Pascagoula Hospital - Singing River Health System — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 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 771 procedures
Procedures with negotiated rates only
These 771 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 | $181,289 – $369,300 · median $189,447 | 14 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $74,133 – $166,863 · median $77,469 | 14 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $67,577 – $141,050 · median $70,618 | 14 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $31,155 – $65,917 · median $32,557 | 14 plans |
| 007 | LUNG TRANSPLANT | $84,522 – $167,167 · median $88,326 | 14 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $37,367 – $71,706 · median $39,048 | 14 plans |
| 010 | PANCREAS TRANSPLANT | $43,322 – $73,552 · median $49,108 | 14 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $36,401 – $70,270 · median $38,039 | 14 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $28,453 – $54,579 · median $29,733 | 14 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $19,888 – $36,601 · median $20,783 | 14 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $78,538 – $156,189 · median $82,072 | 14 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $39,454 – $84,180 · median $41,229 | 14 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $36,261 – $84,180 · median $37,893 | 14 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $278,602 – $502,092 · median $291,139 | 14 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $47,189 – $108,935 · median $49,312 | 14 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $51,902 – $115,189 · median $54,238 | 14 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $35,372 – $83,695 · median $36,964 | 14 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $21,785 – $47,380 · median $22,766 | 14 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $38,174 – $77,254 · median $39,892 | 14 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $26,501 – $51,634 · median $27,693 | 14 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $30,576 – $60,181 · median $31,952 | 14 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $21,348 – $40,245 · median $22,308 | 14 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $17,584 – $33,156 · median $18,375 | 14 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $39,959 – $82,124 · median $41,757 | 14 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $23,289 – $46,720 · median $24,337 | 14 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $15,480 – $31,603 · median $16,177 | 14 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $30,151 – $56,101 · median $31,508 | 14 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $15,068 – $29,352 · median $15,746 | 14 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,063 – $22,117 · median $12,606 | 14 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $26,236 – $53,168 · median $27,417 | 14 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $16,734 – $31,338 · median $17,487 | 14 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,860 – $24,642 · median $14,484 | 14 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH COMORBITY | $22,522 – $46,003 · median $23,535 | 14 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH COMPLICATION | $11,804 – $21,803 · median $12,335 | 14 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,934 – $15,550 · median $9,336 | 14 plans |
| 040 | PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMORBITY | $26,175 – $52,475 · median $27,353 | 14 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $15,503 – $30,400 · median $16,200 | 14 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,479 – $23,710 · median $13,041 | 14 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $13,016 – $26,500 · median $13,601 | 14 plans |
| 053 | SPINAL DISORDERS & INJURIES WITHOUT COMPLICATION/COMORBITY | $7,674 – $13,407 · median $8,019 | 14 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH COMORBITY | $11,190 – $20,081 · median $11,693 | 14 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,933 – $14,626 · median $8,290 | 14 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH COMORBITY | $16,301 – $32,625 · median $17,035 | 14 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT COMORBITY | $9,705 – $18,578 · median $10,142 | 14 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $12,362 – $23,548 · median $12,918 | 14 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,354 – $16,179 · median $9,775 | 14 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,293 – $12,230 · median $7,621 | 14 plans |
| 061 | ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMORBITY | $19,087 – $38,197 · median $19,946 | 14 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $12,668 – $25,508 · median $13,238 | 14 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,400 – $20,262 · median $10,868 | 14 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY | $14,298 – $27,297 · median $14,941 | 14 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS | $7,874 – $13,852 · median $8,228 | 14 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION/COMORBITY | $5,781 – $9,369 · median $6,042 | 14 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,816 – $19,310 · median $11,303 | 14 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,937 – $11,870 · median $7,249 | 14 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,516 – $10,885 · median $6,809 | 14 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $12,075 – $24,387 · median $12,619 | 14 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $7,974 – $14,470 · median $8,333 | 14 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,242 – $10,671 · median $6,523 | 14 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,687 – $20,619 · median $12,213 | 14 plans |
| 074 | CRANIAL & PERIPHERAL NERVE DISORDERS WITHOUT COMORBITY | $8,005 – $13,985 · median $8,365 | 14 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $13,697 – $26,081 · median $14,314 | 14 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,685 – $12,572 · median $6,986 | 14 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $13,007 – $30,100 · median $13,593 | 14 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,137 – $12,395 · median $7,458 | 14 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $16,060 – $31,049 · median $16,783 | 14 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,348 – $18,485 · median $10,814 | 14 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,524 – $12,534 · median $7,862 | 14 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $15,973 – $30,974 · median $16,691 | 14 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,751 – $17,949 · median $10,189 | 14 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,260 – $12,077 · median $7,587 | 14 plans |
| 088 | CONCUSSION WITH MCC | $10,066 – $20,903 · median $10,519 | 14 plans |
| 089 | CONCUSSION WITH CC | $8,440 – $15,671 · median $8,820 | 14 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,672 – $12,739 · median $6,973 | 14 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMORBITY | $12,662 – $24,383 · median $13,232 | 14 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,955 – $13,984 · median $8,313 | 14 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,500 – $10,554 · median $6,792 | 14 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $23,981 – $49,370 · median $25,060 | 14 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $17,945 – $32,492 · median $18,753 | 14 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $17,945 – $29,705 · median $18,753 | 14 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $24,574 – $49,564 · median $25,680 | 14 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $16,120 – $29,362 · median $16,846 | 14 plans |
| 099 | NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITHOUT COMPLICATION/COMORBITY | $10,134 – $17,992 · median $10,590 | 14 plans |
| 100 | SEIZURES WITH COMORBITY | $13,821 – $27,018 · median $14,443 | 14 plans |
| 101 | SEIZURES WITHOUT COMORBITY | $7,182 – $12,396 · median $7,505 | 14 plans |
| 102 | HEADACHES WITH MCC | $8,584 – $16,444 · median $8,970 | 14 plans |
| 103 | HEADACHES WITHOUT MCC | $6,757 – $11,480 · median $7,061 | 14 plans |
| 113 | ORBITAL PROCEDURES WITH COMPLICATION/COMORBITY | $16,481 – $34,169 · median $17,223 | 14 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,074 – $16,787 · median $10,527 | 14 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,241 – $21,320 · median $11,747 | 14 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $12,995 – $24,950 · median $13,580 | 14 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,352 – $16,332 · median $8,728 | 14 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,856 – $17,460 · median $9,254 | 14 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,432 – $10,146 · median $6,695 | 14 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,515 – $10,957 · median $6,808 | 14 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,882 – $18,015 · median $10,326 | 14 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,317 – $10,868 · median $6,601 | 14 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $15,318 – $36,143 · median $16,008 | 14 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,906 – $12,798 · median $8,261 | 14 plans |
| 137 | MOUTH PROCEDURES WITH COMPLICATION/COMORBITY | $10,974 – $20,506 · median $11,467 | 14 plans |
| 138 | MOUTH PROCEDURES WITHOUT COMPLICATION/COMORBITY | $7,077 – $11,798 · median $7,395 | 14 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,321 – $16,186 · median $9,740 | 14 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $28,769 – $51,488 · median $30,064 | 14 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,390 – $28,233 · median $16,082 | 14 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,636 – $21,055 · median $12,160 | 14 plans |
| 143 | OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $25,439 – $45,321 · median $26,584 | 14 plans |
| 144 | OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,512 – $23,583 · median $13,075 | 14 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,106 – $16,641 · median $9,516 | 14 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $14,981 – $28,769 · median $15,655 | 14 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,550 – $16,841 · median $9,980 | 14 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,505 – $12,125 · median $6,798 | 14 plans |
| 149 | DYSEQUILIBRIUM | $6,213 – $10,149 · median $6,492 | 14 plans |
| 150 | EPISTAXIS WITH MCC | $9,936 – $17,914 · median $10,383 | 14 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,100 – $10,503 · median $6,374 | 14 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,977 – $16,193 · median $9,381 | 14 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,127 – $10,014 · median $6,403 | 14 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,425 – $20,963 · median $11,939 | 14 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,271 – $12,900 · median $7,599 | 14 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,824 – $9,028 · median $6,028 | 14 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,409 – $23,263 · median $12,967 | 14 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,228 – $12,790 · median $7,554 | 14 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,936 – $9,202 · median $6,144 | 14 plans |
| 163 | MAJOR CHEST PROCEDURES WITH COMORBITY | $30,159 – $64,237 · median $31,516 | 14 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $17,591 – $34,757 · median $18,382 | 14 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,676 – $25,572 · median $14,292 | 14 plans |
| 166 | OTHER RESP SYSTEM O.R. PROCEDURES WITH COMORBITY | $25,382 – $55,300 · median $26,524 | 14 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $12,965 – $24,800 · median $13,548 | 14 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,160 – $18,475 · median $10,617 | 14 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $20,495 – $41,906 · median $21,417 | 14 plans |
| 175 | PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE | $10,206 – $19,120 · median $10,665 | 14 plans |
| 176 | PULMONARY EMBOLISM WITHOUT COMORBITY | $6,556 – $11,115 · median $6,851 | 14 plans |
| 177 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY | $11,420 – $23,119 · median $11,934 | 14 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,653 – $13,447 · median $7,998 | 14 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,235 – $10,402 · median $6,515 | 14 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $12,725 – $23,688 · median $13,297 | 14 plans |
| 181 | RESPIRATORY NEOPLASMS WITH COMPLICATION | $8,263 – $15,006 · median $8,635 | 14 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT COMPLICATION/COMORBITY | $6,227 – $10,344 · median $6,507 | 14 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,209 – $21,457 · median $11,714 | 14 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,219 – $14,335 · median $8,589 | 14 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,437 – $10,299 · median $6,727 | 14 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,393 – $21,152 · median $11,905 | 14 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,738 – $13,578 · median $8,086 | 14 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,992 – $10,173 · median $6,262 | 14 plans |
| 189 | PULMONARY EDEMA & RESPIRATORY FAILURE | $9,319 – $16,790 · median $9,738 | 14 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY | $8,499 – $15,018 · median $8,881 | 14 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION | $6,800 – $11,570 · median $7,106 | 14 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION/COMORBITY | $5,509 – $8,746 · median $5,753 | 14 plans |
| 193 | SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY | $9,826 – $18,079 · median $10,268 | 14 plans |
| 194 | SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION | $6,561 – $11,205 · median $6,857 | 14 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,423 – $8,526 · median $5,635 | 14 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,503 – $25,831 · median $14,111 | 14 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH COMPLICATION | $7,481 – $13,594 · median $7,817 | 14 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,986 – $10,605 · median $6,255 | 14 plans |
| 199 | PNEUMOTHORAX WITH COMORBITY | $12,713 – $24,177 · median $13,285 | 14 plans |
| 200 | PNEUMOTHORAX WITH COMPLICATION | $8,445 – $14,677 · median $8,825 | 14 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,979 – $9,623 · median $6,248 | 14 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,623 – $13,049 · median $7,966 | 14 plans |
| 203 | BRONCHITIS & ASTHMA WITHOUT COMPLICATION/COMORBITY | $5,689 – $9,470 · median $5,945 | 14 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,571 – $11,214 · median $6,867 | 14 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH COMORBITY | $13,142 – $24,671 · median $13,734 | 14 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,429 – $12,449 · median $7,764 | 14 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $19,033 – $36,847 · median $19,890 | 14 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $71,195 – $146,783 · median $74,399 | 14 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $65,307 – $139,207 · median $68,246 | 14 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $64,189 – $132,264 · median $67,078 | 14 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $43,598 – $86,746 · median $45,560 | 14 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $43,598 – $77,635 · median $45,560 | 14 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $50,679 – $105,088 · median $52,960 | 14 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $35,622 – $71,473 · median $37,225 | 14 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $33,744 – $63,351 · median $35,262 | 14 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $33,148 – $68,667 · median $34,640 | 14 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $21,606 – $43,332 · median $22,579 | 14 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH COMORBITY | $55,504 – $110,594 · median $58,002 | 14 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $40,307 – $81,068 · median $42,121 | 14 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $50,467 – $106,293 · median $52,738 | 14 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $36,456 – $56,700 · median $38,097 | 14 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATH WITH COMORBITY | $39,062 – $80,141 · median $40,820 | 14 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $28,278 – $49,350 · median $29,551 | 14 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $32,983 – $65,507 · median $34,467 | 14 plans |
| 240 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMPLICATION | $19,687 – $38,284 · median $20,573 | 14 plans |
| 241 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITHOUT COMPLICATION/COMORBITY | $10,275 – $18,940 · median $10,738 | 14 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $21,884 – $47,086 · median $22,869 | 14 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $15,067 – $31,039 · median $15,745 | 14 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION/COMORBITY | $12,991 – $24,932 · median $13,576 | 14 plans |
| 245 | AICD GENERATOR PROCEDURES | $30,677 – $61,754 · median $32,057 | 14 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $15,399 – $32,037 · median $16,092 | 14 plans |
| 251 | PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITHOUT COMORBITY | $10,982 – $21,626 · median $11,476 | 14 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $23,781 – $45,706 · median $24,851 | 14 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH COMPLICATION | $18,051 – $34,766 · median $18,863 | 14 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $12,826 – $23,646 · median $13,403 | 14 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $18,704 – $37,442 · median $19,546 | 14 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,288 – $22,346 · median $12,841 | 14 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,399 – $13,505 · median $8,777 | 14 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $21,559 – $36,913 · median $22,529 | 14 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $14,369 – $25,438 · median $15,016 | 14 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $22,269 – $45,180 · median $23,272 | 14 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $13,524 – $25,645 · median $14,133 | 14 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $11,851 – $22,422 · median $12,384 | 14 plans |
| 263 | VEIN LIGATION & STRIPPING | $21,015 – $38,502 · median $21,961 | 14 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $22,833 – $44,509 · median $23,861 | 14 plans |
| 265 | AICD LEAD PROCEDURES | $24,615 – $48,163 · median $25,723 | 14 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $40,730 – $85,122 · median $42,562 | 14 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $31,950 – $66,507 · median $33,388 | 14 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $45,541 – $93,416 · median $47,590 | 14 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT COMORBITY | $28,499 – $56,673 · median $29,781 | 14 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMORBITY | $35,259 – $68,915 · median $36,846 | 14 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMPLICATION | $24,218 – $47,101 · median $25,308 | 14 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $17,777 – $33,246 · median $18,577 | 14 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $27,872 – $53,108 · median $29,126 | 14 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $22,519 – $44,166 · median $23,533 | 14 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $47,162 – $95,884 · median $49,284 | 14 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $39,948 – $84,633 · median $41,745 | 14 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $31,037 – $65,175 · median $32,433 | 14 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $37,120 – $60,786 · median $38,791 | 14 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $24,539 – $43,618 · median $25,644 | 14 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMORBITY | $11,686 – $21,621 · median $12,211 | 14 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,288 – $12,442 · median $7,616 | 14 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITHOUT COMPLICATION/COMORBITY | $6,030 – $9,786 · median $6,301 | 14 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMORBITY | $14,104 – $26,866 · median $14,738 | 14 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,832 – $10,081 · median $6,094 | 14 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,398 – $8,111 · median $5,390 | 14 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $15,593 – $29,377 · median $16,295 | 14 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITHOUT COMORBITY | $8,258 – $14,740 · median $8,629 | 14 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $18,761 – $35,337 · median $19,605 | 14 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,345 – $20,138 · median $12,901 | 14 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,356 – $13,971 · median $7,687 | 14 plans |
| 291 | HEART FAILURE & SHOCK WITH COMORBITY | $9,629 – $17,497 · median $10,063 | 14 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,838 – $11,672 · median $7,146 | 14 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,021 – $7,783 · median $5,197 | 14 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,415 – $21,848 · median $11,928 | 14 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,458 – $9,929 · median $5,704 | 14 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,950 – $6,680 · median $4,460 | 14 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $11,869 – $21,480 · median $12,403 | 14 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION | $8,241 – $14,541 · median $8,612 | 14 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,008 – $9,673 · median $6,278 | 14 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,070 – $15,278 · median $9,478 | 14 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,710 – $8,969 · median $5,930 | 14 plans |
| 304 | HYPERTENSION WITH COMORBITY | $9,027 – $15,659 · median $9,433 | 14 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,235 – $10,269 · median $6,516 | 14 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,504 – $20,944 · median $12,022 | 14 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,250 – $12,846 · median $7,577 | 14 plans |
| 308 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY | $9,117 – $16,384 · median $9,527 | 14 plans |
| 309 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION | $6,111 – $10,149 · median $6,386 | 14 plans |
| 310 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATION/COMORBITY | $4,977 – $7,784 · median $5,198 | 14 plans |
| 311 | ANGINA PECTORIS | $5,894 – $9,514 · median $6,159 | 14 plans |
| 312 | SYNCOPE & COLLAPSE | $6,983 – $11,768 · median $7,297 | 14 plans |
| 313 | CHEST PAIN | $6,010 – $9,861 · median $6,280 | 14 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $14,774 – $28,530 · median $15,439 | 14 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,572 – $13,182 · median $7,913 | 14 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,767 – $9,440 · median $6,026 | 14 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $30,038 – $59,444 · median $31,389 | 14 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT COMORBITY | $16,829 – $30,336 · median $17,586 | 14 plans |
| 321 | CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION | $18,854 – $39,176 · median $19,703 | 14 plans |
| 322 | SHOULDER AND ELBOW JOINT REPLACEMENT | $12,706 – $19,694 · median $13,277 | 14 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $29,168 – $56,420 · median $30,480 | 14 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $21,616 – $40,456 · median $22,589 | 14 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $21,997 – $36,037 · median $22,987 | 14 plans |
| 326 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMORBITY | $33,405 – $69,217 · median $34,908 | 14 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,079 – $34,035 · median $17,847 | 14 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,674 – $21,768 · median $12,199 | 14 plans |
| 329 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY | $30,895 – $61,555 · median $32,286 | 14 plans |
| 330 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION | $16,777 – $32,327 · median $17,532 | 14 plans |
| 331 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $12,191 – $22,786 · median $12,740 | 14 plans |
| 332 | RECTAL RESECTION WITH MCC | $24,631 – $49,437 · median $25,740 | 14 plans |
| 333 | RECTAL RESECTION WITH CC | $16,424 – $28,339 · median $17,163 | 14 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $11,903 – $21,874 · median $12,438 | 14 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH COMORBITY | $24,312 – $48,720 · median $25,406 | 14 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH COMPLICATION | $14,925 – $28,691 · median $15,596 | 14 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION/COMORBITY | $11,242 – $20,393 · median $11,748 | 14 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $17,968 – $37,346 · median $18,777 | 14 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,047 – $20,995 · median $11,545 | 14 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,003 – $17,550 · median $9,408 | 14 plans |
| 347 | ANAL & STOMAL PROCEDURES WITH COMORBITY | $16,125 – $34,739 · median $16,850 | 14 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,790 – $17,735 · median $10,230 | 14 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,977 – $13,298 · median $7,291 | 14 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $17,385 – $32,707 · median $18,167 | 14 plans |
| 351 | INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMPLICATION | $11,175 – $19,837 · median $11,677 | 14 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,885 – $15,113 · median $9,284 | 14 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $20,017 – $39,852 · median $20,918 | 14 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMPLICATION | $12,188 – $23,410 · median $12,737 | 14 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,022 – $18,570 · median $10,473 | 14 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $29,588 – $58,310 · median $30,919 | 14 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $16,317 – $29,938 · median $17,051 | 14 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,362 – $17,459 · median $10,828 | 14 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH COMORBITY | $11,607 – $22,513 · median $12,130 | 14 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION | $7,809 – $13,469 · median $8,160 | 14 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,887 – $10,135 · median $6,152 | 14 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $12,770 – $23,818 · median $13,345 | 14 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMPLICATION | $7,942 – $14,204 · median $8,300 | 14 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,058 – $9,764 · median $6,330 | 14 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $15,117 – $28,605 · median $15,798 | 14 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,153 – $16,330 · median $9,565 | 14 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,322 – $12,148 · median $7,651 | 14 plans |
| 377 | G.I. HEMORRHAGE WITH COMORBITY | $13,123 – $24,398 · median $13,713 | 14 plans |
| 378 | G.I. HEMORRHAGE WITH COMPLICATION | $7,684 – $13,407 · median $8,029 | 14 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,435 – $8,629 · median $5,676 | 14 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH COMORBITY | $13,984 – $26,554 · median $14,614 | 14 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,344 – $14,623 · median $8,719 | 14 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,527 – $10,318 · median $6,801 | 14 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH COMORBITY | $10,251 – $19,055 · median $10,713 | 14 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,875 – $11,934 · median $7,185 | 14 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,546 – $21,354 · median $12,065 | 14 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH COMPLICATION | $7,655 – $13,241 · median $8,000 | 14 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,762 – $9,323 · median $6,021 | 14 plans |
| 388 | G.I. OBSTRUCTION WITH COMORBITY | $10,868 – $19,808 · median $11,357 | 14 plans |
| 389 | G.I. OBSTRUCTION WITH COMPLICATION | $6,458 – $10,853 · median $6,749 | 14 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,880 – $7,618 · median $5,053 | 14 plans |
| 391 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY | $9,530 – $17,385 · median $9,959 | 14 plans |
| 392 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY | $5,170 – $9,909 · median $6,584 | 14 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $11,655 – $22,072 · median $12,179 | 14 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,395 – $12,768 · median $7,727 | 14 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,554 – $8,824 · median $5,802 | 14 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $16,762 – $30,617 · median $17,516 | 14 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,105 – $20,623 · median $11,604 | 14 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,736 – $13,541 · median $9,130 | 14 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $36,506 – $75,025 · median $38,149 | 14 plans |
| 406 | PANCREAS; LIVER & SHUNT PROCEDURES WITH COMPLICATION | $20,006 – $39,349 · median $20,906 | 14 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $15,637 – $29,314 · median $16,340 | 14 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $24,278 – $50,726 · median $25,370 | 14 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $15,365 – $26,674 · median $16,057 | 14 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,580 – $21,331 · median $12,101 | 14 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $22,594 – $39,255 · median $23,610 | 14 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $14,885 – $27,876 · median $15,555 | 14 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,048 – $20,573 · median $12,590 | 14 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $24,258 – $48,041 · median $25,350 | 14 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMPLICATION | $14,655 – $26,926 · median $15,315 | 14 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,140 – $18,251 · median $10,596 | 14 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $16,708 – $31,587 · median $17,459 | 14 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION | $12,247 – $22,278 · median $12,798 | 14 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,156 – $17,896 · median $10,613 | 14 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMORBITY | $23,260 – $43,621 · median $24,307 | 14 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION | $12,542 – $23,298 · median $13,106 | 14 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT COMPLICATION/COMORBITY | $10,372 – $19,229 · median $10,839 | 14 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $28,048 – $53,298 · median $29,311 | 14 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $15,433 – $28,446 · median $16,128 | 14 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,019 – $21,831 · median $11,515 | 14 plans |
| 432 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMORBITY | $14,023 – $26,111 · median $14,654 | 14 plans |
| 433 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMPLICATION | $8,168 – $14,050 · median $8,536 | 14 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,962 – $9,241 · median $6,171 | 14 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,179 – $23,984 · median $13,772 | 14 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,649 – $15,000 · median $9,038 | 14 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,866 – $11,326 · median $7,175 | 14 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $11,853 – $22,742 · median $12,386 | 14 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION | $6,788 – $11,655 · median $7,094 | 14 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $5,377 – $8,389 · median $5,566 | 14 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMORBITY | $12,909 – $24,915 · median $13,490 | 14 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMPLICATION | $7,585 – $12,967 · median $7,926 | 14 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,880 – $9,740 · median $6,144 | 14 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,114 – $22,257 · median $12,660 | 14 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH COMPLICATION | $8,413 – $14,811 · median $8,792 | 14 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,699 – $10,923 · median $7,000 | 14 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $55,334 – $114,876 · median $57,824 | 14 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $39,668 – $82,794 · median $41,453 | 14 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $28,174 – $61,748 · median $29,442 | 14 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $36,843 – $92,923 · median $38,501 | 14 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $18,464 – $38,789 · median $19,295 | 14 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $37,976 – $77,185 · median $39,685 | 14 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $21,383 – $40,903 · median $22,345 | 14 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,095 – $25,495 · median $13,685 | 14 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $34,804 – $70,683 · median $36,370 | 14 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $24,027 – $47,511 · median $25,108 | 14 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY | $19,029 – $36,381 · median $19,885 | 14 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $20,860 – $45,379 · median $21,798 | 14 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY | $13,771 – $23,322 · median $14,390 | 14 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $32,386 – $67,036 · median $33,843 | 14 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $20,301 – $40,276 · median $21,214 | 14 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $17,060 – $26,443 · median $17,828 | 14 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $28,946 – $58,639 · median $30,249 | 14 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $15,997 – $29,228 · median $16,717 | 14 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,964 – $16,039 · median $9,368 | 14 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $23,565 – $45,913 · median $24,625 | 14 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,175 – $32,485 · median $17,948 | 14 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,321 – $25,403 · median $13,921 | 14 plans |
| 480 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMORBITY | $20,084 – $40,188 · median $20,987 | 14 plans |
| 481 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION | $14,834 – $28,277 · median $15,501 | 14 plans |
| 482 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY | $11,858 – $21,647 · median $12,392 | 14 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $19,182 – $33,855 · median $20,046 | 14 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $22,104 – $44,891 · median $23,099 | 14 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $14,812 – $27,369 · median $15,478 | 14 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,442 – $21,054 · median $11,957 | 14 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $12,743 – $28,709 · median $13,317 | 14 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,557 – $16,867 · median $8,942 | 14 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $24,958 – $47,182 · median $26,081 | 14 plans |
| 493 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMPLICATION | $17,669 – $32,730 · median $18,464 | 14 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $14,269 – $25,473 · median $14,911 | 14 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $24,663 – $48,805 · median $25,773 | 14 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,968 – $27,086 · median $13,552 | 14 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,145 – $19,453 · median $9,556 | 14 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $20,754 – $35,583 · median $21,688 | 14 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $11,608 – $22,199 · median $14,752 | 14 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $21,705 – $44,193 · median $22,681 | 14 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $12,610 – $23,654 · median $13,177 | 14 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,028 – $18,843 · median $10,479 | 14 plans |
| 503 | FOOT PROCEDURES WITH MCC | $19,306 – $36,549 · median $20,174 | 14 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,387 – $23,537 · median $13,990 | 14 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $12,897 – $23,245 · median $13,477 | 14 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,049 – $19,932 · median $10,501 | 14 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $12,984 – $29,051 · median $13,569 | 14 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,110 – $19,543 · median $11,610 | 14 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $20,778 – $37,076 · median $21,713 | 14 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $14,737 – $27,172 · median $15,400 | 14 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,015 – $21,993 · median $12,556 | 14 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,494 – $22,091 · median $12,011 | 14 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,951 – $14,194 · median $8,308 | 14 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $21,846 – $43,085 · median $22,829 | 14 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $14,728 – $27,812 · median $15,391 | 14 plans |
| 517 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITHOUT COMPLICATION/COMORBITY | $11,253 – $20,366 · median $11,759 | 14 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $25,380 – $49,767 · median $26,522 | 14 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $14,228 – $26,828 · median $14,869 | 14 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,978 – $17,016 · median $11,472 | 14 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $19,813 – $40,805 · median $20,705 | 14 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $14,983 – $23,322 · median $15,657 | 14 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,452 – $22,233 · median $11,967 | 14 plans |
| 534 | FRACTURES OF FEMUR WITHOUT COMORBITY | $6,563 – $11,039 · median $6,858 | 14 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,618 – $17,671 · median $10,051 | 14 plans |
| 536 | FRACTURES OF HIP & PELVIS WITHOUT COMORBITY | $6,572 – $10,727 · median $6,868 | 14 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,514 – $13,178 · median $7,852 | 14 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,012 – $9,664 · median $6,282 | 14 plans |
| 539 | OSTEOMYELITIS WITH COMORBITY | $14,033 – $27,043 · median $14,664 | 14 plans |
| 540 | OSTEOMYELITIS WITH COMPLICATION | $9,710 – $17,692 · median $10,147 | 14 plans |
| 541 | OSTEOMYELITIS WITHOUT COMPLICATION/COMORBITY | $6,443 – $11,691 · median $6,733 | 14 plans |
| 542 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMORBITY | $12,728 – $24,853 · median $13,301 | 14 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,987 – $14,864 · median $8,347 | 14 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,232 – $10,459 · median $6,513 | 14 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH COMORBITY | $17,319 – $33,977 · median $18,099 | 14 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,792 – $16,344 · median $9,188 | 14 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,756 – $11,085 · median $7,060 | 14 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $13,783 – $26,572 · median $14,404 | 14 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,138 – $16,438 · median $9,549 | 14 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,999 – $12,549 · median $7,314 | 14 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,148 – $23,193 · median $12,694 | 14 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,559 – $13,169 · median $7,899 | 14 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,710 – $18,418 · median $10,147 | 14 plans |
| 554 | BONE DISEASES & ARTHROPATHIES WITHOUT COMORBITY | $6,717 – $11,199 · median $7,019 | 14 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,873 – $19,066 · median $10,318 | 14 plans |
| 556 | SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITHOUT COMORBITY | $6,720 – $11,235 · median $7,022 | 14 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $10,933 – $21,216 · median $11,425 | 14 plans |
| 558 | TENDONITIS; MYOSITIS & BURSITIS WITHOUT COMORBITY | $7,122 – $11,971 · median $7,442 | 14 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,360 – $25,219 · median $13,961 | 14 plans |
| 560 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION | $8,617 – $15,428 · median $9,005 | 14 plans |
| 561 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY | $6,549 – $10,633 · median $6,843 | 14 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,535 – $20,724 · median $11,009 | 14 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,137 – $12,205 · median $7,458 | 14 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,297 – $21,286 · median $11,806 | 14 plans |
| 565 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION | $7,643 – $13,620 · median $7,987 | 14 plans |
| 566 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $6,198 – $10,228 · median $6,477 | 14 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $20,268 – $39,824 · median $21,181 | 14 plans |
| 571 | SKIN DEBRIDEMENT WITH COMPLICATION | $12,234 – $23,057 · median $12,784 | 14 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,747 – $15,530 · median $9,140 | 14 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $43,445 – $84,740 · median $45,400 | 14 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $23,673 – $46,414 · median $24,738 | 14 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,924 – $27,883 · median $13,505 | 14 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $32,851 – $77,449 · median $34,330 | 14 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $18,404 – $36,102 · median $19,232 | 14 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,700 – $21,948 · median $12,227 | 14 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $22,178 – $45,548 · median $23,176 | 14 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,481 – $23,803 · median $13,043 | 14 plans |
| 581 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITHOUT COMPLICATION/COMORBITY | $10,652 – $18,353 · median $11,131 | 14 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,756 – $22,719 · median $14,375 | 14 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,458 – $20,740 · median $13,018 | 14 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $15,130 – $26,692 · median $15,811 | 14 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $13,772 – $22,950 · median $14,392 | 14 plans |
| 592 | SKIN ULCERS WITH MCC | $13,812 – $28,484 · median $14,433 | 14 plans |
| 593 | SKIN ULCERS WITH COMPLICATION | $9,003 – $16,489 · median $9,409 | 14 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,952 – $10,776 · median $7,196 | 14 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $15,002 – $29,641 · median $15,677 | 14 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,337 – $13,751 · median $8,712 | 14 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,090 – $21,812 · median $12,634 | 14 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,650 – $16,337 · median $9,040 | 14 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,593 – $9,807 · median $6,549 | 14 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,075 – $13,976 · median $8,438 | 14 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,272 – $8,485 · median $5,509 | 14 plans |
| 602 | CELLULITIS WITH COMORBITY | $10,512 – $20,272 · median $10,985 | 14 plans |
| 603 | CELLULITIS WITHOUT COMORBITY | $6,979 – $12,057 · median $7,293 | 14 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,838 – $20,526 · median $11,326 | 14 plans |
| 605 | TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITHOUT COMORBITY | $7,268 – $12,385 · median $7,595 | 14 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,102 – $21,611 · median $11,602 | 14 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,207 – $12,177 · median $7,531 | 14 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $15,458 – $30,696 · median $16,154 | 14 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,371 – $20,048 · median $10,838 | 14 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,776 – $53,936 · median $24,845 | 14 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,394 – $27,045 · median $13,997 | 14 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,454 – $16,264 · median $10,860 | 14 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $19,924 – $35,276 · median $20,820 | 14 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,661 – $22,107 · median $12,186 | 14 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION/COMORBITY | $11,071 – $20,678 · median $11,569 | 14 plans |
| 622 | SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMORBITY | $24,236 – $52,135 · median $25,327 | 14 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,904 – $25,367 · median $13,485 | 14 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,425 – $15,188 · median $9,849 | 14 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $20,776 – $39,810 · median $21,711 | 14 plans |
| 626 | THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITH COMPLICATION | $11,013 – $20,332 · median $11,509 | 14 plans |
| 627 | THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $9,915 – $16,844 · median $10,361 | 14 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $25,312 – $54,710 · median $26,451 | 14 plans |
| 629 | OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMPLICATION | $15,375 – $30,837 · median $16,067 | 14 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,757 – $19,029 · median $11,241 | 14 plans |
| 637 | DIABETES WITH COMORBITY | $10,611 – $19,751 · median $11,088 | 14 plans |
| 638 | DIABETES WITH COMPLICATION | $7,141 – $12,257 · median $7,462 | 14 plans |
| 639 | DIABETES WITHOUT COMPLICATION/COMORBITY | $5,376 – $8,483 · median $5,597 | 14 plans |
| 640 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY | $9,962 – $17,924 · median $10,410 | 14 plans |
| 641 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY | $6,384 – $10,649 · median $6,671 | 14 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,517 – $17,761 · median $10,990 | 14 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $11,955 – $22,419 · median $12,493 | 14 plans |
| 644 | ENDOCRINE DISORDERS WITH COMPLICATION | $7,968 – $14,469 · median $8,327 | 14 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,320 – $10,370 · median $6,604 | 14 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $31,569 – $61,292 · median $32,989 | 14 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $25,178 – $47,131 · median $26,311 | 14 plans |
| 652 | KIDNEY TRANSPLANT | $22,120 – $40,944 · median $23,115 | 14 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $34,747 – $73,777 · median $36,310 | 14 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $19,358 – $37,307 · median $20,229 | 14 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $14,976 – $28,725 · median $15,649 | 14 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $21,827 – $42,759 · median $22,809 | 14 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,136 – $25,133 · median $13,727 | 14 plans |
| 658 | KIDNEY & URETER PROCEDURES FOR NEOPLASM WITHOUT COMPLICATION/COMORBITY | $11,350 – $20,175 · median $11,861 | 14 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $17,699 – $35,282 · median $18,496 | 14 plans |
| 660 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION | $9,873 – $18,342 · median $10,317 | 14 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,035 – $14,288 · median $8,396 | 14 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $21,041 – $40,839 · median $21,988 | 14 plans |
| 663 | MINOR BLADDER PROCEDURES WITH COMPLICATION | $11,147 – $19,883 · median $11,649 | 14 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,109 – $14,467 · median $8,473 | 14 plans |
| 665 | PROSTATECTOMY WITH MCC | $21,425 – $42,098 · median $22,389 | 14 plans |
| 666 | PROSTATECTOMY WITH CC | $12,618 – $23,405 · median $13,185 | 14 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,489 – $14,304 · median $8,871 | 14 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $20,133 – $38,404 · median $21,039 | 14 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,351 – $20,914 · median $11,862 | 14 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,662 – $13,118 · median $8,007 | 14 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $12,911 – $23,330 · median $13,492 | 14 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,304 – $12,893 · median $8,609 | 14 plans |
| 673 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMORBITY | $28,360 – $50,396 · median $29,637 | 14 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $16,401 – $32,465 · median $17,139 | 14 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,925 – $21,621 · median $12,462 | 14 plans |
| 682 | RENAL FAILURE WITH COMORBITY | $10,895 – $20,453 · median $11,386 | 14 plans |
| 683 | RENAL FAILURE WITH COMPLICATION | $7,010 – $12,276 · median $7,326 | 14 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,242 – $8,293 · median $5,464 | 14 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $12,967 – $25,067 · median $13,550 | 14 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,114 – $14,245 · median $8,479 | 14 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,461 – $10,642 · median $6,752 | 14 plans |
| 689 | KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY | $8,837 – $16,005 · median $9,234 | 14 plans |
| 690 | KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY | $6,585 – $10,996 · median $6,881 | 14 plans |
| 693 | URINARY STONES WITH MCC | $10,019 – $19,301 · median $10,470 | 14 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,406 – $10,667 · median $6,694 | 14 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,731 – $16,299 · median $9,123 | 14 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,811 – $9,432 · median $6,073 | 14 plans |
| 697 | URETHRAL STRICTURE | $8,307 – $15,169 · median $8,681 | 14 plans |
| 698 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY | $12,008 – $22,546 · median $12,549 | 14 plans |
| 699 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION | $7,904 – $13,911 · median $8,259 | 14 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,817 – $9,653 · median $6,079 | 14 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,229 – $26,737 · median $14,869 | 14 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,237 – $19,876 · median $11,742 | 14 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $16,327 – $28,891 · median $17,062 | 14 plans |
| 710 | PENIS PROCEDURES WITHOUT COMPLICATION/COMORBITY | $10,383 – $16,821 · median $10,850 | 14 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $14,765 – $28,931 · median $15,429 | 14 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,448 – $16,196 · median $8,828 | 14 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION/COMORBITY | $11,039 – $19,770 · median $11,536 | 14 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,176 – $13,062 · median $8,544 | 14 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $15,750 – $30,084 · median $16,459 | 14 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,831 – $19,382 · median $11,318 | 14 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,524 – $24,717 · median $14,133 | 14 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,010 – $16,024 · median $10,460 | 14 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $13,005 – $25,550 · median $13,591 | 14 plans |
| 723 | MALIGNANCY; MALE REPRODUCTIVE SYSTEM WITH COMPLICATION | $8,724 – $15,186 · median $9,116 | 14 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,597 – $11,032 · median $5,849 | 14 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,900 – $16,911 · median $9,301 | 14 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,023 – $9,961 · median $6,294 | 14 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,907 – $22,091 · median $11,398 | 14 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,595 – $10,904 · median $6,892 | 14 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,184 – $13,681 · median $8,553 | 14 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,594 – $8,838 · median $5,901 | 14 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $15,062 – $29,622 · median $15,739 | 14 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,025 – $17,174 · median $10,477 | 14 plans |
| 736 | UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY WITH COMORBITY | $24,335 – $52,975 · median $25,430 | 14 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $14,616 – $26,899 · median $15,274 | 14 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,815 – $18,597 · median $11,302 | 14 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $24,388 – $49,283 · median $25,485 | 14 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,005 – $24,353 · median $13,590 | 14 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,543 – $17,707 · median $11,017 | 14 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,167 – $24,284 · median $13,759 | 14 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,845 – $14,497 · median $9,633 | 14 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $14,542 – $25,653 · median $15,197 | 14 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,690 – $14,117 · median $9,081 | 14 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,539 – $22,842 · median $13,104 | 14 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,907 – $12,091 · median $7,218 | 14 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,294 – $19,146 · median $10,757 | 14 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $17,871 – $34,304 · median $18,675 | 14 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY | $10,862 – $18,534 · median $11,351 | 14 plans |
| 754 | MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY | $13,211 – $25,246 · median $13,805 | 14 plans |
| 755 | MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION | $8,371 – $14,782 · median $8,748 | 14 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,554 – $13,488 · median $7,894 | 14 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,580 – $20,328 · median $11,056 | 14 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,673 – $13,527 · median $8,018 | 14 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,648 – $8,806 · median $5,846 | 14 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,856 – $13,565 · median $8,209 | 14 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,050 – $8,253 · median $5,278 | 14 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,236 – $21,040 · median $12,786 | 14 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,188 – $12,128 · median $8,099 | 14 plans |
| 776 | POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE | $5,591 – $9,767 · median $5,842 | 14 plans |
| 779 | ABORTION WITHOUT D&C | $6,789 – $13,481 · median $7,094 | 14 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $12,957 – $24,795 · median $13,540 | 14 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $30,461 – $67,521 · median $31,832 | 14 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $19,423 – $38,400 · median $20,297 | 14 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $13,642 – $24,390 · median $14,256 | 14 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $26,964 – $46,203 · median $28,177 | 14 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,321 – $25,324 · median $13,921 | 14 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,093 – $16,495 · median $10,547 | 14 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMPLICATION | $4,095 – $9,654 · median $6,415 | 14 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $15,562 – $29,847 · median $16,262 | 14 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,514 – $16,414 · median $9,943 | 14 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,107 – $13,689 · median $8,471 | 14 plans |
| 811 | RED BLOOD CELL DISORDERS WITH COMORBITY | $10,403 – $19,128 · median $10,871 | 14 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT COMORBITY | $7,282 – $12,275 · median $7,610 | 14 plans |
| 813 | COAGULATION DISORDERS | $11,180 – $21,260 · median $11,683 | 14 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,040 – $29,002 · median $15,717 | 14 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,897 – $13,549 · median $8,253 | 14 plans |
| 816 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITHOUT COMPLICATION/COMORBITY | $5,445 – $9,679 · median $5,690 | 14 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH COMORBITY | $16,035 – $30,731 · median $16,756 | 14 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,829 – $15,987 · median $9,227 | 14 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,908 – $12,363 · median $7,219 | 14 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $39,037 – $82,404 · median $40,794 | 14 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $15,759 – $30,419 · median $16,468 | 14 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,117 – $16,882 · median $9,527 | 14 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $30,820 – $61,352 · median $32,207 | 14 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $15,932 – $30,430 · median $16,649 | 14 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,050 – $17,599 · median $10,503 | 14 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $31,417 – $59,811 · median $32,831 | 14 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $16,225 – $31,579 · median $16,955 | 14 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,326 – $22,355 · median $12,880 | 14 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $21,674 – $42,980 · median $22,649 | 14 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,049 – $21,549 · median $11,547 | 14 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,088 – $14,117 · median $9,426 | 14 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,020 – $10,053 · median $6,291 | 14 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,606 – $7,354 · median $4,911 | 14 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $36,631 – $76,303 · median $38,279 | 14 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $14,778 – $30,465 · median $15,443 | 14 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,217 – $16,317 · median $9,631 | 14 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $32,229 – $64,823 · median $33,680 | 14 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $14,788 – $26,607 · median $15,454 | 14 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,657 – $17,759 · median $11,137 | 14 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $22,155 – $42,590 · median $23,152 | 14 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,861 – $21,444 · median $12,395 | 14 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,874 – $14,533 · median $8,229 | 14 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $14,194 – $25,356 · median $14,832 | 14 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,203 – $15,770 · median $9,617 | 14 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,855 – $11,787 · median $7,163 | 14 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $18,031 – $33,307 · median $18,842 | 14 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,786 – $16,525 · median $10,226 | 14 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,836 – $10,603 · median $7,080 | 14 plans |
| 849 | RADIOTHERAPY | $18,782 – $36,678 · median $19,627 | 14 plans |
| 853 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY | $33,092 – $68,130 · median $34,581 | 14 plans |
| 854 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION | $14,215 – $27,777 · median $14,855 | 14 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,999 – $23,192 · median $11,494 | 14 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $30,589 – $60,350 · median $31,965 | 14 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,135 – $29,105 · median $15,816 | 14 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,330 – $17,490 · median $10,795 | 14 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,095 – $25,103 · median $13,685 | 14 plans |
| 863 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITHOUT COMORBITY | $7,794 – $13,703 · median $8,145 | 14 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,087 – $12,031 · median $7,405 | 14 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,006 – $22,349 · median $11,502 | 14 plans |
| 866 | VIRAL ILLNESS WITHOUT COMORBITY | $6,970 – $12,506 · median $7,284 | 14 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $14,825 – $28,514 · median $15,492 | 14 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,007 – $14,793 · median $8,367 | 14 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,072 – $9,413 · median $6,285 | 14 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY | $13,858 – $27,019 · median $14,482 | 14 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY | $7,957 – $14,035 · median $8,315 | 14 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $26,199 – $50,853 · median $27,378 | 14 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $28,328 – $58,979 · median $29,603 | 14 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $13,678 – $25,685 · median $14,294 | 14 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,896 – $16,919 · median $9,297 | 14 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $24,968 – $44,375 · median $26,091 | 14 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,911 – $21,583 · median $11,402 | 14 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $13,998 – $25,642 · median $14,628 | 14 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $26,035 – $50,689 · median $27,206 | 14 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,196 – $27,312 · median $14,835 | 14 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,815 – $18,484 · median $10,257 | 14 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $11,881 – $20,367 · median $12,416 | 14 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,072 – $12,370 · median $7,391 | 14 plans |
| 915 | ALLERGIC REACTIONS WITH COMORBITY | $12,183 – $24,176 · median $12,731 | 14 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,665 – $8,978 · median $5,911 | 14 plans |
| 917 | POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY | $11,456 – $21,749 · median $11,972 | 14 plans |
| 918 | POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY | $6,890 – $11,732 · median $7,200 | 14 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,141 – $24,867 · median $13,732 | 14 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,822 – $14,089 · median $8,174 | 14 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,807 – $9,510 · median $6,068 | 14 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,618 – $23,780 · median $13,186 | 14 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,921 – $13,783 · median $8,278 | 14 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $138,449 – $359,216 · median $144,679 | 14 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $47,433 – $94,302 · median $49,568 | 14 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $22,064 – $43,821 · median $23,057 | 14 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $26,387 – $41,320 · median $27,365 | 14 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $15,579 – $28,517 · median $16,280 | 14 plans |
| 935 | NON-EXTENSIVE BURNS | $14,612 – $27,816 · median $15,270 | 14 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $24,681 – $43,818 · median $25,792 | 14 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,390 – $29,526 · median $17,127 | 14 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $14,405 – $25,294 · median $15,053 | 14 plans |
| 947 | SIGNS & SYMPTOMS WITH COMORBITY | $9,537 – $17,057 · median $9,966 | 14 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,527 – $10,916 · median $6,820 | 14 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,025 – $14,120 · median $9,356 | 14 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,417 – $8,561 · median $5,644 | 14 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,957 – $8,041 · median $5,180 | 14 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $44,599 – $82,997 · median $46,606 | 14 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $25,545 – $52,852 · median $26,694 | 14 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $50,304 – $98,565 · median $52,568 | 14 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $28,439 – $55,123 · median $29,719 | 14 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $20,288 – $34,512 · median $21,201 | 14 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $18,938 – $37,263 · median $19,790 | 14 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,227 – $20,456 · median $11,732 | 14 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,426 – $13,027 · median $7,760 | 14 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $40,684 – $93,660 · median $42,515 | 14 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $18,319 – $32,767 · median $19,143 | 14 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $19,915 – $39,746 · median $20,811 | 14 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,701 – $18,579 · median $10,138 | 14 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,183 – $11,520 · median $7,506 | 14 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,719 – $19,299 · median $10,156 | 14 plans |
| 981 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $31,507 – $64,602 · median $32,925 | 14 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,170 – $33,879 · median $17,943 | 14 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,391 – $22,285 · median $12,949 | 14 plans |
| 987 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $23,397 – $46,018 · median $24,450 | 14 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROC EXCEPT STERIL &/OR D&C | $8,267 – $16,600 · median $8,598 | 13 plans |
| 795 | NORMAL NEWBORN | $1,166 – $4,139 · median $2,751 | 13 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $6,195 – $13,763 · median $9,146 | 13 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,195 – $12,106 · median $8,044 | 13 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,195 – $11,675 · median $7,683 | 13 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,095 – $12,890 · median $8,565 | 13 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY | $3,655 – $8,860 · median $5,887 | 13 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,329 – $17,560 · median $11,782 | 13 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,750 – $13,562 · median $9,100 | 13 plans |
| 988 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $11,939 – $23,127 · median $12,417 | 13 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,086 – $14,722 · median $9,450 | 13 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $137,644 – $213,349 · median $142,462 | 12 plans |
| 004 | TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITHOUT MAJ O.R. | $90,308 – $139,977 · median $93,469 | 12 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $42,696 – $66,179 · median $44,190 | 12 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $7,560 – $26,580 · median $17,577 | 12 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH COMPLICATION | $7,560 – $12,700 · median $8,439 | 12 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT COMPLICATION/COMORBITY | $5,347 – $11,682 · median $7,763 | 12 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMORBITY | $7,560 – $18,564 · median $12,336 | 12 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMPLICATION | $7,560 – $13,264 · median $8,814 | 12 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT COMPLICATION/COMORBITY | $5,347 – $11,692 · median $7,732 | 12 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME; NEONATE | $39,543 – $61,291 · median $40,927 | 12 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $27,445 – $42,540 · median $28,405 | 12 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $17,111 – $26,522 · median $17,710 | 12 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $28,155 – $43,640 · median $29,140 | 12 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $10,863 – $16,837 · median $11,243 | 12 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $45,759 – $70,926 · median $47,360 | 12 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,552 – $11,706 · median $7,816 | 12 plans |
| 881 | DEPRESSIVE NEUROSES | $7,428 – $11,514 · median $7,688 | 12 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,281 – $12,836 · median $8,530 | 12 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $14,011 – $21,717 · median $14,501 | 12 plans |
| 884 | ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY | $11,716 – $18,160 · median $12,126 | 12 plans |
| 885 | PSYCHOSES | $10,355 – $16,050 · median $10,717 | 12 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $14,710 – $22,801 · median $15,152 | 12 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,263 – $12,807 · median $8,552 | 12 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE; LEFT AMA | $5,171 – $8,290 · median $5,509 | 12 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $10,475 – $16,237 · median $10,842 | 12 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $12,591 – $19,516 · median $13,031 | 12 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY | $7,055 – $10,935 · median $7,302 | 12 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $74,050 – $114,777 · median $76,271 | 11 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $38,024 – $58,937 · median $39,164 | 11 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $44,312 – $68,684 · median $45,642 | 11 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $16,937 – $26,253 · median $17,446 | 11 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $23,462 – $36,366 · median $24,166 | 11 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $16,887 – $26,174 · median $17,393 | 11 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $27,198 – $42,157 · median $28,014 | 11 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $72,139 – $111,816 · median $74,303 | 11 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $47,728 – $73,979 · median $49,160 | 11 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $37,479 – $58,092 · median $38,603 | 11 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $59,226 – $91,800 · median $61,002 | 11 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $38,410 – $59,536 · median $39,562 | 11 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $44,281 – $68,635 · median $45,609 | 11 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $28,612 – $44,349 · median $29,470 | 11 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $35,602 – $55,182 · median $36,670 | 11 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $22,126 – $34,295 · median $22,789 | 11 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $56,978 – $88,316 · median $58,687 | 11 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH COMPLICATION | $9,152 – $13,858 · median $10,423 | 3 plans |
No procedures match that keyword.