Sanford Medical Center (Bismarck) — Pricing
776 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 776 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 776 procedures
Procedures with negotiated rates only
These 776 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 | $205,476 – $505,551 · median $227,105 | 15 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $83,502 – $204,426 · median $92,292 | 15 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $155,796 – $382,903 · median $172,196 | 15 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $101,914 – $249,879 · median $112,641 | 15 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $76,039 – $186,001 · median $84,043 | 15 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $34,582 – $83,651 · median $38,222 | 15 plans |
| 007 | LUNG TRANSPLANT | $95,328 – $233,622 · median $105,363 | 15 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $41,652 – $101,107 · median $46,036 | 15 plans |
| 010 | PANCREAS TRANSPLANT | $53,132 – $129,450 · median $58,725 | 15 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $40,552 – $98,392 · median $44,821 | 15 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $31,505 – $76,057 · median $34,822 | 15 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $21,756 – $51,988 · median $24,046 | 15 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $88,516 – $216,803 · median $97,833 | 15 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $44,028 – $106,972 · median $48,662 | 15 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $40,393 – $97,999 · median $44,645 | 15 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $316,246 – $779,018 · median $349,535 | 15 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $52,832 – $128,708 · median $58,393 | 15 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $58,197 – $141,953 · median $64,323 | 15 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $39,381 – $95,500 · median $43,526 | 15 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $23,916 – $57,320 · median $26,433 | 15 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $42,571 – $103,375 · median $47,052 | 15 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $29,283 – $70,571 · median $32,365 | 15 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $33,922 – $82,022 · median $37,492 | 15 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $23,418 – $56,090 · median $25,883 | 15 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $19,133 – $45,513 · median $21,147 | 15 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $44,602 – $108,390 · median $49,297 | 15 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $25,627 – $61,545 · median $28,325 | 15 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $16,739 – $39,601 · median $18,501 | 15 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $33,438 – $80,828 · median $36,958 | 15 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,270 – $38,443 · median $17,982 | 15 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,849 – $29,999 · median $14,202 | 15 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $28,982 – $69,827 · median $32,033 | 15 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $18,166 – $43,125 · median $20,078 | 15 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,894 – $35,048 · median $16,462 | 15 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $24,754 – $59,389 · median $27,360 | 15 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,555 – $29,272 · median $13,876 | 15 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,287 – $21,206 · median $10,265 | 15 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $28,913 – $69,656 · median $31,956 | 15 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $16,764 – $39,665 · median $18,529 | 15 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,323 – $31,168 · median $14,725 | 15 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $13,933 – $32,676 · median $15,400 | 15 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,853 – $17,665 · median $8,680 | 15 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,855 – $27,545 · median $13,103 | 15 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,148 – $18,394 · median $9,006 | 15 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $17,673 – $41,909 · median $19,534 | 15 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,165 – $23,373 · median $11,235 | 15 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,190 – $30,839 · median $14,578 | 15 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,765 – $22,386 · median $10,793 | 15 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,419 – $16,593 · median $8,200 | 15 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $20,845 – $49,738 · median $23,039 | 15 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,538 – $31,700 · median $14,963 | 15 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,956 – $25,325 · median $12,109 | 15 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $15,393 – $36,278 · median $17,013 | 15 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $8,080 – $18,226 · median $8,931 | 15 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,699 – $12,347 · median $6,299 | 15 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,430 – $26,495 · median $12,633 | 15 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,014 – $15,594 · median $7,752 | 15 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,535 – $14,410 · median $7,223 | 15 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $12,863 – $30,033 · median $14,217 | 15 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $8,195 – $18,509 · median $9,058 | 15 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,223 – $13,642 · median $6,879 | 15 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,421 – $28,942 · median $13,728 | 15 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,230 – $18,596 · median $9,096 | 15 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $14,709 – $34,592 · median $16,258 | 15 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,728 – $14,887 · median $7,436 | 15 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $13,924 – $32,652 · median $15,390 | 15 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,242 – $16,157 · median $8,004 | 15 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $17,399 – $41,232 · median $19,231 | 15 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,897 – $25,180 · median $12,044 | 15 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,682 – $17,243 · median $8,491 | 15 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,299 – $40,985 · median $19,120 | 15 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,217 – $23,501 · median $11,292 | 15 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,382 – $16,501 · median $8,159 | 15 plans |
| 088 | CONCUSSION WITH MCC | $10,576 – $24,386 · median $11,689 | 15 plans |
| 089 | CONCUSSION WITH CC | $8,725 – $19,819 · median $9,644 | 15 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,713 – $14,851 · median $7,420 | 15 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $13,531 – $31,682 · median $14,955 | 15 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,173 – $18,455 · median $9,033 | 15 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,517 – $14,365 · median $7,202 | 15 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $26,415 – $63,490 · median $29,195 | 15 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $19,545 – $46,529 · median $21,602 | 15 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $19,545 – $46,529 · median $21,602 | 15 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $27,090 – $65,157 · median $29,942 | 15 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $17,467 – $41,400 · median $19,306 | 15 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,653 – $24,578 · median $11,775 | 15 plans |
| 100 | SEIZURES WITH MCC | $14,850 – $34,940 · median $16,414 | 15 plans |
| 101 | SEIZURES WITHOUT MCC | $7,293 – $16,283 · median $8,061 | 15 plans |
| 102 | HEADACHES WITH MCC | $8,888 – $20,221 · median $9,824 | 15 plans |
| 103 | HEADACHES WITHOUT MCC | $6,809 – $15,087 · median $7,526 | 15 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $17,878 – $42,414 · median $19,760 | 15 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,584 – $24,408 · median $11,699 | 15 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,914 – $27,690 · median $13,168 | 15 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $13,910 – $32,618 · median $15,374 | 15 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,625 – $19,572 · median $9,533 | 15 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,198 – $20,986 · median $10,167 | 15 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,440 – $14,176 · median $7,118 | 15 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,533 – $14,407 · median $7,221 | 15 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,366 – $23,869 · median $11,457 | 15 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,308 – $13,851 · median $6,972 | 15 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $16,555 – $39,147 · median $18,297 | 15 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,117 – $18,316 · median $8,971 | 15 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,609 – $26,937 · median $12,831 | 15 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,173 – $15,987 · median $7,929 | 15 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,727 – $22,292 · median $10,751 | 15 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $31,865 – $76,946 · median $35,220 | 15 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $16,636 – $39,347 · median $18,387 | 15 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,363 – $28,799 · median $13,664 | 15 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $28,075 – $67,589 · median $31,030 | 15 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,361 – $31,262 · median $14,767 | 15 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,483 – $21,689 · median $10,482 | 15 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $16,170 – $38,198 · median $17,872 | 15 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,989 – $22,938 · median $11,040 | 15 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,522 – $14,380 · median $7,209 | 15 plans |
| 149 | DYSEQUILIBRIUM | $6,190 – $13,559 · median $6,841 | 15 plans |
| 150 | EPISTAXIS WITH MCC | $10,427 – $24,020 · median $11,525 | 15 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,061 – $13,241 · median $6,699 | 15 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,336 – $21,327 · median $10,319 | 15 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,092 – $13,317 · median $6,733 | 15 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,123 – $28,206 · median $13,399 | 15 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,395 – $16,534 · median $8,173 | 15 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,748 – $12,467 · median $6,353 | 15 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $13,243 – $30,971 · median $14,637 | 15 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,346 – $16,413 · median $8,119 | 15 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,875 – $12,781 · median $6,493 | 15 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $33,447 – $80,852 · median $36,968 | 15 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $19,141 – $45,533 · median $21,156 | 15 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $14,685 – $34,532 · median $16,231 | 15 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $28,010 – $67,428 · median $30,959 | 15 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,876 – $32,533 · median $15,336 | 15 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,682 – $24,650 · median $11,807 | 15 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $22,447 – $53,694 · median $24,810 | 15 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,735 – $24,780 · median $11,865 | 15 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,580 – $14,522 · median $7,273 | 15 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,117 – $28,191 · median $13,392 | 15 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,830 – $17,607 · median $8,654 | 15 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,215 – $13,620 · median $6,869 | 15 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $13,602 – $31,859 · median $15,034 | 15 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,524 – $19,321 · median $9,421 | 15 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,206 – $13,599 · median $6,859 | 15 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,877 – $27,599 · median $13,127 | 15 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,473 – $19,196 · median $9,365 | 15 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,445 – $14,188 · median $7,123 | 15 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $12,086 – $28,115 · median $13,358 | 15 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,925 – $17,843 · median $8,760 | 15 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,939 – $12,938 · median $6,564 | 15 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,725 – $22,287 · median $10,749 | 15 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,792 – $19,983 · median $9,717 | 15 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,858 – $15,208 · median $7,580 | 15 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,389 – $11,582 · median $5,956 | 15 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,302 – $23,712 · median $11,387 | 15 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,587 – $14,538 · median $7,280 | 15 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,290 – $11,338 · median $5,847 | 15 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $14,488 – $34,045 · median $16,013 | 15 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,633 – $17,122 · median $8,437 | 15 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,931 – $12,920 · median $6,556 | 15 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,588 – $31,824 · median $15,019 | 15 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,731 – $19,831 · median $9,650 | 15 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,923 – $12,900 · median $6,547 | 15 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,795 – $17,520 · median $8,615 | 15 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,594 – $12,087 · median $6,182 | 15 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,598 – $14,565 · median $7,292 | 15 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $14,077 – $33,031 · median $15,559 | 15 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,575 – $16,977 · median $8,372 | 15 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $47,718 – $116,082 · median $52,741 | 15 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $20,783 – $49,587 · median $22,971 | 15 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $80,158 – $196,169 · median $88,595 | 15 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $73,456 – $179,624 · median $81,188 | 15 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $72,183 – $176,482 · median $79,782 | 15 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $48,745 – $118,618 · median $53,876 | 15 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $48,745 – $118,618 · median $53,876 | 15 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $56,805 – $138,517 · median $62,785 | 15 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $39,666 – $96,204 · median $43,841 | 15 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $37,528 – $90,925 · median $41,478 | 15 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $36,850 – $89,251 · median $40,729 | 15 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $23,712 – $56,817 · median $26,208 | 15 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $62,297 – $152,075 · median $68,855 | 15 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $44,999 – $109,369 · median $49,735 | 15 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $56,563 – $137,919 · median $62,517 | 15 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $40,615 – $98,547 · median $44,890 | 15 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $43,581 – $105,870 · median $48,169 | 15 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $31,306 – $75,566 · median $34,602 | 15 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $36,662 – $88,787 · median $40,521 | 15 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $21,527 – $51,423 · median $23,793 | 15 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $10,814 – $24,975 · median $11,952 | 15 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $24,028 – $57,598 · median $26,558 | 15 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,269 – $38,441 · median $17,981 | 15 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,906 – $32,607 · median $15,369 | 15 plans |
| 245 | AICD GENERATOR PROCEDURES | $34,036 – $82,306 · median $37,619 | 15 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $16,646 – $39,372 · median $18,398 | 15 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,618 – $26,961 · median $12,841 | 15 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $26,188 – $62,929 · median $28,944 | 15 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $19,664 – $46,825 · median $21,734 | 15 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,717 – $32,142 · median $15,161 | 15 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $20,408 – $48,661 · median $22,557 | 15 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,105 – $30,630 · median $14,484 | 15 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,679 – $19,703 · median $9,592 | 15 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $23,658 – $56,683 · median $26,148 | 15 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $15,474 – $36,479 · median $17,103 | 15 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $24,467 – $58,681 · median $27,042 | 15 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,512 – $34,105 · median $16,040 | 15 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $12,608 – $29,403 · median $13,935 | 15 plans |
| 263 | VEIN LIGATION AND STRIPPING | $23,039 – $55,155 · median $25,464 | 15 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $25,108 – $60,264 · median $27,751 | 15 plans |
| 265 | AICD LEAD PROCEDURES | $27,137 – $65,272 · median $29,993 | 15 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $45,480 – $110,556 · median $50,267 | 15 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $35,486 – $85,885 · median $39,222 | 15 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $50,956 – $124,077 · median $56,320 | 15 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $31,558 – $76,187 · median $34,880 | 15 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $39,253 – $95,184 · median $43,385 | 15 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $26,685 – $64,156 · median $29,493 | 15 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $19,353 – $46,056 · median $21,390 | 15 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $30,844 – $74,424 · median $34,091 | 15 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $24,751 – $59,382 · median $27,356 | 15 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $52,801 – $128,632 · median $58,360 | 15 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $44,590 – $108,359 · median $49,283 | 15 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $34,446 – $83,318 · median $38,072 | 15 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $41,371 – $100,414 · median $45,726 | 15 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $27,051 – $65,059 · median $29,898 | 15 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,419 – $28,938 · median $13,727 | 15 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,414 – $16,581 · median $8,194 | 15 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,982 – $13,045 · median $6,611 | 15 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $15,172 – $35,734 · median $16,769 | 15 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,756 – $12,487 · median $6,362 | 15 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,074 – $10,804 · median $5,608 | 15 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $16,867 – $39,919 · median $18,643 | 15 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,517 – $19,305 · median $9,414 | 15 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $20,473 – $48,820 · median $22,628 | 15 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $13,171 – $30,792 · median $14,557 | 15 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,491 – $16,772 · median $8,280 | 15 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $10,079 – $23,160 · median $11,140 | 15 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,902 – $15,316 · median $7,628 | 15 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,834 – $10,211 · median $5,342 | 15 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,111 – $28,177 · median $13,386 | 15 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,331 – $11,437 · median $5,892 | 15 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,023 – $8,210 · median $4,434 | 15 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,628 – $29,454 · median $13,958 | 15 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,498 – $19,258 · median $9,393 | 15 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,957 – $12,983 · median $6,584 | 15 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,442 – $21,587 · median $10,435 | 15 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,617 – $12,145 · median $6,208 | 15 plans |
| 304 | HYPERTENSION WITH MCC | $9,393 – $21,468 · median $10,382 | 15 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,215 – $13,622 · median $6,870 | 15 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,213 – $28,427 · median $13,498 | 15 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,371 – $16,474 · median $8,147 | 15 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,496 – $21,720 · median $10,495 | 15 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,074 – $13,272 · median $6,713 | 15 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,834 – $10,212 · median $5,343 | 15 plans |
| 311 | ANGINA PECTORIS | $5,827 – $12,662 · median $6,440 | 15 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,067 – $15,724 · median $7,811 | 15 plans |
| 313 | CHEST PAIN | $5,959 – $12,989 · median $6,586 | 15 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $15,935 – $37,617 · median $17,612 | 15 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,737 – $17,378 · median $8,551 | 15 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,682 – $12,305 · median $6,280 | 15 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $49,558 – $120,624 · median $54,774 | 15 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $33,309 – $80,511 · median $36,816 | 15 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $18,274 – $43,392 · median $20,197 | 15 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $20,579 – $49,083 · median $22,746 | 15 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $13,580 – $31,805 · median $15,010 | 15 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $32,319 – $78,066 · median $35,721 | 15 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $23,723 – $56,844 · median $26,220 | 15 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $24,157 – $57,916 · median $26,700 | 15 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $37,142 – $89,973 · median $41,052 | 15 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $18,558 – $44,093 · median $20,512 | 15 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,406 – $28,905 · median $13,712 | 15 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $34,286 – $82,921 · median $37,895 | 15 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,215 – $43,245 · median $20,132 | 15 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,995 – $30,360 · median $14,363 | 15 plans |
| 332 | RECTAL RESECTION WITH MCC | $27,155 – $65,317 · median $30,014 | 15 plans |
| 333 | RECTAL RESECTION WITH CC | $17,813 – $42,253 · median $19,688 | 15 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,666 – $29,548 · median $14,000 | 15 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $26,791 – $64,419 · median $29,611 | 15 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $16,107 – $38,041 · median $17,802 | 15 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,914 – $27,691 · median $13,169 | 15 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $19,571 – $46,594 · median $21,631 | 15 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,693 – $27,145 · median $12,924 | 15 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,366 – $21,399 · median $10,351 | 15 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $17,472 – $41,413 · median $19,311 | 15 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,262 – $23,611 · median $11,342 | 15 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,059 – $15,706 · median $7,803 | 15 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $18,907 – $44,954 · median $20,897 | 15 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,838 – $27,502 · median $13,084 | 15 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,231 – $21,067 · median $10,203 | 15 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $21,903 – $52,352 · median $24,209 | 15 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,991 – $30,350 · median $14,359 | 15 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,526 – $24,264 · median $11,634 | 15 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $32,797 – $79,246 · median $36,249 | 15 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,691 – $41,952 · median $19,553 | 15 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,913 – $25,218 · median $12,061 | 15 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,330 – $28,718 · median $13,628 | 15 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,006 – $18,044 · median $8,849 | 15 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,819 – $12,642 · median $6,431 | 15 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,654 – $31,987 · median $15,092 | 15 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,158 – $18,419 · median $9,017 | 15 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,013 – $13,122 · median $6,646 | 15 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $16,326 – $38,582 · median $18,044 | 15 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,537 – $21,821 · median $10,540 | 15 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,452 – $16,674 · median $8,236 | 15 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $14,055 – $32,977 · median $15,535 | 15 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,864 – $17,692 · median $8,692 | 15 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,304 – $11,372 · median $5,863 | 15 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $15,036 – $35,398 · median $16,619 | 15 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,615 – $19,546 · median $9,522 | 15 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,548 – $14,443 · median $7,237 | 15 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,787 – $24,908 · median $11,922 | 15 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,944 – $15,421 · median $7,675 | 15 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,260 – $28,545 · median $13,551 | 15 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,832 – $17,612 · median $8,656 | 15 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,676 – $12,291 · median $6,274 | 15 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,489 – $26,641 · median $12,698 | 15 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,469 – $14,248 · median $7,150 | 15 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,673 – $9,814 · median $5,165 | 15 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,966 – $22,880 · median $11,015 | 15 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,394 – $14,064 · median $7,068 | 15 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,384 – $28,851 · median $13,688 | 15 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,535 – $16,880 · median $8,328 | 15 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,440 – $11,708 · median $6,013 | 15 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $18,198 – $43,204 · median $20,113 | 15 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,758 – $27,305 · median $12,996 | 15 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $9,062 – $20,650 · median $10,016 | 15 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $30,077 – $72,530 · median $33,243 | 15 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $40,672 – $98,688 · median $44,953 | 15 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $21,890 – $52,320 · median $24,195 | 15 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $16,917 – $40,042 · median $18,698 | 15 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $26,753 – $64,323 · median $29,569 | 15 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $16,608 – $39,278 · median $18,356 | 15 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,299 – $28,642 · median $13,594 | 15 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $24,836 – $59,592 · median $27,450 | 15 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $16,061 – $37,929 · median $17,752 | 15 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,831 – $29,955 · median $14,182 | 15 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $26,731 – $64,269 · median $29,544 | 15 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $15,800 – $37,283 · median $17,463 | 15 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,660 – $24,594 · median $11,782 | 15 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $18,136 – $43,051 · median $20,045 | 15 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $13,059 – $30,516 · median $14,433 | 15 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,678 – $24,639 · median $11,802 | 15 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $25,594 – $61,464 · median $28,288 | 15 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,394 – $31,345 · median $14,804 | 15 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,924 – $25,247 · median $12,074 | 15 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $31,045 – $74,920 · median $34,313 | 15 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $16,685 – $39,470 · median $18,442 | 15 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,661 – $27,065 · median $12,888 | 15 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $81,233 – $198,822 · median $89,783 | 15 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $53,446 – $130,224 · median $59,072 | 15 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $41,779 – $101,421 · median $46,177 | 15 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $66,533 – $162,533 · median $73,537 | 15 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $42,839 – $104,038 · median $47,349 | 15 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $15,080 – $35,506 · median $16,667 | 15 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,416 – $19,054 · median $9,302 | 15 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,904 – $12,854 · median $6,526 | 15 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $14,119 – $33,134 · median $15,605 | 15 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,963 – $20,405 · median $9,906 | 15 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,933 – $15,394 · median $7,663 | 15 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,610 – $29,409 · median $13,937 | 15 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,845 – $15,175 · median $7,565 | 15 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,238 – $11,210 · median $5,790 | 15 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,812 – $32,376 · median $15,266 | 15 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,751 – $17,414 · median $8,567 | 15 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,811 – $12,623 · median $6,422 | 15 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,907 – $30,143 · median $14,266 | 15 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,695 – $19,743 · median $9,610 | 15 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,743 – $14,924 · median $7,453 | 15 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $49,522 – $120,536 · median $54,735 | 15 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $31,686 – $76,504 · median $35,022 | 15 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $39,643 – $96,146 · median $43,815 | 15 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $24,303 – $58,276 · median $26,861 | 15 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $62,104 – $151,597 · median $68,641 | 15 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $44,272 – $107,574 · median $48,932 | 15 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $31,188 – $75,274 · median $34,471 | 15 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $41,056 – $99,635 · median $45,377 | 15 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $20,135 – $47,986 · median $22,255 | 15 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $42,346 – $102,819 · median $46,803 | 15 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $23,458 – $56,189 · median $25,927 | 15 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,024 – $32,900 · median $15,500 | 15 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $38,735 – $93,905 · median $42,812 | 15 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $26,468 – $63,620 · median $29,254 | 15 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $20,778 – $49,574 · median $22,965 | 15 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $22,862 – $54,719 · median $25,269 | 15 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $14,793 – $34,797 · median $16,350 | 15 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $35,982 – $87,110 · median $39,770 | 15 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $22,226 – $53,148 · median $24,565 | 15 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $18,537 – $44,041 · median $20,488 | 15 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $32,067 – $77,444 · median $35,443 | 15 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,327 – $41,054 · median $19,151 | 15 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,322 – $21,291 · median $10,303 | 15 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $25,941 – $62,321 · median $28,672 | 15 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $18,668 – $44,364 · median $20,633 | 15 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $14,281 – $33,535 · median $15,785 | 15 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $21,979 – $52,538 · median $24,292 | 15 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $16,003 – $37,785 · median $17,687 | 15 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,616 – $29,423 · median $13,944 | 15 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $20,953 – $50,005 · median $23,158 | 15 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $24,279 – $58,217 · median $26,835 | 15 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,978 – $37,723 · median $17,660 | 15 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,142 – $28,254 · median $13,421 | 15 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $13,624 – $31,911 · median $15,058 | 15 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,858 – $20,147 · median $9,791 | 15 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $27,527 – $66,236 · median $30,425 | 15 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $19,230 – $45,751 · median $21,254 | 15 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $15,360 – $36,197 · median $16,977 | 15 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $27,192 – $65,408 · median $30,054 | 15 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $13,879 – $32,542 · median $15,340 | 15 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,527 – $21,798 · median $10,530 | 15 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $22,742 – $54,423 · median $25,136 | 15 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $13,743 – $36,347 · median $16,719 | 15 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $23,824 – $57,093 · median $26,332 | 15 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,472 – $31,536 · median $14,890 | 15 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,533 – $24,280 · median $11,641 | 15 plans |
| 503 | FOOT PROCEDURES WITH MCC | $21,093 – $50,351 · median $23,313 | 15 plans |
| 504 | FOOT PROCEDURES WITH CC | $14,357 – $33,720 · median $15,868 | 15 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,798 – $32,342 · median $15,251 | 15 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,557 – $24,340 · median $11,668 | 15 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $13,898 – $32,587 · median $15,360 | 15 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,764 – $27,320 · median $13,002 | 15 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $22,769 – $54,490 · median $25,166 | 15 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $15,892 – $37,512 · median $17,565 | 15 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,794 – $29,863 · median $14,141 | 15 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,202 – $28,400 · median $13,486 | 15 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,168 – $18,442 · median $9,028 | 15 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $23,985 – $57,492 · median $26,510 | 15 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $15,883 – $37,489 · median $17,555 | 15 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,927 – $27,722 · median $13,182 | 15 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $28,007 – $67,421 · median $30,955 | 15 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $15,314 – $36,084 · median $16,926 | 15 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,614 – $26,950 · median $12,837 | 15 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $21,671 – $51,778 · median $23,952 | 15 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $16,172 – $38,203 · median $17,875 | 15 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $12,153 – $28,281 · median $13,433 | 15 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,588 – $14,542 · median $7,282 | 15 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,066 – $23,127 · median $11,125 | 15 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,599 – $14,569 · median $7,294 | 15 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,671 – $17,216 · median $8,479 | 15 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,961 – $12,994 · median $6,589 | 15 plans |
| 539 | OSTEOMYELITIS WITH MCC | $15,091 – $35,533 · median $16,679 | 15 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,170 – $23,385 · median $11,241 | 15 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,452 – $14,205 · median $7,131 | 15 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,606 – $31,868 · median $15,038 | 15 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,210 – $18,545 · median $9,074 | 15 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,212 – $13,613 · median $6,866 | 15 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $18,832 – $44,770 · median $20,815 | 15 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,126 – $20,807 · median $10,087 | 15 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,808 – $15,085 · median $7,525 | 15 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,807 – $34,833 · median $16,366 | 15 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,519 – $21,778 · median $10,521 | 15 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,085 – $15,769 · median $7,831 | 15 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,945 – $30,237 · median $14,308 | 15 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,722 – $17,342 · median $8,535 | 15 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,170 – $23,385 · median $11,241 | 15 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,764 – $14,975 · median $7,475 | 15 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,356 – $23,845 · median $11,447 | 15 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,767 – $14,984 · median $7,480 | 15 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,563 – $26,824 · median $12,780 | 15 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,225 – $16,113 · median $7,985 | 15 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,325 – $33,643 · median $15,833 | 15 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,926 – $20,315 · median $9,866 | 15 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,572 – $14,502 · median $7,264 | 15 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $11,109 – $25,703 · median $12,279 | 15 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,241 – $16,155 · median $8,004 | 15 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,977 – $27,847 · median $13,238 | 15 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,818 – $17,578 · median $8,641 | 15 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,173 – $13,517 · median $6,823 | 15 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $22,189 – $53,057 · median $24,525 | 15 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $13,043 – $30,479 · median $14,416 | 15 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $9,074 – $20,679 · median $10,029 | 15 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $48,571 – $118,187 · median $53,683 | 15 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $26,064 – $62,624 · median $28,808 | 15 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,829 – $32,418 · median $15,285 | 15 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $36,512 – $88,418 · median $40,355 | 15 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,067 – $47,819 · median $22,179 | 15 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,436 – $28,979 · median $13,745 | 15 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $24,362 – $58,423 · median $26,927 | 15 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,325 – $31,173 · median $14,727 | 15 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,243 – $26,034 · median $12,426 | 15 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $14,776 – $34,756 · median $16,331 | 15 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $13,298 – $31,108 · median $14,698 | 15 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $16,340 – $38,618 · median $18,060 | 15 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,794 – $34,801 · median $16,351 | 15 plans |
| 592 | SKIN ULCERS WITH MCC | $14,840 – $34,913 · median $16,402 | 15 plans |
| 593 | SKIN ULCERS WITH CC | $9,366 – $21,401 · median $10,352 | 15 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,032 – $15,637 · median $7,772 | 15 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $16,194 – $38,257 · median $17,899 | 15 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,608 – $19,528 · median $9,514 | 15 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,880 – $30,074 · median $14,235 | 15 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,964 – $20,409 · median $9,908 | 15 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,320 – $13,880 · median $6,985 | 15 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,309 – $18,790 · median $9,184 | 15 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,119 – $10,914 · median $5,657 | 15 plans |
| 602 | CELLULITIS WITH MCC | $11,084 – $25,640 · median $12,250 | 15 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,062 – $15,711 · median $7,805 | 15 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,455 – $26,557 · median $12,661 | 15 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,391 – $16,525 · median $8,169 | 15 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,755 – $27,298 · median $12,992 | 15 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,321 – $16,351 · median $8,092 | 15 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $16,714 – $39,540 · median $18,473 | 15 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,923 – $25,243 · median $12,073 | 15 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $26,181 – $62,913 · median $28,937 | 15 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,365 – $33,740 · median $15,877 | 15 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,062 – $25,586 · median $12,226 | 15 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $21,797 – $52,089 · median $24,091 | 15 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,392 – $28,869 · median $13,696 | 15 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,720 – $27,212 · median $12,954 | 15 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $26,706 – $64,208 · median $29,517 | 15 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,806 – $32,362 · median $15,260 | 15 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,846 – $22,584 · median $10,882 | 15 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $22,766 – $54,483 · median $25,163 | 15 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,654 – $27,049 · median $12,881 | 15 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,404 – $23,963 · median $11,499 | 15 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $27,930 – $67,231 · median $30,871 | 15 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $16,619 – $39,306 · median $18,368 | 15 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,363 – $26,329 · median $12,559 | 15 plans |
| 637 | DIABETES WITH MCC | $11,196 – $25,918 · median $12,375 | 15 plans |
| 638 | DIABETES WITH CC | $7,247 – $16,167 · median $8,009 | 15 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,237 – $11,206 · median $5,788 | 15 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,457 – $24,094 · median $11,558 | 15 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,384 – $14,039 · median $7,056 | 15 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $11,089 – $25,655 · median $12,257 | 15 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,726 – $29,696 · median $14,066 | 15 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,188 – $18,491 · median $9,050 | 15 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,312 – $13,860 · median $6,976 | 15 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $35,052 – $84,813 · median $38,742 | 15 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $27,777 – $66,853 · median $30,701 | 15 plans |
| 652 | KIDNEY TRANSPLANT | $24,297 – $58,260 · median $26,854 | 15 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $38,669 – $93,743 · median $42,740 | 15 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $21,153 – $50,499 · median $23,380 | 15 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,164 – $38,183 · median $17,866 | 15 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $23,963 – $57,436 · median $26,485 | 15 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $14,070 – $33,013 · median $15,551 | 15 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $12,037 – $27,994 · median $13,304 | 15 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $19,265 – $45,838 · median $21,293 | 15 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,356 – $23,843 · median $11,446 | 15 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,264 – $18,679 · median $9,134 | 15 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $23,069 – $55,229 · median $25,497 | 15 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,806 – $27,424 · median $13,049 | 15 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,348 – $18,886 · median $9,226 | 15 plans |
| 665 | PROSTATECTOMY WITH MCC | $23,505 – $56,306 · median $25,979 | 15 plans |
| 666 | PROSTATECTOMY WITH CC | $13,480 – $31,557 · median $14,899 | 15 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,781 – $19,956 · median $9,705 | 15 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $22,035 – $52,677 · median $24,354 | 15 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $12,039 – $27,998 · median $13,306 | 15 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,839 – $17,630 · median $8,664 | 15 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,814 – $32,382 · median $15,268 | 15 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,586 – $19,474 · median $9,490 | 15 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $31,400 – $75,797 · median $34,705 | 15 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,787 – $42,188 · median $19,659 | 15 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,692 – $29,611 · median $14,028 | 15 plans |
| 682 | RENAL FAILURE WITH MCC | $11,520 – $26,717 · median $12,732 | 15 plans |
| 683 | RENAL FAILURE WITH CC | $7,097 – $15,799 · median $7,845 | 15 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,084 – $10,829 · median $5,619 | 15 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,878 – $32,539 · median $15,339 | 15 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,354 – $18,902 · median $9,234 | 15 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,473 – $14,257 · median $7,154 | 15 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,176 – $20,932 · median $10,142 | 15 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,613 – $14,603 · median $7,309 | 15 plans |
| 693 | URINARY STONES WITH MCC | $10,522 – $24,255 · median $11,630 | 15 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,410 – $14,102 · median $7,085 | 15 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,056 – $20,634 · median $10,009 | 15 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,732 – $12,430 · median $6,336 | 15 plans |
| 697 | URETHRAL STRICTURE | $8,574 – $19,444 · median $9,476 | 15 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,787 – $29,845 · median $14,133 | 15 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,115 – $18,311 · median $8,969 | 15 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,739 – $12,446 · median $6,343 | 15 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $15,314 – $36,085 · median $16,927 | 15 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,909 – $27,677 · median $13,162 | 15 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $17,702 – $41,981 · median $19,566 | 15 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,937 – $25,278 · median $12,088 | 15 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $15,925 – $37,592 · median $17,601 | 15 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,734 – $19,839 · median $9,653 | 15 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,683 – $27,121 · median $12,913 | 15 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,424 – $19,075 · median $9,311 | 15 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $17,046 – $40,361 · median $18,841 | 15 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,447 – $26,537 · median $12,652 | 15 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $14,512 – $34,105 · median $16,040 | 15 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,512 – $24,230 · median $11,619 | 15 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $13,922 – $32,647 · median $15,387 | 15 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,048 – $20,614 · median $10,000 | 15 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,489 – $11,829 · median $6,067 | 15 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,249 – $21,110 · median $10,222 | 15 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,974 – $13,025 · median $6,602 | 15 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,534 – $26,752 · median $12,748 | 15 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,625 – $14,634 · median $7,323 | 15 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,434 – $19,099 · median $9,322 | 15 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,608 – $12,123 · median $6,199 | 15 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,262 – $38,425 · median $17,974 | 15 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,530 – $24,273 · median $11,638 | 15 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $26,818 – $64,484 · median $29,640 | 15 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $15,755 – $37,173 · median $17,414 | 15 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,428 – $26,492 · median $12,631 | 15 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $26,878 – $64,634 · median $29,707 | 15 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,921 – $32,645 · median $15,386 | 15 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,119 – $25,727 · median $12,289 | 15 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $14,105 – $33,100 · median $15,590 | 15 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,764 – $22,382 · median $10,792 | 15 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $15,671 – $36,966 · median $17,321 | 15 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $9,010 – $20,521 · median $9,958 | 15 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $13,391 – $31,337 · median $14,801 | 15 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,980 – $15,509 · median $7,715 | 15 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,835 – $25,027 · median $11,976 | 15 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $19,460 – $46,320 · median $21,508 | 15 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,482 – $26,623 · median $12,690 | 15 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,156 – $33,224 · median $15,646 | 15 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,647 – $19,624 · median $9,557 | 15 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,716 – $17,327 · median $8,529 | 15 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,161 – $25,831 · median $12,336 | 15 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,852 – $17,661 · median $8,678 | 15 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,547 – $11,971 · median $6,131 | 15 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $8,060 – $18,175 · median $8,908 | 15 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,867 – $10,292 · median $5,379 | 15 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $8,528 – $19,332 · median $9,426 | 15 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $13,046 – $30,484 · median $14,419 | 15 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,025 – $18,089 · median $8,869 | 15 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,482 – $11,811 · median $6,059 | 15 plans |
| 779 | ABORTION WITHOUT D&C | $6,845 – $15,177 · median $7,566 | 15 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $18,638 – $44,290 · median $20,600 | 15 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,444 – $19,124 · median $9,333 | 15 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,697 – $17,279 · median $8,507 | 15 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $12,751 – $29,757 · median $14,093 | 15 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,858 – $20,147 · median $9,791 | 15 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,704 – $17,297 · median $8,515 | 15 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $13,867 – $32,512 · median $15,327 | 15 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $44,128 – $107,221 · median $48,774 | 15 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $30,358 – $73,224 · median $33,554 | 15 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $18,595 – $44,184 · median $20,552 | 15 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $31,166 – $75,220 · median $34,447 | 15 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $11,483 – $26,625 · median $12,691 | 15 plans |
| 795 | NORMAL NEWBORN | $1,947 – $3,604 · median $2,339 | 15 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $9,225 – $21,053 · median $10,196 | 15 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $8,008 – $18,047 · median $8,851 | 15 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $7,692 – $17,266 · median $8,501 | 15 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $33,792 – $81,701 · median $37,349 | 15 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $21,227 – $50,682 · median $23,461 | 15 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $14,647 – $34,437 · median $16,188 | 15 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $29,811 – $71,873 · median $32,949 | 15 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $14,281 – $33,535 · median $15,785 | 15 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,606 – $24,462 · median $11,723 | 15 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $8,584 – $19,469 · median $9,487 | 15 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $6,207 – $13,602 · median $6,861 | 15 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,624 – $12,163 · median $6,216 | 15 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $16,831 – $39,831 · median $18,603 | 15 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,948 – $22,837 · median $10,995 | 15 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,346 – $18,881 · median $9,224 | 15 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,959 – $25,334 · median $12,113 | 15 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,407 – $16,564 · median $8,187 | 15 plans |
| 813 | COAGULATION DISORDERS | $11,844 – $27,516 · median $13,090 | 15 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $16,238 – $38,366 · median $17,947 | 15 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $8,107 – $18,293 · median $8,961 | 15 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,316 – $11,401 · median $5,876 | 15 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $17,370 – $41,160 · median $19,198 | 15 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,168 – $20,912 · median $10,133 | 15 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,981 – $15,513 · median $7,716 | 15 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $43,553 – $105,801 · median $48,138 | 15 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,056 – $40,384 · median $18,851 | 15 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,496 – $21,720 · median $10,495 | 15 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $34,200 – $82,710 · median $37,800 | 15 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $17,253 – $40,871 · median $19,069 | 15 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,558 – $24,343 · median $11,670 | 15 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $34,880 – $84,388 · median $38,551 | 15 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $17,586 – $41,694 · median $19,437 | 15 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,148 – $30,737 · median $14,532 | 15 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $23,789 – $57,006 · median $26,293 | 15 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,695 – $27,150 · median $12,926 | 15 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,485 – $21,693 · median $10,483 | 15 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,971 – $13,018 · median $6,599 | 15 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,519 – $9,433 · median $4,994 | 15 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $40,814 – $99,038 · median $45,110 | 15 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $15,939 – $37,628 · median $17,617 | 15 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,609 – $22,000 · median $10,620 | 15 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $35,804 – $86,670 · median $39,573 | 15 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $15,951 – $37,657 · median $17,630 | 15 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,249 – $26,048 · median $12,433 | 15 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $24,336 – $58,358 · median $26,898 | 15 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,619 – $29,430 · median $13,947 | 15 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,081 – $18,228 · median $8,932 | 15 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $15,274 – $35,986 · median $16,882 | 15 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,594 – $21,962 · median $10,603 | 15 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,921 – $15,363 · median $7,649 | 15 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $19,642 – $46,769 · median $21,709 | 15 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $10,257 – $23,600 · median $11,337 | 15 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,905 – $15,323 · median $7,631 | 15 plans |
| 849 | RADIOTHERAPY | $20,497 – $48,879 · median $22,654 | 15 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $63,975 – $156,217 · median $70,709 | 15 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $36,785 – $89,092 · median $40,658 | 15 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,298 – $36,046 · median $16,909 | 15 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,638 – $27,009 · median $12,863 | 15 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $33,936 – $82,059 · median $37,509 | 15 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $16,346 – $38,633 · median $18,067 | 15 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,876 – $25,128 · median $12,021 | 15 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $14,024 – $32,900 · median $15,500 | 15 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,990 – $18,002 · median $8,831 | 15 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,184 – $16,014 · median $7,941 | 15 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,646 – $27,029 · median $12,872 | 15 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,052 – $15,688 · median $7,794 | 15 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,993 – $37,761 · median $17,677 | 15 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,232 – $18,601 · median $9,099 | 15 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,030 – $13,164 · median $6,665 | 15 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $51,204 – $124,689 · median $56,594 | 15 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,892 – $35,043 · median $16,460 | 15 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,175 – $18,460 · median $9,036 | 15 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $28,940 – $69,723 · median $31,986 | 15 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,714 – $17,322 · median $8,526 | 15 plans |
| 881 | DEPRESSIVE NEUROSES | $7,573 – $16,974 · median $8,370 | 15 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,544 – $19,371 · median $9,444 | 15 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $15,066 – $35,472 · median $16,652 | 15 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,454 – $29,025 · median $13,765 | 15 plans |
| 885 | PSYCHOSES | $10,905 – $25,198 · median $12,052 | 15 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $15,863 – $37,438 · median $17,532 | 15 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,523 – $19,319 · median $9,420 | 15 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,206 – $11,129 · median $5,754 | 15 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $11,042 – $25,537 · median $12,204 | 15 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $13,450 – $31,482 · median $14,865 | 15 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $7,149 – $15,926 · median $7,901 | 15 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $31,363 – $75,707 · median $34,665 | 15 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,687 – $34,538 · median $16,234 | 15 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,244 – $21,100 · median $10,217 | 15 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $27,538 – $66,263 · median $30,437 | 15 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,537 – $26,761 · median $12,752 | 15 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $15,051 – $35,436 · median $16,636 | 15 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $28,753 – $69,261 · median $31,779 | 15 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $15,277 – $35,993 · median $16,885 | 15 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,290 – $23,681 · median $11,373 | 15 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,642 – $29,488 · median $13,973 | 15 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,168 – $15,974 · median $7,923 | 15 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,986 – $30,336 · median $14,353 | 15 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,567 – $12,020 · median $6,153 | 15 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $12,158 – $28,294 · median $13,438 | 15 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,961 – $15,462 · median $7,694 | 15 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $14,076 – $33,028 · median $15,558 | 15 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $8,022 – $18,081 · median $8,866 | 15 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,728 – $12,419 · median $6,331 | 15 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,481 – $31,559 · median $14,900 | 15 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $8,134 – $18,359 · median $8,991 | 15 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $156,712 – $385,163 · median $173,207 | 15 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $53,111 – $129,396 · median $58,701 | 15 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $24,233 – $58,103 · median $26,784 | 15 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $29,154 – $70,251 · median $32,222 | 15 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $16,851 – $39,879 · median $18,625 | 15 plans |
| 935 | NON-EXTENSIVE BURNS | $15,751 – $37,162 · median $17,409 | 15 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $27,212 – $65,458 · median $30,077 | 15 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $17,774 – $42,158 · median $19,645 | 15 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $15,515 – $36,580 · median $17,148 | 15 plans |
| 945 | REHABILITATION WITH CC/MCC | $12,014 – $27,937 · median $13,278 | 15 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $9,078 – $20,688 · median $10,033 | 15 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,974 – $22,900 · median $11,023 | 15 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,547 – $14,441 · median $7,236 | 15 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,391 – $21,462 · median $10,380 | 15 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,285 – $11,324 · median $5,841 | 15 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,761 – $10,030 · median $5,262 | 15 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $49,884 – $121,429 · median $55,135 | 15 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $28,195 – $67,885 · median $31,163 | 15 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $56,378 – $137,463 · median $62,313 | 15 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $31,490 – $76,019 · median $34,805 | 15 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $22,211 – $53,112 · median $24,549 | 15 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $20,674 – $49,318 · median $22,851 | 15 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,897 – $27,648 · median $13,149 | 15 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,570 – $16,967 · median $8,367 | 15 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $45,428 – $110,428 · median $50,210 | 15 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $19,970 – $47,579 · median $22,072 | 15 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $21,787 – $52,063 · median $24,080 | 15 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,161 – $23,362 · median $11,230 | 15 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,294 – $16,285 · median $8,062 | 15 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,180 – $23,411 · median $11,252 | 15 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $34,982 – $84,640 · median $38,664 | 15 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,663 – $44,351 · median $20,627 | 15 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,222 – $30,921 · median $14,614 | 15 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $25,750 – $61,848 · median $28,460 | 15 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,708 – $29,651 · median $14,046 | 15 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,461 – $21,634 · median $10,456 | 15 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $83,407 – $204,191 · median $91,309 | 14 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $42,400 – $102,952 · median $46,416 | 14 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $18,397 – $43,696 · median $20,140 | 14 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $25,825 – $62,032 · median $28,271 | 14 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $18,340 – $43,554 · median $20,077 | 14 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $18,305 – $18,305 · median $18,305 | 1 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $11,813 – $11,813 · median $11,813 | 1 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $7,893 – $7,893 · median $7,893 | 1 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $14,537 – $14,537 · median $14,537 | 1 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $9,350 – $9,350 · median $9,350 | 1 plans |
| 509 | ARTHROSCOPY | $20,795 – $20,795 · median $20,795 | 1 plans |
No procedures match that keyword.