median $9,870 | 10 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $7,902 – $10,786 · median $7,902 | 10 plans |
| 073 | CRANIAL & PERIPHERAL NERVE DISORDERS WITH COMORBITY | $14,088 – $19,230 · median $14,088 | 10 plans |
| 074 | CRANIAL & PERIPHERAL NERVE DISORDERS WITHOUT COMORBITY | $9,905 – $13,520 · median $9,905 | 10 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $16,372 – $22,348 · median $16,372 | 10 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $8,405 – $11,473 · median $8,405 | 10 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $15,588 – $21,278 · median $15,588 | 10 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $8,919 – $12,174 · median $8,919 | 10 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $19,057 – $26,013 · median $19,057 | 10 plans |
| 083 | TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMPLICATION | $12,567 – $17,154 · median $12,567 | 10 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $9,358 – $12,773 · median $9,358 | 10 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $18,957 – $25,877 · median $18,957 | 10 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $11,888 – $16,227 · median $11,888 | 10 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $9,058 – $12,364 · median $9,058 | 10 plans |
| 088 | CONCUSSION WITH MCC | $12,246 – $16,716 · median $12,246 | 10 plans |
| 089 | CONCUSSION WITH CC | $10,399 – $14,195 · median $10,399 | 10 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $8,391 – $11,453 · median $8,391 | 10 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMORBITY | $15,196 – $20,742 · median $15,196 | 10 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION | $9,848 – $13,442 · median $9,848 | 10 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $8,194 – $11,185 · median $8,194 | 10 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $29,145 – $39,783 · median $29,145 | 10 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $21,359 – $29,155 · median $21,359 | 10 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $21,359 – $29,155 · median $21,359 | 10 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $29,910 – $40,827 · median $29,910 | 10 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $19,125 – $26,106 · median $19,125 | 10 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $12,324 – $16,822 · median $12,324 | 10 plans |
| 100 | SEIZURES WITH MCC | $16,513 – $22,541 · median $16,513 | 10 plans |
| 101 | SEIZURES WITHOUT MCC | $8,970 – $12,244 · median $8,970 | 10 plans |
| 102 | HEADACHES WITH MCC | $10,562 – $14,417 · median $10,562 | 10 plans |
| 103 | HEADACHES WITHOUT COMORBITY | $8,486 – $11,584 · median $8,486 | 10 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $19,535 – $26,665 · median $19,535 | 10 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $12,255 – $16,728 · median $12,255 | 10 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $13,582 – $18,539 · median $13,582 | 10 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $15,574 – $21,259 · median $15,574 | 10 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $10,299 – $14,059 · median $10,299 | 10 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $10,871 – $14,839 · median $10,871 | 10 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $8,118 – $11,081 · median $8,118 | 10 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $8,211 – $11,208 · median $8,211 | 10 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $12,037 – $16,430 · median $12,037 | 10 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $7,987 – $10,902 · median $7,987 | 10 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $18,214 – $24,862 · median $18,214 | 10 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $9,792 – $13,366 · median $9,792 | 10 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $13,278 – $18,124 · median $13,278 | 10 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $8,850 – $12,080 · median $8,850 | 10 plans |
| 139 | SALIVARY GLAND PROCEDURES | $11,399 – $15,560 · median $11,399 | 10 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $35,322 – $48,214 · median $35,322 | 10 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $18,295 – $24,973 · median $18,295 | 10 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $14,030 – $19,151 · median $14,030 | 10 plans |
| 143 | OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $31,026 – $42,351 · median $31,026 | 10 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $15,026 – $20,510 · median $15,026 | 10 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $11,156 – $15,228 · median $11,156 | 10 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $17,830 – $24,339 · median $17,830 | 10 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $11,661 – $15,917 · median $11,661 | 10 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $8,200 – $11,193 · median $8,200 | 10 plans |
| 149 | DYSEQUILIBRIUM | $7,868 – $10,740 · median $7,868 | 10 plans |
| 150 | EPISTAXIS WITH MCC | $12,098 – $16,514 · median $12,098 | 10 plans |
| 151 | EPISTAXIS WITHOUT MCC | $7,740 – $10,565 · median $7,740 | 10 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $11,009 – $15,028 · median $11,009 | 10 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $7,771 – $10,607 · median $7,771 | 10 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $13,790 – $18,824 · median $13,790 | 10 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $9,071 – $12,382 · median $9,071 | 10 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $7,427 – $10,138 · median $7,427 | 10 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $14,909 – $20,350 · median $14,909 | 10 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $9,022 – $12,315 · median $9,022 | 10 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $7,554 – $10,311 · median $7,554 | 10 plans |
| 163 | MAJOR CHEST PROCEDURES WITH COMORBITY | $37,115 – $50,662 · median $37,115 | 10 plans |
| 164 | MAJOR CHEST PROCEDURES WITH COMPLICATION | $20,902 – $28,531 · median $20,902 | 10 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $16,348 – $22,316 · median $16,348 | 10 plans |
| 166 | OTHER RESP SYSTEM O.R. PROCEDURES WITH COMORBITY | $30,953 – $42,251 · median $30,953 | 10 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $15,540 – $21,212 · median $15,540 | 10 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,353 – $16,861 · median $12,353 | 10 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $24,648 – $33,645 · median $24,648 | 10 plans |
| 175 | PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE | $12,405 – $16,933 · median $12,405 | 10 plans |
| 176 | PULMONARY EMBOLISM WITHOUT COMORBITY | $8,258 – $11,272 · median $8,258 | 10 plans |
| 177 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY | $13,785 – $18,816 · median $13,785 | 10 plans |
| 178 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMPLICATION | $9,505 – $12,975 · median $9,505 | 10 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $7,893 – $10,774 · median $7,893 | 10 plans |
| 180 | RESPIRATORY NEOPLASMS WITH COMORBITY | $15,267 – $20,840 · median $15,267 | 10 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $10,198 – $13,920 · median $10,198 | 10 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $7,884 – $10,762 · median $7,884 | 10 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $13,545 – $18,489 · median $13,545 | 10 plans |
| 184 | MAJOR CHEST TRAUMA WITH COMPLICATION | $10,148 – $13,852 · median $10,148 | 10 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $8,123 – $11,088 · median $8,123 | 10 plans |
| 186 | PLEURAL EFFUSION WITH COMORBITY | $13,754 – $18,774 · median $13,754 | 10 plans |
| 187 | PLEURAL EFFUSION WITH COMPLICATION | $9,601 – $13,105 · median $9,601 | 10 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $7,617 – $10,398 · median $7,617 | 10 plans |
| 189 | PULMONARY EDEMA & RESPIRATORY FAILURE | $11,397 – $15,557 · median $11,397 | 10 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY | $10,466 – $14,286 · median $10,466 | 10 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION | $8,535 – $11,650 · median $8,535 | 10 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION/COMORBITY | $7,069 – $9,649 · median $7,069 | 10 plans |
| 193 | SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY | $11,973 – $16,344 · median $11,973 | 10 plans |
| 194 | SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION | $8,264 – $11,281 · median $8,264 | 10 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $6,971 – $9,515 · median $6,971 | 10 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH COMORBITY | $16,151 – $22,047 · median $16,151 | 10 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH COMPLICATION | $9,309 – $12,707 · median $9,309 | 10 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $7,610 – $10,388 · median $7,610 | 10 plans |
| 199 | PNEUMOTHORAX WITH COMORBITY | $15,254 – $20,821 · median $15,254 | 10 plans |
| 200 | PNEUMOTHORAX WITH COMPLICATION | $10,405 – $14,202 · median $10,405 | 10 plans |
| 201 | PNEUMOTHORAX WITHOUT COMPLICATION/COMORBITY | $7,602 – $10,377 · median $7,602 | 10 plans |
| 202 | BRONCHITIS & ASTHMA WITH COMPLICATION/COMORBITY | $9,470 – $12,927 · median $9,470 | 10 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $7,273 – $9,928 · median $7,273 | 10 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $8,275 – $11,296 · median $8,275 | 10 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH COMORBITY | $15,741 – $21,487 · median $15,741 | 10 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT COMORBITY | $9,251 – $12,627 · median $9,251 | 10 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $53,287 – $72,737 · median $53,287 | 10 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $22,763 – $31,071 · median $22,763 | 10 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $93,734 – $127,946 · median $93,734 | 10 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $90,051 – $122,920 · median $90,051 | 10 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $47,260 – $64,510 · median $47,260 | 10 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $82,456 – $112,553 · median $82,456 | 10 plans |
| 216 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMORBITY | $81,014 – $110,584 · median $81,014 | 10 plans |
| 217 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMPLICATION | $54,452 – $74,326 · median $54,452 | 10 plans |
| 218 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITHOUT COMPLICATION/COMORBITY | $54,452 – $74,326 · median $54,452 | 10 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $63,586 – $86,795 · median $63,586 | 10 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $44,162 – $60,281 · median $44,162 | 10 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $41,739 – $56,974 · median $41,739 | 10 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH COMORBITY | $40,971 – $55,925 · median $40,971 | 10 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $26,082 – $35,602 · median $26,082 | 10 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $69,810 – $95,291 · median $69,810 | 10 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $50,206 – $68,531 · median $50,206 | 10 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $63,312 – $86,420 · median $63,312 | 10 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $45,238 – $61,750 · median $45,238 | 10 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $48,599 – $66,338 · median $48,599 | 10 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $34,688 – $47,350 · median $34,688 | 10 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $40,758 – $55,634 · median $40,758 | 10 plans |
| 240 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMPLICATION | $23,606 – $32,222 · median $23,606 | 10 plans |
| 241 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITHOUT COMPLICATION/COMORBITY | $12,484 – $17,041 · median $12,484 | 10 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $26,440 – $36,091 · median $26,440 | 10 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION | $17,929 – $24,473 · median $17,929 | 10 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION/COMORBITY | $15,570 – $21,253 · median $15,570 | 10 plans |
| 245 | AICD GENERATOR PROCEDURES | $37,782 – $51,573 · median $37,782 | 10 plans |
| 250 | PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITH COMORBITY | $18,305 – $24,987 · median $18,305 | 10 plans |
| 251 | PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITHOUT COMORBITY | $13,287 – $18,137 · median $13,287 | 10 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $28,887 – $39,431 · median $28,887 | 10 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH COMPLICATION | $21,495 – $29,340 · median $21,495 | 10 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $15,382 – $20,996 · median $15,382 | 10 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $22,338 – $30,491 · median $22,338 | 10 plans |
| 256 | UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMPLICATION | $14,771 – $20,162 · median $14,771 | 10 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $10,353 – $14,131 · median $10,353 | 10 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $26,020 – $35,518 · median $26,020 | 10 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $17,135 – $23,390 · median $17,135 | 10 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $26,937 – $36,769 · median $26,937 | 10 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $16,175 – $22,080 · median $16,175 | 10 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $14,275 – $19,485 · median $14,275 | 10 plans |
| 263 | VEIN LIGATION AND STRIPPING | $25,319 – $34,560 · median $25,319 | 10 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $27,664 – $37,762 · median $27,664 | 10 plans |
| 265 | AICD LEAD PROCEDURES | $29,963 – $40,900 · median $29,963 | 10 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $50,751 – $69,275 · median $50,751 | 10 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $39,425 – $53,816 · median $39,425 | 10 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $56,957 – $77,747 · median $56,957 | 10 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $34,973 – $47,739 · median $34,973 | 10 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMORBITY | $43,694 – $59,643 · median $43,694 | 10 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMPLICATION | $29,451 – $40,200 · median $29,451 | 10 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $21,142 – $28,859 · median $21,142 | 10 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $34,164 – $46,634 · median $34,164 | 10 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $27,259 – $37,209 · median $27,259 | 10 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $59,049 – $80,601 · median $59,049 | 10 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $49,742 – $67,898 · median $49,742 | 10 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $38,247 – $52,207 · median $38,247 | 10 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $46,095 – $62,920 · median $46,095 | 10 plans |
| 279 | HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS | $29,865 – $40,766 · median $29,865 | 10 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMORBITY | $14,087 – $19,228 · median $14,087 | 10 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMPLICATION | $9,090 – $12,408 · median $9,090 | 10 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITHOUT COMPLICATION/COMORBITY | $7,661 – $10,457 · median $7,661 | 10 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMORBITY | $16,834 – $22,979 · median $16,834 | 10 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $7,435 – $10,149 · median $7,435 | 10 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $6,755 – $9,220 · median $6,755 | 10 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITH COMORBITY | $18,526 – $25,288 · median $18,526 | 10 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITHOUT COMORBITY | $10,192 – $13,911 · median $10,192 | 10 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $22,411 – $30,591 · median $22,411 | 10 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $14,836 – $20,252 · median $14,836 | 10 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $9,167 – $12,514 · median $9,167 | 10 plans |
| 291 | HEART FAILURE & SHOCK WITH COMORBITY | $11,750 – $16,039 · median $11,750 | 10 plans |
| 292 | HEART FAILURE & SHOCK WITH COMPLICATION | $8,579 – $11,710 · median $8,579 | 10 plans |
| 293 | HEART FAILURE & SHOCK WITHOUT COMPLICATION/COMORBITY | $6,515 – $8,892 · median $6,515 | 10 plans |
| 296 | CARDIAC ARREST; UNEXPLAINED WITH COMORBITY | $13,779 – $18,808 · median $13,779 | 10 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $7,011 – $9,570 · median $7,011 | 10 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $5,706 – $7,788 · median $5,706 | 10 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH COMORBITY | $14,295 – $19,513 · median $14,295 | 10 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION | $10,173 – $13,886 · median $10,173 | 10 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $7,636 – $10,423 · median $7,636 | 10 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $11,114 – $15,171 · median $11,114 | 10 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $7,297 – $9,960 · median $7,297 | 10 plans |
| 304 | HYPERTENSION WITH COMORBITY | $11,066 – $15,105 · median $11,066 | 10 plans |
| 305 | HYPERTENSION WITHOUT COMORBITY | $7,894 – $10,775 · median $7,894 | 10 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $13,880 – $18,946 · median $13,880 | 10 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $9,047 – $12,349 · median $9,047 | 10 plans |
| 308 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY | $11,168 – $15,245 · median $11,168 | 10 plans |
| 309 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION | $7,752 – $10,582 · median $7,752 | 10 plans |
| 310 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATION/COMORBITY | $6,515 – $8,893 · median $6,515 | 10 plans |
| 311 | ANGINA PECTORIS | $7,506 – $10,246 · median $7,506 | 10 plans |
| 312 | SYNCOPE AND COLLAPSE | $8,744 – $11,935 · median $8,744 | 10 plans |
| 313 | CHEST PAIN | $7,638 – $10,426 · median $7,638 | 10 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY | $17,596 – $24,018 · median $17,596 | 10 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION | $9,413 – $12,848 · median $9,413 | 10 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,361 – $10,048 · median $7,361 | 10 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $55,372 – $75,583 · median $55,372 | 10 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $20,059 – $27,380 · median $20,059 | 10 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $36,958 – $50,448 · median $36,958 | 10 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $19,930 – $27,205 · median $19,930 | 10 plans |
| 321 | CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION | $22,532 – $30,756 · median $22,532 | 10 plans |
| 322 | SHOULDER AND ELBOW JOINT REPLACEMENT | $15,245 – $20,810 · median $15,245 | 10 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $35,836 – $48,916 · median $35,836 | 10 plans |
| 324 | NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT | $26,094 – $35,619 · median $26,094 | 10 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $26,586 – $36,290 · median $26,586 | 10 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $41,302 – $56,377 · median $41,302 | 10 plans |
| 327 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMPLICATION | $20,241 – $27,629 · median $20,241 | 10 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $14,073 – $19,210 · median $14,073 | 10 plans |
| 329 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY | $38,065 – $51,958 · median $38,065 | 10 plans |
| 330 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION | $19,871 – $27,124 · median $19,871 | 10 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $14,661 – $20,013 · median $14,661 | 10 plans |
| 332 | RECTAL RESECTION WITH MCC | $29,984 – $40,928 · median $29,984 | 10 plans |
| 333 | RECTAL RESECTION WITH CC | $19,470 – $26,577 · median $19,470 | 10 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $14,333 – $19,565 · median $14,333 | 10 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $29,571 – $40,365 · median $29,571 | 10 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH COMPLICATION | $17,767 – $24,252 · median $17,767 | 10 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $13,582 – $18,540 · median $13,582 | 10 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $21,389 – $29,196 · median $21,389 | 10 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,361 – $18,238 · median $13,361 | 10 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,038 – $15,067 · median $11,038 | 10 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $19,130 – $26,113 · median $19,130 | 10 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $11,933 – $16,288 · median $11,933 | 10 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $8,736 – $11,925 · median $8,736 | 10 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $20,636 – $28,168 · median $20,636 | 10 plans |
| 351 | INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMPLICATION | $13,506 – $18,436 · median $13,506 | 10 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $10,904 – $14,884 · median $10,904 | 10 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $24,032 – $32,804 · median $24,032 | 10 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $14,658 – $20,008 · median $14,658 | 10 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $12,197 – $16,648 · median $12,197 | 10 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMORBITY | $36,378 – $49,656 · median $36,378 | 10 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $19,348 – $26,410 · median $19,348 | 10 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,582 – $17,175 · median $12,582 | 10 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $28,476 – $38,870 · median $28,476 | 10 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $19,996 – $27,295 · median $19,996 | 10 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $13,998 – $19,107 · median $13,998 | 10 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION | $9,682 – $13,215 · median $9,682 | 10 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $7,498 – $10,235 · median $7,498 | 10 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMORBITY | $15,319 – $20,911 · median $15,319 | 10 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMPLICATION | $9,833 – $13,423 · median $9,833 | 10 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $7,692 – $10,499 · median $7,692 | 10 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $17,986 – $24,551 · median $17,986 | 10 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $11,209 – $15,300 · median $11,209 | 10 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $9,128 – $12,460 · median $9,128 | 10 plans |
| 377 | G.I. HEMORRHAGE WITH COMORBITY | $15,720 – $21,457 · median $15,720 | 10 plans |
| 378 | G.I. HEMORRHAGE WITH COMPLICATION | $9,539 – $13,021 · median $9,539 | 10 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $6,984 – $9,534 · median $6,984 | 10 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $16,698 – $22,793 · median $16,698 | 10 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $10,289 – $14,045 · median $10,289 | 10 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $8,226 – $11,228 · median $8,226 | 10 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH COMORBITY | $12,457 – $17,004 · median $12,457 | 10 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT COMORBITY | $8,621 – $11,768 · median $8,621 | 10 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $13,927 – $19,011 · median $13,927 | 10 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $9,507 – $12,978 · median $9,507 | 10 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $7,356 – $10,040 · median $7,356 | 10 plans |
| 388 | G.I. OBSTRUCTION WITH COMORBITY | $13,158 – $17,961 · median $13,158 | 10 plans |
| 389 | G.I. OBSTRUCTION WITH COMPLICATION | $8,147 – $11,121 · median $8,147 | 10 plans |
| 390 | G.I. OBSTRUCTION WITHOUT COMPLICATION/COMORBITY | $6,354 – $8,673 · median $6,354 | 10 plans |
| 391 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY | $11,637 – $15,885 · median $11,637 | 10 plans |
| 392 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY | $8,073 – $11,019 · median $8,073 | 10 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMORBITY | $14,051 – $19,180 · median $14,051 | 10 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION | $9,211 – $12,573 · median $9,211 | 10 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,120 – $9,719 · median $7,120 | 10 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $19,855 – $27,101 · median $19,855 | 10 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $13,426 – $18,327 · median $13,426 | 10 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $10,736 – $14,654 · median $10,736 | 10 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $33,295 – $45,447 · median $33,295 | 10 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $45,303 – $61,838 · median $45,303 | 10 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $24,017 – $32,784 · median $24,017 | 10 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $18,576 – $25,356 · median $18,576 | 10 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $29,528 – $40,305 · median $29,528 | 10 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $18,267 – $24,935 · median $18,267 | 10 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $13,967 – $19,065 · median $13,967 | 10 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $27,355 – $37,340 · median $27,355 | 10 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $17,722 – $24,190 · median $17,722 | 10 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $14,498 – $19,790 · median $14,498 | 10 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $29,503 – $40,271 · median $29,503 | 10 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $17,461 – $23,834 · median $17,461 | 10 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $12,330 – $16,831 · median $12,330 | 10 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $19,793 – $27,017 · median $19,793 | 10 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION | $14,725 – $20,099 · median $14,725 | 10 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY | $12,348 – $16,855 · median $12,348 | 10 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMORBITY | $28,215 – $38,513 · median $28,215 | 10 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $15,060 – $20,556 · median $15,060 | 10 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $12,594 – $17,191 · median $12,594 | 10 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $34,392 – $46,945 · median $34,392 | 10 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $18,345 – $25,041 · median $18,345 | 10 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY | $13,329 – $18,195 · median $13,329 | 10 plans |
| 426 | NON-HYPOVOLEMIC SODIUM DISORDERS | $91,269 – $124,582 · median $91,269 | 10 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $59,779 – $81,598 · median $59,779 | 10 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $46,557 – $63,550 · median $46,557 | 10 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $74,611 – $101,843 · median $74,611 | 10 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $47,759 – $65,191 · median $47,759 | 10 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $16,742 – $22,853 · median $16,742 | 10 plans |
| 433 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMPLICATION | $10,090 – $13,773 · median $10,090 | 10 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,583 – $10,351 · median $7,583 | 10 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $15,783 – $21,544 · median $15,783 | 10 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $10,636 – $14,519 · median $10,636 | 10 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $8,610 – $11,753 · median $8,610 | 10 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMORBITY | $14,277 – $19,488 · median $14,277 | 10 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION | $8,522 – $11,632 · median $8,522 | 10 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $6,919 – $9,444 · median $6,919 | 10 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMORBITY | $15,477 – $21,126 · median $15,477 | 10 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMPLICATION | $9,427 – $12,868 · median $9,427 | 10 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITHOUT COMPLICATION/COMORBITY | $7,490 – $10,224 · median $7,490 | 10 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $14,574 – $19,893 · median $14,574 | 10 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $10,369 – $14,153 · median $10,369 | 10 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $8,421 – $11,494 · median $8,421 | 10 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $55,332 – $75,528 · median $55,332 | 10 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $35,119 – $47,938 · median $35,119 | 10 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $44,136 – $60,245 · median $44,136 | 10 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $26,752 – $36,516 · median $26,752 | 10 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $69,591 – $94,991 · median $69,591 | 10 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $49,382 – $67,406 · median $49,382 | 10 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $34,554 – $47,167 · median $34,554 | 10 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $45,737 – $62,431 · median $45,737 | 10 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $22,028 – $30,068 · median $22,028 | 10 plans |
| 463 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMORBITY | $47,199 – $64,427 · median $47,199 | 10 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $25,794 – $35,208 · median $25,794 | 10 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $15,688 – $21,414 · median $15,688 | 10 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMORBITY | $43,107 – $58,841 · median $43,107 | 10 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION | $29,205 – $39,864 · median $29,205 | 10 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $22,757 – $31,063 · median $22,757 | 10 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT | $25,119 – $34,287 · median $25,119 | 10 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $16,456 – $22,462 · median $16,456 | 10 plans |
| 471 | CERVICAL SPINAL FUSION WITH COMORBITY | $39,988 – $54,583 · median $39,988 | 10 plans |
| 472 | CERVICAL SPINAL FUSION WITH COMPLICATION | $24,397 – $33,302 · median $24,397 | 10 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY | $20,217 – $27,596 · median $20,217 | 10 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $35,551 – $48,526 · median $35,551 | 10 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMPLICATION | $18,985 – $25,915 · median $18,985 | 10 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,995 – $15,008 · median $10,995 | 10 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY | $28,608 – $39,050 · median $28,608 | 10 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $20,365 – $27,799 · median $20,365 | 10 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $15,945 – $21,765 · median $15,945 | 10 plans |
| 480 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMORBITY | $24,117 – $32,920 · median $24,117 | 10 plans |
| 481 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION | $17,663 – $24,111 · median $17,663 | 10 plans |
| 482 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY | $14,283 – $19,496 · median $14,283 | 10 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $22,955 – $31,333 · median $22,955 | 10 plans |
| 485 | KNEE PROCEDURES WITH PDX OF INFECTION WITH COMORBITY | $26,724 – $36,479 · median $26,724 | 10 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $17,639 – $24,077 · median $17,639 | 10 plans |
| 487 | KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY | $13,810 – $18,851 · median $13,810 | 10 plans |
| 488 | KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION/COMORBITY | $15,289 – $20,869 · median $15,289 | 10 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,532 – $14,376 · median $10,532 | 10 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $30,405 – $41,503 · median $30,405 | 10 plans |
| 493 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMPLICATION | $21,002 – $28,668 · median $21,002 | 10 plans |
| 494 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITHOUT COMPLICATION/COMORBITY | $17,022 – $23,234 · median $17,022 | 10 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $30,025 – $40,984 · median $30,025 | 10 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $15,544 – $21,217 · median $15,544 | 10 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $11,200 – $15,287 · median $11,200 | 10 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $24,983 – $34,102 · median $24,983 | 10 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $17,082 – $23,317 · median $17,082 | 10 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $26,208 – $35,775 · median $26,208 | 10 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $15,137 – $20,662 · median $15,137 | 10 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $12,203 – $16,657 · median $12,203 | 10 plans |
| 503 | FOOT PROCEDURES WITH MCC | $23,114 – $31,550 · median $23,114 | 10 plans |
| 504 | FOOT PROCEDURES WITH COMPLICATION | $16,020 – $21,867 · median $16,020 | 10 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $15,463 – $21,107 · median $15,463 | 10 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $12,227 – $16,690 · median $12,227 | 10 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $15,562 – $21,242 · median $15,562 | 10 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $13,432 – $18,335 · median $13,432 | 10 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $25,013 – $34,143 · median $25,013 | 10 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $17,553 – $23,960 · median $17,553 | 10 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $14,461 – $19,739 · median $14,461 | 10 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $13,869 – $18,931 · median $13,869 | 10 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $9,843 – $13,436 · median $9,843 | 10 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $26,391 – $36,024 · median $26,391 | 10 plans |
| 516 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMPLICATION | $17,544 – $23,947 · median $17,544 | 10 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $13,595 – $18,557 · median $13,595 | 10 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $30,949 – $42,246 · median $30,949 | 10 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $16,976 – $23,172 · median $16,976 | 10 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $13,283 – $18,131 · median $13,283 | 10 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $23,769 – $32,444 · median $23,769 | 10 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $17,833 – $24,342 · median $17,833 | 10 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $13,821 – $18,866 · median $13,821 | 10 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $8,266 – $11,283 · median $8,266 | 10 plans |
| 535 | FRACTURES OF HIP & PELVIS WITH COMORBITY | $11,737 – $16,021 · median $11,737 | 10 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $8,277 – $11,298 · median $8,277 | 10 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $9,347 – $12,759 · median $9,347 | 10 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $7,640 – $10,429 · median $7,640 | 10 plans |
| 539 | OSTEOMYELITIS WITH COMORBITY | $16,753 – $22,868 · median $16,753 | 10 plans |
| 540 | OSTEOMYELITIS WITH COMPLICATION | $11,841 – $16,164 · median $11,841 | 10 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $8,130 – $11,097 · median $8,130 | 10 plans |
| 542 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMORBITY | $15,271 – $20,845 · median $15,271 | 10 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $9,884 – $13,492 · median $9,884 | 10 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $7,890 – $10,770 · median $7,890 | 10 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $20,552 – $28,053 · median $20,552 | 10 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $10,799 – $14,741 · median $10,799 | 10 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,485 – $11,583 · median $8,485 | 10 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $16,470 – $22,482 · median $16,470 | 10 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $11,192 – $15,276 · median $11,192 | 10 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $8,762 – $11,960 · median $8,762 | 10 plans |
| 551 | MEDICAL BACK PROBLEMS WITH COMORBITY | $14,612 – $19,945 · median $14,612 | 10 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $9,398 – $12,828 · median $9,398 | 10 plans |
| 553 | BONE DISEASES & ARTHROPATHIES WITH COMORBITY | $11,841 – $16,164 · median $11,841 | 10 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $8,441 – $11,522 · median $8,441 | 10 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,027 – $16,417 · median $12,027 | 10 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $8,445 – $11,527 · median $8,445 | 10 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $13,232 – $18,061 · median $13,232 | 10 plans |
| 558 | TENDONITIS; MYOSITIS & BURSITIS WITHOUT COMORBITY | $8,901 – $12,150 · median $8,901 | 10 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $15,989 – $21,825 · median $15,989 | 10 plans |
| 560 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION | $10,600 – $14,469 · median $10,600 | 10 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $8,250 – $11,261 · median $8,250 | 10 plans |
| 562 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITH COMORBITY | $12,779 – $17,443 · median $12,779 | 10 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $8,918 – $12,173 · median $8,918 | 10 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $13,645 – $18,626 · median $13,645 | 10 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $9,493 – $12,959 · median $9,493 | 10 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $7,852 – $10,717 · median $7,852 | 10 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $24,356 – $33,246 · median $24,356 | 10 plans |
| 571 | SKIN DEBRIDEMENT WITH COMPLICATION | $14,709 – $20,078 · median $14,709 | 10 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $10,747 – $14,670 · median $10,747 | 10 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $54,254 – $74,056 · median $54,254 | 10 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $28,747 – $39,240 · median $28,747 | 10 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $15,494 – $21,149 · median $15,494 | 10 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $40,588 – $55,403 · median $40,588 | 10 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,951 – $29,963 · median $21,951 | 10 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,103 – $19,251 · median $14,103 | 10 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $26,819 – $36,608 · median $26,819 | 10 plans |
| 580 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMPLICATION | $14,990 – $20,462 · median $14,990 | 10 plans |
| 581 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITHOUT COMPLICATION/COMORBITY | $12,912 – $17,625 · median $12,912 | 10 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $16,439 – $22,439 · median $16,439 | 10 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $14,964 – $20,426 · median $14,964 | 10 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $18,000 – $24,571 · median $18,000 | 10 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $16,457 – $22,464 · median $16,457 | 10 plans |
| 592 | SKIN ULCERS WITH MCC | $16,502 – $22,526 · median $16,502 | 10 plans |
| 593 | SKIN ULCERS WITH CC | $11,039 – $15,068 · median $11,039 | 10 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $8,709 – $11,887 · median $8,709 | 10 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $17,855 – $24,371 · median $17,855 | 10 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $10,282 – $14,035 · median $10,282 | 10 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $14,546 – $19,855 · median $14,546 | 10 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $10,638 – $14,521 · median $10,638 | 10 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,998 – $10,918 · median $7,998 | 10 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $9,984 – $13,628 · median $9,984 | 10 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,799 – $9,281 · median $6,799 | 10 plans |
| 602 | CELLULITIS WITH COMORBITY | $12,753 – $17,408 · median $12,753 | 10 plans |
| 603 | CELLULITIS WITHOUT COMORBITY | $8,739 – $11,928 · median $8,739 | 10 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $13,124 – $17,914 · median $13,124 | 10 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $9,068 – $12,377 · median $9,068 | 10 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $13,423 – $18,323 · median $13,423 | 10 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $8,997 – $12,282 · median $8,997 | 10 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $18,373 – $25,079 · median $18,373 | 10 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $12,593 – $17,189 · median $12,593 | 10 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $28,880 – $39,421 · median $28,880 | 10 plans |
| 617 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMPLICATION | $16,028 – $21,878 · median $16,028 | 10 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $12,731 – $17,378 · median $12,731 | 10 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $23,911 – $32,639 · median $23,911 | 10 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $14,059 – $19,190 · median $14,059 | 10 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $13,388 – $18,275 · median $13,388 | 10 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $29,475 – $40,233 · median $29,475 | 10 plans |
| 623 | SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMPLICATION | $15,471 – $21,118 · median $15,471 | 10 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,518 – $15,721 · median $11,518 | 10 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $25,010 – $34,139 · median $25,010 | 10 plans |
| 626 | THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITH COMPLICATION | $13,323 – $18,186 · median $13,323 | 10 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $12,075 – $16,482 · median $12,075 | 10 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $30,863 – $42,127 · median $30,863 | 10 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $18,278 – $24,950 · median $18,278 | 10 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $13,032 – $17,788 · median $13,032 | 10 plans |
| 637 | DIABETES WITH COMORBITY | $12,865 – $17,561 · median $12,865 | 10 plans |
| 638 | DIABETES WITH COMPLICATION | $8,923 – $12,180 · median $8,923 | 10 plans |
| 639 | DIABETES WITHOUT COMPLICATION/COMORBITY | $6,917 – $9,442 · median $6,917 | 10 plans |
| 640 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY | $12,128 – $16,555 · median $12,128 | 10 plans |
| 641 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY | $8,062 – $11,005 · median $8,062 | 10 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $12,759 – $17,416 · median $12,759 | 10 plans |
| 643 | ENDOCRINE DISORDERS WITH COMORBITY | $14,393 – $19,646 · median $14,393 | 10 plans |
| 644 | ENDOCRINE DISORDERS WITH COMPLICATION | $9,863 – $13,462 · median $9,863 | 10 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $7,990 – $10,907 · median $7,990 | 10 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $38,933 – $53,144 · median $38,933 | 10 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $30,689 – $41,890 · median $30,689 | 10 plans |
| 652 | KIDNEY TRANSPLANT | $26,744 – $36,506 · median $26,744 | 10 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $43,033 – $58,740 · median $43,033 | 10 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $23,182 – $31,643 · median $23,182 | 10 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $17,825 – $24,331 · median $17,825 | 10 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $26,366 – $35,989 · median $26,366 | 10 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $15,734 – $21,477 · median $15,734 | 10 plans |
| 658 | KIDNEY & URETER PROCEDURES FOR NEOPLASM WITHOUT COMPLICATION/COMORBITY | $13,705 – $18,707 · median $13,705 | 10 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $21,042 – $28,722 · median $21,042 | 10 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $12,027 – $16,416 · median $12,027 | 10 plans |
| 661 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION/COMORBITY | $9,938 – $13,566 · median $9,938 | 10 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $25,353 – $34,607 · median $25,353 | 10 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $13,475 – $18,393 · median $13,475 | 10 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $10,022 – $13,680 · median $10,022 | 10 plans |
| 665 | PROSTATECTOMY WITH COMORBITY | $25,847 – $35,282 · median $25,847 | 10 plans |
| 666 | PROSTATECTOMY WITH CC | $15,146 – $20,674 · median $15,146 | 10 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $10,455 – $14,271 · median $10,455 | 10 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $24,181 – $33,007 · median $24,181 | 10 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $13,706 – $18,709 · median $13,706 | 10 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $9,515 – $12,987 · median $9,515 | 10 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $15,479 – $21,129 · median $15,479 | 10 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $10,260 – $14,005 · median $10,260 | 10 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $34,794 – $47,494 · median $34,794 | 10 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $19,444 – $26,541 · median $19,444 | 10 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $14,359 – $19,599 · median $14,359 | 10 plans |
| 682 | RENAL FAILURE WITH COMORBITY | $13,189 – $18,002 · median $13,189 | 10 plans |
| 683 | RENAL FAILURE WITH COMPLICATION | $8,774 – $11,977 · median $8,774 | 10 plans |
| 684 | RENAL FAILURE WITHOUT COMPLICATION/COMORBITY | $6,765 – $9,234 · median $6,765 | 10 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $15,542 – $21,215 · median $15,542 | 10 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $10,029 – $13,689 · median $10,029 | 10 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $8,151 – $11,126 · median $8,151 | 10 plans |
| 689 | KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY | $10,849 – $14,809 · median $10,849 | 10 plans |
| 690 | KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY | $8,291 – $11,317 · median $8,291 | 10 plans |
| 693 | URINARY STONES WITH MCC | $12,193 – $16,643 · median $12,193 | 10 plans |
| 694 | URINARY STONES WITHOUT MCC | $8,088 – $11,040 · median $8,088 | 10 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $10,729 – $14,645 · median $10,729 | 10 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $7,412 – $10,117 · median $7,412 | 10 plans |
| 697 | URETHRAL STRICTURE | $10,248 – $13,988 · median $10,248 | 10 plans |
| 698 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY | $14,453 – $19,729 · median $14,453 | 10 plans |
| 699 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION | $9,790 – $13,363 · median $9,790 | 10 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $7,418 – $10,126 · median $7,418 | 10 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH COMPLICATION/COMORBITY | $16,976 – $23,173 · median $16,976 | 10 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $13,577 – $18,532 · median $13,577 | 10 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $19,360 – $26,426 · median $19,360 | 10 plans |
| 710 | PENIS PROCEDURES WITHOUT COMPLICATION/COMORBITY | $12,607 – $17,208 · median $12,607 | 10 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $17,585 – $24,004 · median $17,585 | 10 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $10,407 – $14,206 · median $10,407 | 10 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION/COMORBITY | $13,352 – $18,225 · median $13,352 | 10 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $10,099 – $13,785 · median $10,099 | 10 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $18,705 – $25,532 · median $18,705 | 10 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $13,116 – $17,903 · median $13,116 | 10 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $16,175 – $22,080 · median $16,175 | 10 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $12,183 – $16,629 · median $12,183 | 10 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $15,586 – $21,275 · median $15,586 | 10 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $10,721 – $14,634 · median $10,721 | 10 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,169 – $9,786 · median $7,169 | 10 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $10,922 – $14,908 · median $10,922 | 10 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $7,653 – $10,446 · median $7,653 | 10 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $13,202 – $18,021 · median $13,202 | 10 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $8,303 – $11,334 · median $8,303 | 10 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $10,108 – $13,798 · median $10,108 | 10 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,288 – $9,948 · median $7,288 | 10 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $17,922 – $24,464 · median $17,922 | 10 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $12,200 – $16,653 · median $12,200 | 10 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $29,601 – $40,406 · median $29,601 | 10 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $17,416 – $23,773 · median $17,416 | 10 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $13,097 – $17,878 · median $13,097 | 10 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $29,670 – $40,500 · median $29,670 | 10 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $15,585 – $21,274 · median $15,585 | 10 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,788 – $17,456 · median $12,788 | 10 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $15,769 – $21,525 · median $15,769 | 10 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $11,436 – $15,610 · median $11,436 | 10 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $17,332 – $23,659 · median $17,332 | 10 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $10,683 – $14,582 · median $10,683 | 10 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $15,057 – $20,552 · median $15,057 | 10 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $8,657 – $11,817 · median $8,657 | 10 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $12,505 – $17,070 · median $12,505 | 10 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $21,263 – $29,024 · median $21,263 | 10 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY | $13,151 – $17,951 · median $13,151 | 10 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $15,820 – $21,594 · median $15,820 | 10 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,321 – $14,088 · median $10,321 | 10 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,392 – $12,820 · median $9,392 | 10 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,830 – $17,514 · median $12,830 | 10 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,527 – $13,004 · median $9,527 | 10 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,227 – $9,864 · median $7,227 | 10 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $9,735 – $13,288 · median $9,735 | 10 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $6,547 – $8,937 · median $6,547 | 10 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $14,712 – $20,081 · median $14,712 | 10 plans |
| 770 | ABORTION WITH D&C; ASPIRATION CURETTAGE OR HYSTEROTOMY | $9,700 – $13,240 · median $9,700 | 10 plans |
| 776 | POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE | $7,162 – $9,776 · median $7,162 | 10 plans |
| 779 | ABORTION WITHOUT D&C | $8,523 – $11,633 · median $8,523 | 10 plans |
| 789 | NEONATES; DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $15,531 – $21,200 · median $15,531 | 10 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $49,220 – $67,185 · median $49,220 | 10 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $33,614 – $45,882 · median $33,614 | 10 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $20,282 – $27,685 · median $20,282 | 10 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $34,529 – $47,133 · median $34,529 | 10 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $13,151 – $17,952 · median $13,151 | 10 plans |
| 795 | NORMAL NEWBORN | $3,844 – $5,247 · median $3,844 | 10 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $37,505 – $51,194 · median $37,505 | 10 plans |
| 800 | SPLENECTOMY WITH COMPLICATION | $23,265 – $31,757 · median $23,265 | 10 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $16,310 – $22,263 · median $16,310 | 10 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $32,993 – $45,036 · median $32,993 | 10 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $15,945 – $21,765 · median $15,945 | 10 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $12,277 – $16,758 · median $12,277 | 10 plans |
| 808 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMORBITY | $18,491 – $25,240 · median $18,491 | 10 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $11,620 – $15,861 · median $11,620 | 10 plans |
| 810 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITHOUT COMPLICATION/COMORBITY | $10,020 – $13,677 · median $10,020 | 10 plans |
| 811 | RED BLOOD CELL DISORDERS WITH COMORBITY | $12,629 – $17,239 · median $12,629 | 10 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT COMORBITY | $9,084 – $12,399 · median $9,084 | 10 plans |
| 813 | COAGULATION DISORDERS | $13,512 – $18,444 · median $13,512 | 10 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $17,898 – $24,431 · median $17,898 | 10 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $9,782 – $13,353 · median $9,782 | 10 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $6,996 – $9,550 · median $6,996 | 10 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH COMORBITY | $19,028 – $25,973 · median $19,028 | 10 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $10,841 – $14,799 · median $10,841 | 10 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,658 – $11,819 · median $8,658 | 10 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $48,568 – $66,295 · median $48,568 | 10 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $18,715 – $25,545 · median $18,715 | 10 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,168 – $15,245 · median $11,168 | 10 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $37,968 – $51,826 · median $37,968 | 10 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $18,911 – $25,814 · median $18,911 | 10 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,229 – $16,692 · median $12,229 | 10 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $38,738 – $52,877 · median $38,738 | 10 plans |
| 827 | MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITH COMPLICATION | $19,244 – $26,268 · median $19,244 | 10 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $14,814 – $20,221 · median $14,814 | 10 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $26,169 – $35,720 · median $26,169 | 10 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,364 – $18,241 · median $13,364 | 10 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $11,157 – $15,230 · median $11,157 | 10 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMPLICATION | $7,650 – $10,442 · median $7,650 | 10 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY | $6,200 – $8,463 · median $6,200 | 10 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $45,463 – $62,057 · median $45,463 | 10 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $17,600 – $24,024 · median $17,600 | 10 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $11,281 – $15,399 · median $11,281 | 10 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $39,786 – $54,307 · median $39,786 | 10 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $17,612 – $24,040 · median $17,612 | 10 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $12,918 – $17,633 · median $12,918 | 10 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $26,789 – $36,567 · median $26,789 | 10 plans |
| 841 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMPLICATION | $14,286 – $19,500 · median $14,286 | 10 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $9,756 – $13,317 · median $9,756 | 10 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $16,936 – $23,118 · median $16,936 | 10 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $11,266 – $15,378 · median $11,266 | 10 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $8,598 – $11,736 · median $8,598 | 10 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $21,469 – $29,305 · median $21,469 | 10 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $11,928 – $16,282 · median $11,928 | 10 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,582 – $11,714 · median $8,582 | 10 plans |
| 849 | RADIOTHERAPY | $22,438 – $30,628 · median $22,438 | 10 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $71,711 – $97,886 · median $71,711 | 10 plans |
| 853 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY | $40,898 – $55,825 · median $40,898 | 10 plans |
| 854 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION | $16,960 – $23,151 · median $16,960 | 10 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $13,307 – $18,164 · median $13,307 | 10 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMORBITY | $37,669 – $51,418 · median $37,669 | 10 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $18,006 – $24,579 · median $18,006 | 10 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,546 – $17,125 · median $12,546 | 10 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $15,688 – $21,414 · median $15,688 | 10 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $9,665 – $13,193 · median $9,665 | 10 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $8,861 – $12,095 · median $8,861 | 10 plans |
| 865 | VIRAL ILLNESS WITH COMORBITY | $13,315 – $18,175 · median $13,315 | 10 plans |
| 866 | VIRAL ILLNESS WITHOUT COMORBITY | $8,729 – $11,915 · median $8,729 | 10 plans |
| 867 | OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMORBITY | $17,654 – $24,098 · median $17,654 | 10 plans |
| 868 | OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMPLICATION | $9,907 – $13,523 · median $9,907 | 10 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $7,709 – $10,522 · median $7,709 | 10 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $57,238 – $78,130 · median $57,238 | 10 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY | $16,555 – $22,597 · median $16,555 | 10 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY | $9,850 – $13,445 · median $9,850 | 10 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $32,006 – $43,688 · median $32,006 | 10 plans |
| 880 | ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION | $9,390 – $12,817 · median $9,390 | 10 plans |
| 881 | DEPRESSIVE NEUROSES | $9,249 – $12,625 · median $9,249 | 10 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $10,219 – $13,948 · median $10,219 | 10 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $16,728 – $22,834 · median $16,728 | 10 plans |
| 884 | ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY | $14,122 – $19,276 · median $14,122 | 10 plans |
| 885 | PSYCHOSES | $12,574 – $17,164 · median $12,574 | 10 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $17,523 – $23,919 · median $17,523 | 10 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $10,197 – $13,919 · median $10,197 | 10 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE; LEFT AMA | $6,886 – $9,399 · median $6,886 | 10 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $12,712 – $17,351 · median $12,712 | 10 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH COMORBITY | $15,115 – $20,632 · median $15,115 | 10 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY | $8,825 – $12,047 · median $8,825 | 10 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $34,753 – $47,438 · median $34,753 | 10 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $16,351 – $22,318 · median $16,351 | 10 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $10,917 – $14,902 · median $10,917 | 10 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $30,418 – $41,520 · median $30,418 | 10 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $13,206 – $18,026 · median $13,206 | 10 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $16,714 – $22,814 · median $16,714 | 10 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMORBITY | $31,794 – $43,399 · median $31,794 | 10 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $16,939 – $23,122 · median $16,939 | 10 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $11,961 – $16,327 · median $11,961 | 10 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $14,309 – $19,532 · median $14,309 | 10 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $8,845 – $12,073 · median $8,845 | 10 plans |
| 915 | ALLERGIC REACTIONS WITH COMORBITY | $14,652 – $20,000 · median $14,652 | 10 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $7,246 – $9,891 · median $7,246 | 10 plans |
| 917 | POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY | $13,826 – $18,873 · median $13,826 | 10 plans |
| 918 | POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY | $8,638 – $11,791 · median $8,638 | 10 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $15,740 – $21,485 · median $15,740 | 10 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH COMPLICATION | $9,697 – $13,236 · median $9,697 | 10 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $7,407 – $10,111 · median $7,407 | 10 plans |
| 922 | OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITH COMORBITY | $15,146 – $20,675 · median $15,146 | 10 plans |
| 923 | OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITHOUT COMORBITY | $9,809 – $13,390 · median $9,809 | 10 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $176,808 – $241,344 · median $176,808 | 10 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $59,399 – $81,079 · median $59,399 | 10 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $26,672 – $36,408 · median $26,672 | 10 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $32,249 – $44,020 · median $32,249 | 10 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $18,510 – $25,267 · median $18,510 | 10 plans |
| 935 | NON-EXTENSIVE BURNS | $17,412 – $23,767 · median $17,412 | 10 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $30,048 – $41,016 · median $30,048 | 10 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $19,432 – $26,524 · median $19,432 | 10 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $17,176 – $23,446 · median $17,176 | 10 plans |
| 945 | REHABILITATION WITH CC/MCC | $13,682 – $18,675 · median $13,682 | 10 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $10,751 – $14,675 · median $10,751 | 10 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $11,645 – $15,896 · median $11,645 | 10 plans |
| 948 | SIGNS & SYMPTOMS WITHOUT COMORBITY | $8,225 – $11,227 · median $8,225 | 10 plans |
| 949 | AFTERCARE WITH CC/MCC | $11,064 – $15,102 · median $11,064 | 10 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $6,965 – $9,507 · median $6,965 | 10 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $6,442 – $8,793 · median $6,442 | 10 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $55,742 – $76,088 · median $55,742 | 10 plans |
| 956 | LIMB REATTACHMENT; HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA | $31,162 – $42,537 · median $31,162 | 10 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $63,102 – $86,134 · median $63,102 | 10 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $34,896 – $47,633 · median $34,896 | 10 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $24,381 – $33,280 · median $24,381 | 10 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $22,639 – $30,903 · median $22,639 | 10 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $13,565 – $18,516 · median $13,565 | 10 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $9,246 – $12,621 · median $9,246 | 10 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $50,692 – $69,194 · median $50,692 | 10 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $21,841 – $29,813 · median $21,841 | 10 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH COMORBITY | $23,900 – $32,623 · median $23,900 | 10 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION | $11,832 – $16,151 · median $11,832 | 10 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $8,971 – $12,245 · median $8,971 | 10 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $11,852 – $16,177 · median $11,852 | 10 plans |
| 981 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $38,854 – $53,036 · median $38,854 | 10 plans |
| 982 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $20,359 – $27,791 · median $20,359 | 10 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $14,888 – $20,322 · median $14,888 | 10 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $28,391 – $38,754 · median $28,391 | 10 plans |
| 988 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $14,375 – $19,621 · median $14,375 | 10 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,133 – $15,197 · median $11,133 | 10 plans |
No procedures match that keyword.