Singing River Gulfport — 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 | $175,493 – $315,075 · median $184,267 | 15 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $71,872 – $142,362 · median $75,466 | 15 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $65,532 – $120,339 · median $68,809 | 15 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $30,313 – $56,239 · median $31,828 | 15 plans |
| 007 | LUNG TRANSPLANT | $81,919 – $142,621 · median $86,015 | 15 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $36,319 – $61,178 · median $38,135 | 15 plans |
| 010 | PANCREAS TRANSPLANT | $43,322 – $71,412 · median $47,454 | 15 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $35,385 – $59,952 · median $37,154 | 15 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $27,699 – $46,565 · median $29,084 | 15 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $19,417 – $31,227 · median $20,388 | 15 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $76,131 – $133,256 · median $79,938 | 15 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $38,337 – $71,820 · median $40,254 | 15 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $35,250 – $71,820 · median $37,012 | 15 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $269,595 – $428,370 · median $283,075 | 15 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $45,817 – $92,940 · median $48,108 | 15 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $50,375 – $98,276 · median $52,894 | 15 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $34,390 – $71,406 · median $36,109 | 15 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $21,252 – $40,424 · median $22,314 | 15 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $37,100 – $65,911 · median $38,955 | 15 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $25,811 – $44,052 · median $27,102 | 15 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $29,752 – $51,345 · median $31,240 | 15 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $20,828 – $34,336 · median $21,870 | 15 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $17,189 – $28,287 · median $18,048 | 15 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $38,825 – $70,065 · median $40,767 | 15 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $22,706 – $39,860 · median $23,841 | 15 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $15,155 – $26,963 · median $15,912 | 15 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $29,341 – $47,864 · median $30,808 | 15 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $14,756 – $25,042 · median $15,494 | 15 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,850 – $18,869 · median $12,443 | 15 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $25,556 – $45,362 · median $26,833 | 15 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $16,367 – $26,736 · median $17,185 | 15 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,588 – $21,061 · median $14,267 | 15 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $21,964 – $39,248 · median $23,062 | 15 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,600 – $18,602 · median $12,180 | 15 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,824 – $13,678 · median $9,266 | 15 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $25,497 – $44,770 · median $26,771 | 15 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $15,176 – $25,936 · median $15,935 | 15 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,252 – $20,229 · median $12,865 | 15 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $12,771 – $22,609 · median $13,410 | 15 plans |
| 053 | SPINAL DISORDERS & INJURIES WITHOUT COMPLICATION/COMORBITY | $7,606 – $11,789 · median $7,986 | 15 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,006 – $17,132 · median $11,556 | 15 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,857 – $12,478 · median $8,250 | 15 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $15,949 – $27,835 · median $16,746 | 15 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,570 – $15,850 · median $10,049 | 15 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $12,139 – $20,090 · median $12,746 | 15 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,230 – $14,307 · median $9,692 | 15 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,237 – $11,218 · median $7,599 | 15 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $18,643 – $32,588 · median $19,575 | 15 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $12,436 – $21,762 · median $13,057 | 15 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,242 – $17,287 · median $10,754 | 15 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY | $14,011 – $23,289 · median $14,712 | 15 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS | $7,799 – $12,088 · median $8,189 | 15 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,776 – $8,953 · median $6,065 | 15 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,645 – $16,499 · median $11,177 | 15 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,893 – $10,685 · median $7,238 | 15 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,486 – $10,053 · median $6,810 | 15 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $11,862 – $20,807 · median $12,455 | 15 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $7,896 – $12,346 · median $8,291 | 15 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,222 – $9,643 · median $6,533 | 15 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,486 – $17,804 · median $12,061 | 15 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,926 – $12,286 · median $8,323 | 15 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $13,431 – $22,252 · median $14,102 | 15 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,650 – $10,726 · median $6,982 | 15 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $12,763 – $25,681 · median $13,401 | 15 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,087 – $10,985 · median $7,441 | 15 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $15,716 – $26,490 · median $16,502 | 15 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,192 – $15,798 · median $10,702 | 15 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,461 – $11,564 · median $7,834 | 15 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $15,631 – $26,426 · median $16,412 | 15 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,614 – $15,314 · median $10,095 | 15 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,206 – $11,169 · median $7,566 | 15 plans |
| 088 | CONCUSSION WITH MCC | $9,919 – $17,833 · median $10,415 | 15 plans |
| 089 | CONCUSSION WITH CC | $8,347 – $13,370 · median $8,764 | 15 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,637 – $10,869 · median $6,969 | 15 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $12,429 – $20,803 · median $13,051 | 15 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION | $7,878 – $12,211 · median $8,272 | 15 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,471 – $10,029 · median $6,794 | 15 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $23,375 – $42,121 · median $24,544 | 15 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $17,538 – $27,721 · median $18,415 | 15 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $17,538 – $27,184 · median $18,415 | 15 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $23,948 – $42,286 · median $25,146 | 15 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $15,773 – $25,050 · median $16,562 | 15 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $9,985 – $15,476 · median $10,484 | 15 plans |
| 100 | SEIZURES WITH COMORBITY | $13,550 – $23,051 · median $14,228 | 15 plans |
| 101 | SEIZURES WITHOUT COMORBITY | $7,130 – $11,052 · median $7,487 | 15 plans |
| 102 | HEADACHES WITH MCC | $8,486 – $14,029 · median $8,910 | 15 plans |
| 103 | HEADACHES WITHOUT MCC | $6,719 – $10,414 · median $7,055 | 15 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $16,122 – $29,152 · median $16,928 | 15 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,926 – $15,386 · median $10,423 | 15 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,056 – $18,189 · median $11,608 | 15 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $12,752 – $21,287 · median $13,389 | 15 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,262 – $13,934 · median $8,675 | 15 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,749 – $14,897 · median $9,186 | 15 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,405 – $9,928 · median $6,701 | 15 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,485 – $10,051 · median $6,809 | 15 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,741 – $15,370 · median $10,228 | 15 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,294 – $9,755 · median $6,608 | 15 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $14,998 – $30,836 · median $15,748 | 15 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,830 – $12,136 · median $8,221 | 15 plans |
| 137 | MOUTH PROCEDURES WITH COMPLICATION/COMORBITY | $10,797 – $17,495 · median $11,337 | 15 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,029 – $10,894 · median $7,380 | 15 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,198 – $14,257 · median $9,658 | 15 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $28,005 – $43,928 · median $29,405 | 15 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,067 – $24,088 · median $15,820 | 15 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,437 – $17,964 · median $12,009 | 15 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $24,785 – $38,667 · median $26,025 | 15 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,285 – $20,121 · median $12,899 | 15 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,991 – $14,198 · median $9,440 | 15 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $14,672 – $24,545 · median $15,405 | 15 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,420 – $14,602 · median $9,891 | 15 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,475 – $10,345 · median $6,799 | 15 plans |
| 149 | DYSEQUILIBRIUM | $6,193 – $9,599 · median $6,503 | 15 plans |
| 150 | EPISTAXIS WITH MCC | $9,793 – $15,284 · median $10,283 | 15 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,084 – $9,430 · median $6,388 | 15 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,866 – $13,815 · median $9,309 | 15 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,110 – $9,470 · median $6,415 | 15 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,233 – $17,885 · median $11,795 | 15 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,217 – $11,186 · median $7,578 | 15 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,817 – $9,017 · median $5,992 | 15 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,185 – $19,847 · median $12,794 | 15 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,175 – $11,121 · median $7,534 | 15 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,925 – $9,184 · median $6,103 | 15 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $29,349 – $54,805 · median $30,817 | 15 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $17,196 – $29,654 · median $18,055 | 15 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,410 – $21,817 · median $14,081 | 15 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $24,730 – $47,180 · median $25,967 | 15 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $12,722 – $21,159 · median $13,358 | 15 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,010 – $15,763 · median $10,510 | 15 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $20,004 – $35,753 · median $21,004 | 15 plans |
| 175 | PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE | $10,054 – $16,313 · median $10,557 | 15 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,525 – $10,113 · median $6,851 | 15 plans |
| 177 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY | $11,228 – $19,724 · median $11,790 | 15 plans |
| 178 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMPLICATION | $7,586 – $11,758 · median $7,965 | 15 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,214 – $9,632 · median $6,525 | 15 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $12,490 – $20,210 · median $13,115 | 15 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,176 – $12,802 · median $8,585 | 15 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,207 – $9,620 · median $6,517 | 15 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,025 – $18,307 · median $11,576 | 15 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,133 – $12,606 · median $8,540 | 15 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,410 – $9,935 · median $6,730 | 15 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,202 – $18,046 · median $11,762 | 15 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,667 – $11,884 · median $8,051 | 15 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,979 – $9,268 · median $6,278 | 15 plans |
| 189 | PULMONARY EDEMA & RESPIRATORY FAILURE | $9,196 – $14,324 · median $9,656 | 15 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY | $8,404 – $13,026 · median $8,824 | 15 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,760 – $10,479 · median $7,098 | 15 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,513 – $8,545 · median $5,776 | 15 plans |
| 193 | SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY | $9,687 – $15,424 · median $10,171 | 15 plans |
| 194 | SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION | $6,530 – $10,122 · median $6,857 | 15 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,429 – $8,415 · median $5,630 | 15 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH COMORBITY | $13,243 – $22,038 · median $13,905 | 15 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,419 – $11,598 · median $7,790 | 15 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,973 – $9,259 · median $6,272 | 15 plans |
| 199 | PNEUMOTHORAX WITH MCC | $12,478 – $20,627 · median $13,102 | 15 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,351 – $12,945 · median $8,769 | 15 plans |
| 201 | PNEUMOTHORAX WITHOUT COMPLICATION/COMORBITY | $5,966 – $9,248 · median $6,265 | 15 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,556 – $11,712 · median $7,934 | 15 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,686 – $8,814 · median $5,971 | 15 plans |
| 204 | RESPIRATORY SIGNS & SYMPTOMS | $6,539 – $10,136 · median $6,866 | 15 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $12,894 – $21,048 · median $13,538 | 15 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,369 – $11,423 · median $7,738 | 15 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $18,591 – $31,437 · median $19,520 | 15 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $69,031 – $125,231 · median $72,483 | 15 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $63,338 – $118,767 · median $66,505 | 15 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $62,256 – $112,844 · median $65,369 | 15 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $42,345 – $74,009 · median $44,462 | 15 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $42,345 – $66,236 · median $44,462 | 15 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $49,192 – $89,658 · median $51,652 | 15 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $34,632 – $60,979 · median $36,364 | 15 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $32,816 – $54,049 · median $34,456 | 15 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $32,240 – $58,585 · median $33,851 | 15 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT COMORBITY | $21,079 – $36,969 · median $22,133 | 15 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $53,858 – $94,355 · median $56,551 | 15 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $39,162 – $69,164 · median $41,121 | 15 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $48,987 – $90,686 · median $51,436 | 15 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $35,438 – $56,700 · median $37,210 | 15 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $37,958 – $68,374 · median $39,856 | 15 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $27,530 – $49,350 · median $28,907 | 15 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $32,080 – $55,889 · median $33,684 | 15 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $19,222 – $32,663 · median $20,184 | 15 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $10,121 – $16,159 · median $10,627 | 15 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $21,347 – $40,172 · median $22,415 | 15 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $14,755 – $26,482 · median $15,493 | 15 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION/COMORBITY | $12,748 – $21,272 · median $13,385 | 15 plans |
| 245 | AICD GENERATOR PROCEDURES | $29,850 – $52,687 · median $31,342 | 15 plans |
| 250 | PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITH COMORBITY | $15,076 – $27,333 · median $15,829 | 15 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $10,805 – $18,451 · median $11,345 | 15 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH COMORBITY | $23,182 – $38,995 · median $24,341 | 15 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $17,640 – $29,662 · median $18,522 | 15 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY | $12,588 – $20,174 · median $13,217 | 15 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $18,272 – $31,944 · median $19,186 | 15 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,067 – $19,065 · median $12,671 | 15 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,307 – $12,876 · median $8,723 | 15 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $21,033 – $32,601 · median $22,084 | 15 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $14,080 – $21,824 · median $14,784 | 15 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $21,720 – $38,546 · median $22,806 | 15 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $13,263 – $21,880 · median $13,926 | 15 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT COMPLICATION/COMORBITY | $11,645 – $19,130 · median $12,228 | 15 plans |
| 263 | VEIN LIGATION & STRIPPING | $20,507 – $32,849 · median $21,532 | 15 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $22,265 – $37,974 · median $23,378 | 15 plans |
| 265 | AICD LEAD PROCEDURES | $23,988 – $41,091 · median $25,188 | 15 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $39,571 – $72,623 · median $41,549 | 15 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $31,081 – $56,742 · median $32,635 | 15 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $44,224 – $79,700 · median $46,435 | 15 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $27,744 – $48,352 · median $29,131 | 15 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $34,281 – $58,797 · median $35,995 | 15 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMPLICATION | $23,604 – $40,185 · median $24,784 | 15 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $17,376 – $28,364 · median $18,244 | 15 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $27,137 – $45,310 · median $28,494 | 15 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $21,961 – $37,681 · median $23,059 | 15 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $45,791 – $81,805 · median $48,081 | 15 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $38,815 – $72,206 · median $40,756 | 15 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $30,198 – $55,605 · median $31,708 | 15 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $36,081 – $55,925 · median $37,885 | 15 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $23,915 – $37,213 · median $25,111 | 15 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $11,485 – $18,446 · median $12,059 | 15 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,233 – $11,211 · median $7,594 | 15 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITHOUT COMPLICATION/COMORBITY | $6,016 – $9,325 · median $6,317 | 15 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $13,824 – $22,921 · median $14,515 | 15 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,824 – $9,028 · median $6,115 | 15 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,398 – $8,130 · median $5,350 | 15 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITH COMORBITY | $15,264 – $25,063 · median $16,027 | 15 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITHOUT COMORBITY | $8,170 – $12,664 · median $8,579 | 15 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $18,327 – $30,149 · median $19,243 | 15 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,123 – $18,791 · median $12,729 | 15 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,299 – $11,920 · median $7,664 | 15 plans |
| 291 | HEART FAILURE & SHOCK WITH COMORBITY | $9,497 – $14,928 · median $9,972 | 15 plans |
| 292 | HEART FAILURE & SHOCK WITH COMPLICATION | $6,798 – $10,536 · median $7,138 | 15 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,041 – $7,813 · median $5,192 | 15 plans |
| 296 | CARDIAC ARREST; UNEXPLAINED WITH COMORBITY | $11,223 – $18,640 · median $11,784 | 15 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,463 – $8,471 · median $5,736 | 15 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,950 – $6,746 · median $4,483 | 15 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $11,663 – $18,326 · median $12,246 | 15 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION | $8,154 – $12,639 · median $8,562 | 15 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,995 – $9,292 · median $6,295 | 15 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,955 – $13,881 · median $9,403 | 15 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,706 – $8,845 · median $5,923 | 15 plans |
| 304 | HYPERTENSION WITH MCC | $8,915 – $13,817 · median $9,360 | 15 plans |
| 305 | HYPERTENSION WITHOUT COMORBITY | $6,215 – $9,633 · median $6,525 | 15 plans |
| 306 | CARDIAC CONGENITAL & VALVULAR DISORDERS WITH COMORBITY | $11,309 – $17,868 · median $11,875 | 15 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,196 – $11,154 · median $7,556 | 15 plans |
| 308 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY | $9,001 – $13,978 · median $9,451 | 15 plans |
| 309 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION | $6,094 – $9,446 · median $6,399 | 15 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,977 – $7,814 · median $5,193 | 15 plans |
| 311 | ANGINA PECTORIS | $5,885 – $9,121 · median $6,179 | 15 plans |
| 312 | SYNCOPE & COLLAPSE | $6,938 – $10,754 · median $7,285 | 15 plans |
| 313 | CHEST PAIN | $5,997 – $9,295 · median $6,297 | 15 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $14,472 – $24,341 · median $15,195 | 15 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,507 – $11,636 · median $7,883 | 15 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,762 – $8,930 · median $6,050 | 15 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $29,232 – $50,716 · median $30,693 | 15 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $16,459 – $25,882 · median $17,282 | 15 plans |
| 321 | CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION | $18,417 – $33,424 · median $19,338 | 15 plans |
| 322 | SHOULDER AND ELBOW JOINT REPLACEMENT | $12,472 – $19,331 · median $13,095 | 15 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $28,391 – $48,136 · median $29,810 | 15 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $21,088 – $34,516 · median $22,142 | 15 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $21,457 – $33,258 · median $22,529 | 15 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $32,488 – $59,054 · median $34,112 | 15 plans |
| 327 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMPLICATION | $16,700 – $29,037 · median $17,535 | 15 plans |
| 328 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITHOUT COMPLICATION/COMORBITY | $11,474 – $18,572 · median $12,048 | 15 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $30,061 – $52,517 · median $31,564 | 15 plans |
| 330 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION | $16,409 – $27,580 · median $17,229 | 15 plans |
| 331 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $11,974 – $19,440 · median $12,573 | 15 plans |
| 332 | RECTAL RESECTION WITH MCC | $24,004 – $42,178 · median $25,204 | 15 plans |
| 333 | RECTAL RESECTION WITH CC | $16,067 – $24,904 · median $16,870 | 15 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $11,695 – $18,663 · median $12,280 | 15 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $23,695 – $41,567 · median $24,879 | 15 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH COMPLICATION | $14,618 – $24,478 · median $15,348 | 15 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,056 – $17,399 · median $11,609 | 15 plans |
| 344 | MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY | $17,561 – $31,863 · median $18,439 | 15 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,868 – $17,913 · median $11,411 | 15 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,891 – $14,973 · median $9,335 | 15 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $15,778 – $29,638 · median $16,567 | 15 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,652 – $15,131 · median $10,135 | 15 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,932 – $11,346 · median $7,278 | 15 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $16,996 – $27,905 · median $17,846 | 15 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $10,991 – $17,036 · median $11,541 | 15 plans |
| 352 | INGUINAL & FEMORAL HERNIA PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,777 – $13,604 · median $9,216 | 15 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $19,542 – $34,001 · median $20,519 | 15 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMPLICATION | $11,971 – $19,973 · median $12,570 | 15 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,877 – $15,843 · median $10,371 | 15 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $28,797 – $49,748 · median $30,237 | 15 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $15,963 – $25,542 · median $16,762 | 15 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,205 – $15,818 · median $10,715 | 15 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $11,409 – $19,208 · median $11,980 | 15 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,736 – $11,991 · median $8,123 | 15 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,878 – $9,110 · median $6,172 | 15 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMORBITY | $12,534 – $20,321 · median $13,161 | 15 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMPLICATION | $7,865 – $12,191 · median $8,259 | 15 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITHOUT COMPLICATION/COMORBITY | $6,043 – $9,366 · median $6,345 | 15 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $14,804 – $24,405 · median $15,544 | 15 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,036 – $14,006 · median $9,488 | 15 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,265 – $11,261 · median $7,628 | 15 plans |
| 377 | G.I. HEMORRHAGE WITH COMORBITY | $12,875 – $20,816 · median $13,519 | 15 plans |
| 378 | G.I. HEMORRHAGE WITH COMPLICATION | $7,615 – $11,804 · median $7,996 | 15 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,441 – $8,433 · median $5,699 | 15 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $13,708 – $22,655 · median $14,394 | 15 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH COMPLICATION | $8,253 – $12,793 · median $8,666 | 15 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,497 – $10,071 · median $6,814 | 15 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,098 – $16,257 · median $10,603 | 15 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,834 – $10,592 · median $7,175 | 15 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH COMORBITY | $11,350 – $18,218 · median $11,917 | 15 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,588 – $11,761 · median $7,967 | 15 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,757 – $8,923 · median $6,044 | 15 plans |
| 388 | G.I. OBSTRUCTION WITH COMORBITY | $10,695 – $16,900 · median $11,230 | 15 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,430 – $9,967 · median $6,752 | 15 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,904 – $7,602 · median $5,051 | 15 plans |
| 391 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY | $9,401 – $14,833 · median $9,871 | 15 plans |
| 392 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY | $5,170 – $9,869 · median $6,558 | 15 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $11,455 – $18,831 · median $12,028 | 15 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION | $7,336 – $11,371 · median $7,703 | 15 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,556 – $8,612 · median $5,828 | 15 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $16,394 – $26,121 · median $17,214 | 15 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $10,923 – $17,595 · median $11,470 | 15 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,633 – $13,382 · median $9,065 | 15 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $35,487 – $64,009 · median $37,261 | 15 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $19,531 – $33,572 · median $20,508 | 15 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $15,306 – $25,010 · median $16,071 | 15 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $23,662 – $43,278 · median $24,845 | 15 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $15,043 – $23,317 · median $15,796 | 15 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,383 – $18,199 · median $11,952 | 15 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $22,033 – $34,152 · median $23,135 | 15 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $14,579 – $23,783 · median $15,308 | 15 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $11,835 – $18,345 · median $12,427 | 15 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $23,643 – $40,988 · median $24,825 | 15 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $14,357 – $22,973 · median $15,075 | 15 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $9,990 – $15,571 · median $10,490 | 15 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMORBITY | $16,341 – $26,949 · median $17,159 | 15 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION | $12,028 – $19,007 · median $12,630 | 15 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY | $10,006 – $15,509 · median $10,506 | 15 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $22,678 – $37,216 · median $23,812 | 15 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,313 – $19,878 · median $12,929 | 15 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,215 – $16,406 · median $10,726 | 15 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $27,308 – $45,472 · median $28,673 | 15 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $15,109 – $24,269 · median $15,865 | 15 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $10,841 – $18,625 · median $11,383 | 15 plans |
| 432 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMORBITY | $13,745 – $22,277 · median $14,433 | 15 plans |
| 433 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMPLICATION | $8,084 – $12,530 · median $8,488 | 15 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,950 – $9,223 · median $6,129 | 15 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMORBITY | $12,929 – $20,462 · median $13,576 | 15 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,549 – $13,251 · median $8,976 | 15 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,824 – $10,578 · median $7,166 | 15 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMORBITY | $11,647 – $19,403 · median $12,230 | 15 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION | $6,749 – $10,461 · median $7,087 | 15 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,385 – $8,346 · median $5,546 | 15 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMORBITY | $12,668 – $21,256 · median $13,302 | 15 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMPLICATION | $7,520 – $11,655 · median $7,896 | 15 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,871 – $9,100 · median $6,164 | 15 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $11,900 – $18,989 · median $12,495 | 15 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH COMPLICATION | $8,321 – $12,898 · median $8,737 | 15 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION/COMORBITY | $6,663 – $10,328 · median $6,996 | 15 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $53,694 – $98,009 · median $56,378 | 15 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $38,545 – $70,638 · median $40,472 | 15 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $27,430 – $52,682 · median $28,801 | 15 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $35,813 – $79,279 · median $37,603 | 15 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $18,040 – $33,094 · median $18,942 | 15 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $36,908 – $65,852 · median $38,754 | 15 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $20,863 – $34,897 · median $21,906 | 15 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,848 – $21,752 · median $13,491 | 15 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $33,841 – $60,305 · median $35,533 | 15 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $23,420 – $40,535 · median $24,591 | 15 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY | $18,586 – $31,039 · median $19,515 | 15 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT | $20,357 – $38,716 · median $21,374 | 15 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY | $13,501 – $23,322 · median $14,176 | 15 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $31,503 – $57,193 · median $33,078 | 15 plans |
| 472 | CERVICAL SPINAL FUSION WITH COMPLICATION | $19,816 – $34,362 · median $20,807 | 15 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $16,682 – $25,858 · median $17,516 | 15 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $28,177 – $50,029 · median $29,585 | 15 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMPLICATION | $15,654 – $24,936 · median $16,437 | 15 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,854 – $13,723 · median $9,296 | 15 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $22,973 – $39,171 · median $24,121 | 15 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $16,793 – $27,715 · median $17,633 | 15 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY | $13,067 – $21,673 · median $13,720 | 15 plans |
| 480 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMORBITY | $19,606 – $34,287 · median $20,586 | 15 plans |
| 481 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION | $14,529 – $24,125 · median $15,256 | 15 plans |
| 482 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY | $11,652 – $18,468 · median $12,235 | 15 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $18,735 – $29,039 · median $19,671 | 15 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $21,560 – $38,299 · median $22,638 | 15 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $14,508 – $23,351 · median $15,234 | 15 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,250 – $17,963 · median $11,812 | 15 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $12,508 – $24,493 · median $13,134 | 15 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,460 – $14,391 · median $8,883 | 15 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $24,320 – $40,254 · median $25,536 | 15 plans |
| 493 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMPLICATION | $17,271 – $27,925 · median $18,134 | 15 plans |
| 494 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITHOUT COMPLICATION/COMORBITY | $13,983 – $21,733 · median $14,682 | 15 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $24,035 – $41,639 · median $25,236 | 15 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,725 – $23,109 · median $13,362 | 15 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,028 – $16,596 · median $9,480 | 15 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $20,255 – $31,395 · median $21,268 | 15 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $11,608 – $21,754 · median $14,315 | 15 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $21,174 – $37,704 · median $22,232 | 15 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $12,379 – $20,181 · median $12,998 | 15 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $9,882 – $16,077 · median $10,376 | 15 plans |
| 503 | FOOT PROCEDURES WITH MCC | $18,854 – $31,182 · median $19,796 | 15 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,131 – $20,353 · median $13,787 | 15 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $12,657 – $19,832 · median $13,289 | 15 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,903 – $17,006 · median $10,398 | 15 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $12,741 – $24,785 · median $13,378 | 15 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,928 – $16,939 · median $11,475 | 15 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $20,278 – $31,632 · median $21,292 | 15 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $14,436 – $23,182 · median $15,157 | 15 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $11,804 – $18,764 · median $12,394 | 15 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,300 – $18,847 · median $11,865 | 15 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,873 – $12,204 · median $8,267 | 15 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $21,311 – $36,759 · median $22,376 | 15 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $14,428 – $23,728 · median $15,149 | 15 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,067 – $17,375 · median $11,620 | 15 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $24,728 – $42,459 · median $25,964 | 15 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $13,944 – $22,889 · median $14,641 | 15 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,801 – $16,742 · median $11,341 | 15 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $19,345 – $34,814 · median $20,312 | 15 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $14,673 – $23,322 · median $15,407 | 15 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,259 – $18,968 · median $11,822 | 15 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,531 – $10,124 · median $6,858 | 15 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,486 – $15,077 · median $9,960 | 15 plans |
| 536 | FRACTURES OF HIP & PELVIS WITHOUT COMORBITY | $6,541 – $10,138 · median $6,868 | 15 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,451 – $11,550 · median $7,824 | 15 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,999 – $9,298 · median $6,299 | 15 plans |
| 539 | OSTEOMYELITIS WITH MCC | $13,755 – $23,073 · median $14,442 | 15 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,574 – $15,094 · median $10,053 | 15 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,415 – $9,975 · median $6,736 | 15 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $12,493 – $21,204 · median $13,118 | 15 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,909 – $12,682 · median $8,304 | 15 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,212 – $9,628 · median $6,522 | 15 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $16,933 – $28,988 · median $17,780 | 15 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,687 – $13,944 · median $9,122 | 15 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,718 – $10,413 · median $7,054 | 15 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $13,514 – $22,670 · median $14,190 | 15 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,021 – $14,024 · median $9,472 | 15 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,953 – $10,778 · median $7,301 | 15 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $11,932 – $19,788 · median $12,529 | 15 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,495 – $11,617 · median $7,870 | 15 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,574 – $15,714 · median $10,053 | 15 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,680 – $10,355 · median $7,014 | 15 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,733 – $16,266 · median $10,219 | 15 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,683 – $10,359 · median $7,018 | 15 plans |
| 557 | TENDONITIS; MYOSITIS & BURSITIS WITH COMORBITY | $10,758 – $18,101 · median $11,295 | 15 plans |
| 558 | TENDONITIS; MYOSITIS & BURSITIS WITHOUT COMORBITY | $7,072 – $10,962 · median $7,426 | 15 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,104 – $21,516 · median $13,759 | 15 plans |
| 560 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION | $8,518 – $13,203 · median $8,944 | 15 plans |
| 561 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY | $6,518 – $10,102 · median $6,844 | 15 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,372 – $17,681 · median $10,891 | 15 plans |
| 563 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITHOUT COMORBITY | $7,086 – $10,984 · median $7,441 | 15 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,110 – $18,160 · median $11,665 | 15 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,576 – $11,743 · median $7,955 | 15 plans |
| 566 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $6,179 – $9,577 · median $6,488 | 15 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $19,785 – $33,976 · median $20,774 | 15 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,015 – $19,672 · median $12,616 | 15 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,643 – $13,397 · median $9,075 | 15 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $42,197 – $72,298 · median $44,307 | 15 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $23,077 – $39,599 · median $24,231 | 15 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,683 – $23,789 · median $13,317 | 15 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $31,953 – $66,077 · median $33,550 | 15 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $17,982 – $30,801 · median $18,881 | 15 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,499 – $18,725 · median $12,074 | 15 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $21,631 – $38,860 · median $22,713 | 15 plans |
| 580 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMPLICATION | $12,254 – $20,308 · median $12,867 | 15 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,486 – $16,253 · median $11,010 | 15 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,487 – $20,905 · median $14,161 | 15 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,232 – $18,959 · median $12,844 | 15 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $14,816 – $22,965 · median $15,557 | 15 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $13,503 – $20,929 · median $14,178 | 15 plans |
| 592 | SKIN ULCERS WITH MCC | $13,541 – $24,302 · median $14,218 | 15 plans |
| 593 | SKIN ULCERS WITH CC | $8,892 – $14,068 · median $9,336 | 15 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,908 – $10,708 · median $7,115 | 15 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $14,692 – $25,289 · median $15,427 | 15 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,247 – $12,783 · median $8,660 | 15 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $11,876 – $18,609 · median $12,470 | 15 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,550 – $13,938 · median $8,978 | 15 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,593 – $9,770 · median $6,493 | 15 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,993 – $12,390 · median $8,393 | 15 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,283 – $8,189 · median $5,547 | 15 plans |
| 602 | CELLULITIS WITH MCC | $10,350 – $17,295 · median $10,868 | 15 plans |
| 603 | CELLULITIS WITHOUT COMORBITY | $6,934 – $10,747 · median $7,280 | 15 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,666 – $17,513 · median $11,199 | 15 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,214 – $11,181 · median $7,574 | 15 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $10,921 – $18,438 · median $11,467 | 15 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,154 – $11,089 · median $7,512 | 15 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $15,133 – $26,189 · median $15,890 | 15 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,214 – $17,104 · median $10,724 | 15 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,176 – $46,016 · median $24,335 | 15 plans |
| 617 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMPLICATION | $13,138 – $23,074 · median $13,795 | 15 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,332 – $16,014 · median $10,642 | 15 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $19,452 – $30,150 · median $20,424 | 15 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,462 – $18,861 · median $12,035 | 15 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION/COMORBITY | $10,891 – $17,642 · median $11,436 | 15 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,622 – $44,480 · median $24,803 | 15 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,663 – $21,643 · median $13,297 | 15 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,299 – $14,413 · median $9,764 | 15 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $20,275 – $33,965 · median $21,289 | 15 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $10,835 – $17,346 · median $11,377 | 15 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,773 – $15,148 · median $10,262 | 15 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $24,662 – $46,677 · median $25,895 | 15 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $15,053 – $26,310 · median $15,805 | 15 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,587 – $16,411 · median $11,117 | 15 plans |
| 637 | DIABETES WITH COMORBITY | $10,446 – $16,851 · median $10,968 | 15 plans |
| 638 | DIABETES WITH COMPLICATION | $7,091 – $10,991 · median $7,445 | 15 plans |
| 639 | DIABETES WITHOUT COMPLICATION/COMORBITY | $5,384 – $8,344 · median $5,603 | 15 plans |
| 640 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY | $9,818 – $15,292 · median $10,309 | 15 plans |
| 641 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY | $6,358 – $9,855 · median $6,676 | 15 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,355 – $16,051 · median $10,873 | 15 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $11,746 – $19,128 · median $12,333 | 15 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,890 – $12,344 · median $8,285 | 15 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,297 – $9,760 · median $6,612 | 15 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $30,712 – $52,292 · median $32,248 | 15 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $24,532 – $40,211 · median $25,759 | 15 plans |
| 652 | KIDNEY TRANSPLANT | $21,575 – $34,932 · median $22,654 | 15 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $33,785 – $62,944 · median $35,475 | 15 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $18,905 – $31,829 · median $19,850 | 15 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $14,667 – $24,507 · median $15,400 | 15 plans |
| 656 | KIDNEY & URETER PROCEDURES FOR NEOPLASM WITH COMORBITY | $21,292 – $36,481 · median $22,356 | 15 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $12,887 – $21,443 · median $13,532 | 15 plans |
| 658 | KIDNEY & URETER PROCEDURES FOR NEOPLASM WITHOUT COMPLICATION/COMORBITY | $11,160 – $17,299 · median $11,718 | 15 plans |
| 659 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMORBITY | $17,301 – $30,101 · median $18,166 | 15 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,732 – $15,649 · median $10,219 | 15 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,955 – $12,330 · median $8,353 | 15 plans |
| 662 | MINOR BLADDER PROCEDURES WITH COMORBITY | $20,532 – $34,843 · median $21,559 | 15 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $10,964 – $16,995 · median $11,512 | 15 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,026 – $12,441 · median $8,427 | 15 plans |
| 665 | PROSTATECTOMY WITH MCC | $20,903 – $35,917 · median $21,948 | 15 plans |
| 666 | PROSTATECTOMY WITH CC | $12,386 – $19,968 · median $13,006 | 15 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,394 – $13,011 · median $8,814 | 15 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $19,654 – $32,765 · median $20,637 | 15 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,162 – $17,843 · median $11,720 | 15 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,594 – $11,771 · median $7,974 | 15 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $12,670 – $19,904 · median $13,304 | 15 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,229 – $12,754 · median $8,475 | 15 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $27,610 – $42,997 · median $28,990 | 15 plans |
| 674 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMPLICATION | $16,045 – $27,698 · median $16,847 | 15 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,717 – $18,446 · median $12,303 | 15 plans |
| 682 | RENAL FAILURE WITH COMORBITY | $10,721 – $17,450 · median $11,257 | 15 plans |
| 683 | RENAL FAILURE WITH COMPLICATION | $6,964 – $10,794 · median $7,312 | 15 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,254 – $8,143 · median $5,477 | 15 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $12,724 – $21,387 · median $13,360 | 15 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,032 – $12,449 · median $8,433 | 15 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,433 – $9,972 · median $6,755 | 15 plans |
| 689 | KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY | $8,730 – $13,655 · median $9,167 | 15 plans |
| 690 | KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY | $6,552 – $10,156 · median $6,880 | 15 plans |
| 693 | URINARY STONES WITH MCC | $9,874 – $16,467 · median $10,367 | 15 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,380 – $9,889 · median $6,699 | 15 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,628 – $13,906 · median $9,059 | 15 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,804 – $8,997 · median $6,095 | 15 plans |
| 697 | URETHRAL STRICTURE | $8,218 – $12,942 · median $8,629 | 15 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $11,797 – $19,236 · median $12,387 | 15 plans |
| 699 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION | $7,828 – $12,134 · median $8,220 | 15 plans |
| 700 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $5,810 – $9,006 · median $6,101 | 15 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $13,945 – $22,811 · median $14,642 | 15 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,051 – $17,129 · median $11,604 | 15 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $15,973 – $24,759 · median $16,772 | 15 plans |
| 710 | PENIS PROCEDURES WITHOUT COMPLICATION/COMORBITY | $10,226 – $15,850 · median $10,737 | 15 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $14,463 – $24,683 · median $15,186 | 15 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,354 – $13,818 · median $8,772 | 15 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,860 – $16,867 · median $11,403 | 15 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,091 – $12,542 · median $8,496 | 15 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $15,416 – $25,667 · median $16,187 | 15 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,659 – $16,536 · median $11,192 | 15 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,263 – $21,088 · median $13,926 | 15 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,865 – $15,291 · median $10,358 | 15 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $12,761 – $21,798 · median $13,400 | 15 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,621 – $13,362 · median $9,052 | 15 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,598 – $9,412 · median $5,878 | 15 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,792 – $14,428 · median $9,231 | 15 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,009 – $9,314 · median $6,310 | 15 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,733 – $18,847 · median $11,269 | 15 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,563 – $10,173 · median $6,891 | 15 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,099 – $12,554 · median $8,504 | 15 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,594 – $8,833 · median $5,870 | 15 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $14,750 – $25,272 · median $15,487 | 15 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,880 – $15,314 · median $10,374 | 15 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $23,717 – $45,196 · median $24,903 | 15 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $14,319 – $22,949 · median $15,035 | 15 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,643 – $16,497 · median $11,176 | 15 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $23,768 – $42,047 · median $24,957 | 15 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $12,761 – $20,777 · median $13,399 | 15 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,380 – $16,089 · median $10,899 | 15 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $12,917 – $20,718 · median $13,563 | 15 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,845 – $14,305 · median $9,506 | 15 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $14,248 – $22,084 · median $14,960 | 15 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,589 – $13,312 · median $9,018 | 15 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,311 – $19,488 · median $12,926 | 15 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,864 – $10,639 · median $7,207 | 15 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,139 – $16,335 · median $10,646 | 15 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $17,466 – $29,267 · median $18,340 | 15 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,689 – $16,567 · median $11,223 | 15 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,960 – $21,539 · median $13,608 | 15 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,280 – $12,834 · median $8,694 | 15 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,490 – $11,609 · median $7,864 | 15 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,416 – $17,343 · median $10,937 | 15 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,605 – $11,787 · median $7,985 | 15 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,647 – $8,752 · median $5,816 | 15 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,782 – $12,061 · median $8,171 | 15 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,069 – $7,857 · median $5,322 | 15 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,017 – $18,627 · median $12,618 | 15 plans |
| 770 | ABORTION WITH D&C; ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,188 – $12,015 · median $7,984 | 15 plans |
| 776 | POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE | $5,591 – $8,667 · median $5,871 | 15 plans |
| 779 | ABORTION WITHOUT D&C | $6,750 – $11,501 · median $7,087 | 15 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $12,715 – $21,154 · median $13,351 | 15 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $29,642 – $57,607 · median $31,124 | 15 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $18,967 – $32,761 · median $19,916 | 15 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $13,377 – $20,809 · median $14,046 | 15 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $26,260 – $40,702 · median $27,573 | 15 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,067 – $21,605 · median $13,720 | 15 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,945 – $15,415 · median $10,442 | 15 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,095 – $9,622 · median $6,394 | 15 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $15,233 – $25,464 · median $15,995 | 15 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,386 – $14,548 · median $9,855 | 15 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,024 – $12,438 · median $8,426 | 15 plans |
| 811 | RED BLOOD CELL DISORDERS WITH COMORBITY | $10,245 – $16,320 · median $10,757 | 15 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT COMORBITY | $7,227 – $11,202 · median $7,589 | 15 plans |
| 813 | COAGULATION DISORDERS | $10,996 – $18,138 · median $11,546 | 15 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $14,729 – $24,743 · median $15,466 | 15 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,822 – $12,124 · median $8,213 | 15 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,451 – $8,448 · median $5,723 | 15 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH COMORBITY | $15,691 – $28,892 · median $16,475 | 15 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,723 – $14,679 · median $9,159 | 15 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,865 – $10,641 · median $7,209 | 15 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $37,935 – $70,305 · median $39,831 | 15 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $15,424 – $25,953 · median $16,195 | 15 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,001 – $14,404 · median $9,451 | 15 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $29,989 – $52,344 · median $31,488 | 15 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $15,592 – $25,962 · median $16,371 | 15 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,904 – $15,351 · median $10,399 | 15 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $30,566 – $51,029 · median $32,094 | 15 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $15,875 – $26,942 · median $16,668 | 15 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,104 – $19,073 · median $12,709 | 15 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $21,144 – $36,669 · median $22,201 | 15 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,870 – $18,385 · median $11,413 | 15 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,992 – $13,938 · median $9,262 | 15 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,007 – $9,311 · median $6,307 | 15 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,606 – $7,399 · median $4,916 | 15 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $35,607 – $65,100 · median $37,388 | 15 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $14,475 – $25,992 · median $15,199 | 15 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,098 – $14,482 · median $9,553 | 15 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $31,351 – $55,305 · median $32,919 | 15 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $14,485 – $22,701 · median $15,210 | 15 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,491 – $16,260 · median $11,015 | 15 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $21,609 – $36,337 · median $22,689 | 15 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,655 – $18,295 · median $12,237 | 15 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,800 – $12,399 · median $8,190 | 15 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $13,911 – $21,633 · median $14,606 | 15 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,085 – $14,081 · median $9,539 | 15 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,814 – $10,561 · median $7,154 | 15 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $17,621 – $28,416 · median $18,502 | 15 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,648 – $14,955 · median $10,131 | 15 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,800 – $10,540 · median $7,004 | 15 plans |
| 849 | RADIOTHERAPY | $18,347 – $31,293 · median $19,265 | 15 plans |
| 853 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY | $32,185 – $58,127 · median $33,794 | 15 plans |
| 854 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION | $13,931 – $23,698 · median $14,628 | 15 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,822 – $19,787 · median $11,363 | 15 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $29,764 – $51,489 · median $31,253 | 15 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $14,821 – $24,832 · median $15,562 | 15 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,174 – $15,770 · median $10,683 | 15 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $12,848 – $21,417 · median $13,491 | 15 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,722 – $11,969 · median $8,108 | 15 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,038 – $10,909 · median $7,390 | 15 plans |
| 865 | VIRAL ILLNESS WITH MCC | $10,828 – $19,067 · median $11,370 | 15 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,926 – $10,735 · median $7,272 | 15 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $14,521 – $24,327 · median $15,247 | 15 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,928 – $12,621 · median $8,324 | 15 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,057 – $9,388 · median $6,239 | 15 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY | $13,586 – $23,052 · median $14,265 | 15 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY | $7,880 – $12,213 · median $8,274 | 15 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $25,520 – $43,386 · median $26,796 | 15 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $27,579 – $50,319 · median $28,958 | 15 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $13,412 – $21,913 · median $14,083 | 15 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,788 – $14,435 · median $9,227 | 15 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $24,329 – $37,860 · median $25,545 | 15 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,736 – $18,414 · median $11,273 | 15 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $13,721 – $21,877 · median $14,407 | 15 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMORBITY | $25,361 – $43,247 · median $26,629 | 15 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $13,913 – $23,302 · median $14,609 | 15 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,676 – $15,770 · median $10,160 | 15 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $11,674 – $18,095 · median $12,258 | 15 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,024 – $10,888 · median $7,375 | 15 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $11,966 – $20,626 · median $12,565 | 15 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,663 – $8,778 · median $5,929 | 15 plans |
| 917 | POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY | $11,264 – $18,556 · median $11,827 | 15 plans |
| 918 | POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY | $6,848 – $10,614 · median $7,190 | 15 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH COMORBITY | $12,892 – $21,216 · median $13,537 | 15 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,749 – $12,020 · median $8,137 | 15 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,801 – $8,991 · median $6,091 | 15 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,387 – $20,288 · median $13,006 | 15 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,845 – $12,160 · median $8,237 | 15 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $134,066 – $306,473 · median $140,769 | 15 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $46,054 – $80,455 · median $48,356 | 15 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $21,521 – $37,387 · median $22,597 | 15 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $25,702 – $39,837 · median $26,987 | 15 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $15,250 – $24,330 · median $16,013 | 15 plans |
| 935 | NON-EXTENSIVE BURNS | $14,315 – $23,732 · median $15,031 | 15 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $24,052 – $37,384 · median $25,255 | 15 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,034 – $25,191 · median $16,836 | 15 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $14,115 – $21,878 · median $14,820 | 15 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,407 – $14,581 · median $9,878 | 15 plans |
| 948 | SIGNS & SYMPTOMS WITHOUT COMORBITY | $6,497 – $10,070 · median $6,821 | 15 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,913 – $13,815 · median $9,325 | 15 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,424 – $8,407 · median $5,654 | 15 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,979 – $7,717 · median $5,228 | 15 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $43,312 – $70,811 · median $45,478 | 15 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $24,887 – $45,092 · median $26,131 | 15 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $48,830 – $84,092 · median $51,271 | 15 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $27,686 – $47,029 · median $29,070 | 15 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $19,804 – $30,695 · median $20,794 | 15 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $18,498 – $31,792 · median $19,423 | 15 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,041 – $17,452 · median $11,593 | 15 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT COMPLICATION/COMORBITY | $7,366 – $11,417 · median $7,734 | 15 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $39,527 – $79,908 · median $41,503 | 15 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $17,900 – $28,510 · median $18,795 | 15 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $19,443 – $33,910 · median $20,415 | 15 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,566 – $15,851 · median $10,045 | 15 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,131 – $11,053 · median $7,488 | 15 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,583 – $16,465 · median $10,062 | 15 plans |
| 981 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $30,653 – $55,117 · median $32,185 | 15 plans |
| 982 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $16,789 – $28,905 · median $17,628 | 15 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,167 – $19,012 · median $12,776 | 15 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $22,810 – $39,261 · median $23,950 | 15 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $8,179 – $14,163 · median $8,507 | 14 plans |
| 795 | NORMAL NEWBORN | $1,166 – $4,290 · median $2,823 | 14 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $6,195 – $13,829 · median $8,991 | 14 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,195 – $11,993 · median $7,931 | 14 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,195 – $11,577 · median $7,618 | 14 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,095 – $12,751 · median $8,432 | 14 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,655 – $8,854 · median $5,855 | 14 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $3,150 – $68,873 · median $45,767 | 14 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,141 – $17,268 · median $11,586 | 14 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,646 – $13,402 · median $8,992 | 14 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,730 – $19,731 · median $12,200 | 14 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,972 – $13,906 · median $9,330 | 14 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $133,288 – $207,873 · median $137,287 | 13 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $87,513 – $143,325 · median $90,139 | 13 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $41,472 – $67,353 · median $42,716 | 13 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $7,560 – $25,990 · median $17,103 | 13 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,560 – $12,568 · median $8,351 | 13 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,347 – $11,583 · median $7,697 | 13 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $7,560 – $18,239 · median $12,120 | 13 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,560 – $13,113 · median $8,714 | 13 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $5,347 – $11,593 · median $7,695 | 13 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $38,423 – $59,556 · median $39,576 | 13 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $26,725 – $41,423 · median $27,526 | 13 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $16,731 – $25,934 · median $17,233 | 13 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $27,411 – $42,487 · median $28,233 | 13 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $10,689 – $16,568 · median $11,010 | 13 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,488 – $11,606 · median $7,713 | 13 plans |
| 881 | DEPRESSIVE NEUROSES | $7,368 – $11,421 · median $7,589 | 13 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,193 – $12,699 · median $8,439 | 13 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $13,734 – $21,287 · median $14,146 | 13 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $11,515 – $17,848 · median $11,860 | 13 plans |
| 885 | PSYCHOSES | $10,198 – $15,807 · median $10,504 | 13 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $14,410 – $22,336 · median $14,843 | 13 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,175 – $12,672 · median $8,420 | 13 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE; LEFT AMA | $5,171 – $8,303 · median $5,518 | 13 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $10,315 – $15,988 · median $10,624 | 13 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH COMORBITY | $12,360 – $19,159 · median $12,731 | 13 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY | $7,007 – $10,862 · median $7,218 | 13 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $71,792 – $111,277 · median $73,945 | 11 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $36,954 – $57,279 · median $38,063 | 11 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $43,035 – $66,705 · median $44,326 | 11 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $16,564 – $25,674 · median $17,061 | 11 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $22,873 – $35,454 · median $23,559 | 11 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $16,515 – $25,598 · median $17,010 | 11 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $26,486 – $41,053 · median $27,280 | 11 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $69,944 – $108,413 · median $72,042 | 11 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $46,339 – $71,825 · median $47,729 | 11 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $36,427 – $56,462 · median $37,520 | 11 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $57,457 – $89,058 · median $59,180 | 11 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $37,328 – $57,858 · median $38,448 | 11 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $43,005 – $66,658 · median $44,295 | 11 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $27,853 – $43,172 · median $28,689 | 11 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $34,612 – $53,649 · median $35,650 | 11 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $21,581 – $33,450 · median $22,228 | 11 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $55,283 – $85,689 · median $56,942 | 11 plans |
No procedures match that keyword.