Cape Fear Valley Betsy Johnson Hospital — 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.
Estimate your out-of-pocket cost
Enter what's left on your plan this year, then choose a procedure — click any row below or its “Estimate” button.
No procedure selected yet — pick a row in the table below to see an estimate here.
Estimate only. Your plan's actual negotiated rate, network status, and benefit rules control what you pay — confirm with your insurer. Professional fees (surgeon, anesthesia) are usually billed separately.
Showing all 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 | $232,257 – $580,643 · median $238,210 | 16 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $92,094 – $230,235 · median $93,936 | 16 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $177,195 – $442,987 · median $181,240 | 16 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $117,516 – $293,789 · median $119,866 | 16 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $89,067 – $222,668 · median $90,849 | 16 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $41,008 – $104,149 · median $42,493 | 16 plans |
| 007 | LUNG TRANSPLANT | $108,842 – $272,105 · median $111,019 | 16 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $46,014 – $116,244 · median $47,427 | 16 plans |
| 010 | PANCREAS TRANSPLANT | $67,192 – $167,979 · median $68,536 | 16 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $45,631 – $115,320 · median $47,051 | 16 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $34,704 – $88,916 · median $36,278 | 16 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $22,410 – $59,211 · median $24,158 | 16 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $109,112 – $272,779 · median $111,294 | 16 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $51,044 – $128,398 · median $52,386 | 16 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $51,044 – $128,398 · median $52,386 | 16 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $310,269 – $775,671 · median $318,925 | 16 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $66,818 – $167,046 · median $68,155 | 16 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $67,912 – $169,780 · median $69,270 | 16 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $46,743 – $118,005 · median $48,146 | 16 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $29,855 – $77,201 · median $31,498 | 16 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $48,246 – $121,638 · median $49,628 | 16 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $32,150 – $82,745 · median $33,760 | 16 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $37,821 – $96,448 · median $39,351 | 16 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $25,866 – $67,561 · median $27,565 | 16 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $20,869 – $55,488 · median $22,639 | 16 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $51,412 – $129,288 · median $52,750 | 16 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $28,387 – $73,652 · median $30,050 | 16 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $18,819 – $50,535 · median $20,618 | 16 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $35,439 – $90,691 · median $37,002 | 16 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $18,060 – $48,700 · median $19,870 | 16 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $13,493 – $37,664 · median $15,367 | 16 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $32,885 – $84,522 · median $34,485 | 16 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $19,237 – $51,545 · median $21,030 | 16 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $15,502 – $42,519 · median $17,348 | 16 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $28,084 – $72,920 · median $29,751 | 16 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $13,626 – $37,987 · median $15,499 | 16 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,625 – $28,320 · median $11,554 | 16 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $31,899 – $82,140 · median $33,513 | 16 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $19,097 – $51,205 · median $20,892 | 16 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $14,863 – $40,976 · median $16,718 | 16 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $17,019 – $46,185 · median $18,843 | 16 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,792 – $23,890 · median $9,747 | 16 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $12,677 – $35,694 · median $14,563 | 16 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $9,226 – $27,355 · median $11,161 | 16 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $21,176 – $56,230 · median $22,942 | 16 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $11,285 – $32,329 · median $13,190 | 16 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $15,610 – $42,781 · median $17,455 | 16 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $10,348 – $30,065 · median $12,266 | 16 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,547 – $23,297 · median $9,505 | 16 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $22,862 – $60,303 · median $24,603 | 16 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $15,060 – $41,453 · median $16,913 | 16 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $11,880 – $33,767 · median $13,777 | 16 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $16,822 – $45,709 · median $18,649 | 16 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $8,600 – $25,841 · median $10,543 | 16 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,821 – $19,127 · median $7,804 | 16 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $12,304 – $34,791 · median $14,195 | 16 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,455 – $23,075 · median $9,414 | 16 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,766 – $21,411 · median $8,736 | 16 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $14,704 – $40,592 · median $16,562 | 16 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $8,912 – $26,597 · median $10,852 | 16 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,344 – $20,392 · median $8,320 | 16 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $13,071 – $36,645 · median $14,951 | 16 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,815 – $26,362 · median $10,756 | 16 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $14,566 – $40,257 · median $16,425 | 16 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,754 – $23,798 · median $9,710 | 16 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $13,077 – $36,659 · median $14,957 | 16 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $8,439 – $25,453 · median $10,385 | 16 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,638 – $18,685 · median $7,624 | 16 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $16,810 – $45,680 · median $18,638 | 16 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,652 – $23,551 · median $9,609 | 16 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $19,621 – $52,472 · median $21,409 | 16 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $11,758 – $33,473 · median $13,657 | 16 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,085 – $24,599 · median $10,036 | 16 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $19,163 – $51,365 · median $20,957 | 16 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $11,092 – $31,863 · median $13,000 | 16 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,476 – $23,126 · median $9,435 | 16 plans |
| 088 | CONCUSSION WITH MCC | $11,930 – $33,888 · median $13,826 | 16 plans |
| 089 | CONCUSSION WITH CC | $9,066 – $26,969 · median $11,003 | 16 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,250 – $22,580 · median $9,213 | 16 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $15,416 – $42,311 · median $17,263 | 16 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,953 – $26,695 · median $10,892 | 16 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,675 – $21,190 · median $8,646 | 16 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $30,856 – $79,618 · median $32,484 | 16 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $20,272 – $54,046 · median $22,051 | 16 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $20,272 – $54,046 · median $22,051 | 16 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $30,314 – $78,309 · median $31,950 | 16 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $18,345 – $49,389 · median $20,151 | 16 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $11,783 – $33,532 · median $13,681 | 16 plans |
| 100 | SEIZURES WITH MCC | $16,789 – $45,629 · median $18,617 | 16 plans |
| 101 | SEIZURES WITHOUT MCC | $7,795 – $23,896 · median $9,750 | 16 plans |
| 102 | HEADACHES WITH MCC | $9,806 – $28,755 · median $11,732 | 16 plans |
| 103 | HEADACHES WITHOUT MCC | $7,190 – $22,435 · median $9,153 | 16 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $19,083 – $51,173 · median $20,878 | 16 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,997 – $29,217 · median $11,920 | 16 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $12,947 – $36,346 · median $14,829 | 16 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $14,111 – $39,158 · median $15,976 | 16 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $9,121 – $27,102 · median $11,058 | 16 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,837 – $28,831 · median $11,763 | 16 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,736 – $18,922 · median $7,720 | 16 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,792 – $21,475 · median $8,762 | 16 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $11,027 – $31,706 · median $12,936 | 16 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,983 – $21,934 · median $8,949 | 16 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $20,390 – $54,330 · median $22,167 | 16 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,272 – $25,050 · median $10,221 | 16 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,828 – $33,641 · median $13,725 | 16 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,880 – $21,685 · median $8,847 | 16 plans |
| 139 | SALIVARY GLAND PROCEDURES | $11,611 – $33,118 · median $13,512 | 16 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $35,765 – $91,480 · median $37,324 | 16 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $18,169 – $48,964 · median $19,977 | 16 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $13,297 – $37,192 · median $15,174 | 16 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $27,923 – $72,532 · median $29,593 | 16 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $14,856 – $40,958 · median $16,711 | 16 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $10,019 – $29,272 · median $11,943 | 16 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $19,400 – $51,939 · median $21,191 | 16 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $10,527 – $30,498 · median $12,443 | 16 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,771 – $21,423 · median $8,741 | 16 plans |
| 149 | DYSEQUILIBRIUM | $6,321 – $20,336 · median $8,297 | 16 plans |
| 150 | EPISTAXIS WITH MCC | $11,689 – $33,306 · median $13,589 | 16 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,410 – $20,551 · median $8,385 | 16 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,597 – $28,250 · median $11,526 | 16 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,019 – $19,605 · median $7,999 | 16 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $13,753 – $38,293 · median $15,624 | 16 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,895 – $24,139 · median $9,849 | 16 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,686 – $18,802 · median $7,671 | 16 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $13,848 – $38,522 · median $15,717 | 16 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,954 – $24,282 · median $9,907 | 16 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,578 – $18,540 · median $7,564 | 16 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $38,978 – $99,245 · median $40,492 | 16 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $21,285 – $56,494 · median $23,049 | 16 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $15,763 – $43,151 · median $17,605 | 16 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $32,561 – $83,738 · median $34,165 | 16 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $15,452 – $42,399 · median $17,299 | 16 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,449 – $32,727 · median $13,353 | 16 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $25,950 – $67,765 · median $27,648 | 16 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $11,916 – $33,855 · median $13,813 | 16 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,888 – $21,705 · median $8,856 | 16 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $13,670 – $38,093 · median $15,542 | 16 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,390 – $25,334 · median $10,336 | 16 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,509 – $20,790 · median $8,482 | 16 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $14,781 – $40,776 · median $16,637 | 16 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $9,389 – $27,750 · median $11,322 | 16 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $7,082 – $22,175 · median $9,048 | 16 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $13,423 – $37,497 · median $15,299 | 16 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $9,033 – $26,887 · median $10,970 | 16 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,577 – $20,953 · median $8,549 | 16 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $13,362 – $37,347 · median $15,238 | 16 plans |
| 187 | PLEURAL EFFUSION WITH CC | $8,491 – $25,578 · median $10,436 | 16 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,209 – $20,065 · median $8,186 | 16 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $10,464 – $30,347 · median $12,381 | 16 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $9,497 – $28,009 · median $11,428 | 16 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $7,265 – $22,617 · median $9,228 | 16 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,473 – $18,287 · median $7,461 | 16 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $11,143 – $31,988 · median $13,051 | 16 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,934 – $21,818 · median $8,902 | 16 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,266 – $17,786 · median $7,257 | 16 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $15,933 – $43,561 · median $17,773 | 16 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,372 – $25,292 · median $10,319 | 16 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,923 – $19,374 · median $7,905 | 16 plans |
| 199 | PNEUMOTHORAX WITH MCC | $14,929 – $41,134 · median $16,783 | 16 plans |
| 200 | PNEUMOTHORAX WITH CC | $9,366 – $27,692 · median $11,299 | 16 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,726 – $18,898 · median $7,710 | 16 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $8,175 – $24,815 · median $10,125 | 16 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,891 – $19,296 · median $7,873 | 16 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,858 – $21,634 · median $8,827 | 16 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $15,965 – $43,637 · median $17,804 | 16 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,660 – $23,571 · median $9,617 | 16 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $54,691 – $137,211 · median $55,982 | 16 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $22,696 – $59,902 · median $24,440 | 16 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $91,066 – $227,664 · median $92,887 | 16 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $88,621 – $221,552 · median $90,393 | 16 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $80,908 – $202,269 · median $82,526 | 16 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $54,612 – $137,021 · median $55,904 | 16 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $50,311 – $126,628 · median $51,664 | 16 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $65,267 – $163,167 · median $66,572 | 16 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $44,792 – $113,293 · median $46,224 | 16 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $38,838 – $98,906 · median $40,354 | 16 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $42,142 – $106,889 · median $43,611 | 16 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $26,269 – $68,535 · median $27,962 | 16 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $71,286 – $178,215 · median $72,712 | 16 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $51,659 – $129,885 · median $52,993 | 16 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $65,912 – $164,780 · median $67,230 | 16 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $44,991 – $113,773 · median $46,419 | 16 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $49,761 – $125,298 · median $51,121 | 16 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $34,775 – $89,087 · median $36,348 | 16 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $42,595 – $107,984 · median $44,058 | 16 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $24,628 – $64,569 · median $26,344 | 16 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $12,769 – $35,915 · median $14,653 | 16 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $28,685 – $74,373 · median $30,344 | 16 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $19,051 – $51,095 · median $20,847 | 16 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $15,262 – $41,939 · median $17,111 | 16 plans |
| 245 | AICD GENERATOR PROCEDURES | $41,326 – $104,917 · median $42,806 | 16 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $19,557 – $52,317 · median $21,345 | 16 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $13,214 – $36,992 · median $15,093 | 16 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $29,010 – $75,158 · median $30,664 | 16 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $21,590 – $57,229 · median $23,350 | 16 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $14,794 – $40,809 · median $16,650 | 16 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $22,127 – $58,527 · median $23,879 | 16 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $14,323 – $39,671 · median $16,186 | 16 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,543 – $23,287 · median $9,501 | 16 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $23,725 – $62,389 · median $25,455 | 16 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $14,864 – $40,978 · median $16,719 | 16 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $28,805 – $74,663 · median $30,463 | 16 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $16,047 – $43,837 · median $17,886 | 16 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $12,836 – $36,076 · median $14,719 | 16 plans |
| 263 | VEIN LIGATION AND STRIPPING | $22,682 – $59,867 · median $24,426 | 16 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $29,557 – $76,480 · median $31,204 | 16 plans |
| 265 | AICD LEAD PROCEDURES | $30,167 – $77,953 · median $31,805 | 16 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $50,662 – $127,476 · median $52,010 | 16 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $39,786 – $101,196 · median $41,288 | 16 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $56,386 – $141,305 · median $57,653 | 16 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $35,186 – $90,080 · median $36,753 | 16 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $43,408 – $109,948 · median $44,859 | 16 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $29,128 – $75,444 · median $30,781 | 16 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $21,160 – $56,191 · median $22,926 | 16 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $33,068 – $84,964 · median $34,665 | 16 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $26,393 – $68,836 · median $28,085 | 16 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $59,763 – $149,467 · median $60,982 | 16 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $52,384 – $131,636 · median $53,708 | 16 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $39,340 – $100,117 · median $40,848 | 16 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $42,311 – $107,298 · median $43,777 | 16 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $27,099 – $70,540 · median $28,780 | 16 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $13,881 – $38,602 · median $15,750 | 16 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,795 – $23,898 · median $9,750 | 16 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,132 – $19,879 · median $8,111 | 16 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $16,536 – $45,018 · median $18,367 | 16 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,266 – $20,204 · median $8,243 | 16 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,748 – $16,534 · median $6,746 | 16 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $18,717 – $50,288 · median $20,518 | 16 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $9,215 – $27,329 · median $11,150 | 16 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $23,099 – $60,877 · median $24,838 | 16 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $13,334 – $37,280 · median $15,210 | 16 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,279 – $25,067 · median $10,227 | 16 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $11,034 – $31,724 · median $12,943 | 16 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,283 – $22,660 · median $9,245 | 16 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,640 – $16,274 · median $6,640 | 16 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $10,385 – $30,155 · median $12,303 | 16 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $6,679 – $21,201 · median $8,650 | 16 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $13,855 – $38,541 · median $15,725 | 16 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,957 – $19,456 · median $7,938 | 16 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,735 – $14,088 · median $5,748 | 16 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $13,680 – $38,116 · median $15,551 | 16 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $9,054 – $26,938 · median $10,991 | 16 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,033 – $19,640 · median $8,013 | 16 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,838 – $28,833 · median $11,764 | 16 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,686 – $18,802 · median $7,671 | 16 plans |
| 304 | HYPERTENSION WITH MCC | $9,935 – $29,068 · median $11,860 | 16 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,348 – $20,402 · median $8,324 | 16 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,663 – $35,660 · median $14,549 | 16 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,834 – $23,992 · median $9,789 | 16 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $10,198 – $29,703 · median $12,119 | 16 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,252 – $20,169 · median $8,229 | 16 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,732 – $16,495 · median $6,730 | 16 plans |
| 311 | ANGINA PECTORIS | $5,905 – $19,331 · median $7,887 | 16 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,368 – $22,866 · median $9,329 | 16 plans |
| 313 | CHEST PAIN | $6,033 – $19,640 · median $8,013 | 16 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $18,211 – $49,066 · median $20,019 | 16 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $8,138 – $24,726 · median $10,088 | 16 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,773 – $19,012 · median $7,757 | 16 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $52,316 – $131,473 · median $53,641 | 16 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $37,148 – $94,823 · median $38,688 | 16 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $19,576 – $52,362 · median $21,364 | 16 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $24,074 – $63,233 · median $25,799 | 16 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $15,300 – $42,031 · median $17,149 | 16 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $36,020 – $92,097 · median $37,576 | 16 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $27,020 – $70,350 · median $28,703 | 16 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $24,204 – $63,545 · median $25,926 | 16 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $42,951 – $108,845 · median $44,409 | 16 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $20,534 – $54,677 · median $22,308 | 16 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $13,476 – $37,623 · median $15,350 | 16 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $38,832 – $98,891 · median $40,348 | 16 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $19,989 – $53,361 · median $21,771 | 16 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,962 – $38,798 · median $15,830 | 16 plans |
| 332 | RECTAL RESECTION WITH MCC | $29,334 – $75,940 · median $30,984 | 16 plans |
| 333 | RECTAL RESECTION WITH CC | $17,973 – $48,490 · median $19,784 | 16 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $14,026 – $38,953 · median $15,893 | 16 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $30,642 – $79,101 · median $32,273 | 16 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $17,863 – $48,224 · median $19,675 | 16 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $12,982 – $36,430 · median $14,863 | 16 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $22,787 – $60,121 · median $24,529 | 16 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,589 – $35,482 · median $14,477 | 16 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,531 – $30,508 · median $12,447 | 16 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $20,015 – $53,425 · median $21,797 | 16 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,646 – $30,786 · median $12,561 | 16 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,449 – $23,062 · median $9,409 | 16 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $20,454 – $54,485 · median $22,230 | 16 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $12,723 – $35,805 · median $14,608 | 16 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,324 – $27,592 · median $11,258 | 16 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $24,803 – $64,994 · median $26,518 | 16 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $14,386 – $39,822 · median $16,247 | 16 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $11,274 – $32,304 · median $13,180 | 16 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $36,074 – $92,226 · median $37,628 | 16 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $19,044 – $51,079 · median $20,840 | 16 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,460 – $32,752 · median $13,363 | 16 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $14,123 – $39,186 · median $15,988 | 16 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,606 – $25,856 · median $10,549 | 16 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,903 – $19,325 · median $7,885 | 16 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $14,782 – $40,780 · median $16,638 | 16 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,704 – $26,095 · median $10,647 | 16 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,134 – $19,885 · median $8,113 | 16 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $17,855 – $48,206 · median $19,668 | 16 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $10,391 – $30,169 · median $12,309 | 16 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,467 – $23,105 · median $9,427 | 16 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $15,376 – $42,215 · median $17,224 | 16 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $8,337 – $25,208 · median $10,285 | 16 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,384 – $18,072 · median $7,374 | 16 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $16,273 – $44,383 · median $18,108 | 16 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $9,210 – $27,316 · median $11,145 | 16 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,337 – $20,373 · median $8,312 | 16 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,691 – $30,894 · median $12,605 | 16 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,354 – $22,831 · median $9,315 | 16 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $13,740 – $38,263 · median $15,611 | 16 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $8,393 – $25,343 · median $10,340 | 16 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,669 – $18,759 · median $7,654 | 16 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $12,430 – $35,098 · median $14,320 | 16 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,779 – $21,442 · median $8,748 | 16 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,627 – $16,244 · median $6,627 | 16 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $10,863 – $31,309 · median $12,774 | 16 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,599 – $21,007 · median $8,571 | 16 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $14,004 – $38,900 · median $15,871 | 16 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,960 – $24,296 · median $9,913 | 16 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,382 – $18,066 · median $7,371 | 16 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $20,954 – $55,693 · median $22,723 | 16 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $12,797 – $35,982 · median $14,681 | 16 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $9,504 – $28,026 · median $11,434 | 16 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $33,084 – $85,003 · median $34,681 | 16 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $45,909 – $115,990 · median $47,324 | 16 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $23,750 – $62,448 · median $25,479 | 16 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $18,062 – $48,704 · median $19,871 | 16 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $29,609 – $76,607 · median $31,255 | 16 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $17,729 – $47,901 · median $19,544 | 16 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $13,117 – $36,757 · median $14,997 | 16 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $23,141 – $60,977 · median $24,879 | 16 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $18,026 – $48,619 · median $19,836 | 16 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $14,059 – $39,033 · median $15,926 | 16 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $29,630 – $76,658 · median $31,276 | 16 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $16,728 – $45,482 · median $18,557 | 16 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $11,587 – $33,060 · median $13,489 | 16 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $20,097 – $53,623 · median $21,878 | 16 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $14,025 – $38,949 · median $15,891 | 16 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $11,143 – $31,986 · median $13,050 | 16 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $29,848 – $77,183 · median $31,491 | 16 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,849 – $38,524 · median $15,718 | 16 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $12,426 – $35,087 · median $14,316 | 16 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $34,397 – $88,174 · median $35,975 | 16 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $19,309 – $51,718 · median $21,101 | 16 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $13,072 – $36,649 · median $14,953 | 16 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $87,645 – $219,113 · median $89,398 | 16 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $60,065 – $150,196 · median $61,280 | 16 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $46,546 – $117,531 · median $47,953 | 16 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $70,196 – $175,491 · median $71,600 | 16 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $46,262 – $116,844 · median $47,672 | 16 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $16,567 – $45,094 · median $18,398 | 16 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,047 – $26,922 · median $10,984 | 16 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,890 – $19,294 · median $7,872 | 16 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $15,430 – $42,345 · median $17,277 | 16 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $9,537 – $28,105 · median $11,467 | 16 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,640 – $21,107 · median $8,612 | 16 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $14,069 – $39,058 · median $15,936 | 16 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $7,274 – $22,639 · median $9,237 | 16 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,202 – $17,631 · median $7,193 | 16 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $15,986 – $43,690 · median $17,825 | 16 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $8,171 – $24,805 · median $10,121 | 16 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,943 – $19,421 · median $7,924 | 16 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $14,244 – $39,481 · median $16,108 | 16 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $9,171 – $27,223 · median $11,107 | 16 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,743 – $21,354 · median $8,712 | 16 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $56,699 – $142,064 · median $57,962 | 16 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $34,533 – $88,503 · median $36,109 | 16 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $43,553 – $110,297 · median $45,001 | 16 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $26,097 – $68,120 · median $27,793 | 16 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $71,247 – $178,119 · median $72,672 | 16 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $48,536 – $122,339 · median $49,914 | 16 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $36,516 – $93,295 · median $38,064 | 16 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $51,896 – $130,457 · median $53,227 | 16 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $24,218 – $63,580 · median $25,941 | 16 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $45,674 – $115,424 · median $47,093 | 16 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $24,935 – $65,313 · median $26,648 | 16 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,682 – $40,537 · median $16,539 | 16 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $43,083 – $109,163 · median $44,539 | 16 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $28,966 – $75,052 · median $30,621 | 16 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $22,184 – $58,666 · median $23,936 | 16 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $27,642 – $71,854 · median $29,316 | 16 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $15,945 – $43,590 · median $17,785 | 16 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $41,077 – $104,314 · median $42,560 | 16 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $24,501 – $64,263 · median $26,219 | 16 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $20,020 – $53,437 · median $21,802 | 16 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $37,926 – $96,701 · median $39,454 | 16 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,244 – $49,144 · median $20,051 | 16 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,836 – $28,829 · median $11,762 | 16 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $29,082 – $75,333 · median $30,736 | 16 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $19,777 – $52,848 · median $21,562 | 16 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $15,017 – $41,348 · median $16,870 | 16 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $24,871 – $65,158 · median $26,584 | 16 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $17,547 – $47,460 · median $19,364 | 16 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $13,416 – $37,478 · median $15,291 | 16 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $21,549 – $57,131 · median $23,310 | 16 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $27,225 – $70,844 · median $28,904 | 16 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $17,936 – $48,400 · median $19,747 | 16 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,363 – $37,351 · median $15,239 | 16 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $16,621 – $45,222 · median $18,451 | 16 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,473 – $30,367 · median $12,390 | 16 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $30,031 – $77,626 · median $31,671 | 16 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $20,304 – $54,123 · median $22,082 | 16 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $15,944 – $43,588 · median $17,784 | 16 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $29,773 – $77,001 · median $31,416 | 16 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $16,685 – $45,378 · median $18,514 | 16 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $11,354 – $32,496 · median $13,259 | 16 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $21,352 – $56,655 · median $23,115 | 16 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $9,817 – $28,782 · median $11,743 | 16 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $26,797 – $69,810 · median $28,483 | 16 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $15,093 – $41,530 · median $16,944 | 16 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $11,816 – $33,612 · median $13,714 | 16 plans |
| 503 | FOOT PROCEDURES WITH MCC | $22,381 – $59,142 · median $24,130 | 16 plans |
| 504 | FOOT PROCEDURES WITH CC | $14,841 – $40,923 · median $16,697 | 16 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,841 – $40,923 · median $16,697 | 16 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $12,677 – $35,694 · median $14,563 | 16 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $16,391 – $44,667 · median $18,224 | 16 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,914 – $31,434 · median $12,825 | 16 plans |
| 509 | ARTHROSCOPY | $14,856 – $40,958 · median $16,711 | 16 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $24,170 – $63,464 · median $25,893 | 16 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $16,585 – $45,137 · median $18,416 | 16 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $13,597 – $37,915 · median $15,470 | 16 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,732 – $35,827 · median $14,617 | 16 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,622 – $25,896 · median $10,566 | 16 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $26,151 – $68,251 · median $27,846 | 16 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $17,012 – $46,169 · median $18,837 | 16 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $12,623 – $35,564 · median $14,510 | 16 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $30,309 – $78,296 · median $31,945 | 16 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $16,676 – $45,355 · median $18,505 | 16 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $12,120 – $34,348 · median $14,014 | 16 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $24,649 – $64,620 · median $26,365 | 16 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $17,828 – $48,138 · median $19,640 | 16 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $12,896 – $36,221 · median $14,778 | 16 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,884 – $21,695 · median $8,852 | 16 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $11,247 – $32,237 · median $13,153 | 16 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,858 – $21,632 · median $8,826 | 16 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,772 – $23,841 · median $9,727 | 16 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,679 – $18,783 · median $7,664 | 16 plans |
| 539 | OSTEOMYELITIS WITH MCC | $17,103 – $46,387 · median $18,926 | 16 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,944 – $31,505 · median $12,854 | 16 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $7,399 – $22,940 · median $9,359 | 16 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $15,773 – $43,173 · median $17,615 | 16 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,972 – $26,740 · median $10,910 | 16 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,391 – $20,504 · median $8,366 | 16 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $21,369 – $56,696 · median $23,132 | 16 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,790 – $28,718 · median $11,717 | 16 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,310 – $20,310 · median $8,286 | 16 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $17,037 – $46,228 · median $18,861 | 16 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $10,191 – $29,687 · median $12,112 | 16 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,291 – $22,678 · median $9,253 | 16 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $14,430 – $39,930 · median $16,292 | 16 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $8,151 – $24,756 · median $10,101 | 16 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $11,044 – $31,749 · median $12,953 | 16 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,058 – $22,116 · median $9,023 | 16 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,388 – $32,578 · median $13,292 | 16 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,905 – $21,746 · median $8,872 | 16 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $13,105 – $36,728 · median $14,985 | 16 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,305 – $22,713 · median $9,267 | 16 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $15,698 – $42,993 · median $17,541 | 16 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,630 – $28,330 · median $11,559 | 16 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,914 – $21,769 · median $8,882 | 16 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $12,376 – $34,967 · median $14,266 | 16 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,559 – $23,326 · median $9,517 | 16 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $13,270 – $37,127 · median $15,148 | 16 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $8,623 – $25,898 · median $10,567 | 16 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,326 – $20,349 · median $8,302 | 16 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $25,456 – $66,572 · median $27,161 | 16 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $14,159 – $39,274 · median $16,024 | 16 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $9,661 – $28,406 · median $11,589 | 16 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $52,078 – $130,897 · median $53,406 | 16 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $29,302 – $75,863 · median $30,952 | 16 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $16,885 – $45,862 · median $18,712 | 16 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $45,626 – $115,308 · median $47,046 | 16 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $22,518 – $59,473 · median $24,265 | 16 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,295 – $39,603 · median $16,158 | 16 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $27,564 – $71,664 · median $29,239 | 16 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $14,994 – $41,291 · median $16,847 | 16 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $12,171 – $34,470 · median $14,064 | 16 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $14,809 – $40,846 · median $16,665 | 16 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $13,892 – $38,629 · median $15,760 | 16 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $17,314 – $46,898 · median $19,134 | 16 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $16,787 – $45,625 · median $18,615 | 16 plans |
| 592 | SKIN ULCERS WITH MCC | $17,389 – $47,080 · median $19,209 | 16 plans |
| 593 | SKIN ULCERS WITH CC | $10,340 – $30,046 · median $12,259 | 16 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,177 – $22,404 · median $9,141 | 16 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $17,887 – $48,281 · median $19,699 | 16 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $9,143 – $27,153 · median $11,078 | 16 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $14,856 – $40,958 · median $16,711 | 16 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,124 – $27,108 · median $11,060 | 16 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,230 – $22,531 · median $9,193 | 16 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,090 – $24,609 · median $10,040 | 16 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,070 – $17,312 · median $7,063 | 16 plans |
| 602 | CELLULITIS WITH MCC | $12,425 – $35,083 · median $14,314 | 16 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,449 – $23,060 · median $9,409 | 16 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $12,564 – $35,420 · median $14,452 | 16 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,811 – $23,937 · median $9,766 | 16 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $13,618 – $37,967 · median $15,490 | 16 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,308 – $22,721 · median $9,270 | 16 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $19,273 – $51,630 · median $21,065 | 16 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $12,118 – $34,344 · median $14,012 | 16 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $32,685 – $84,038 · median $34,288 | 16 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $16,335 – $44,532 · median $18,169 | 16 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,529 – $30,504 · median $12,446 | 16 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $23,057 – $60,775 · median $24,796 | 16 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $13,505 – $37,695 · median $15,379 | 16 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $12,362 – $34,932 · median $14,252 | 16 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $31,645 – $81,525 · median $33,262 | 16 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $16,176 – $44,148 · median $18,012 | 16 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,483 – $25,559 · median $10,428 | 16 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $24,246 – $63,647 · median $25,968 | 16 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $12,764 – $35,903 · median $14,648 | 16 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,714 – $30,950 · median $12,627 | 16 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $33,367 – $85,687 · median $34,960 | 16 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $19,020 – $51,019 · median $20,816 | 16 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,850 – $33,696 · median $13,748 | 16 plans |
| 637 | DIABETES WITH MCC | $12,315 – $34,820 · median $14,206 | 16 plans |
| 638 | DIABETES WITH CC | $7,756 – $23,804 · median $9,712 | 16 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,299 – $17,866 · median $7,289 | 16 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $11,230 – $32,198 · median $13,137 | 16 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,608 – $21,029 · median $8,580 | 16 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,496 – $30,422 · median $12,412 | 16 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $14,015 – $38,927 · median $15,882 | 16 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,739 – $26,178 · median $10,681 | 16 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,585 – $20,974 · median $8,557 | 16 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $38,962 – $99,206 · median $40,476 | 16 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $29,366 – $76,018 · median $31,015 | 16 plans |
| 652 | KIDNEY TRANSPLANT | $25,974 – $67,822 · median $27,671 | 16 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $47,143 – $118,972 · median $48,540 | 16 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $23,866 – $62,728 · median $25,593 | 16 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $17,567 – $47,509 · median $19,384 | 16 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $27,552 – $71,635 · median $29,227 | 16 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $15,460 – $42,417 · median $17,306 | 16 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $12,719 – $35,794 · median $14,604 | 16 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $21,855 – $57,869 · median $23,611 | 16 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $11,332 – $32,443 · median $13,237 | 16 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,682 – $26,039 · median $10,624 | 16 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $26,381 – $68,807 · median $28,073 | 16 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $12,917 – $36,273 · median $14,799 | 16 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,132 – $27,126 · median $11,068 | 16 plans |
| 665 | PROSTATECTOMY WITH MCC | $29,037 – $75,223 · median $30,691 | 16 plans |
| 666 | PROSTATECTOMY WITH CC | $13,931 – $38,723 · median $15,799 | 16 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,692 – $26,064 · median $10,634 | 16 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $24,662 – $64,653 · median $26,378 | 16 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $13,087 – $36,683 · median $14,967 | 16 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $8,082 – $24,591 · median $10,033 | 16 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $14,577 – $40,284 · median $16,436 | 16 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $9,255 – $27,425 · median $11,189 | 16 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $35,430 – $90,671 · median $36,994 | 16 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $19,521 – $52,231 · median $21,310 | 16 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $13,237 – $37,047 · median $15,115 | 16 plans |
| 682 | RENAL FAILURE WITH MCC | $12,701 – $35,752 · median $14,587 | 16 plans |
| 683 | RENAL FAILURE WITH CC | $7,517 – $23,226 · median $9,476 | 16 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,137 – $17,474 · median $7,129 | 16 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $15,947 – $43,594 · median $17,786 | 16 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,902 – $26,573 · median $10,842 | 16 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,124 – $19,860 · median $8,103 | 16 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,897 – $28,976 · median $11,822 | 16 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,787 – $21,462 · median $8,757 | 16 plans |
| 693 | URINARY STONES WITH MCC | $12,435 – $35,108 · median $14,324 | 16 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,608 – $21,029 · median $8,580 | 16 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,537 – $28,107 · median $11,468 | 16 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,850 – $19,198 · median $7,833 | 16 plans |
| 697 | URETHRAL STRICTURE | $8,472 – $25,533 · median $10,417 | 16 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $14,215 – $39,409 · median $16,079 | 16 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,625 – $25,902 · median $10,568 | 16 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,871 – $19,247 · median $7,853 | 16 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $16,411 – $44,716 · median $18,244 | 16 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $12,537 – $35,355 · median $14,425 | 16 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $19,003 – $50,979 · median $20,799 | 16 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $12,697 – $35,741 · median $14,582 | 16 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $16,157 – $44,103 · median $17,994 | 16 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $9,045 – $26,918 · median $10,983 | 16 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $12,228 – $34,609 · median $14,121 | 16 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,947 – $24,264 · median $9,900 | 16 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $19,098 – $51,207 · median $20,893 | 16 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $12,003 – $34,064 · median $13,898 | 16 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $15,691 – $42,977 · median $17,535 | 16 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,418 – $30,234 · median $12,336 | 16 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $14,621 – $40,390 · median $16,479 | 16 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,496 – $28,007 · median $11,427 | 16 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,162 – $19,950 · median $8,140 | 16 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $10,677 – $30,862 · median $12,592 | 16 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,295 – $20,273 · median $8,271 | 16 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $12,426 – $35,087 · median $14,316 | 16 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,910 – $21,759 · median $8,878 | 16 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $9,310 – $27,558 · median $11,244 | 16 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,132 – $17,463 · median $7,125 | 16 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $17,783 – $48,030 · median $19,596 | 16 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,266 – $29,867 · median $12,186 | 16 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $33,299 – $85,522 · median $34,893 | 16 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $16,900 – $45,897 · median $18,726 | 16 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,828 – $36,058 · median $14,712 | 16 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $33,665 – $86,406 · median $35,254 | 16 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $15,377 – $42,217 · median $17,224 | 16 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,616 – $33,130 · median $13,517 | 16 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $15,448 – $42,388 · median $17,294 | 16 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $10,137 – $29,556 · median $12,059 | 16 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $16,524 – $44,990 · median $18,356 | 16 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,666 – $26,003 · median $10,609 | 16 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $14,162 – $39,280 · median $16,026 | 16 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $8,078 – $24,580 · median $10,029 | 16 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $11,521 – $32,899 · median $13,423 | 16 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $21,891 – $57,957 · median $23,646 | 16 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,905 – $31,411 · median $12,816 | 16 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $15,301 – $42,033 · median $17,149 | 16 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,388 – $27,746 · median $11,320 | 16 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,076 – $24,576 · median $10,027 | 16 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,969 – $33,982 · median $13,865 | 16 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,620 – $25,890 · median $10,563 | 16 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,412 – $18,140 · median $7,401 | 16 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $8,335 – $25,202 · median $10,282 | 16 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,361 – $18,015 · median $7,350 | 16 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $9,271 – $27,464 · median $11,205 | 16 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $11,751 – $33,455 · median $13,650 | 16 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $9,099 – $27,049 · median $11,036 | 16 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $6,034 – $19,642 · median $8,014 | 16 plans |
| 779 | ABORTION WITHOUT D&C | $7,905 – $24,164 · median $9,859 | 16 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $15,578 – $42,703 · median $17,423 | 16 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $9,159 – $27,192 · median $11,094 | 16 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,387 – $22,911 · median $9,348 | 16 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $13,665 – $38,081 · median $15,537 | 16 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,979 – $26,759 · median $10,918 | 16 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,651 – $23,549 · median $9,608 | 16 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $15,244 – $41,896 · median $17,094 | 16 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $50,273 – $126,536 · median $51,627 | 16 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $34,333 – $88,021 · median $35,912 | 16 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $20,716 – $55,119 · median $22,488 | 16 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $35,269 – $90,281 · median $36,835 | 16 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $12,484 – $35,226 · median $14,372 | 16 plans |
| 795 | NORMAL NEWBORN | $1,690 – $9,145 · median $3,731 | 16 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $10,796 – $31,148 · median $12,708 | 16 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $8,188 – $24,846 · median $10,137 | 16 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $8,188 – $24,846 · median $10,137 | 16 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $40,210 – $102,220 · median $41,706 | 16 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $24,641 – $64,602 · median $26,357 | 16 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $13,883 – $38,608 · median $15,752 | 16 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $30,315 – $78,313 · median $31,952 | 16 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $15,053 – $41,434 · median $16,905 | 16 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,350 – $27,654 · median $11,283 | 16 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $8,440 – $25,455 · median $10,386 | 16 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $6,119 – $19,848 · median $8,098 | 16 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,389 – $18,085 · median $7,379 | 16 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $19,368 – $51,861 · median $21,159 | 16 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $10,474 – $30,369 · median $12,391 | 16 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,049 – $24,511 · median $10,000 | 16 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $11,898 – $33,810 · median $13,795 | 16 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,805 – $23,920 · median $9,760 | 16 plans |
| 813 | COAGULATION DISORDERS | $13,091 – $36,694 · median $14,971 | 16 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $17,679 – $47,779 · median $19,494 | 16 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $8,593 – $25,825 · median $10,537 | 16 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,576 – $18,536 · median $7,563 | 16 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $21,439 – $56,864 · median $23,200 | 16 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $10,892 – $31,381 · median $12,803 | 16 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,905 – $21,746 · median $8,872 | 16 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $49,237 – $124,033 · median $50,605 | 16 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $18,879 – $50,678 · median $20,677 | 16 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,672 – $28,432 · median $11,600 | 16 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $39,573 – $100,681 · median $41,078 | 16 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $18,600 – $50,004 · median $20,402 | 16 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,408 – $30,212 · median $12,326 | 16 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $40,385 – $102,643 · median $41,878 | 16 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $19,957 – $53,284 · median $21,740 | 16 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,555 – $37,815 · median $15,429 | 16 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $26,079 – $68,075 · median $27,775 | 16 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,368 – $34,946 · median $14,258 | 16 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,734 – $28,581 · median $11,661 | 16 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,321 – $20,334 · median $8,296 | 16 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,396 – $15,684 · median $6,399 | 16 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $46,743 – $118,005 · median $48,146 | 16 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $18,063 – $48,706 · median $19,872 | 16 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $10,746 – $31,027 · median $12,659 | 16 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $42,344 – $107,377 · median $43,810 | 16 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $17,152 – $46,506 · median $18,974 | 16 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,589 – $33,064 · median $13,490 | 16 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $26,968 – $70,225 · median $28,652 | 16 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $13,260 – $37,102 · median $15,138 | 16 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,896 – $26,556 · median $10,835 | 16 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $16,011 – $43,749 · median $17,850 | 16 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $10,107 – $29,485 · median $12,030 | 16 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,077 – $22,161 · median $9,042 | 16 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $21,597 – $57,246 · median $23,356 | 16 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $10,746 – $31,027 · median $12,659 | 16 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,925 – $21,795 · median $8,892 | 16 plans |
| 849 | RADIOTHERAPY | $22,589 – $59,642 · median $24,334 | 16 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $77,318 – $193,295 · median $78,864 | 16 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $42,294 – $107,257 · median $43,761 | 16 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $16,897 – $45,891 · median $18,723 | 16 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $13,747 – $38,279 · median $15,618 | 16 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $38,153 – $97,251 · median $39,678 | 16 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $18,426 – $49,585 · median $20,231 | 16 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,896 – $31,389 · median $12,807 | 16 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $15,549 – $42,634 · median $17,394 | 16 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,456 – $25,494 · median $10,401 | 16 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,594 – $23,412 · median $9,552 | 16 plans |
| 865 | VIRAL ILLNESS WITH MCC | $12,481 – $35,220 · median $14,370 | 16 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,482 – $23,142 · median $9,442 | 16 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $18,134 – $48,878 · median $19,942 | 16 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,880 – $26,520 · median $10,820 | 16 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,085 – $19,766 · median $8,065 | 16 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $58,829 – $147,209 · median $60,061 | 16 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $16,593 – $45,155 · median $18,423 | 16 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,719 – $26,129 · median $10,661 | 16 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $37,467 – $95,593 · median $39,002 | 16 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $16,047 – $43,837 · median $17,886 | 16 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $10,310 – $29,973 · median $12,229 | 16 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $32,652 – $83,959 · median $34,255 | 16 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $13,938 – $38,741 · median $15,806 | 16 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $18,457 – $49,659 · median $20,261 | 16 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $33,689 – $86,464 · median $35,277 | 16 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $17,058 – $46,279 · median $18,882 | 16 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,726 – $30,978 · median $12,639 | 16 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $13,685 – $38,130 · median $15,557 | 16 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,750 – $23,788 · median $9,705 | 16 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $14,697 – $40,574 · median $16,554 | 16 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,616 – $18,632 · median $7,602 | 16 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $13,866 – $38,567 · median $15,735 | 16 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,481 – $23,138 · median $9,440 | 16 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $15,422 – $42,325 · median $17,269 | 16 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $8,591 – $25,821 · median $10,535 | 16 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,816 – $19,114 · median $7,799 | 16 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $14,287 – $39,583 · median $16,150 | 16 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $8,625 – $25,902 · median $10,568 | 16 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $195,922 – $489,805 · median $200,616 | 16 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $56,481 – $141,536 · median $57,747 | 16 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $26,896 – $70,049 · median $28,580 | 16 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $36,591 – $93,477 · median $38,138 | 16 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $18,146 – $48,909 · median $19,955 | 16 plans |
| 935 | NON-EXTENSIVE BURNS | $18,574 – $49,943 · median $20,377 | 16 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $26,841 – $69,919 · median $28,527 | 16 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $17,855 – $48,206 · median $19,668 | 16 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $16,527 – $44,996 · median $18,358 | 16 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $10,877 – $31,344 · median $12,788 | 16 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,719 – $21,297 · median $8,689 | 16 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,125 – $27,110 · median $11,061 | 16 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,956 – $17,038 · median $6,952 | 16 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,795 – $16,648 · median $6,792 | 16 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $57,745 – $144,589 · median $58,992 | 16 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $32,325 – $83,168 · median $33,932 | 16 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $63,033 – $157,583 · median $64,294 | 16 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $34,755 – $89,040 · median $36,328 | 16 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $22,359 – $59,087 · median $24,107 | 16 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $22,974 – $60,574 · median $24,714 | 16 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,686 – $35,715 · median $14,572 | 16 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,718 – $23,710 · median $9,674 | 16 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $53,483 – $134,291 · median $54,791 | 16 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $22,438 – $59,279 · median $24,186 | 16 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $25,253 – $66,081 · median $26,961 | 16 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $12,020 – $34,107 · median $13,915 | 16 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $8,482 – $25,557 · median $10,427 | 16 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $12,194 – $34,525 · median $14,086 | 16 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $40,202 – $102,202 · median $41,698 | 16 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $20,704 – $55,090 · median $22,477 | 16 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $14,107 – $39,150 · median $15,973 | 16 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $29,621 – $76,635 · median $31,267 | 16 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $14,512 – $40,126 · median $16,372 | 16 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,772 – $28,673 · median $11,699 | 16 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $34,143 – $85,358 · median $34,826 | 12 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $9,860 – $24,650 · median $10,057 | 12 plans |
| 881 | DEPRESSIVE NEUROSES | $9,496 – $23,741 · median $9,686 | 12 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $9,888 – $24,719 · median $10,085 | 12 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $17,178 – $42,944 · median $17,521 | 12 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $15,676 – $39,190 · median $15,990 | 12 plans |
| 885 | PSYCHOSES | $13,546 – $33,865 · median $13,817 | 12 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $16,709 – $41,771 · median $17,043 | 12 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $11,746 – $29,366 · median $11,981 | 12 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $7,126 – $17,815 · median $7,268 | 12 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $13,859 – $34,648 · median $14,136 | 12 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $16,580 – $41,450 · median $16,912 | 12 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $9,236 – $23,089 · median $9,420 | 12 plans |
| 945 | REHABILITATION WITH CC/MCC | $14,502 – $36,254 · median $14,792 | 12 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $11,151 – $27,876 · median $11,374 | 12 plans |
No procedures match that keyword.