King's Daughters Medical Center-Brookhaven — Pricing
770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Showing all 770 procedures
Procedures with negotiated rates only
These 770 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $137,525 – $270,986 · median $206,201 | 13 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $62,139 – $122,441 · median $87,386 | 13 plans |
| 003 | ECMO OR TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITH MAJ O.R. | $108,201 – $213,203 · median $156,176 | 13 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $74,603 – $147,000 · median $104,914 | 13 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $52,526 – $103,500 · median $75,865 | 13 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $24,547 – $48,369 · median $34,521 | 13 plans |
| 007 | LUNG TRANSPLANT | $62,252 – $122,664 · median $95,288 | 13 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $26,703 – $52,617 · median $41,239 | 13 plans |
| 010 | PANCREAS TRANSPLANT | $24,429 – $52,799 · median $47,862 | 13 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $26,168 – $51,563 · median $40,131 | 13 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $20,325 – $40,049 · median $31,021 | 13 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $13,630 – $26,857 · median $21,204 | 13 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $58,164 – $114,609 · median $88,428 | 13 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $31,348 – $61,770 · median $44,085 | 13 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $31,348 – $61,770 · median $44,085 | 13 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $186,977 – $368,427 · median $317,740 | 13 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $40,567 – $79,935 · median $57,050 | 13 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $42,896 – $84,524 · median $60,325 | 13 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $31,168 – $61,414 · median $43,831 | 13 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $17,644 – $34,767 · median $24,813 | 13 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $28,769 – $56,688 · median $42,164 | 13 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $19,228 – $37,888 · median $28,784 | 13 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $22,411 – $44,160 · median $33,455 | 13 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $14,987 – $29,531 · median $22,878 | 13 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $12,347 – $24,329 · median $18,564 | 13 plans |
| 028 | SPINAL PROCEDURES WITH COMORBITY | $30,582 – $60,261 · median $44,209 | 13 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $17,398 – $34,282 · median $25,103 | 13 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $11,769 – $23,190 · median $16,551 | 13 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $20,892 – $41,166 · median $32,968 | 13 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $10,931 – $21,538 · median $15,680 | 13 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $8,236 – $16,229 · median $12,236 | 13 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $19,800 – $39,014 · median $28,481 | 13 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $11,670 – $22,995 · median $17,589 | 13 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $9,177 – $18,082 · median $14,295 | 13 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $17,131 – $33,756 · median $24,223 | 13 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $8,119 – $15,999 · median $11,939 | 13 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $5,791 – $11,410 · median $8,649 | 13 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $19,541 – $38,505 · median $28,411 | 13 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $11,321 – $22,307 · median $16,178 | 13 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $8,829 – $17,398 · median $12,712 | 13 plans |
| 052 | SPINAL DISORDERS & INJURIES WITH COMPLICATION/COMORBITY | $9,868 – $19,445 · median $13,878 | 13 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $4,993 – $9,838 · median $7,205 | 13 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $7,478 – $14,735 · median $11,235 | 13 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $5,446 – $10,732 · median $7,659 | 13 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH COMORBITY | $12,150 – $23,940 · median $17,093 | 13 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $6,918 – $13,632 · median $9,729 | 13 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $8,769 – $17,279 · median $12,579 | 13 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $6,025 – $11,872 · median $9,131 | 13 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $4,554 – $8,974 · median $6,768 | 13 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $14,224 – $28,028 · median $20,287 | 13 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $9,499 – $18,717 · median $13,358 | 13 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $7,546 – $14,868 · median $10,611 | 13 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY | $10,165 – $20,030 · median $14,797 | 13 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS | $5,158 – $10,164 · median $7,434 | 13 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $3,489 – $6,875 · median $5,092 | 13 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $7,191 – $14,169 · median $10,807 | 13 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $4,420 – $8,710 · median $6,360 | 13 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,053 – $7,987 · median $5,878 | 13 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMORBITY | $9,082 – $17,895 · median $12,772 | 13 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $5,389 – $10,618 · median $7,578 | 13 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $3,974 – $7,830 · median $5,588 | 13 plans |
| 073 | CRANIAL & PERIPHERAL NERVE DISORDERS WITH COMORBITY | $7,678 – $15,130 · median $11,804 | 13 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $5,208 – $10,262 · median $7,585 | 13 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $9,713 – $19,138 · median $14,109 | 13 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $4,682 – $9,225 · median $6,584 | 13 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $11,209 – $22,087 · median $15,763 | 13 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $4,616 – $9,095 · median $6,590 | 13 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $11,562 – $22,783 · median $16,818 | 13 plans |
| 083 | TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMPLICATION | $6,884 – $13,564 · median $10,270 | 13 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $4,667 – $9,197 · median $7,033 | 13 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $11,534 – $22,728 · median $16,717 | 13 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $6,684 – $13,171 · median $9,585 | 13 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $4,497 – $8,862 · median $6,730 | 13 plans |
| 088 | CONCUSSION WITH MCC | $7,784 – $15,338 · median $10,947 | 13 plans |
| 089 | CONCUSSION WITH CC | $5,836 – $11,499 · median $8,207 | 13 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $4,744 – $9,348 · median $6,672 | 13 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMORBITY | $9,080 – $17,892 · median $12,922 | 13 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION | $5,207 – $10,261 · median $7,527 | 13 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $3,930 – $7,744 · median $5,859 | 13 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $18,385 – $36,227 · median $25,896 | 13 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $12,100 – $23,842 · median $18,978 | 13 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $11,062 – $21,797 · median $18,978 | 13 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $18,457 – $36,369 · median $26,576 | 13 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $10,934 – $21,545 · median $16,886 | 13 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $6,700 – $13,202 · median $10,025 | 13 plans |
| 100 | SEIZURES WITH MCC | $10,061 – $19,825 · median $14,251 | 13 plans |
| 101 | SEIZURES WITHOUT MCC | $4,616 – $9,096 · median $6,641 | 13 plans |
| 102 | HEADACHES WITH MCC | $6,124 – $12,066 · median $8,612 | 13 plans |
| 103 | HEADACHES WITHOUT MCC | $4,275 – $8,424 · median $6,154 | 13 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $12,725 – $25,073 · median $17,895 | 13 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $6,251 – $12,318 · median $9,955 | 13 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $7,939 – $15,644 · median $11,294 | 13 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $9,291 – $18,308 · median $13,304 | 13 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,082 – $11,984 · median $8,553 | 13 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $6,502 – $12,812 · median $9,144 | 13 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $3,778 – $7,445 · median $5,782 | 13 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,080 – $8,040 · median $5,876 | 13 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $6,709 – $13,219 · median $9,735 | 13 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,047 – $7,975 · median $5,692 | 13 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $13,459 – $26,521 · median $18,928 | 13 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $4,766 – $9,391 · median $7,471 | 13 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $7,636 – $15,047 · median $10,987 | 13 plans |
| 138 | MOUTH PROCEDURES WITHOUT COMPLICATION/COMORBITY | $4,393 – $8,657 · median $6,521 | 13 plans |
| 139 | SALIVARY GLAND PROCEDURES | $6,028 – $11,877 · median $9,092 | 13 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $19,174 – $37,781 · median $31,384 | 13 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $10,514 – $20,717 · median $16,049 | 13 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $7,841 – $15,450 · median $11,746 | 13 plans |
| 143 | OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $16,877 – $33,256 · median $27,568 | 13 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $8,782 – $17,305 · median $12,751 | 13 plans |
| 145 | OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $6,197 – $12,211 · median $8,847 | 13 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $10,713 – $21,110 · median $15,580 | 13 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $6,272 – $12,358 · median $9,356 | 13 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,515 – $8,897 · median $6,350 | 13 plans |
| 149 | DYSEQUILIBRIUM | $3,779 – $7,447 · median $5,530 | 13 plans |
| 150 | EPISTAXIS WITH MCC | $6,671 – $13,145 · median $9,797 | 13 plans |
| 151 | EPISTAXIS WITHOUT MCC | $3,911 – $7,707 · median $5,500 | 13 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $6,030 – $11,882 · median $8,699 | 13 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $3,729 – $7,348 · median $5,432 | 13 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $7,806 – $15,382 · median $11,504 | 13 plans |
| 155 | OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMPLICATION | $4,804 – $9,466 · median $6,756 | 13 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $3,327 – $6,555 · median $5,134 | 13 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $8,663 – $17,070 · median $12,632 | 13 plans |
| 158 | DENTAL & ORAL DISEASES WITH COMPLICATION | $4,763 – $9,385 · median $6,698 | 13 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $3,427 – $6,752 · median $5,243 | 13 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $23,922 – $47,136 · median $33,641 | 13 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $12,943 – $25,504 · median $18,572 | 13 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $9,523 – $18,764 · median $14,085 | 13 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $20,593 – $40,578 · median $28,961 | 13 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $9,235 – $18,198 · median $13,269 | 13 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $6,880 – $13,557 · median $10,054 | 13 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $15,606 – $30,750 · median $21,946 | 13 plans |
| 175 | PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE | $7,120 – $14,030 · median $10,107 | 13 plans |
| 176 | PULMONARY EMBOLISM WITHOUT COMORBITY | $4,139 – $8,156 · median $5,923 | 13 plans |
| 177 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY | $8,609 – $16,964 · median $12,107 | 13 plans |
| 178 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMPLICATION | $5,008 – $9,867 · median $7,181 | 13 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $3,874 – $7,633 · median $5,555 | 13 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $8,821 – $17,382 · median $12,994 | 13 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $5,588 – $11,011 · median $7,880 | 13 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $3,852 – $7,590 · median $5,546 | 13 plans |
| 183 | MAJOR CHEST TRAUMA WITH COMORBITY | $7,991 – $15,745 · median $11,257 | 13 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $5,338 – $10,519 · median $7,830 | 13 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $3,835 – $7,557 · median $5,787 | 13 plans |
| 186 | PLEURAL EFFUSION WITH COMORBITY | $7,877 – $15,521 · median $11,467 | 13 plans |
| 187 | PLEURAL EFFUSION WITH CC | $5,056 – $9,963 · median $7,278 | 13 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $3,788 – $7,465 · median $5,328 | 13 plans |
| 189 | PULMONARY EDEMA & RESPIRATORY FAILURE | $6,252 – $12,320 · median $9,090 | 13 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY | $5,593 – $11,020 · median $8,150 | 13 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION | $4,309 – $8,490 · median $6,203 | 13 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION/COMORBITY | $3,257 – $6,418 · median $4,827 | 13 plans |
| 193 | SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY | $6,733 – $13,266 · median $9,671 | 13 plans |
| 194 | SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION | $4,173 – $8,222 · median $5,930 | 13 plans |
| 195 | SIMPLE PNEUMONIA & PLEURISY WITHOUT COMPLICATION/COMORBITY | $3,175 – $6,256 · median $4,743 | 13 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $9,619 – $18,954 · median $13,886 | 13 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $5,062 – $9,975 · median $7,119 | 13 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $3,949 – $7,782 · median $5,554 | 13 plans |
| 199 | PNEUMOTHORAX WITH COMORBITY | $9,004 – $17,741 · median $12,980 | 13 plans |
| 200 | PNEUMOTHORAX WITH CC | $5,466 – $10,770 · median $8,089 | 13 plans |
| 201 | PNEUMOTHORAX WITHOUT COMPLICATION/COMORBITY | $3,583 – $7,061 · median $5,284 | 13 plans |
| 202 | BRONCHITIS & ASTHMA WITH COMPLICATION/COMORBITY | $4,859 – $9,575 · median $7,146 | 13 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $3,527 – $6,949 · median $5,002 | 13 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,176 – $8,229 · median $5,941 | 13 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH COMORBITY | $9,187 – $18,103 · median $13,473 | 13 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT COMORBITY | $4,636 – $9,135 · median $6,925 | 13 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $35,058 – $69,080 · median $49,302 | 13 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $13,722 – $27,038 · median $20,225 | 13 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $54,661 – $107,707 · median $80,012 | 13 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $51,840 – $102,148 · median $73,264 | 13 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $49,254 – $97,053 · median $71,982 | 13 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $32,304 – $63,653 · median $48,381 | 13 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $28,911 – $56,967 · median $48,381 | 13 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $39,134 – $77,112 · median $56,497 | 13 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $26,616 – $52,446 · median $39,239 | 13 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $23,592 – $46,486 · median $37,086 | 13 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $25,571 – $50,387 · median $36,403 | 13 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $16,136 – $31,796 · median $23,174 | 13 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH COMORBITY | $41,185 – $81,152 · median $62,027 | 13 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $30,189 – $59,486 · median $44,609 | 13 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $39,583 – $77,996 · median $56,254 | 13 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $26,379 – $51,979 · median $40,195 | 13 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $29,844 – $58,806 · median $43,181 | 13 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $20,509 – $40,412 · median $30,821 | 13 plans |
| 239 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMORBITY | $24,395 – $48,068 · median $36,214 | 13 plans |
| 240 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMPLICATION | $14,257 – $28,092 · median $20,974 | 13 plans |
| 241 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITHOUT COMPLICATION/COMORBITY | $7,053 – $13,898 · median $10,186 | 13 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $17,535 – $34,551 · median $24,659 | 13 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $11,559 – $22,776 · median $16,255 | 13 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $9,285 – $18,295 · median $13,300 | 13 plans |
| 245 | AICD GENERATOR PROCEDURES | $22,997 – $45,314 · median $33,570 | 13 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $11,930 – $23,508 · median $16,778 | 13 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $8,054 – $15,869 · median $11,326 | 13 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH COMORBITY | $17,021 – $33,538 · median $25,667 | 13 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $12,947 – $25,511 · median $19,099 | 13 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $8,806 – $17,351 · median $13,110 | 13 plans |
| 255 | UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMORBITY | $13,943 – $27,474 · median $19,848 | 13 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $8,321 – $16,397 · median $12,493 | 13 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $5,029 – $9,910 · median $8,036 | 13 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $13,746 – $27,086 · median $23,120 | 13 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $9,473 – $18,666 · median $14,879 | 13 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $16,825 – $33,152 · median $23,934 | 13 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $9,550 – $18,818 · median $13,910 | 13 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $8,350 – $16,453 · median $11,993 | 13 plans |
| 263 | VEIN LIGATION AND STRIPPING | $14,338 – $28,252 · median $22,496 | 13 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $16,575 – $32,660 · median $24,580 | 13 plans |
| 265 | AICD LEAD PROCEDURES | $17,936 – $35,341 · median $26,623 | 13 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $31,699 – $62,461 · median $45,093 | 13 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $24,767 – $48,802 · median $35,030 | 13 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $34,788 – $68,547 · median $50,608 | 13 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $21,105 – $41,586 · median $31,074 | 13 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $25,664 – $50,569 · median $38,823 | 13 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $17,540 – $34,562 · median $26,167 | 13 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $12,380 – $24,395 · median $18,785 | 13 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $19,777 – $38,970 · median $30,356 | 13 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $16,447 – $32,408 · median $24,220 | 13 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $35,707 – $70,358 · median $52,466 | 13 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $31,517 – $62,102 · median $44,322 | 13 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $24,271 – $47,824 · median $34,132 | 13 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $22,637 – $44,604 · median $40,956 | 13 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $16,243 – $32,006 · median $26,536 | 13 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMORBITY | $8,051 – $15,865 · median $11,803 | 13 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMPLICATION | $4,633 – $9,130 · median $6,763 | 13 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITHOUT COMPLICATION/COMORBITY | $3,644 – $7,181 · median $5,334 | 13 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMORBITY | $10,005 – $19,714 · median $14,575 | 13 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $3,754 – $7,397 · median $5,279 | 13 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $2,480 – $4,887 · median $4,558 | 13 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $10,940 – $21,556 · median $16,282 | 13 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $5,489 – $10,816 · median $7,874 | 13 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $13,159 – $25,930 · median $19,912 | 13 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $7,499 – $14,777 · median $12,559 | 13 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,203 – $10,252 · median $7,317 | 13 plans |
| 291 | HEART FAILURE & SHOCK WITH COMORBITY | $6,516 – $12,839 · median $9,446 | 13 plans |
| 292 | HEART FAILURE & SHOCK WITH COMPLICATION | $4,347 – $8,565 · median $6,247 | 13 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $2,850 – $5,615 · median $4,352 | 13 plans |
| 296 | CARDIAC ARREST; UNEXPLAINED WITH COMORBITY | $8,136 – $16,032 · median $11,493 | 13 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,698 – $7,286 · median $5,200 | 13 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,227 – $4,389 · median $3,659 | 13 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH COMORBITY | $7,999 – $15,762 · median $12,013 | 13 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION | $5,415 – $10,670 · median $7,855 | 13 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $3,602 – $7,098 · median $5,313 | 13 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $5,690 – $11,211 · median $8,805 | 13 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $3,340 – $6,581 · median $5,022 | 13 plans |
| 304 | HYPERTENSION WITH MCC | $5,831 – $11,490 · median $8,756 | 13 plans |
| 305 | HYPERTENSION WITHOUT COMORBITY | $3,824 – $7,535 · median $5,556 | 13 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $7,799 – $15,368 · median $11,595 | 13 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $4,784 – $9,426 · median $6,727 | 13 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $6,101 – $12,022 · median $8,859 | 13 plans |
| 309 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION | $3,779 – $7,447 · median $5,413 | 13 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $2,806 – $5,530 · median $4,353 | 13 plans |
| 311 | ANGINA PECTORIS | $3,543 – $6,981 · median $5,201 | 13 plans |
| 312 | SYNCOPE & COLLAPSE | $4,382 – $8,635 · median $6,413 | 13 plans |
| 313 | CHEST PAIN | $3,672 – $7,236 · median $5,315 | 13 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY | $10,625 – $20,935 · median $15,343 | 13 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $4,909 – $9,673 · median $7,088 | 13 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,515 – $6,927 · median $5,078 | 13 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $22,137 – $43,619 · median $32,838 | 13 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $11,297 – $22,260 · median $17,698 | 13 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $14,589 – $28,747 · median $20,517 | 13 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $9,254 – $18,234 · median $13,014 | 13 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $21,011 – $41,400 · median $31,841 | 13 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $15,066 – $29,686 · median $23,185 | 13 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $13,420 – $26,443 · median $23,622 | 13 plans |
| 326 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMORBITY | $25,776 – $50,790 · median $36,697 | 13 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $12,674 – $24,974 · median $17,985 | 13 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $8,106 – $15,973 · median $11,790 | 13 plans |
| 329 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY | $22,923 – $45,168 · median $33,821 | 13 plans |
| 330 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION | $12,038 – $23,721 · median $17,639 | 13 plans |
| 331 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,485 – $16,720 · median $12,383 | 13 plans |
| 332 | RECTAL RESECTION WITH MCC | $18,410 – $36,276 · median $26,641 | 13 plans |
| 333 | RECTAL RESECTION WITH CC | $10,553 – $20,795 · median $17,234 | 13 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $8,146 – $16,051 · median $12,052 | 13 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH COMORBITY | $18,143 – $35,750 · median $26,275 | 13 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH COMPLICATION | $10,684 – $21,053 · median $15,516 | 13 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION/COMORBITY | $7,594 – $14,964 · median $11,295 | 13 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $13,908 – $27,404 · median $19,558 | 13 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $7,819 – $15,406 · median $11,072 | 13 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $6,536 – $12,878 · median $9,191 | 13 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $12,937 – $25,491 · median $18,193 | 13 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $6,605 – $13,014 · median $9,630 | 13 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $4,952 – $9,758 · median $6,964 | 13 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $12,180 – $24,000 · median $18,335 | 13 plans |
| 351 | INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMPLICATION | $7,387 – $14,556 · median $11,217 | 13 plans |
| 352 | INGUINAL & FEMORAL HERNIA PROCEDURES WITHOUT COMPLICATION/COMORBITY | $5,628 – $11,090 · median $8,593 | 13 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $14,841 – $29,243 · median $21,353 | 13 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $8,718 – $17,178 · median $12,379 | 13 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $6,915 – $13,626 · median $9,897 | 13 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMORBITY | $21,714 – $42,787 · median $32,322 | 13 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION | $11,149 – $21,968 · median $17,111 | 13 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY | $6,502 – $12,811 · median $10,286 | 13 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $8,384 – $16,520 · median $11,790 | 13 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION | $5,016 – $9,883 · median $7,360 | 13 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $3,774 – $7,437 · median $5,308 | 13 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMORBITY | $8,870 – $17,477 · median $13,047 | 13 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMPLICATION | $5,290 – $10,423 · median $7,513 | 13 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $3,636 – $7,165 · median $5,361 | 13 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $10,652 – $20,990 · median $15,737 | 13 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $6,081 – $11,983 · median $8,900 | 13 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $4,524 – $8,914 · median $6,801 | 13 plans |
| 377 | G.I. HEMORRHAGE WITH COMORBITY | $9,086 – $17,903 · median $13,450 | 13 plans |
| 378 | G.I. HEMORRHAGE WITH COMPLICATION | $4,993 – $9,838 · median $7,216 | 13 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,213 – $6,332 · median $4,755 | 13 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH COMORBITY | $9,889 – $19,485 · median $14,438 | 13 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $5,445 – $10,730 · median $7,972 | 13 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $3,842 – $7,571 · median $5,891 | 13 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH COMORBITY | $7,096 – $13,982 · median $10,159 | 13 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $4,444 – $8,757 · median $6,290 | 13 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $7,952 – $15,669 · median $11,643 | 13 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $4,931 – $9,716 · median $7,184 | 13 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $3,472 – $6,841 · median $5,073 | 13 plans |
| 388 | G.I. OBSTRUCTION WITH COMORBITY | $7,377 – $14,535 · median $10,866 | 13 plans |
| 389 | G.I. OBSTRUCTION WITH COMPLICATION | $4,042 – $7,964 · median $5,811 | 13 plans |
| 390 | G.I. OBSTRUCTION WITHOUT COMPLICATION/COMORBITY | $2,837 – $5,590 · median $4,215 | 13 plans |
| 391 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY | $6,474 – $12,757 · median $9,332 | 13 plans |
| 392 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY | $3,987 – $7,856 · median $5,736 | 13 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMORBITY | $8,219 – $16,196 · median $11,768 | 13 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION | $4,755 – $9,369 · median $6,885 | 13 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $3,286 – $6,475 · median $4,871 | 13 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $11,402 – $22,466 · median $17,622 | 13 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $7,680 – $15,133 · median $11,137 | 13 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $5,649 – $11,131 · median $8,423 | 13 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $27,939 – $55,052 · median $40,252 | 13 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $14,654 – $28,874 · median $21,340 | 13 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $10,916 – $21,510 · median $16,332 | 13 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $18,890 – $37,222 · median $26,565 | 13 plans |
| 409 | BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITH COMPLICATION | $9,933 – $19,573 · median $16,021 | 13 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $7,943 – $15,652 · median $11,682 | 13 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $14,619 – $28,805 · median $24,306 | 13 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $10,381 – $20,455 · median $15,470 | 13 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $7,661 – $15,096 · median $12,218 | 13 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $17,890 – $35,252 · median $26,214 | 13 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $10,027 – $19,758 · median $15,207 | 13 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $6,796 – $13,392 · median $10,031 | 13 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $11,763 – $23,178 · median $17,559 | 13 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION | $8,296 – $16,347 · median $12,447 | 13 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY | $6,664 – $13,132 · median $10,050 | 13 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMORBITY | $16,244 – $32,008 · median $25,070 | 13 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $8,676 – $17,096 · median $12,785 | 13 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT COMPLICATION/COMORBITY | $7,161 – $14,110 · median $10,298 | 13 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $19,848 – $39,109 · median $30,558 | 13 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $10,593 – $20,873 · median $16,099 | 13 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $8,130 – $16,019 · median $11,433 | 13 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $9,724 – $19,160 · median $14,482 | 13 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $5,232 – $10,310 · median $7,772 | 13 plans |
| 434 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITHOUT COMPLICATION/COMORBITY | $3,398 – $6,695 · median $5,268 | 13 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $8,931 – $17,599 · median $13,515 | 13 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION | $5,586 – $11,007 · median $8,323 | 13 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,218 – $8,311 · median $6,279 | 13 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMORBITY | $8,469 – $16,688 · median $11,995 | 13 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION | $4,340 – $8,552 · median $6,190 | 13 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $3,124 – $6,156 · median $4,698 | 13 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMORBITY | $9,278 – $18,282 · median $13,205 | 13 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMPLICATION | $4,829 – $9,515 · median $7,103 | 13 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,627 – $7,147 · median $5,188 | 13 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH COMORBITY | $8,288 – $16,332 · median $12,295 | 13 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH COMPLICATION | $5,516 – $10,868 · median $8,053 | 13 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,068 – $8,015 · median $6,087 | 13 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $42,779 – $84,294 · median $61,833 | 13 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $30,832 – $60,753 · median $43,877 | 13 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $22,995 – $45,310 · median $32,338 | 13 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $34,604 – $68,185 · median $48,664 | 13 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $14,445 – $28,463 · median $20,314 | 13 plans |
| 463 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMORBITY | $28,743 – $56,637 · median $41,937 | 13 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $15,232 – $30,014 · median $22,918 | 13 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,494 – $18,708 · median $13,419 | 13 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMORBITY | $26,322 – $51,866 · median $38,302 | 13 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $17,693 – $34,863 · median $25,949 | 13 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $13,548 – $26,696 · median $20,220 | 13 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT | $16,899 – $33,298 · median $23,765 | 13 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY | $9,550 – $18,817 · median $14,193 | 13 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $24,964 – $49,190 · median $35,530 | 13 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $14,999 – $29,554 · median $21,678 | 13 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $12,488 – $24,606 · median $17,963 | 13 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMORBITY | $21,837 – $43,028 · median $31,587 | 13 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $10,884 – $21,447 · median $16,745 | 13 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,973 – $11,769 · median $8,684 | 13 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $17,098 – $33,690 · median $25,419 | 13 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $12,097 – $23,837 · median $18,095 | 13 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $9,460 – $18,640 · median $13,678 | 13 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $14,966 – $29,489 · median $21,429 | 13 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $10,530 – $20,749 · median $15,411 | 13 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $8,061 – $15,884 · median $12,001 | 13 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $12,607 – $24,842 · median $20,396 | 13 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $16,717 – $32,940 · median $23,745 | 13 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $10,192 – $20,083 · median $15,386 | 13 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,840 – $15,449 · median $11,524 | 13 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $10,691 – $21,066 · median $15,035 | 13 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $6,281 – $12,377 · median $8,833 | 13 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $17,570 – $34,621 · median $27,016 | 13 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $12,189 – $24,017 · median $18,661 | 13 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $9,486 – $18,692 · median $14,764 | 13 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $18,175 – $35,812 · median $26,678 | 13 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $10,087 – $19,875 · median $14,185 | 13 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $7,244 – $14,274 · median $10,187 | 13 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $13,251 – $26,110 · median $22,198 | 13 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $6,546 – $14,825 · median $12,824 | 13 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $16,457 – $32,428 · median $23,287 | 13 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $8,809 – $17,357 · median $12,863 | 13 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $7,017 – $13,827 · median $9,903 | 13 plans |
| 503 | FOOT PROCEDURES WITH COMORBITY | $13,611 – $26,819 · median $20,537 | 13 plans |
| 504 | FOOT PROCEDURES WITH CC | $8,765 – $17,271 · median $13,754 | 13 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $8,656 – $17,057 · median $13,191 | 13 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $7,423 – $14,626 · median $10,439 | 13 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $10,818 – $21,317 · median $15,214 | 13 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $7,278 – $14,340 · median $11,143 | 13 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $13,807 – $27,206 · median $22,225 | 13 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $10,119 – $19,938 · median $15,300 | 13 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $8,190 – $16,138 · median $12,181 | 13 plans |
| 513 | HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITH COMPLICATION/COMORBITY | $8,227 – $16,210 · median $11,584 | 13 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $5,286 – $10,415 · median $7,522 | 13 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $16,045 – $31,615 · median $23,449 | 13 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $10,357 – $20,408 · median $15,291 | 13 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $7,584 – $14,944 · median $11,307 | 13 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $18,533 – $36,518 · median $27,499 | 13 plans |
| 519 | BACK & NECK PROC EXC SPINAL FUSION WITH COMPLICATION | $9,991 – $19,686 · median $14,718 | 13 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $7,265 – $14,315 · median $10,992 | 13 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $15,196 – $29,942 · median $21,370 | 13 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $10,719 – $21,122 · median $15,582 | 13 plans |
| 533 | FRACTURES OF FEMUR WITH COMORBITY | $8,279 – $16,314 · median $11,643 | 13 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,111 – $8,100 · median $5,931 | 13 plans |
| 535 | FRACTURES OF HIP & PELVIS WITH COMORBITY | $6,581 – $12,967 · median $9,433 | 13 plans |
| 536 | FRACTURES OF HIP & PELVIS WITHOUT COMORBITY | $3,995 – $7,871 · median $5,942 | 13 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $4,908 – $9,670 · median $7,022 | 13 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $3,599 – $7,091 · median $5,316 | 13 plans |
| 539 | OSTEOMYELITIS WITH COMORBITY | $10,071 – $19,844 · median $14,493 | 13 plans |
| 540 | OSTEOMYELITIS WITH COMPLICATION | $6,588 – $12,982 · median $9,538 | 13 plans |
| 541 | OSTEOMYELITIS WITHOUT COMPLICATION/COMORBITY | $4,354 – $8,579 · median $6,123 | 13 plans |
| 542 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMORBITY | $9,255 – $18,237 · median $13,016 | 13 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $5,535 – $10,907 · median $7,784 | 13 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $3,895 – $7,675 · median $5,552 | 13 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH COMORBITY | $12,653 – $24,932 · median $18,260 | 13 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $6,086 – $11,993 · median $8,559 | 13 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,128 – $8,134 · median $6,153 | 13 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $9,895 – $19,498 · median $14,208 | 13 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $6,121 – $12,062 · median $8,883 | 13 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $4,673 – $9,208 · median $6,572 | 13 plans |
| 551 | MEDICAL BACK PROBLEMS WITH COMORBITY | $8,637 – $17,019 · median $12,333 | 13 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT COMORBITY | $4,904 – $9,663 · median $7,073 | 13 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $6,859 – $13,515 · median $9,646 | 13 plans |
| 554 | BONE DISEASES & ARTHROPATHIES WITHOUT COMORBITY | $4,171 – $8,218 · median $6,108 | 13 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,100 – $13,990 · median $9,985 | 13 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $4,184 – $8,244 · median $6,112 | 13 plans |
| 557 | TENDONITIS; MYOSITIS & BURSITIS WITH COMORBITY | $7,901 – $15,568 · median $11,111 | 13 plans |
| 558 | TENDONITIS; MYOSITIS & BURSITIS WITHOUT COMORBITY | $4,458 – $8,784 · median $6,572 | 13 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,391 – $18,505 · median $13,722 | 13 plans |
| 560 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION | $5,745 – $11,321 · median $8,286 | 13 plans |
| 561 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY | $3,960 – $7,802 · median $5,915 | 13 plans |
| 562 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITH COMORBITY | $7,718 – $15,207 · median $10,853 | 13 plans |
| 563 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITHOUT COMORBITY | $4,545 – $8,956 · median $6,589 | 13 plans |
| 564 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMORBITY | $7,927 – $15,619 · median $11,358 | 13 plans |
| 565 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION | $5,072 – $9,994 · median $7,170 | 13 plans |
| 566 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $3,809 – $7,505 · median $5,513 | 13 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $14,830 – $29,222 · median $21,641 | 13 plans |
| 571 | SKIN DEBRIDEMENT WITH COMPLICATION | $8,586 – $16,919 · median $12,431 | 13 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $5,783 – $11,396 · median $8,435 | 13 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $31,557 – $62,181 · median $48,205 | 13 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $17,284 – $34,058 · median $25,543 | 13 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,383 – $20,460 · median $14,602 | 13 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $28,842 – $56,831 · median $40,560 | 13 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $13,444 – $26,491 · median $19,504 | 13 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $8,173 – $16,105 · median $11,820 | 13 plans |
| 579 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMORBITY | $16,962 – $33,422 · median $23,853 | 13 plans |
| 580 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMPLICATION | $8,864 – $17,466 · median $12,715 | 13 plans |
| 581 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITHOUT COMPLICATION/COMORBITY | $6,835 – $13,467 · median $10,618 | 13 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $8,461 – $16,671 · median $14,176 | 13 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $7,724 – $15,219 · median $12,688 | 13 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $9,940 – $19,586 · median $15,751 | 13 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $8,546 – $16,840 · median $14,194 | 13 plans |
| 592 | SKIN ULCERS WITH MCC | $10,607 – $20,901 · median $14,917 | 13 plans |
| 593 | SKIN ULCERS WITH CC | $6,140 – $12,099 · median $8,729 | 13 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $3,996 – $7,874 · median $6,378 | 13 plans |
| 595 | MAJOR SKIN DISORDERS WITH COMORBITY | $11,038 – $21,750 · median $15,604 | 13 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $5,121 – $10,090 · median $7,965 | 13 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $8,123 – $16,005 · median $12,267 | 13 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $6,084 – $11,988 · median $8,556 | 13 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,154 – $6,214 · median $5,661 | 13 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $5,204 – $10,255 · median $7,664 | 13 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,160 – $6,226 · median $4,596 | 13 plans |
| 602 | CELLULITIS WITH COMORBITY | $7,549 – $14,875 · median $10,616 | 13 plans |
| 603 | CELLULITIS WITHOUT COMORBITY | $4,490 – $8,847 · median $6,408 | 13 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $7,644 – $15,062 · median $10,832 | 13 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $4,612 – $9,088 · median $6,740 | 13 plans |
| 606 | MINOR SKIN DISORDERS WITH COMORBITY | $8,048 – $15,858 · median $11,318 | 13 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $4,535 – $8,935 · median $6,669 | 13 plans |
| 614 | ADRENAL & PITUITARY PROCEDURES WITH COMPLICATION/COMORBITY | $11,431 – $22,524 · median $16,127 | 13 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $7,466 – $14,711 · median $10,499 | 13 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $20,085 – $39,577 · median $28,246 | 13 plans |
| 617 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMPLICATION | $10,071 – $19,845 · median $14,163 | 13 plans |
| 618 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITHOUT COMPLICATION/COMORBITY | $5,895 – $11,615 · median $10,436 | 13 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $13,137 – $25,885 · median $21,246 | 13 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $8,233 – $16,222 · median $11,775 | 13 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION/COMORBITY | $7,700 – $15,173 · median $11,099 | 13 plans |
| 622 | SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMORBITY | $19,415 – $38,256 · median $27,303 | 13 plans |
| 623 | SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMPLICATION | $9,447 – $18,614 · median $13,285 | 13 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $5,656 – $11,145 · median $9,212 | 13 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $14,825 – $29,212 · median $22,222 | 13 plans |
| 626 | THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITH COMPLICATION | $7,571 – $14,919 · median $11,033 | 13 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $6,273 – $12,360 · median $9,774 | 13 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $20,374 – $40,145 · median $28,651 | 13 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $11,484 – $22,628 · median $16,150 | 13 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $7,086 – $13,963 · median $10,739 | 13 plans |
| 637 | DIABETES WITH COMORBITY | $7,355 – $14,493 · median $10,571 | 13 plans |
| 638 | DIABETES WITH COMPLICATION | $4,564 – $8,994 · median $6,594 | 13 plans |
| 639 | DIABETES WITHOUT COMPLICATION/COMORBITY | $3,159 – $6,225 · median $4,697 | 13 plans |
| 640 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY | $6,675 – $13,152 · median $9,827 | 13 plans |
| 641 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY | $3,966 – $7,814 · median $5,726 | 13 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $6,614 – $13,033 · median $10,464 | 13 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $8,349 – $16,451 · median $12,112 | 13 plans |
| 644 | ENDOCRINE DISORDERS WITH COMPLICATION | $5,388 – $10,617 · median $7,577 | 13 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $3,862 – $7,609 · median $5,653 | 13 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $22,825 – $44,975 · median $34,593 | 13 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $17,551 – $34,584 · median $27,267 | 13 plans |
| 652 | KIDNEY TRANSPLANT | $15,247 – $30,044 · median $23,763 | 13 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $27,474 – $54,136 · median $38,637 | 13 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $13,893 – $27,375 · median $20,597 | 13 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $10,697 – $21,078 · median $15,574 | 13 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $15,923 – $31,376 · median $23,427 | 13 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $9,359 – $18,442 · median $13,465 | 13 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $7,513 – $14,804 · median $11,418 | 13 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $13,139 – $25,889 · median $18,696 | 13 plans |
| 660 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION | $6,830 – $13,459 · median $9,725 | 13 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $5,321 – $10,484 · median $7,618 | 13 plans |
| 662 | MINOR BLADDER PROCEDURES WITH COMORBITY | $15,208 – $29,967 · median $22,527 | 13 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $7,404 – $14,590 · median $11,186 | 13 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $5,388 – $10,616 · median $7,703 | 13 plans |
| 665 | PROSTATECTOMY WITH MCC | $15,677 – $30,891 · median $22,966 | 13 plans |
| 666 | PROSTATECTOMY WITH CC | $8,716 – $17,174 · median $12,871 | 13 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $5,327 – $10,496 · median $8,139 | 13 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $14,301 – $28,180 · median $21,485 | 13 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $7,788 – $15,346 · median $11,420 | 13 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $4,885 – $9,626 · median $7,191 | 13 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $8,688 – $17,119 · median $13,208 | 13 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $4,683 – $9,227 · median $7,943 | 13 plans |
| 673 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMORBITY | $18,767 – $36,980 · median $30,916 | 13 plans |
| 674 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMPLICATION | $12,090 – $23,822 · median $17,207 | 13 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $8,051 – $15,865 · median $12,077 | 13 plans |
| 682 | RENAL FAILURE WITH COMORBITY | $7,617 – $15,008 · median $10,897 | 13 plans |
| 683 | RENAL FAILURE WITH COMPLICATION | $4,572 – $9,008 · median $6,444 | 13 plans |
| 684 | RENAL FAILURE WITHOUT COMPLICATION/COMORBITY | $3,088 – $6,085 · median $4,566 | 13 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $9,335 – $18,394 · median $13,272 | 13 plans |
| 687 | KIDNEY & URINARY TRACT NEOPLASMS WITH COMPLICATION | $5,305 – $10,453 · median $7,710 | 13 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $3,963 – $7,809 · median $5,815 | 13 plans |
| 689 | KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY | $5,960 – $11,744 · median $8,538 | 13 plans |
| 690 | KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY | $4,095 – $8,069 · median $5,956 | 13 plans |
| 693 | URINARY STONES WITH MCC | $7,188 – $14,163 · median $10,108 | 13 plans |
| 694 | URINARY STONES WITHOUT MCC | $3,972 – $7,827 · median $5,752 | 13 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $6,070 – $11,960 · median $8,536 | 13 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $3,512 – $6,921 · median $5,121 | 13 plans |
| 697 | URETHRAL STRICTURE | $5,649 – $11,131 · median $7,944 | 13 plans |
| 698 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY | $8,396 – $16,544 · median $12,173 | 13 plans |
| 699 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION | $5,181 – $10,208 · median $7,468 | 13 plans |
| 700 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $3,595 – $7,083 · median $5,126 | 13 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $9,957 – $19,619 · median $14,718 | 13 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $7,402 – $14,585 · median $11,289 | 13 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $10,759 – $21,200 · median $17,123 | 13 plans |
| 710 | PENIS PROCEDURES WITHOUT COMPLICATION/COMORBITY | $6,264 – $12,343 · median $10,310 | 13 plans |
| 711 | TESTES PROCEDURES WITH COMPLICATION/COMORBITY | $10,774 – $21,229 · median $15,333 | 13 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,031 – $11,884 · median $8,482 | 13 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION/COMORBITY | $7,362 – $14,507 · median $11,062 | 13 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $4,864 – $9,585 · median $7,780 | 13 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $11,203 – $22,075 · median $16,462 | 13 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $7,218 – $14,222 · median $10,824 | 13 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY WITH COMPLICATION/COMORBITY | $9,205 – $18,137 · median $13,910 | 13 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,967 – $11,758 · median $9,883 | 13 plans |
| 722 | MALIGNANCY; MALE REPRODUCTIVE SYSTEM WITH COMORBITY | $9,515 – $18,748 · median $13,380 | 13 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $5,655 – $11,143 · median $8,408 | 13 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,108 – $8,095 · median $5,777 | 13 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $6,298 – $12,409 · median $8,856 | 13 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $3,709 – $7,309 · median $5,327 | 13 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $8,227 – $16,210 · median $11,569 | 13 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT COMORBITY | $4,061 – $8,001 · median $5,969 | 13 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $5,095 – $10,039 · median $7,790 | 13 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,155 – $6,216 · median $5,015 | 13 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $11,031 – $21,736 · median $15,673 | 13 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $6,396 – $12,602 · median $9,900 | 13 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $19,728 – $38,872 · median $27,743 | 13 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $10,017 – $19,738 · median $15,162 | 13 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $6,925 – $13,646 · median $10,805 | 13 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $18,353 – $36,163 · median $26,362 | 13 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $9,069 – $17,870 · median $13,315 | 13 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $6,594 – $12,993 · median $10,493 | 13 plans |
| 742 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITH COMPLICATION/COMORBITY | $9,043 – $17,819 · median $13,501 | 13 plans |
| 743 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $5,897 – $11,620 · median $9,129 | 13 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $9,553 – $18,824 · median $15,077 | 13 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $5,257 – $10,359 · median $8,370 | 13 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $8,506 – $16,761 · median $12,782 | 13 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $4,503 – $8,872 · median $6,332 | 13 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $7,130 – $14,049 · median $10,208 | 13 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION/COMORBITY | $12,775 – $25,172 · median $18,892 | 13 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $6,902 – $13,600 · median $10,859 | 13 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,401 – $18,525 · median $13,551 | 13 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,505 – $10,847 · median $8,004 | 13 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,023 – $9,897 · median $7,067 | 13 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $7,570 – $14,916 · median $10,646 | 13 plans |
| 758 | INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION | $5,037 – $9,926 · median $7,204 | 13 plans |
| 759 | INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY | $3,279 – $6,462 · median $4,962 | 13 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $5,052 – $9,954 · median $7,413 | 13 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,073 – $6,056 · median $4,380 | 13 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $7,835 – $15,439 · median $12,434 | 13 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $4,053 – $7,987 · median $7,378 | 13 plans |
| 776 | POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE | $3,637 – $7,167 · median $5,115 | 13 plans |
| 779 | ABORTION WITHOUT D&C | $5,020 – $9,892 · median $7,060 | 13 plans |
| 789 | NEONATES; DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $9,233 – $18,194 · median $13,261 | 13 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME; NEONATE | $30,451 – $60,001 · median $43,732 | 13 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $20,796 – $40,977 · median $29,866 | 13 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $12,548 – $24,725 · median $18,021 | 13 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $21,362 – $42,093 · median $30,680 | 13 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $7,561 – $14,899 · median $10,860 | 13 plans |
| 795 | NORMAL NEWBORN | $1,024 – $2,064 · median $2,006 | 13 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $25,145 – $49,546 · median $35,361 | 13 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $14,300 – $28,177 · median $20,672 | 13 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $9,083 – $17,897 · median $14,046 | 13 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $17,206 – $33,903 · median $29,315 | 13 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $9,430 – $18,582 · median $13,678 | 13 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $6,143 – $12,104 · median $9,978 | 13 plans |
| 808 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMORBITY | $11,115 – $21,901 · median $16,246 | 13 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $6,112 – $12,044 · median $9,315 | 13 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $5,098 – $10,045 · median $7,701 | 13 plans |
| 811 | RED BLOOD CELL DISORDERS WITH COMORBITY | $7,123 – $14,036 · median $10,333 | 13 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT COMORBITY | $4,571 – $9,007 · median $6,756 | 13 plans |
| 813 | COAGULATION DISORDERS | $7,917 – $15,600 · median $11,223 | 13 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $10,800 – $21,281 · median $15,648 | 13 plans |
| 815 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMPLICATION | $5,046 – $9,942 · median $7,461 | 13 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,604 – $7,102 · median $5,069 | 13 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH COMORBITY | $11,444 – $22,550 · median $16,788 | 13 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $5,953 – $11,731 · median $8,529 | 13 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,604 – $9,072 · median $6,475 | 13 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $30,687 – $60,467 · median $43,155 | 13 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $11,328 – $22,321 · median $16,472 | 13 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,287 – $12,388 · median $8,859 | 13 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $22,847 – $45,019 · median $33,735 | 13 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $11,332 – $22,329 · median $16,670 | 13 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $6,554 – $12,914 · median $9,929 | 13 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $22,273 – $43,888 · median $34,419 | 13 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $11,760 – $23,172 · median $17,006 | 13 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,325 – $16,404 · median $12,537 | 13 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $16,006 – $31,538 · median $23,251 | 13 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,025 – $15,812 · median $11,285 | 13 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $5,125 – $10,098 · median $8,848 | 13 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $3,744 – $7,377 · median $5,325 | 13 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY | $2,597 – $5,118 · median $4,083 | 13 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $28,415 – $55,990 · median $40,395 | 13 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $11,345 – $22,355 · median $15,955 | 13 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $6,076 – $11,973 · median $8,973 | 13 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $24,140 – $47,566 · median $35,350 | 13 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $9,908 – $19,524 · median $15,359 | 13 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,613 – $13,031 · median $10,624 | 13 plans |
| 840 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMORBITY | $15,860 – $31,252 · median $23,802 | 13 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $7,986 – $15,735 · median $12,004 | 13 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $5,412 – $10,664 · median $7,611 | 13 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $9,443 – $18,606 · median $14,678 | 13 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $5,873 – $11,572 · median $8,958 | 13 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $4,389 – $8,649 · median $6,266 | 13 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $12,403 – $24,440 · median $19,076 | 13 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $6,154 – $12,126 · median $9,626 | 13 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $3,854 – $7,595 · median $6,250 | 13 plans |
| 849 | RADIOTHERAPY | $13,659 – $26,914 · median $19,937 | 13 plans |
| 853 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY | $25,371 – $49,993 · median $36,338 | 13 plans |
| 854 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION | $10,344 – $20,382 · median $14,702 | 13 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,637 – $17,018 · median $12,146 | 13 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $22,474 – $44,284 · median $33,469 | 13 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMPLICATION | $10,839 – $21,357 · median $15,757 | 13 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,513 – $12,834 · median $10,249 | 13 plans |
| 862 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITH COMORBITY | $9,348 – $18,420 · median $13,419 | 13 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $5,103 – $10,055 · median $7,343 | 13 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $4,480 – $8,828 · median $6,532 | 13 plans |
| 865 | VIRAL ILLNESS WITH MCC | $8,322 – $16,399 · median $11,704 | 13 plans |
| 866 | VIRAL ILLNESS WITHOUT COMORBITY | $4,657 – $9,177 · median $6,550 | 13 plans |
| 867 | OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMORBITY | $10,618 – $20,923 · median $15,402 | 13 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $5,509 – $10,855 · median $7,747 | 13 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $3,505 – $6,907 · median $5,375 | 13 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $35,347 – $69,649 · median $50,857 | 13 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY | $10,062 – $19,826 · median $14,293 | 13 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY | $5,227 – $10,299 · median $7,529 | 13 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $2,916 – $5,745 · median $4,670 | 13 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $8,165 – $16,088 · median $11,482 | 13 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $9,024 – $17,781 · median $12,841 | 13 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY | $4,342 – $8,556 · median $6,496 | 13 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $21,964 – $43,278 · median $30,888 | 13 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $9,565 – $18,847 · median $14,087 | 13 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $6,301 – $12,415 · median $8,861 | 13 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $16,525 – $32,562 · median $27,027 | 13 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $8,037 – $15,837 · median $11,303 | 13 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $9,549 – $18,816 · median $14,453 | 13 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMORBITY | $18,876 – $37,195 · median $28,250 | 13 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION | $10,171 – $20,041 · median $14,681 | 13 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION/COMORBITY | $6,883 – $13,563 · median $9,680 | 13 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $7,585 – $14,945 · median $12,027 | 13 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $4,607 – $9,077 · median $6,516 | 13 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $9,003 – $17,740 · median $12,661 | 13 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $3,343 – $6,588 · median $4,979 | 13 plans |
| 917 | POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY | $8,099 – $15,959 · median $11,540 | 13 plans |
| 918 | POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY | $4,369 – $8,609 · median $6,307 | 13 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH COMORBITY | $9,260 – $18,247 · median $13,471 | 13 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH COMPLICATION | $5,247 – $10,338 · median $7,378 | 13 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION/COMORBITY | $3,541 – $6,978 · median $5,117 | 13 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $8,855 – $17,449 · median $12,872 | 13 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $5,133 – $10,114 · median $7,488 | 13 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $133,770 – $263,587 · median $188,122 | 13 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $35,117 – $69,197 · median $52,777 | 13 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $16,319 – $32,155 · median $23,699 | 13 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $15,387 – $30,320 · median $28,654 | 13 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $10,619 – $20,925 · median $16,266 | 13 plans |
| 935 | NON-EXTENSIVE BURNS | $10,359 – $20,411 · median $15,158 | 13 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $16,318 – $32,153 · median $26,699 | 13 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $10,996 – $21,666 · median $17,195 | 13 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $9,419 – $18,560 · median $14,920 | 13 plans |
| 945 | REHABILITATION WITH CC/MCC | $7,661 – $15,095 · median $11,395 | 13 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $5,139 – $10,127 · median $8,438 | 13 plans |
| 947 | SIGNS & SYMPTOMS WITH COMORBITY | $6,352 – $12,516 · median $9,340 | 13 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,065 – $8,010 · median $5,890 | 13 plans |
| 949 | AFTERCARE WITH CC/MCC | $5,258 – $10,361 · median $8,754 | 13 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,188 – $6,282 · median $4,738 | 13 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $2,994 – $5,900 · median $4,290 | 13 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $30,908 – $60,902 · median $49,528 | 13 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $19,682 – $38,782 · median $27,688 | 13 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $36,705 – $72,325 · median $56,067 | 13 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $20,527 – $40,448 · median $31,006 | 13 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $12,852 – $25,324 · median $21,663 | 13 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $13,877 – $27,343 · median $20,115 | 13 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $7,618 – $15,010 · median $11,277 | 13 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $4,851 – $9,559 · median $6,920 | 13 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $34,878 – $68,726 · median $49,050 | 13 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $12,202 – $24,044 · median $19,406 | 13 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH COMORBITY | $14,801 – $29,165 · median $21,235 | 13 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $6,919 – $13,633 · median $9,730 | 13 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $4,290 – $8,453 · median $6,642 | 13 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $7,187 – $14,161 · median $10,107 | 13 plans |
| 981 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $24,058 – $47,404 · median $34,522 | 13 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,616 – $24,860 · median $18,090 | 13 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,299 – $16,352 · median $12,612 | 13 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $17,137 – $33,767 · median $25,226 | 13 plans |
| 988 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $8,612 – $16,970 · median $12,111 | 13 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $5,483 – $10,803 · median $8,824 | 13 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROC EXCEPT STERIL &/OR D&C | $6,182 – $12,181 · median $8,289 | 12 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $7,198 – $14,184 · median $9,355 | 12 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $5,054 – $9,959 · median $7,361 | 12 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY | $4,117 – $8,112 · median $7,042 | 12 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMORBITY | $5,117 – $10,082 · median $7,941 | 12 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMPLICATION | $3,790 – $7,467 · median $5,548 | 12 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY | $3,321 – $6,543 · median $5,028 | 12 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $18,937 – $37,315 · median $28,438 | 12 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $4,845 – $9,546 · median $7,065 | 12 plans |
| 881 | DEPRESSIVE NEUROSES | $4,600 – $9,065 · median $6,923 | 12 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $4,767 – $9,393 · median $7,901 | 12 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $9,518 – $18,754 · median $14,468 | 12 plans |
| 884 | ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY | $8,916 – $17,569 · median $12,189 | 12 plans |
| 885 | PSYCHOSES | $6,934 – $13,664 · median $10,278 | 12 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $8,535 – $16,817 · median $15,270 | 12 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $6,575 – $12,956 · median $8,563 | 12 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH COMORBITY | $8,992 – $18,065 · median $17,718 | 11 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH COMPLICATION | $5,197 – $10,241 · median $7,800 | 11 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT COMPLICATION/COMORBITY | $4,396 – $8,663 · median $7,048 | 11 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMORBITY | $8,879 – $17,495 · median $12,137 | 11 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMPLICATION | $5,334 – $10,511 · median $8,217 | 11 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT COMPLICATION/COMORBITY | $4,339 – $8,550 · median $7,055 | 11 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $83,284 – $83,284 · median $83,284 | 5 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $41,992 – $41,992 · median $41,992 | 5 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $49,199 – $49,199 · median $49,199 | 5 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $17,823 – $17,823 · median $17,823 | 5 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $25,301 – $25,301 · median $25,301 | 5 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $17,765 – $17,765 · median $17,765 | 5 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $29,583 – $29,583 · median $29,583 | 5 plans |
| 426 | NON-HYPOVOLEMIC SODIUM DISORDERS | $81,094 – $81,094 · median $81,094 | 5 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $53,115 – $53,115 · median $53,115 | 5 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $41,367 – $41,367 · median $41,367 | 5 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $66,293 – $66,293 · median $66,293 | 5 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $42,435 – $42,435 · median $42,435 | 5 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $49,163 – $49,163 · median $49,163 | 5 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $31,204 – $31,204 · median $31,204 | 5 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $39,215 – $39,215 · median $39,215 | 5 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $23,769 – $23,769 · median $23,769 | 5 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $63,717 – $63,717 · median $63,717 | 5 plans |
No procedures match that keyword.