Golden Valley Memorial Healthcare — 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 |
|---|---|---|---|
| 100 | SEIZURES WITH MCC | $3,491 – $22,200 · median $18,500 | 7 plans |
| 194 | SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION | $5,789 – $10,995 · median $9,162 | 7 plans |
| 195 | SIMPLE PNEUMONIA & PLEURISY WITHOUT COMPLICATION/COMORBITY | $4,405 – $9,237 · median $7,698 | 7 plans |
| 203 | BRONCHITIS & ASTHMA WITHOUT COMPLICATION/COMORBITY | $4,893 – $9,648 · median $8,040 | 7 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,429 – $15,753 · median $10,097 | 7 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,056 – $15,753 · median $8,479 | 7 plans |
| 291 | HEART FAILURE & SHOCK WITH COMORBITY | $9,040 – $18,992 · median $13,108 | 7 plans |
| 292 | HEART FAILURE & SHOCK WITH COMPLICATION | $6,031 – $18,992 · median $9,518 | 7 plans |
| 293 | HEART FAILURE & SHOCK WITHOUT COMPLICATION/COMORBITY | $3,954 – $18,992 · median $7,182 | 7 plans |
| 304 | HYPERTENSION WITH COMORBITY | $5,643 – $14,800 · median $12,334 | 7 plans |
| 305 | HYPERTENSION WITHOUT COMORBITY | $5,306 – $10,491 · median $8,743 | 7 plans |
| 309 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION | $5,244 – $10,299 · median $8,583 | 7 plans |
| 310 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATION/COMORBITY | $3,894 – $8,619 · median $7,182 | 7 plans |
| 311 | ANGINA PECTORIS | $4,916 – $9,964 · median $8,304 | 7 plans |
| 312 | SYNCOPE & COLLAPSE | $5,311 – $11,646 · median $9,705 | 7 plans |
| 313 | CHEST PAIN | $5,095 – $10,144 · median $8,453 | 7 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,116 – $15,978 · median $13,315 | 7 plans |
| 349 | ANAL & STOMAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $6,871 – $11,636 · median $9,697 | 7 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $8,044 – $18,115 · median $15,096 | 7 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH COMORBITY | $5,459 – $18,782 · median $15,652 | 7 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION | $5,459 – $12,920 · median $10,767 | 7 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,237 – $9,953 · median $8,295 | 7 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMORBITY | $5,459 – $20,578 · median $17,148 | 7 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMPLICATION | $5,459 – $13,126 · median $10,938 | 7 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITHOUT COMPLICATION/COMORBITY | $5,045 – $10,217 · median $8,514 | 7 plans |
| 391 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY | $5,459 – $15,576 · median $12,980 | 7 plans |
| 392 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY | $5,246 – $10,734 · median $8,945 | 7 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $13,912 – $23,487 · median $19,572 | 7 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $9,430 – $17,698 · median $13,765 | 7 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $4,718 – $13,853 · median $11,544 | 7 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,718 – $11,207 · median $9,339 | 7 plans |
| 551 | MEDICAL BACK PROBLEMS WITH COMORBITY | $8,318 – $19,617 · median $16,347 | 7 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT COMORBITY | $6,804 – $12,534 · median $10,445 | 7 plans |
| 637 | DIABETES WITH COMORBITY | $6,286 – $17,245 · median $14,371 | 7 plans |
| 690 | KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY | $5,682 – $11,030 · median $9,192 | 7 plans |
| 693 | URINARY STONES WITH MCC | $5,064 – $16,331 · median $13,609 | 7 plans |
| 694 | URINARY STONES WITHOUT COMORBITY | $5,064 – $10,755 · median $8,963 | 7 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $12,583 – $20,939 · median $17,449 | 7 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,149 – $17,140 · median $14,283 | 7 plans |
| 743 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $8,182 – $15,303 · median $12,752 | 7 plans |
| 918 | POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY | $4,363 – $11,502 · median $9,585 | 7 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $190,811 – $298,872 · median $249,060 | 6 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $86,215 – $120,852 · median $100,710 | 6 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $150,124 – $226,365 · median $188,637 | 6 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $103,508 – $147,724 · median $123,103 | 6 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $72,878 – $109,960 · median $91,634 | 6 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $34,058 – $49,453 · median $41,211 | 6 plans |
| 007 | LUNG TRANSPLANT | $86,372 – $138,113 · median $115,094 | 6 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $37,050 – $59,772 · median $49,810 | 6 plans |
| 010 | PANCREAS TRANSPLANT | $33,894 – $76,528 · median $63,773 | 6 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $36,307 – $58,167 · median $48,473 | 6 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $28,200 – $44,963 · median $37,469 | 6 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $18,911 – $31,563 · median $26,302 | 6 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $80,700 – $128,170 · median $106,808 | 6 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $43,494 – $63,240 · median $52,700 | 6 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $43,494 – $57,935 · median $48,279 | 6 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $259,423 – $460,540 · median $383,783 | 6 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $56,285 – $76,090 · median $63,408 | 6 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $59,516 – $83,920 · median $69,933 | 6 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $43,244 – $56,458 · median $47,048 | 6 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $24,481 – $34,491 · median $28,743 | 6 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $39,916 – $61,113 · median $50,928 | 6 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $26,678 – $41,769 · median $34,807 | 6 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $31,095 – $48,490 · median $40,408 | 6 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $20,794 – $33,816 · median $28,180 | 6 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $17,131 – $28,007 · median $23,339 | 6 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $42,432 – $64,078 · median $53,398 | 6 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $24,139 – $36,812 · median $30,677 | 6 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $16,329 – $24,760 · median $20,633 | 6 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $28,986 – $47,784 · median $39,820 | 6 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $15,166 – $24,124 · median $20,103 | 6 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,427 – $19,486 · median $16,238 | 6 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $27,471 – $41,361 · median $34,467 | 6 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $16,192 – $26,695 · median $22,246 | 6 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $12,732 – $22,259 · median $18,549 | 6 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $23,769 – $35,628 · median $29,690 | 6 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,265 – $19,087 · median $15,906 | 6 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,034 – $14,657 · median $12,214 | 6 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $27,113 – $41,267 · median $34,389 | 6 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $15,707 – $24,795 · median $20,662 | 6 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,251 – $20,128 · median $16,773 | 6 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $13,692 – $20,956 · median $17,464 | 6 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,927 – $12,712 · median $10,593 | 6 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,375 – $18,138 · median $15,115 | 6 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT COMORBITY | $7,557 – $13,112 · median $10,927 | 6 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $16,857 – $26,027 · median $21,689 | 6 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,599 – $15,847 · median $13,206 | 6 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $12,167 – $19,948 · median $16,623 | 6 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,360 – $15,305 · median $12,754 | 6 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,319 – $12,123 · median $10,103 | 6 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $19,736 – $30,327 · median $25,273 | 6 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,179 – $20,420 · median $17,017 | 6 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,469 – $16,919 · median $14,099 | 6 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY | $14,104 – $22,935 · median $19,112 | 6 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS | $7,157 – $13,020 · median $10,850 | 6 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION/COMORBITY | $4,841 – $9,791 · median $8,159 | 6 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,977 – $17,562 · median $14,635 | 6 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,133 – $11,574 · median $9,645 | 6 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,624 – $10,924 · median $9,104 | 6 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMORBITY | $12,601 – $19,505 · median $16,254 | 6 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION | $7,477 – $13,176 · median $10,980 | 6 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,513 – $10,502 · median $8,752 | 6 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $10,654 – $18,905 · median $15,754 | 6 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,226 – $13,223 · median $11,019 | 6 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $13,476 – $22,008 · median $18,340 | 6 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,496 – $11,186 · median $9,322 | 6 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $15,552 – $20,943 · median $17,453 | 6 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,404 – $11,884 · median $9,903 | 6 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $16,042 – $25,656 · median $21,380 | 6 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $9,551 – $16,839 · median $14,033 | 6 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,476 – $12,480 · median $10,400 | 6 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,004 – $25,520 · median $21,267 | 6 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,274 – $15,917 · median $13,264 | 6 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,240 – $12,073 · median $10,061 | 6 plans |
| 088 | CONCUSSION WITH MCC | $10,800 – $16,404 · median $13,670 | 6 plans |
| 089 | CONCUSSION WITH CC | $8,097 – $13,895 · median $11,579 | 6 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,582 – $11,166 · median $9,305 | 6 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMORBITY | $12,598 – $20,410 · median $17,009 | 6 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,225 – $13,146 · median $10,955 | 6 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION/COMORBITY | $5,453 – $10,900 · median $9,083 | 6 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $25,509 – $37,880 · median $31,567 | 6 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $16,788 – $28,565 · median $23,804 | 6 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $15,348 – $28,565 · median $23,804 | 6 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $25,609 – $38,796 · median $32,330 | 6 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $15,171 – $25,748 · median $21,456 | 6 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $9,296 – $16,509 · median $13,757 | 6 plans |
| 101 | SEIZURES WITHOUT MCC | $6,405 – $11,953 · median $9,961 | 6 plans |
| 102 | HEADACHES WITH MCC | $8,496 – $14,116 · median $11,763 | 6 plans |
| 103 | HEADACHES WITHOUT COMORBITY | $5,932 – $11,296 · median $9,413 | 6 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $17,655 – $26,305 · median $21,920 | 6 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,674 – $16,415 · median $13,680 | 6 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,016 – $18,218 · median $15,181 | 6 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $12,891 – $20,925 · median $17,437 | 6 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,438 – $13,759 · median $11,466 | 6 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,021 – $14,536 · median $12,113 | 6 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,242 – $10,796 · median $8,996 | 6 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,661 – $10,922 · median $9,102 | 6 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,308 – $16,119 · median $13,433 | 6 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT COMORBITY | $5,615 – $10,617 · median $8,848 | 6 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $18,674 – $24,510 · median $20,425 | 6 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,613 – $13,070 · median $10,891 | 6 plans |
| 137 | MOUTH PROCEDURES WITH COMPLICATION/COMORBITY | $10,595 – $17,805 · median $14,837 | 6 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,096 – $11,790 · median $9,825 | 6 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,363 – $15,253 · median $12,711 | 6 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $26,603 – $45,489 · median $37,907 | 6 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $14,588 – $24,620 · median $20,517 | 6 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $10,879 – $18,827 · median $15,689 | 6 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $23,417 – $40,131 · median $33,443 | 6 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,185 – $20,179 · median $16,816 | 6 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,598 – $14,922 · median $12,435 | 6 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $14,864 – $23,989 · median $19,991 | 6 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $8,702 – $15,608 · median $13,007 | 6 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,265 – $10,908 · median $9,090 | 6 plans |
| 149 | DYSEQUILIBRIUM | $5,244 – $10,457 · median $8,714 | 6 plans |
| 150 | EPISTAXIS WITH MCC | $9,256 – $16,202 · median $13,502 | 6 plans |
| 151 | EPISTAXIS WITHOUT COMORBITY | $5,427 – $10,282 · median $8,569 | 6 plans |
| 152 | OTITIS MEDIA & URI WITH COMORBITY | $8,367 – $14,723 · median $12,269 | 6 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,174 – $10,324 · median $8,603 | 6 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $10,831 – $18,501 · median $15,418 | 6 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $6,665 – $12,091 · median $10,076 | 6 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,616 – $9,857 · median $8,214 | 6 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,020 – $20,020 · median $16,683 | 6 plans |
| 158 | DENTAL & ORAL DISEASES WITH COMPLICATION | $6,608 – $12,024 · median $10,020 | 6 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,754 – $10,030 · median $8,358 | 6 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $33,190 – $47,798 · median $39,832 | 6 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $17,958 – $28,018 · median $23,348 | 6 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,212 – $21,976 · median $18,313 | 6 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $28,572 – $40,043 · median $33,369 | 6 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $12,814 – $20,878 · median $17,398 | 6 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,546 – $16,548 · median $13,790 | 6 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $21,652 – $32,500 · median $27,083 | 6 plans |
| 175 | PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE | $9,879 – $16,620 · median $13,850 | 6 plans |
| 176 | PULMONARY EMBOLISM WITHOUT COMORBITY | $5,743 – $10,986 · median $9,155 | 6 plans |
| 177 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY | $11,945 – $18,493 · median $15,411 | 6 plans |
| 178 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMPLICATION | $6,948 – $12,680 · median $10,567 | 6 plans |
| 179 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITHOUT COMPLICATION/COMORBITY | $5,375 – $10,490 · median $8,742 | 6 plans |
| 180 | RESPIRATORY NEOPLASMS WITH COMORBITY | $12,239 – $20,507 · median $17,090 | 6 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,753 – $13,621 · median $11,351 | 6 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,344 – $10,479 · median $8,732 | 6 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,087 – $18,168 · median $15,140 | 6 plans |
| 184 | MAJOR CHEST TRAUMA WITH COMPLICATION | $7,407 – $13,553 · median $11,294 | 6 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,321 – $10,803 · median $9,002 | 6 plans |
| 186 | PLEURAL EFFUSION WITH COMORBITY | $10,929 – $18,452 · median $15,376 | 6 plans |
| 187 | PLEURAL EFFUSION WITH COMPLICATION | $7,015 – $12,810 · median $10,675 | 6 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,256 – $10,116 · median $8,430 | 6 plans |
| 189 | PULMONARY EDEMA & RESPIRATORY FAILURE | $8,675 – $15,250 · median $12,709 | 6 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY | $7,760 – $13,985 · median $11,654 | 6 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION | $5,978 – $11,362 · median $9,469 | 6 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION/COMORBITY | $4,519 – $9,371 · median $7,809 | 6 plans |
| 193 | SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY | $9,341 – $16,033 · median $13,361 | 6 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH COMORBITY | $13,346 – $21,708 · median $18,090 | 6 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,024 – $12,414 · median $10,345 | 6 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,480 – $10,106 · median $8,422 | 6 plans |
| 199 | PNEUMOTHORAX WITH MCC | $12,492 – $20,489 · median $17,074 | 6 plans |
| 200 | PNEUMOTHORAX WITH COMPLICATION | $7,584 – $13,902 · median $11,585 | 6 plans |
| 201 | PNEUMOTHORAX WITHOUT COMPLICATION/COMORBITY | $4,972 – $10,095 · median $8,413 | 6 plans |
| 202 | BRONCHITIS & ASTHMA WITH COMPLICATION/COMORBITY | $6,742 – $12,633 · median $10,527 | 6 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,794 – $11,010 · median $9,175 | 6 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH COMORBITY | $12,747 – $21,151 · median $17,626 | 6 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT COMORBITY | $6,432 – $12,334 · median $10,279 | 6 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $48,642 – $68,625 · median $57,188 | 6 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $19,038 – $30,244 · median $25,203 | 6 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $75,840 – $115,971 · median $96,643 | 6 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $71,926 – $106,190 · median $88,492 | 6 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $68,339 – $104,333 · median $86,944 | 6 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $44,820 – $70,125 · median $58,437 | 6 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $40,113 – $70,125 · median $58,437 | 6 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $54,297 – $81,888 · median $68,240 | 6 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $36,929 – $56,874 · median $47,395 | 6 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $32,732 – $53,753 · median $44,794 | 6 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $35,479 – $52,764 · median $43,970 | 6 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $22,389 – $34,215 · median $28,513 | 6 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $57,142 – $89,904 · median $74,920 | 6 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $41,886 – $64,657 · median $53,881 | 6 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $54,920 – $81,535 · median $67,946 | 6 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $36,600 – $58,259 · median $48,549 | 6 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $41,407 – $62,588 · median $52,157 | 6 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $28,456 – $44,673 · median $37,228 | 6 plans |
| 239 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMORBITY | $33,846 – $52,489 · median $43,741 | 6 plans |
| 240 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMPLICATION | $19,781 – $31,253 · median $26,044 | 6 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,786 – $16,727 · median $13,939 | 6 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $24,329 – $34,644 · median $28,870 | 6 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,037 – $24,123 · median $20,102 | 6 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $12,882 – $20,919 · median $17,432 | 6 plans |
| 245 | AICD GENERATOR PROCEDURES | $31,907 – $48,658 · median $40,548 | 6 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $16,553 – $24,634 · median $20,528 | 6 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,174 – $17,817 · median $14,848 | 6 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $23,615 – $37,572 · median $31,310 | 6 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $17,963 – $28,727 · median $23,939 | 6 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $12,217 – $20,663 · median $17,219 | 6 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $19,345 – $29,736 · median $24,780 | 6 plans |
| 256 | UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMPLICATION | $11,546 – $19,833 · median $16,527 | 6 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,978 – $13,831 · median $11,526 | 6 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $19,072 – $34,142 · median $28,451 | 6 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $13,143 – $23,045 · median $19,204 | 6 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $23,344 – $35,239 · median $29,365 | 6 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $13,250 – $21,741 · median $18,117 | 6 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $11,585 – $19,159 · median $15,966 | 6 plans |
| 263 | VEIN LIGATION AND STRIPPING | $19,893 – $33,303 · median $27,752 | 6 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $22,997 – $36,108 · median $30,090 | 6 plans |
| 265 | AICD LEAD PROCEDURES | $24,885 – $38,859 · median $32,382 | 6 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $43,981 – $65,359 · median $54,466 | 6 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $34,363 – $50,773 · median $42,311 | 6 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $48,266 – $73,352 · median $61,127 | 6 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $29,282 – $45,040 · median $37,533 | 6 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $35,607 – $56,271 · median $46,893 | 6 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $24,336 – $38,246 · median $31,871 | 6 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $17,177 – $28,305 · median $23,587 | 6 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $27,440 – $43,998 · median $36,665 | 6 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $22,820 – $35,624 · median $29,687 | 6 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $49,542 – $76,045 · median $63,371 | 6 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $43,728 – $64,060 · median $53,383 | 6 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $33,675 – $49,256 · median $41,047 | 6 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $31,407 – $59,363 · median $49,469 | 6 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $22,537 – $38,742 · median $32,285 | 6 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMORBITY | $11,171 – $18,903 · median $15,753 | 6 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $13,881 – $22,636 · median $18,863 | 6 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,208 – $9,868 · median $8,224 | 6 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,441 – $8,944 · median $7,453 | 6 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $15,178 – $24,934 · median $20,779 | 6 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,616 – $13,612 · median $11,344 | 6 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $18,258 – $29,823 · median $24,852 | 6 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $10,405 – $19,922 · median $16,602 | 6 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,219 – $12,221 · median $10,184 | 6 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,289 – $18,485 · median $15,404 | 6 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,130 – $9,292 · median $7,743 | 6 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,090 – $7,519 · median $6,266 | 6 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH COMORBITY | $11,099 – $19,187 · median $15,989 | 6 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION | $7,513 – $13,587 · median $11,322 | 6 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,998 – $10,141 · median $8,451 | 6 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,894 – $14,866 · median $12,388 | 6 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,634 – $9,680 · median $8,067 | 6 plans |
| 306 | CARDIAC CONGENITAL & VALVULAR DISORDERS WITH COMORBITY | $10,821 – $18,623 · median $15,519 | 6 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,637 – $12,058 · median $10,048 | 6 plans |
| 308 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY | $8,465 – $14,939 · median $12,449 | 6 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY | $14,741 – $23,670 · median $19,725 | 6 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION | $6,811 – $12,554 · median $10,462 | 6 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,878 – $9,768 · median $8,140 | 6 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $30,714 – $47,596 · median $39,664 | 6 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $15,674 – $26,842 · median $22,368 | 6 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $20,242 – $29,968 · median $24,973 | 6 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $12,839 – $20,478 · median $17,065 | 6 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $29,151 – $46,151 · median $38,459 | 6 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $20,903 – $34,230 · median $28,525 | 6 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $18,619 – $34,818 · median $29,015 | 6 plans |
| 326 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMORBITY | $35,763 – $53,190 · median $44,325 | 6 plans |
| 327 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMPLICATION | $17,585 – $27,227 · median $22,689 | 6 plans |
| 328 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITHOUT COMPLICATION/COMORBITY | $11,247 – $18,885 · median $15,738 | 6 plans |
| 329 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY | $31,804 – $49,021 · median $40,851 | 6 plans |
| 330 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION | $16,703 – $26,761 · median $22,301 | 6 plans |
| 331 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $11,773 – $19,684 · median $16,403 | 6 plans |
| 332 | RECTAL RESECTION WITH COMORBITY | $25,543 – $38,884 · median $32,403 | 6 plans |
| 333 | RECTAL RESECTION WITH CC | $14,643 – $26,216 · median $21,847 | 6 plans |
| 334 | RECTAL RESECTION WITHOUT COMPLICATION/COMORBITY | $11,302 – $19,238 · median $16,032 | 6 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $25,173 – $38,390 · median $31,992 | 6 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH COMPLICATION | $14,824 – $23,903 · median $19,919 | 6 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION/COMORBITY | $10,537 – $18,219 · median $15,182 | 6 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $19,296 – $28,600 · median $23,834 | 6 plans |
| 345 | MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION | $10,848 – $17,918 · median $14,932 | 6 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,068 – $14,763 · median $12,302 | 6 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $17,949 – $25,755 · median $21,462 | 6 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $16,899 – $27,700 · median $23,083 | 6 plans |
| 352 | INGUINAL & FEMORAL HERNIA PROCEDURES WITHOUT COMPLICATION/COMORBITY | $7,809 – $14,580 · median $12,150 | 6 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $20,591 – $31,763 · median $26,469 | 6 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,096 – $19,679 · median $16,399 | 6 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,595 – $16,336 · median $13,613 | 6 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $30,128 – $46,849 · median $39,041 | 6 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $15,468 – $26,051 · median $21,709 | 6 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,021 – $16,860 · median $14,050 | 6 plans |
| 374 | DIGESTIVE MALIGNANCY WITH COMORBITY | $14,780 – $24,200 · median $20,167 | 6 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,438 – $14,995 · median $12,496 | 6 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,277 – $12,168 · median $10,140 | 6 plans |
| 377 | G.I. HEMORRHAGE WITH COMORBITY | $12,606 – $21,122 · median $17,601 | 6 plans |
| 378 | G.I. HEMORRHAGE WITH COMPLICATION | $6,927 – $12,727 · median $10,606 | 6 plans |
| 379 | G.I. HEMORRHAGE WITHOUT COMPLICATION/COMORBITY | $4,459 – $9,256 · median $7,713 | 6 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $13,720 – $22,451 · median $18,709 | 6 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH COMPLICATION | $7,555 – $13,745 · median $11,454 | 6 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,331 – $10,942 · median $9,119 | 6 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,845 – $16,690 · median $13,908 | 6 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT COMORBITY | $6,166 – $11,479 · median $9,566 | 6 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH COMORBITY | $11,033 – $18,687 · median $15,573 | 6 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH COMPLICATION | $6,841 – $12,683 · median $10,569 | 6 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION/COMORBITY | $4,817 – $9,760 · median $8,134 | 6 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,235 – $17,642 · median $14,702 | 6 plans |
| 389 | G.I. OBSTRUCTION WITH COMPLICATION | $5,608 – $10,835 · median $9,029 | 6 plans |
| 390 | G.I. OBSTRUCTION WITHOUT COMPLICATION/COMORBITY | $3,936 – $8,400 · median $7,000 | 6 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMORBITY | $11,404 – $18,856 · median $15,713 | 6 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION | $6,597 – $12,281 · median $10,234 | 6 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $4,559 – $9,440 · median $7,867 | 6 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $15,819 – $26,739 · median $22,282 | 6 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $10,656 – $18,007 · median $15,006 | 6 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,838 – $14,352 · median $11,960 | 6 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $38,764 – $58,342 · median $48,619 | 6 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $20,331 – $31,745 · median $26,454 | 6 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $15,146 – $25,002 · median $20,835 | 6 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $26,209 – $38,338 · median $31,948 | 6 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $13,782 – $24,583 · median $20,485 | 6 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,021 – $18,741 · median $15,617 | 6 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $20,283 – $35,739 · median $29,782 | 6 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $14,403 – $23,841 · median $19,868 | 6 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,630 – $19,462 · median $16,218 | 6 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $24,822 – $38,308 · median $31,923 | 6 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMORBITY | $16,320 – $26,654 · median $22,212 | 6 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION | $11,511 – $19,770 · median $16,475 | 6 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY | $9,247 – $16,542 · median $13,785 | 6 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $22,538 – $36,767 · median $30,639 | 6 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,038 – $20,225 · median $16,854 | 6 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,935 – $16,876 · median $14,063 | 6 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $27,538 – $44,291 · median $36,909 | 6 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $14,697 – $24,688 · median $20,573 | 6 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,280 – $17,875 · median $14,896 | 6 plans |
| 432 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMORBITY | $13,491 – $22,511 · median $18,759 | 6 plans |
| 433 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMPLICATION | $7,260 – $13,475 · median $11,229 | 6 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,714 – $10,069 · median $8,391 | 6 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $12,392 – $21,208 · median $17,673 | 6 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,750 – $14,217 · median $11,847 | 6 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,852 – $11,464 · median $9,554 | 6 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMORBITY | $11,751 – $19,162 · median $15,968 | 6 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION | $6,022 – $11,345 · median $9,454 | 6 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $4,335 – $9,167 · median $7,639 | 6 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $12,873 – $20,792 · median $17,326 | 6 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,700 – $12,574 · median $10,478 | 6 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,032 – $9,943 · median $8,285 | 6 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH COMORBITY | $11,500 – $19,565 · median $16,304 | 6 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $59,354 – $89,621 · median $74,684 | 6 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $42,778 – $63,596 · median $52,997 | 6 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $31,904 – $44,500 · median $37,084 | 6 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $48,012 – $58,902 · median $49,085 | 6 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $20,042 – $29,365 · median $24,471 | 6 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $39,880 – $60,785 · median $50,654 | 6 plans |
| 464 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMPLICATION | $21,134 – $33,870 · median $28,225 | 6 plans |
| 465 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITHOUT COMPLICATION/COMORBITY | $13,173 – $21,079 · median $17,566 | 6 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $36,521 – $55,515 · median $46,263 | 6 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION | $24,548 – $37,951 · median $31,626 | 6 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY | $18,798 – $30,237 · median $25,198 | 6 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $23,446 – $33,063 · median $27,552 | 6 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY | $13,250 – $22,121 · median $18,435 | 6 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $34,636 – $51,498 · median $42,915 | 6 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $20,810 – $32,200 · median $26,833 | 6 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $17,326 – $27,198 · median $22,665 | 6 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMORBITY | $30,298 – $45,783 · median $38,153 | 6 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMPLICATION | $15,102 – $25,558 · median $21,298 | 6 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,287 – $14,703 · median $12,253 | 6 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $23,722 – $37,238 · median $31,032 | 6 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $16,784 – $27,376 · median $22,813 | 6 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,125 – $21,428 · median $17,857 | 6 plans |
| 480 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMORBITY | $20,764 – $31,865 · median $26,554 | 6 plans |
| 481 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION | $14,610 – $23,762 · median $19,802 | 6 plans |
| 482 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY | $11,185 – $19,170 · median $15,975 | 6 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $17,492 – $30,474 · median $25,395 | 6 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $23,194 – $34,984 · median $29,153 | 6 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $14,141 – $23,729 · median $19,774 | 6 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,878 – $18,528 · median $15,440 | 6 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $14,833 – $20,536 · median $17,113 | 6 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,715 – $14,075 · median $11,729 | 6 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $24,378 – $39,388 · median $32,823 | 6 plans |
| 493 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMPLICATION | $16,911 – $28,138 · median $23,448 | 6 plans |
| 494 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITHOUT COMPLICATION/COMORBITY | $13,162 – $22,890 · median $19,075 | 6 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $25,217 – $38,933 · median $32,444 | 6 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $13,995 – $20,883 · median $17,402 | 6 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $10,051 – $14,982 · median $12,485 | 6 plans |
| 498 | LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR WITH COMPLICATION/COMORBITY | $18,385 – $32,900 · median $27,417 | 6 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $9,082 – $22,973 · median $19,144 | 6 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $22,834 – $34,367 · median $28,639 | 6 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $12,222 – $20,330 · median $16,942 | 6 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $9,736 – $16,345 · median $13,621 | 6 plans |
| 503 | FOOT PROCEDURES WITH MCC | $18,884 – $30,664 · median $25,553 | 6 plans |
| 504 | FOOT PROCEDURES WITH COMPLICATION | $12,161 – $21,530 · median $17,942 | 6 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $12,010 – $20,773 · median $17,311 | 6 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,299 – $16,378 · median $13,648 | 6 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $15,010 – $20,908 · median $17,423 | 6 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,097 – $18,015 · median $15,012 | 6 plans |
| 510 | SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMORBITY | $19,157 – $32,937 · median $27,447 | 6 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $14,039 – $23,613 · median $19,677 | 6 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $11,363 – $19,412 · median $16,176 | 6 plans |
| 513 | HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITH COMPLICATION/COMORBITY | $11,414 – $18,608 · median $15,507 | 6 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,334 – $13,139 · median $10,949 | 6 plans |
| 515 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMORBITY | $22,261 – $34,586 · median $28,821 | 6 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $14,370 – $23,600 · median $19,666 | 6 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $10,523 – $18,236 · median $15,196 | 6 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $25,714 – $40,039 · median $33,366 | 6 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $13,862 – $22,828 · median $19,023 | 6 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,080 – $17,811 · median $14,843 | 6 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $21,083 – $31,448 · median $26,206 | 6 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $14,873 – $23,992 · median $19,993 | 6 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,487 – $18,543 · median $15,452 | 6 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,704 – $10,997 · median $9,164 | 6 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,131 – $15,712 · median $13,093 | 6 plans |
| 536 | FRACTURES OF HIP & PELVIS WITHOUT COMORBITY | $5,542 – $11,012 · median $9,176 | 6 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,809 – $12,465 · median $10,388 | 6 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,993 – $10,147 · median $8,456 | 6 plans |
| 539 | OSTEOMYELITIS WITH MCC | $13,973 – $22,526 · median $18,771 | 6 plans |
| 540 | OSTEOMYELITIS WITH COMPLICATION | $9,141 – $15,854 · median $13,211 | 6 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,041 – $10,811 · median $9,010 | 6 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $12,841 – $20,512 · median $17,094 | 6 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,680 – $13,195 · median $10,996 | 6 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,404 – $10,487 · median $8,739 | 6 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $17,556 – $27,599 · median $22,999 | 6 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,445 – $14,438 · median $12,032 | 6 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,727 – $11,295 · median $9,413 | 6 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $13,729 – $22,141 · median $18,451 | 6 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,493 – $14,971 · median $12,476 | 6 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,484 – $11,670 · median $9,725 | 6 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,516 – $15,854 · median $13,211 | 6 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,787 – $11,235 · median $9,362 | 6 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,851 – $16,106 · median $13,422 | 6 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,805 – $11,240 · median $9,366 | 6 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $10,962 – $17,742 · median $14,785 | 6 plans |
| 558 | TENDONITIS; MYOSITIS & BURSITIS WITHOUT COMORBITY | $6,185 – $11,860 · median $9,883 | 6 plans |
| 559 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY | $13,030 – $21,487 · median $17,906 | 6 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,972 – $14,167 · median $11,806 | 6 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,494 – $10,975 · median $9,146 | 6 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,708 – $17,127 · median $14,272 | 6 plans |
| 563 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITHOUT COMORBITY | $6,306 – $11,883 · median $9,902 | 6 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $10,998 – $18,304 · median $15,253 | 6 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,037 – $12,664 · median $10,554 | 6 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,285 – $10,434 · median $8,695 | 6 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $20,576 – $32,150 · median $26,792 | 6 plans |
| 571 | SKIN DEBRIDEMENT WITH COMPLICATION | $11,913 – $19,749 · median $16,458 | 6 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT COMPLICATION/COMORBITY | $8,024 – $14,367 · median $11,973 | 6 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $43,784 – $69,870 · median $58,225 | 6 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $23,981 – $37,404 · median $31,170 | 6 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,407 – $20,815 · median $17,345 | 6 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $40,017 – $52,271 · median $43,559 | 6 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $18,653 – $29,273 · median $24,394 | 6 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,340 – $18,926 · median $15,772 | 6 plans |
| 579 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMORBITY | $23,534 – $35,097 · median $29,247 | 6 plans |
| 580 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMPLICATION | $12,298 – $20,131 · median $16,776 | 6 plans |
| 581 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITHOUT COMPLICATION/COMORBITY | $9,483 – $17,308 · median $14,423 | 6 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $11,739 – $22,099 · median $18,416 | 6 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $10,716 – $20,095 · median $16,746 | 6 plans |
| 584 | BREAST BIOPSY; LOCAL EXCISION & OTHER BREAST PROCEDURES WITH COMPLICATION/COMORBITY | $13,791 – $24,220 · median $20,183 | 6 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $11,858 – $22,123 · median $18,436 | 6 plans |
| 592 | SKIN ULCERS WITH MCC | $14,717 – $22,185 · median $18,487 | 6 plans |
| 593 | SKIN ULCERS WITH CC | $8,519 – $14,764 · median $12,303 | 6 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,544 – $11,598 · median $9,665 | 6 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $15,315 – $24,022 · median $20,018 | 6 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT COMORBITY | $7,105 – $13,735 · median $11,446 | 6 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $11,270 – $19,528 · median $16,273 | 6 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,441 – $14,219 · median $11,849 | 6 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,376 – $10,633 · median $8,861 | 6 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,221 – $13,330 · median $11,108 | 6 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,384 – $9,004 · median $7,504 | 6 plans |
| 602 | CELLULITIS WITH COMORBITY | $10,474 – $17,092 · median $14,243 | 6 plans |
| 603 | CELLULITIS WITHOUT COMORBITY | $6,229 – $11,639 · median $9,699 | 6 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,606 – $17,595 · median $14,663 | 6 plans |
| 605 | TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITHOUT COMORBITY | $6,399 – $12,086 · median $10,071 | 6 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,166 – $18,003 · median $15,002 | 6 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,291 – $11,991 · median $9,992 | 6 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $15,860 – $24,726 · median $20,605 | 6 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,359 – $16,874 · median $14,062 | 6 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,868 – $37,563 · median $31,302 | 6 plans |
| 617 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMPLICATION | $13,974 – $21,541 · median $17,951 | 6 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,179 – $17,062 · median $14,219 | 6 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $18,227 – $31,618 · median $26,348 | 6 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,422 – $18,866 · median $15,721 | 6 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,684 – $17,955 · median $14,963 | 6 plans |
| 622 | SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMORBITY | $26,937 – $38,274 · median $31,895 | 6 plans |
| 623 | SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMPLICATION | $13,107 – $20,784 · median $17,320 | 6 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,848 – $15,414 · median $12,845 | 6 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $20,569 – $32,933 · median $27,444 | 6 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $10,505 – $17,866 · median $14,888 | 6 plans |
| 627 | THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,703 – $16,171 · median $13,476 | 6 plans |
| 628 | OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMORBITY | $28,268 – $39,935 · median $33,279 | 6 plans |
| 629 | OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMPLICATION | $15,933 – $24,597 · median $20,498 | 6 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $9,832 – $17,471 · median $14,559 | 6 plans |
| 638 | DIABETES WITH COMPLICATION | $6,333 – $11,889 · median $9,908 | 6 plans |
| 639 | DIABETES WITHOUT COMPLICATION/COMORBITY | $4,383 – $9,165 · median $7,637 | 6 plans |
| 640 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY | $9,261 – $16,243 · median $13,536 | 6 plans |
| 641 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY | $5,502 – $10,720 · median $8,934 | 6 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $9,177 – $17,100 · median $14,250 | 6 plans |
| 643 | ENDOCRINE DISORDERS WITH COMORBITY | $11,584 – $19,319 · median $16,100 | 6 plans |
| 644 | ENDOCRINE DISORDERS WITH COMPLICATION | $7,476 – $13,166 · median $10,971 | 6 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT COMPLICATION/COMORBITY | $5,358 – $10,622 · median $8,852 | 6 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $31,669 – $50,140 · median $41,783 | 6 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $24,352 – $39,727 · median $33,106 | 6 plans |
| 652 | KIDNEY TRANSPLANT | $21,155 – $35,008 · median $29,173 | 6 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $38,119 – $55,419 · median $46,183 | 6 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $19,276 – $30,745 · median $25,621 | 6 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $14,842 – $23,981 · median $19,984 | 6 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $22,093 – $34,555 · median $28,796 | 6 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $12,986 – $21,142 · median $17,618 | 6 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $10,424 – $18,385 · median $15,321 | 6 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,229 – $28,185 · median $23,488 | 6 plans |
| 660 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION | $9,477 – $16,105 · median $13,421 | 6 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,382 – $13,269 · median $11,057 | 6 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $21,101 – $33,343 · median $27,786 | 6 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $10,273 – $18,072 · median $15,060 | 6 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,475 – $13,383 · median $11,152 | 6 plans |
| 665 | PROSTATECTOMY WITH MCC | $21,751 – $33,935 · median $28,279 | 6 plans |
| 666 | PROSTATECTOMY WITH CC | $12,093 – $20,342 · median $16,952 | 6 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,391 – $13,970 · median $11,642 | 6 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $19,843 – $31,941 · median $26,618 | 6 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH COMPLICATION | $10,806 – $18,387 · median $15,323 | 6 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,778 – $12,693 · median $10,578 | 6 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $12,054 – $20,795 · median $17,329 | 6 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,497 – $13,706 · median $11,421 | 6 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $26,039 – $44,810 · median $37,341 | 6 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $16,774 – $26,181 · median $21,817 | 6 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,171 – $19,273 · median $16,061 | 6 plans |
| 682 | RENAL FAILURE WITH COMORBITY | $10,568 – $17,684 · median $14,736 | 6 plans |
| 683 | RENAL FAILURE WITH COMPLICATION | $6,343 – $11,687 · median $9,739 | 6 plans |
| 684 | RENAL FAILURE WITHOUT COMPLICATION/COMORBITY | $4,285 – $8,958 · median $7,465 | 6 plans |
| 686 | KIDNEY & URINARY TRACT NEOPLASMS WITH COMORBITY | $12,952 – $20,881 · median $17,401 | 6 plans |
| 687 | KIDNEY & URINARY TRACT NEOPLASMS WITH COMPLICATION | $7,360 – $13,392 · median $11,160 | 6 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,499 – $10,840 · median $9,034 | 6 plans |
| 689 | KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY | $8,269 – $14,506 · median $12,088 | 6 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,421 – $14,343 · median $11,952 | 6 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,873 – $9,837 · median $8,197 | 6 plans |
| 697 | URETHRAL STRICTURE | $7,838 – $13,689 · median $11,407 | 6 plans |
| 698 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY | $11,649 – $19,402 · median $16,168 | 6 plans |
| 699 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION | $7,188 – $13,067 · median $10,889 | 6 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,987 – $9,845 · median $8,205 | 6 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $13,814 – $22,829 · median $19,024 | 6 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,270 – $18,211 · median $15,176 | 6 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $14,928 – $26,067 · median $21,722 | 6 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $8,691 – $16,893 · median $14,077 | 6 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $14,948 – $23,656 · median $19,713 | 6 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,368 – $13,906 · median $11,588 | 6 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,215 – $17,906 · median $14,921 | 6 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,749 – $13,487 · median $11,239 | 6 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $15,544 – $25,177 · median $20,981 | 6 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,014 – $17,585 · median $14,654 | 6 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $12,771 – $21,741 · median $18,117 | 6 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,279 – $16,317 · median $13,598 | 6 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $13,201 – $20,940 · median $17,450 | 6 plans |
| 723 | MALIGNANCY; MALE REPRODUCTIVE SYSTEM WITH COMPLICATION | $7,846 – $14,332 · median $11,943 | 6 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,700 – $9,507 · median $7,922 | 6 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,738 – $14,604 · median $12,170 | 6 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,147 – $10,164 · median $8,470 | 6 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,414 – $17,702 · median $14,752 | 6 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,634 – $11,047 · median $9,206 | 6 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,069 – $13,500 · median $11,250 | 6 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,377 – $9,668 · median $8,057 | 6 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $15,305 – $24,114 · median $20,095 | 6 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,874 – $16,341 · median $13,618 | 6 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $27,371 – $38,426 · median $32,022 | 6 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $13,898 – $23,426 · median $19,522 | 6 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,609 – $17,560 · median $14,633 | 6 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $25,464 – $38,508 · median $32,090 | 6 plans |
| 742 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITH COMPLICATION/COMORBITY | $12,547 – $21,189 · median $17,658 | 6 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $13,255 – $23,312 · median $19,427 | 6 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,294 – $14,280 · median $11,900 | 6 plans |
| 746 | VAGINA; CERVIX & VULVA PROCEDURES WITH COMPLICATION/COMORBITY | $11,802 – $20,221 · median $16,851 | 6 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,247 – $11,528 · median $9,607 | 6 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $9,892 – $16,755 · median $13,963 | 6 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $17,725 – $28,450 · median $23,708 | 6 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,576 – $17,632 · median $14,693 | 6 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,044 – $21,257 · median $17,715 | 6 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,638 – $13,788 · median $11,490 | 6 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,969 – $12,527 · median $10,439 | 6 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,503 – $17,197 · median $14,331 | 6 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,989 – $12,710 · median $10,592 | 6 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,550 – $9,585 · median $7,987 | 6 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,009 – $12,992 · median $10,827 | 6 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,264 – $8,662 · median $7,219 | 6 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROC EXCEPT STERIL &/OR D&C | $8,577 – $13,627 · median $11,356 | 6 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,871 – $19,752 · median $16,460 | 6 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $5,624 – $12,945 · median $10,787 | 6 plans |
| 776 | POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE | $5,047 – $9,497 · median $7,914 | 6 plans |
| 779 | ABORTION WITHOUT D&C | $6,965 – $11,346 · median $9,455 | 6 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $12,476 – $27,335 · median $22,779 | 6 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH COMPLICATION | $7,211 – $13,513 · median $11,261 | 6 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT COMPLICATION/COMORBITY | $6,100 – $12,500 · median $10,417 | 6 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMORBITY | $12,319 – $19,353 · median $16,128 | 6 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMPLICATION | $7,401 – $14,075 · median $11,729 | 6 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT COMPLICATION/COMORBITY | $6,020 – $12,510 · median $10,425 | 6 plans |
| 789 | NEONATES; DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $12,811 – $20,866 · median $17,388 | 6 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $42,249 – $63,387 · median $52,822 | 6 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $28,853 – $43,289 · median $36,074 | 6 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $17,410 – $27,277 · median $22,730 | 6 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $29,639 – $44,468 · median $37,057 | 6 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $10,491 – $17,633 · median $14,694 | 6 plans |
| 795 | NORMAL NEWBORN | $1,420 – $4,990 · median $4,158 | 6 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION/D&C WITH COMORBITY | $9,987 – $14,573 · median $12,144 | 6 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,012 – $12,922 · median $10,768 | 6 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $5,712 – $12,493 · median $10,411 | 6 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $34,887 – $48,300 · median $40,250 | 6 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $19,840 – $30,845 · median $25,704 | 6 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $12,602 – $21,923 · median $18,269 | 6 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $23,872 – $42,490 · median $35,408 | 6 plans |
| 803 | OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS WITH COMPLICATION | $13,084 – $21,428 · median $17,857 | 6 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,523 – $16,445 · median $13,704 | 6 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMORBITY | $7,099 – $13,703 · median $11,419 | 6 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMPLICATION | $5,258 – $10,481 · median $8,734 | 6 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY | $4,607 – $9,690 · median $8,075 | 6 plans |
| 808 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMORBITY | $15,421 – $24,886 · median $20,738 | 6 plans |
| 809 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMPLICATION | $8,481 – $15,552 · median $12,960 | 6 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,073 – $13,380 · median $11,150 | 6 plans |
| 811 | RED BLOOD CELL DISORDERS WITH COMORBITY | $9,883 – $16,924 · median $14,103 | 6 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT COMORBITY | $6,342 – $12,107 · median $10,090 | 6 plans |
| 813 | COAGULATION DISORDERS | $10,985 – $18,123 · median $15,102 | 6 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $14,985 – $24,081 · median $20,068 | 6 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,001 – $13,057 · median $10,881 | 6 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,001 – $9,272 · median $7,727 | 6 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $15,878 – $25,616 · median $21,347 | 6 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,260 – $14,495 · median $12,079 | 6 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,388 – $11,530 · median $9,608 | 6 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $42,577 – $62,547 · median $52,123 | 6 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $15,717 – $25,190 · median $20,992 | 6 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,723 – $14,939 · median $12,449 | 6 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $31,700 – $48,896 · median $40,747 | 6 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $15,723 – $25,457 · median $21,215 | 6 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,093 – $16,380 · median $13,650 | 6 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $30,903 – $49,888 · median $41,574 | 6 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $16,316 – $25,909 · median $21,591 | 6 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,551 – $19,891 · median $16,576 | 6 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $22,207 – $34,319 · median $28,599 | 6 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,134 – $17,921 · median $14,935 | 6 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMORBITY | $7,110 – $14,924 · median $12,437 | 6 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,194 – $10,160 · median $8,466 | 6 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY | $3,604 – $8,191 · median $6,826 | 6 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH COMORBITY | $39,425 – $58,549 · median $48,791 | 6 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $15,741 – $23,676 · median $19,730 | 6 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $8,431 – $15,093 · median $12,577 | 6 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $33,493 – $51,237 · median $42,698 | 6 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $13,748 – $23,692 · median $19,743 | 6 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,176 – $17,316 · median $14,430 | 6 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $22,006 – $35,061 · median $29,218 | 6 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,080 – $19,174 · median $15,978 | 6 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,509 – $13,021 · median $10,851 | 6 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $13,101 – $22,774 · median $18,979 | 6 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,148 – $15,072 · median $12,560 | 6 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,090 – $11,448 · median $9,540 | 6 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $17,209 – $28,696 · median $23,914 | 6 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $8,538 – $15,972 · median $13,310 | 6 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,348 – $11,426 · median $9,521 | 6 plans |
| 849 | RADIOTHERAPY | $18,951 – $29,856 · median $24,880 | 6 plans |
| 853 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY | $35,202 – $52,670 · median $43,891 | 6 plans |
| 854 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION | $14,352 – $22,807 · median $19,006 | 6 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,983 – $17,844 · median $14,870 | 6 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMORBITY | $31,182 – $48,511 · median $40,426 | 6 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMPLICATION | $15,038 – $24,228 · median $20,190 | 6 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,037 – $16,811 · median $14,009 | 6 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $12,970 – $21,079 · median $17,566 | 6 plans |
| 863 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITHOUT COMORBITY | $7,080 – $12,897 · median $10,748 | 6 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,216 – $11,805 · median $9,838 | 6 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,547 – $17,855 · median $14,879 | 6 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,462 – $11,626 · median $9,688 | 6 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $14,733 – $23,749 · median $19,791 | 6 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,643 – $13,226 · median $11,022 | 6 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,863 – $10,240 · median $8,533 | 6 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $49,042 – $73,714 · median $61,428 | 6 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY | $13,960 – $22,256 · median $18,547 | 6 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY | $7,252 – $13,149 · median $10,957 | 6 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $26,275 – $41,303 · median $34,419 | 6 plans |
| 880 | ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION | $6,722 – $12,524 · median $10,436 | 6 plans |
| 881 | DEPRESSIVE NEUROSES | $6,383 – $12,332 · median $10,277 | 6 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $6,614 – $13,649 · median $11,374 | 6 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $13,205 – $22,492 · median $18,743 | 6 plans |
| 884 | ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY | $12,371 – $18,951 · median $15,792 | 6 plans |
| 885 | PSYCHOSES | $9,621 – $16,849 · median $14,041 | 6 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $11,841 – $23,572 · median $19,643 | 6 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,123 – $13,620 · median $11,350 | 6 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE; LEFT AMA | $4,045 – $9,122 · median $7,602 | 6 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $11,328 – $17,036 · median $14,196 | 6 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH COMORBITY | $12,520 – $20,300 · median $16,917 | 6 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY | $6,025 – $11,757 · median $9,797 | 6 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $30,474 – $44,756 · median $37,297 | 6 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $13,271 – $21,979 · median $18,316 | 6 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,742 – $14,598 · median $12,165 | 6 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $22,928 – $39,403 · median $32,836 | 6 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,151 – $17,707 · median $14,756 | 6 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $13,249 – $22,472 · median $18,727 | 6 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMORBITY | $26,190 – $41,050 · median $34,208 | 6 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION | $14,112 – $22,778 · median $18,982 | 6 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,550 – $16,016 · median $13,347 | 6 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $10,523 – $19,206 · median $16,005 | 6 plans |
| 914 | TRAUMATIC INJURY WITHOUT COMORBITY | $6,391 – $11,783 · median $9,820 | 6 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,491 – $19,671 · median $16,393 | 6 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,639 – $9,612 · median $8,010 | 6 plans |
| 917 | POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY | $11,237 – $18,550 · median $15,458 | 6 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH COMORBITY | $12,848 – $21,149 · median $17,625 | 6 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH COMPLICATION | $7,279 – $12,941 · median $10,784 | 6 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,913 – $9,831 · median $8,192 | 6 plans |
| 922 | OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITH COMORBITY | $12,286 – $20,343 · median $16,952 | 6 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,122 – $13,093 · median $10,911 | 6 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $185,601 – $227,701 · median $189,751 | 6 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $48,724 – $76,496 · median $63,747 | 6 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $22,641 – $34,922 · median $29,101 | 6 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $21,349 – $41,594 · median $34,661 | 6 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $14,734 – $24,912 · median $20,760 | 6 plans |
| 935 | NON-EXTENSIVE BURNS | $14,372 – $23,420 · median $19,517 | 6 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $22,640 – $38,961 · median $32,467 | 6 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $15,256 – $26,164 · median $21,803 | 6 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $13,069 – $23,100 · median $19,250 | 6 plans |
| 945 | REHABILITATION WITH CC/MCC | $10,629 – $18,353 · median $15,295 | 6 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,131 – $14,372 · median $11,977 | 6 plans |
| 947 | SIGNS & SYMPTOMS WITH COMORBITY | $8,813 – $15,587 · median $12,989 | 6 plans |
| 948 | SIGNS & SYMPTOMS WITHOUT COMORBITY | $5,640 – $10,941 · median $9,118 | 6 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,296 – $14,797 · median $12,331 | 6 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,423 – $9,229 · median $7,691 | 6 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,154 – $8,519 · median $7,099 | 6 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $42,883 – $71,786 · median $59,822 | 6 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $27,308 – $40,294 · median $33,578 | 6 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $50,927 – $81,265 · median $67,721 | 6 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $28,481 – $44,941 · median $37,451 | 6 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $17,832 – $32,180 · median $26,817 | 6 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $19,253 – $30,096 · median $25,080 | 6 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,569 – $18,195 · median $15,162 | 6 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,731 – $12,328 · median $10,274 | 6 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $48,392 – $65,283 · median $54,403 | 6 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $16,930 – $29,141 · median $24,284 | 6 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $20,536 – $31,604 · median $26,337 | 6 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,599 – $15,841 · median $13,201 | 6 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,952 – $11,954 · median $9,962 | 6 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,971 – $15,868 · median $13,223 | 6 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $33,379 – $50,038 · median $41,698 | 6 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,505 – $27,369 · median $22,807 | 6 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,514 – $19,992 · median $16,660 | 6 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $23,777 – $36,978 · median $30,815 | 6 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,949 – $19,295 · median $16,079 | 6 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,607 – $14,892 · median $12,410 | 6 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $100,595 – $120,714 · median $100,595 | 5 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $50,720 – $60,863 · median $50,720 | 5 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $59,426 – $71,311 · median $59,426 | 5 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $22,508 – $27,009 · median $22,508 | 5 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $30,900 – $37,079 · median $30,900 | 5 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $22,442 – $26,931 · median $22,442 | 5 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $35,732 – $42,878 · median $35,732 | 5 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $97,950 – $117,540 · median $97,950 | 5 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $64,155 – $76,986 · median $64,155 | 5 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $49,965 – $59,958 · median $49,965 | 5 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $80,072 – $96,086 · median $80,072 | 5 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $51,255 – $61,506 · median $51,255 | 5 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $59,382 – $71,259 · median $59,382 | 5 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $37,690 – $45,228 · median $37,690 | 5 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $47,366 – $56,840 · median $47,366 | 5 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $29,181 – $35,017 · median $29,181 | 5 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $76,961 – $92,353 · median $76,961 | 5 plans |
No procedures match that keyword.