Midwest Surgical Hospital Llc — Pricing
764 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 764 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Showing all 764 procedures
Procedures with negotiated rates only
These 764 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 |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $159,135 – $250,131 · median $187,214 | 3 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $109,721 – $169,724 · median $129,081 | 3 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $38,487 – $63,842 · median $45,277 | 3 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $29,893 – $48,321 · median $35,167 | 3 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $20,046 – $34,958 · median $23,583 | 3 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $63,089 – $114,989 · median $74,221 | 3 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $45,839 – $83,915 · median $53,928 | 3 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $25,950 – $53,871 · median $30,529 | 3 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $42,312 – $70,840 · median $49,778 | 3 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $28,280 – $48,807 · median $33,269 | 3 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $32,961 – $56,121 · median $38,777 | 3 plans |
| 026 | CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMPLICATION | $22,042 – $37,370 · median $25,931 | 3 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $18,159 – $30,843 · median $21,363 | 3 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $44,979 – $72,646 · median $52,915 | 3 plans |
| 029 | SPINAL PROCEDURES WITH COMPLICATION OR SPINAL NEUROSTIMULATORS | $25,588 – $42,242 · median $30,103 | 3 plans |
| 030 | SPINAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $17,309 – $28,937 · median $20,363 | 3 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $30,726 – $50,936 · median $36,148 | 3 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,076 – $25,394 · median $18,913 | 3 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,113 – $20,993 · median $14,251 | 3 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $29,120 – $49,433 · median $34,258 | 3 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,163 – $28,228 · median $20,192 | 3 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,496 – $23,245 · median $15,878 | 3 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $25,195 – $41,690 · median $29,641 | 3 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,942 – $20,215 · median $14,049 | 3 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,516 – $14,247 · median $10,019 | 3 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $28,740 – $46,825 · median $33,811 | 3 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $16,650 – $28,899 · median $19,588 | 3 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,986 – $22,862 · median $15,277 | 3 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,514 – $22,005 · median $17,075 | 3 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,343 – $12,642 · median $8,639 | 3 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,998 – $17,143 · median $12,939 | 3 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,010 – $12,463 · median $9,424 | 3 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $17,869 – $27,573 · median $21,022 | 3 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,175 – $16,087 · median $11,970 | 3 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $12,897 – $21,325 · median $15,173 | 3 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,861 – $14,134 · median $10,425 | 3 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,698 – $11,202 · median $7,880 | 3 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $20,920 – $36,247 · median $24,611 | 3 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,970 – $23,697 · median $16,435 | 3 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $11,097 – $19,541 · median $13,056 | 3 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,950 – $24,374 · median $17,588 | 3 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,586 – $12,563 · median $8,925 | 3 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,132 – $8,633 · median $6,037 | 3 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,576 – $17,478 · median $12,442 | 3 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,501 – $11,170 · median $7,648 | 3 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,962 – $9,862 · median $7,013 | 3 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $13,357 – $21,311 · median $15,714 | 3 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $7,925 – $13,213 · median $9,324 | 3 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,844 – $9,542 · median $6,876 | 3 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,293 – $18,531 · median $13,286 | 3 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,660 – $12,652 · median $9,011 | 3 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $14,285 – $22,557 · median $16,805 | 3 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,886 – $12,203 · median $8,100 | 3 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $11,277 – $19,334 · median $13,267 | 3 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,590 – $12,271 · median $8,929 | 3 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,529 – $9,071 · median $6,505 | 3 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $16,486 – $25,212 · median $19,395 | 3 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,789 – $11,105 · median $7,986 | 3 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $17,005 – $27,999 · median $20,006 | 3 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,124 – $16,664 · median $11,911 | 3 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,865 – $11,328 · median $8,076 | 3 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,964 – $28,869 · median $19,957 | 3 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,831 – $16,064 · median $11,565 | 3 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,615 – $10,783 · median $7,782 | 3 plans |
| 088 | CONCUSSION WITH MCC | $11,448 – $19,483 · median $13,468 | 3 plans |
| 089 | CONCUSSION WITH CC | $8,583 – $14,433 · median $10,097 | 3 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,977 – $10,174 · median $8,208 | 3 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $13,355 – $21,351 · median $15,711 | 3 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,659 – $12,290 · median $9,010 | 3 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,780 – $9,453 · median $6,800 | 3 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $27,040 – $44,168 · median $31,811 | 3 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $17,796 – $31,602 · median $20,936 | 3 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $16,269 – $28,234 · median $19,140 | 3 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $27,146 – $48,058 · median $31,936 | 3 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $16,081 – $25,761 · median $18,919 | 3 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $9,854 – $17,285 · median $11,593 | 3 plans |
| 100 | SEIZURES WITH MCC | $14,797 – $23,744 · median $17,408 | 3 plans |
| 101 | SEIZURES WITHOUT MCC | $6,789 – $11,143 · median $7,987 | 3 plans |
| 102 | HEADACHES WITH MCC | $9,006 – $14,213 · median $10,595 | 3 plans |
| 103 | HEADACHES WITHOUT MCC | $6,288 – $10,290 · median $7,397 | 3 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $18,714 – $27,752 · median $22,017 | 3 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,194 – $16,103 · median $10,816 | 3 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,677 – $18,776 · median $13,737 | 3 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $13,665 – $23,317 · median $16,076 | 3 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,945 – $12,271 · median $10,523 | 3 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,563 – $15,145 · median $11,250 | 3 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,557 – $8,538 · median $6,537 | 3 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,001 – $9,811 · median $7,060 | 3 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,867 – $17,313 · median $11,608 | 3 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,953 – $10,656 · median $7,003 | 3 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $19,795 – $30,291 · median $23,288 | 3 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,009 – $14,341 · median $8,246 | 3 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,231 – $18,535 · median $13,213 | 3 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,462 – $10,930 · median $7,602 | 3 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,865 – $15,543 · median $10,429 | 3 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $28,200 – $51,372 · median $33,176 | 3 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,463 – $27,595 · median $18,192 | 3 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,532 – $21,033 · median $13,567 | 3 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $24,822 – $39,213 · median $29,202 | 3 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,916 – $22,363 · median $15,196 | 3 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,114 – $14,928 · median $10,722 | 3 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $15,757 – $24,896 · median $18,537 | 3 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,224 – $14,969 · median $10,852 | 3 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,641 – $10,106 · median $7,812 | 3 plans |
| 149 | DYSEQUILIBRIUM | $5,558 – $9,332 · median $6,539 | 3 plans |
| 150 | EPISTAXIS WITH MCC | $9,811 – $17,048 · median $11,543 | 3 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,753 – $9,530 · median $6,768 | 3 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,869 – $14,804 · median $10,434 | 3 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,485 – $8,535 · median $6,452 | 3 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,481 – $18,576 · median $13,507 | 3 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,065 – $11,363 · median $8,312 | 3 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,893 – $8,426 · median $5,756 | 3 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,741 – $20,663 · median $14,989 | 3 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,005 – $11,484 · median $8,241 | 3 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,040 – $9,269 · median $5,929 | 3 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $35,182 – $59,868 · median $41,390 | 3 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $19,036 – $31,922 · median $22,395 | 3 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $14,005 – $23,816 · median $16,477 | 3 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $30,287 – $45,309 · median $35,632 | 3 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,583 – $23,498 · median $15,980 | 3 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,119 – $17,522 · median $11,904 | 3 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,472 – $17,264 · median $12,320 | 3 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,088 – $10,106 · median $7,162 | 3 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,662 – $22,000 · median $14,896 | 3 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,365 – $13,435 · median $8,664 | 3 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,697 – $9,708 · median $6,703 | 3 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $12,974 – $20,937 · median $15,263 | 3 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,219 – $14,013 · median $9,669 | 3 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,665 – $10,970 · median $6,665 | 3 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,752 – $18,567 · median $13,826 | 3 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,851 – $12,919 · median $9,237 | 3 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,641 – $9,332 · median $6,636 | 3 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,585 – $18,871 · median $13,629 | 3 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,436 – $12,927 · median $8,749 | 3 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,572 – $8,949 · median $6,555 | 3 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,196 – $14,919 · median $10,818 | 3 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,225 – $13,417 · median $9,677 | 3 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,337 – $10,682 · median $7,455 | 3 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,790 – $8,060 · median $5,636 | 3 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,902 – $16,052 · median $11,649 | 3 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,137 – $10,385 · median $7,220 | 3 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,669 – $7,933 · median $5,493 | 3 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $14,147 – $21,478 · median $16,644 | 3 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,445 – $12,157 · median $8,759 | 3 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,808 – $8,787 · median $6,833 | 3 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,242 – $21,736 · median $15,578 | 3 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,039 – $13,250 · median $9,457 | 3 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,270 – $8,997 · median $6,200 | 3 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,147 – $11,443 · median $8,408 | 3 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,187 – $8,245 · median $6,102 | 3 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,142 – $10,004 · median $7,226 | 3 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $13,512 – $22,013 · median $15,896 | 3 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,818 – $11,042 · median $8,021 | 3 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $51,561 – $81,155 · median $60,659 | 3 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $20,181 – $32,137 · median $23,742 | 3 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $76,243 – $127,348 · median $89,696 | 3 plans |
| 216 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMORBITY | $72,440 – $120,410 · median $85,222 | 3 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $47,511 – $78,471 · median $55,894 | 3 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $42,520 – $73,402 · median $50,023 | 3 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $57,556 – $100,466 · median $67,712 | 3 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $39,146 – $67,178 · median $46,053 | 3 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $34,697 – $58,483 · median $40,819 | 3 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $37,609 – $60,914 · median $44,245 | 3 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $23,733 – $40,799 · median $27,920 | 3 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $60,572 – $103,740 · median $71,260 | 3 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $44,400 – $72,402 · median $52,235 | 3 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $58,216 – $95,727 · median $68,488 | 3 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $38,797 – $64,103 · median $45,643 | 3 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $43,893 – $74,036 · median $51,638 | 3 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $30,164 – $50,409 · median $35,486 | 3 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $35,878 – $57,475 · median $42,209 | 3 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $20,968 – $33,548 · median $24,668 | 3 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $10,373 – $19,144 · median $12,204 | 3 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $25,789 – $42,932 · median $30,339 | 3 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $17,000 – $28,972 · median $20,000 | 3 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,655 – $23,498 · median $16,065 | 3 plans |
| 245 | AICD GENERATOR PROCEDURES | $33,822 – $60,267 · median $39,790 | 3 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $17,546 – $29,907 · median $20,642 | 3 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,845 – $20,089 · median $13,935 | 3 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $25,033 – $41,323 · median $29,450 | 3 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $19,041 – $33,051 · median $22,401 | 3 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $12,951 – $22,600 · median $15,236 | 3 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $20,507 – $31,711 · median $24,125 | 3 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,239 – $20,174 · median $14,398 | 3 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,397 – $12,962 · median $8,702 | 3 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $20,217 – $35,242 · median $23,784 | 3 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $13,932 – $24,647 · median $16,391 | 3 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $24,745 – $43,243 · median $29,111 | 3 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,046 – $23,617 · median $16,524 | 3 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $12,281 – $20,725 · median $14,447 | 3 plans |
| 263 | VEIN LIGATION AND STRIPPING | $21,087 – $34,435 · median $24,808 | 3 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $24,377 – $40,908 · median $28,679 | 3 plans |
| 265 | AICD LEAD PROCEDURES | $26,379 – $41,803 · median $31,033 | 3 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $46,621 – $81,585 · median $54,847 | 3 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $36,426 – $63,785 · median $42,853 | 3 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $51,163 – $85,541 · median $60,191 | 3 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $31,040 – $52,855 · median $36,517 | 3 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $37,745 – $63,192 · median $44,405 | 3 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $25,797 – $43,060 · median $30,349 | 3 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $18,208 – $32,092 · median $21,421 | 3 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $29,087 – $49,601 · median $34,220 | 3 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $24,189 – $41,523 · median $28,457 | 3 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $11,842 – $19,855 · median $13,931 | 3 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,815 – $11,354 · median $8,017 | 3 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,360 – $8,858 · median $6,306 | 3 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $14,715 – $23,714 · median $17,311 | 3 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,521 – $9,090 · median $6,495 | 3 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,648 – $6,697 · median $4,291 | 3 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $16,089 – $26,216 · median $18,928 | 3 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,073 – $13,598 · median $9,498 | 3 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $19,354 – $33,329 · median $22,769 | 3 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $11,030 – $19,864 · median $12,976 | 3 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,652 – $14,902 · median $9,002 | 3 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,583 – $15,818 · median $11,274 | 3 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,393 – $10,664 · median $7,521 | 3 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,191 – $6,925 · median $4,931 | 3 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $8,163 – $14,270 · median $9,604 | 3 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $4,714 – $10,947 · median $5,545 | 3 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,966 – $20,249 · median $14,078 | 3 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,438 – $7,865 · median $6,398 | 3 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,276 – $6,038 · median $3,854 | 3 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $11,765 – $19,010 · median $13,841 | 3 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,964 – $12,744 · median $9,369 | 3 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,298 – $8,852 · median $6,233 | 3 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,368 – $14,904 · median $9,844 | 3 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,912 – $8,357 · median $5,779 | 3 plans |
| 304 | HYPERTENSION WITH MCC | $8,576 – $13,579 · median $10,089 | 3 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,624 – $9,216 · median $6,616 | 3 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,471 – $18,241 · median $13,495 | 3 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,036 – $11,265 · median $8,277 | 3 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,973 – $14,493 · median $10,557 | 3 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,558 – $9,117 · median $6,539 | 3 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,128 – $6,813 · median $4,856 | 3 plans |
| 311 | ANGINA PECTORIS | $5,211 – $8,258 · median $6,130 | 3 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,445 – $10,539 · median $7,582 | 3 plans |
| 313 | CHEST PAIN | $5,401 – $8,941 · median $6,354 | 3 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $15,626 – $25,741 · median $18,383 | 3 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,220 – $11,971 · median $8,494 | 3 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,170 – $8,430 · median $6,083 | 3 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $32,557 – $53,230 · median $38,302 | 3 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $16,615 – $30,547 · median $19,547 | 3 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $37,910 – $63,268 · median $44,599 | 3 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $18,641 – $31,658 · median $21,930 | 3 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,922 – $20,489 · median $14,026 | 3 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $33,713 – $57,144 · median $39,662 | 3 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,705 – $30,349 · median $20,829 | 3 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,480 – $21,121 · median $14,682 | 3 plans |
| 332 | RECTAL RESECTION WITH MCC | $27,076 – $50,185 · median $31,854 | 3 plans |
| 333 | RECTAL RESECTION WITH CC | $15,521 – $27,601 · median $18,260 | 3 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $11,980 – $21,191 · median $14,094 | 3 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $26,684 – $45,532 · median $31,392 | 3 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $15,714 – $26,290 · median $18,487 | 3 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,169 – $19,473 · median $13,140 | 3 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $20,454 – $32,538 · median $24,063 | 3 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,499 – $19,177 · median $13,528 | 3 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,612 – $15,459 · median $11,308 | 3 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $19,026 – $31,372 · median $22,384 | 3 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,714 – $17,069 · median $11,428 | 3 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,283 – $12,325 · median $8,569 | 3 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $17,914 – $29,133 · median $21,074 | 3 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $10,865 – $18,172 · median $12,782 | 3 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,278 – $13,622 · median $9,738 | 3 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $21,827 – $35,446 · median $25,678 | 3 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,822 – $21,655 · median $15,084 | 3 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,170 – $16,962 · median $11,965 | 3 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $31,936 – $52,190 · median $37,571 | 3 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $16,397 – $27,763 · median $19,290 | 3 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,562 – $17,146 · median $11,249 | 3 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,331 – $21,682 · median $14,506 | 3 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,377 – $12,633 · median $8,678 | 3 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,551 – $9,254 · median $6,530 | 3 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,045 – $20,911 · median $15,347 | 3 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,780 – $12,582 · median $9,152 | 3 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,348 – $8,973 · median $6,292 | 3 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $15,667 – $24,637 · median $18,431 | 3 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,944 – $14,889 · median $10,522 | 3 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,653 – $10,850 · median $7,827 | 3 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,363 – $21,976 · median $15,721 | 3 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,343 – $12,175 · median $8,639 | 3 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,726 – $7,834 · median $5,560 | 3 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,544 – $23,535 · median $17,110 | 3 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,009 – $13,046 · median $9,422 | 3 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,651 – $9,515 · median $6,648 | 3 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,436 – $16,810 · median $12,278 | 3 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,536 – $11,144 · median $7,690 | 3 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,695 – $20,131 · median $13,759 | 3 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,252 – $12,234 · median $8,532 | 3 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,106 – $8,548 · median $6,007 | 3 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,849 – $18,137 · median $12,763 | 3 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,944 – $9,976 · median $6,993 | 3 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,172 – $6,990 · median $4,909 | 3 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,522 – $15,870 · median $11,202 | 3 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,864 – $9,735 · median $6,898 | 3 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,089 – $19,916 · median $14,222 | 3 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,993 – $11,655 · median $8,227 | 3 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,833 – $7,971 · median $5,686 | 3 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $41,091 – $68,498 · median $48,341 | 3 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $21,552 – $36,211 · median $25,354 | 3 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $16,055 – $27,510 · median $18,888 | 3 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $27,783 – $45,355 · median $32,685 | 3 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $14,609 – $26,344 · median $17,187 | 3 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,683 – $20,984 · median $13,744 | 3 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $21,500 – $41,755 · median $25,294 | 3 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $15,268 – $28,375 · median $17,962 | 3 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $11,268 – $20,028 · median $13,256 | 3 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $26,312 – $43,689 · median $30,955 | 3 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $14,747 – $24,720 · median $17,350 | 3 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $9,996 – $17,012 · median $11,760 | 3 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $17,300 – $29,388 · median $20,353 | 3 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,201 – $20,530 · median $14,354 | 3 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,802 – $16,130 · median $11,531 | 3 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $23,891 – $40,308 · median $28,106 | 3 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,760 – $22,391 · median $15,012 | 3 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,532 – $17,126 · median $12,390 | 3 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $29,191 – $48,598 · median $34,342 | 3 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $15,580 – $29,276 · median $18,329 | 3 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,957 – $17,682 · median $14,066 | 3 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,301 – $23,338 · median $16,824 | 3 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,695 – $12,852 · median $9,053 | 3 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,997 – $7,758 · median $5,879 | 3 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,136 – $21,608 · median $15,454 | 3 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,216 – $13,601 · median $9,665 | 3 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,203 – $10,455 · median $7,298 | 3 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,456 – $20,485 · median $14,654 | 3 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,383 – $10,751 · median $7,510 | 3 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,595 – $7,495 · median $5,406 | 3 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,646 – $23,420 · median $16,053 | 3 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,102 – $11,693 · median $8,355 | 3 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,335 – $8,057 · median $6,276 | 3 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,190 – $20,576 · median $14,341 | 3 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,112 – $13,591 · median $9,543 | 3 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,982 – $10,033 · median $7,038 | 3 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $66,141 – $113,153 · median $77,812 | 3 plans |
| 454 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION | $45,652 – $75,284 · median $53,707 | 3 plans |
| 455 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION/COMORBITY | $34,376 – $59,180 · median $40,442 | 3 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $62,917 – $104,432 · median $74,019 | 3 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $45,346 – $74,615 · median $53,347 | 3 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $33,819 – $59,490 · median $39,787 | 3 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $49,503 – $81,984 · median $58,238 | 3 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT COMORBITY | $27,303 – $46,548 · median $32,120 | 3 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $50,893 – $79,292 · median $59,873 | 3 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY WITHOUT COMORBITY | $21,245 – $36,902 · median $24,993 | 3 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $42,274 – $64,786 · median $49,733 | 3 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,402 – $36,922 · median $26,355 | 3 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,964 – $24,630 · median $16,427 | 3 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $38,713 – $64,829 · median $45,544 | 3 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION | $26,022 – $44,816 · median $30,613 | 3 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY | $19,926 – $34,476 · median $23,442 | 3 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT | $24,854 – $39,940 · median $29,239 | 3 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY | $14,045 – $23,631 · median $16,523 | 3 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $36,715 – $62,257 · median $43,194 | 3 plans |
| 472 | CERVICAL SPINAL FUSION WITH COMPLICATION | $22,059 – $37,958 · median $25,951 | 3 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY | $18,366 – $31,334 · median $21,607 | 3 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $32,116 – $50,638 · median $37,783 | 3 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,008 – $27,454 · median $18,833 | 3 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,784 – $15,172 · median $10,334 | 3 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $25,146 – $42,059 · median $29,583 | 3 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,792 – $29,032 · median $20,931 | 3 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,913 – $21,857 · median $16,368 | 3 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $22,011 – $36,660 · median $25,894 | 3 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,487 – $26,109 · median $18,220 | 3 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,856 – $20,346 · median $13,948 | 3 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $18,542 – $29,140 · median $21,814 | 3 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $24,586 – $40,182 · median $28,925 | 3 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $14,990 – $25,783 · median $17,635 | 3 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,531 – $19,825 · median $13,566 | 3 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $15,724 – $28,047 · median $18,498 | 3 plans |
| 489 | KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY | $9,238 – $16,433 · median $10,868 | 3 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $25,841 – $43,086 · median $30,401 | 3 plans |
| 493 | LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR WITH COMPLICATION | $17,926 – $29,365 · median $21,089 | 3 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $13,952 – $23,346 · median $16,413 | 3 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $26,730 – $45,910 · median $31,447 | 3 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,835 – $25,952 · median $17,452 | 3 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $10,654 – $18,808 · median $12,534 | 3 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $19,489 – $31,680 · median $22,927 | 3 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $9,627 – $16,299 · median $11,326 | 3 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $24,204 – $39,608 · median $28,475 | 3 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $12,955 – $21,726 · median $15,241 | 3 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT COMPLICATION/COMORBITY | $10,320 – $16,989 · median $12,141 | 3 plans |
| 503 | FOOT PROCEDURES WITH MCC | $20,018 – $31,312 · median $23,550 | 3 plans |
| 504 | FOOT PROCEDURES WITH CC | $12,891 – $21,937 · median $15,166 | 3 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $12,731 – $21,838 · median $14,978 | 3 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,917 – $17,425 · median $12,843 | 3 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $15,911 – $22,925 · median $18,718 | 3 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,703 – $17,900 · median $12,592 | 3 plans |
| 509 | ARTHROSCOPY | $9,899 – $18,761 · median $11,645 | 3 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $20,307 – $35,697 · median $23,890 | 3 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $14,882 – $24,460 · median $17,508 | 3 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,045 – $19,856 · median $14,171 | 3 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,099 – $19,702 · median $14,234 | 3 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,774 – $12,764 · median $9,145 | 3 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $23,597 – $38,536 · median $27,761 | 3 plans |
| 516 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMPLICATION | $15,233 – $25,138 · median $17,920 | 3 plans |
| 517 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITHOUT COMPLICATION/COMORBITY | $11,154 – $18,662 · median $13,122 | 3 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $27,257 – $46,074 · median $32,066 | 3 plans |
| 519 | BACK & NECK PROC EXC SPINAL FUSION WITH COMPLICATION | $14,694 – $24,711 · median $17,286 | 3 plans |
| 520 | BACK & NECK PROC EXC SPINAL FUSION WITHOUT COMPLICATION/COMORBITY | $10,685 – $18,290 · median $12,570 | 3 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $22,349 – $37,317 · median $26,292 | 3 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,765 – $26,857 · median $18,547 | 3 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $12,177 – $17,629 · median $14,325 | 3 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,046 – $9,837 · median $7,113 | 3 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,679 – $15,938 · median $11,386 | 3 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,875 – $9,605 · median $6,912 | 3 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,218 – $12,278 · median $8,491 | 3 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,293 – $8,605 · median $6,227 | 3 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,812 – $24,669 · median $17,425 | 3 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,690 – $16,644 · median $11,399 | 3 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,403 – $10,110 · median $7,533 | 3 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,612 – $22,594 · median $16,014 | 3 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,141 – $13,460 · median $9,577 | 3 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,729 – $9,617 · median $6,739 | 3 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $18,609 – $31,006 · median $21,893 | 3 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,952 – $14,901 · median $10,531 | 3 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,071 – $11,307 · median $7,142 | 3 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,553 – $23,977 · median $17,121 | 3 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,003 – $14,977 · median $10,592 | 3 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,873 – $12,957 · median $8,086 | 3 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,703 – $20,683 · median $14,944 | 3 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,212 – $11,872 · median $8,485 | 3 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,088 – $16,388 · median $11,868 | 3 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,134 – $10,138 · median $7,216 | 3 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,442 – $16,454 · median $12,285 | 3 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,153 – $9,987 · median $7,239 | 3 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,620 – $17,698 · median $13,670 | 3 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,556 – $10,741 · median $7,713 | 3 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,812 – $22,063 · median $16,249 | 3 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,450 – $13,542 · median $9,941 | 3 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,823 – $9,767 · median $6,851 | 3 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $11,351 – $18,080 · median $13,353 | 3 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,685 – $10,644 · median $7,864 | 3 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,658 – $19,199 · median $13,715 | 3 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,460 – $12,204 · median $8,776 | 3 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,602 – $9,180 · median $6,590 | 3 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $21,811 – $36,055 · median $25,660 | 3 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,628 – $20,377 · median $14,857 | 3 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,506 – $14,877 · median $10,007 | 3 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $46,412 – $72,559 · median $54,601 | 3 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $25,421 – $44,553 · median $29,906 | 3 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $15,271 – $25,333 · median $17,966 | 3 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $42,419 – $69,822 · median $49,903 | 3 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $19,773 – $32,367 · median $23,262 | 3 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,021 – $21,167 · median $14,142 | 3 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $24,946 – $38,955 · median $29,348 | 3 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,037 – $21,459 · median $15,337 | 3 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,052 – $17,446 · median $11,825 | 3 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $12,443 – $23,914 · median $14,639 | 3 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $11,359 – $18,673 · median $13,364 | 3 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $14,619 – $26,398 · median $17,198 | 3 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $12,569 – $22,756 · median $14,787 | 3 plans |
| 592 | SKIN ULCERS WITH MCC | $15,601 – $22,050 · median $18,353 | 3 plans |
| 593 | SKIN ULCERS WITH CC | $9,031 – $14,237 · median $10,624 | 3 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,877 – $9,565 · median $6,914 | 3 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $16,234 – $26,468 · median $19,099 | 3 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,531 – $13,495 · median $8,860 | 3 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $11,946 – $20,814 · median $14,054 | 3 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,948 – $13,202 · median $10,527 | 3 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,638 – $9,240 · median $5,457 | 3 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,654 – $12,868 · median $9,005 | 3 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,647 – $8,700 · median $5,467 | 3 plans |
| 602 | CELLULITIS WITH MCC | $11,103 – $17,813 · median $13,062 | 3 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,603 – $10,899 · median $7,769 | 3 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,242 – $18,654 · median $13,226 | 3 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,783 – $11,253 · median $7,980 | 3 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,836 – $18,971 · median $13,925 | 3 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,669 – $10,484 · median $7,846 | 3 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $16,812 – $29,045 · median $19,778 | 3 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,980 – $18,241 · median $12,918 | 3 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $29,540 – $46,529 · median $34,753 | 3 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,812 – $24,028 · median $17,426 | 3 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,669 – $14,497 · median $10,199 | 3 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $19,321 – $35,741 · median $22,730 | 3 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,108 – $20,834 · median $14,245 | 3 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,325 – $19,220 · median $13,323 | 3 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $28,554 – $44,757 · median $33,593 | 3 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,893 – $23,294 · median $16,345 | 3 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,319 – $12,224 · median $9,786 | 3 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $21,804 – $35,562 · median $25,651 | 3 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,136 – $20,013 · median $13,100 | 3 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,226 – $15,770 · median $10,853 | 3 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $29,964 – $45,050 · median $35,251 | 3 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $16,890 – $27,733 · median $19,870 | 3 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,422 – $17,356 · median $12,261 | 3 plans |
| 637 | DIABETES WITH MCC | $10,818 – $17,251 · median $12,726 | 3 plans |
| 638 | DIABETES WITH CC | $6,713 – $10,827 · median $7,898 | 3 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,646 – $7,426 · median $5,466 | 3 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $9,817 – $15,639 · median $11,549 | 3 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,832 – $9,520 · median $6,861 | 3 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $9,728 – $17,345 · median $11,444 | 3 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,279 – $20,316 · median $14,446 | 3 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,925 – $12,596 · median $9,323 | 3 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,679 – $9,179 · median $6,681 | 3 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $40,407 – $68,681 · median $47,537 | 3 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $20,433 – $35,133 · median $24,038 | 3 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $15,733 – $26,682 · median $18,509 | 3 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $23,419 – $40,854 · median $27,551 | 3 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,765 – $23,212 · median $16,194 | 3 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,050 – $19,516 · median $12,999 | 3 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $19,324 – $31,850 · median $22,733 | 3 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,046 – $17,442 · median $11,818 | 3 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,825 – $13,323 · median $9,206 | 3 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $22,367 – $37,558 · median $26,314 | 3 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $10,890 – $18,849 · median $12,811 | 3 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,924 – $13,926 · median $9,322 | 3 plans |
| 665 | PROSTATECTOMY WITH MCC | $23,057 – $37,825 · median $27,125 | 3 plans |
| 666 | PROSTATECTOMY WITH CC | $12,819 – $21,283 · median $15,080 | 3 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,834 – $12,161 · median $9,217 | 3 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $21,034 – $34,891 · median $24,745 | 3 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,454 – $19,457 · median $13,475 | 3 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,185 – $12,206 · median $8,453 | 3 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $12,778 – $22,637 · median $15,032 | 3 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,887 – $12,875 · median $8,102 | 3 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $27,602 – $43,186 · median $32,472 | 3 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,781 – $29,299 · median $20,918 | 3 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,842 – $20,844 · median $13,931 | 3 plans |
| 682 | RENAL FAILURE WITH MCC | $11,202 – $18,374 · median $13,179 | 3 plans |
| 683 | RENAL FAILURE WITH CC | $6,724 – $11,061 · median $7,910 | 3 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,542 – $7,475 · median $5,343 | 3 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,729 – $20,985 · median $16,152 | 3 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,802 – $12,852 · median $9,179 | 3 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,829 – $10,709 · median $6,857 | 3 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,766 – $14,178 · median $10,312 | 3 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,023 – $9,834 · median $7,085 | 3 plans |
| 693 | URINARY STONES WITH MCC | $10,571 – $17,685 · median $12,437 | 3 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,842 – $9,852 · median $6,873 | 3 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,927 – $14,193 · median $10,502 | 3 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,166 – $8,565 · median $6,077 | 3 plans |
| 697 | URETHRAL STRICTURE | $8,308 – $12,266 · median $9,774 | 3 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,348 – $19,807 · median $14,527 | 3 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,619 – $12,510 · median $8,964 | 3 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,287 – $9,156 · median $6,220 | 3 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,644 – $24,662 · median $17,227 | 3 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,886 – $18,351 · median $12,807 | 3 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $15,824 – $29,812 · median $18,616 | 3 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,213 – $17,816 · median $10,838 | 3 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $15,845 – $25,256 · median $18,641 | 3 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,870 – $15,346 · median $10,435 | 3 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,828 – $18,316 · median $12,739 | 3 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,154 – $11,843 · median $8,417 | 3 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $16,477 – $27,602 · median $19,384 | 3 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,615 – $16,245 · median $12,488 | 3 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,537 – $21,881 · median $15,926 | 3 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,776 – $15,685 · median $10,325 | 3 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $13,994 – $20,984 · median $16,463 | 3 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,317 – $14,244 · median $9,785 | 3 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,042 – $9,457 · median $7,108 | 3 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,262 – $15,441 · median $10,896 | 3 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,455 – $9,537 · median $6,418 | 3 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $12,099 – $17,759 · median $14,234 | 3 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,972 – $10,156 · median $7,026 | 3 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,493 – $13,322 · median $8,815 | 3 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,640 – $8,106 · median $5,458 | 3 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,224 – $27,009 · median $19,086 | 3 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,406 – $15,724 · median $11,066 | 3 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $29,014 – $52,718 · median $34,134 | 3 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $14,732 – $25,010 · median $17,332 | 3 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,185 – $17,351 · median $11,983 | 3 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $26,992 – $48,232 · median $31,755 | 3 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,338 – $22,278 · median $15,692 | 3 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,698 – $16,227 · median $11,409 | 3 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,300 – $22,274 · median $15,647 | 3 plans |
| 743 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $8,673 – $14,469 · median $10,204 | 3 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $14,050 – $23,463 · median $16,529 | 3 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,732 – $14,224 · median $9,096 | 3 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,510 – $19,324 · median $14,718 | 3 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,622 – $12,096 · median $7,791 | 3 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,486 – $17,517 · median $12,336 | 3 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $18,788 – $31,224 · median $22,104 | 3 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,151 – $17,638 · median $11,942 | 3 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,827 – $21,468 · median $16,267 | 3 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,096 – $13,362 · median $9,525 | 3 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,387 – $12,320 · median $8,691 | 3 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,133 – $16,960 · median $13,098 | 3 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,409 – $11,810 · median $8,716 | 3 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,823 – $7,668 · median $5,674 | 3 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,430 – $11,947 · median $8,741 | 3 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,520 – $6,992 · median $5,318 | 3 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $9,092 – $14,174 · median $10,696 | 3 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $11,524 – $20,534 · median $13,557 | 3 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $5,962 – $10,701 · median $7,013 | 3 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,349 – $8,616 · median $6,293 | 3 plans |
| 779 | ABORTION WITHOUT D&C | $7,383 – $12,590 · median $8,686 | 3 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $13,225 – $23,851 · median $15,558 | 3 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,644 – $12,904 · median $8,993 | 3 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,466 – $11,274 · median $7,607 | 3 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $13,058 – $19,961 · median $15,362 | 3 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,845 – $13,167 · median $9,230 | 3 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,382 – $10,783 · median $7,508 | 3 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $13,580 – $22,567 · median $15,976 | 3 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $44,785 – $74,421 · median $52,687 | 3 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $30,585 – $50,826 · median $35,982 | 3 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $18,455 – $30,668 · median $21,711 | 3 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $31,418 – $52,209 · median $36,962 | 3 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $11,121 – $18,479 · median $13,083 | 3 plans |
| 795 | NORMAL NEWBORN | $1,505 – $2,502 · median $1,771 | 3 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $10,587 – $16,229 · median $12,455 | 3 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,433 – $11,469 · median $8,745 | 3 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,055 – $11,469 · median $7,123 | 3 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $36,981 – $64,367 · median $43,506 | 3 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $21,031 – $32,859 · median $24,742 | 3 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $13,358 – $22,199 · median $15,715 | 3 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $25,305 – $47,116 · median $29,770 | 3 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,870 – $25,379 · median $16,317 | 3 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,034 – $15,596 · median $10,629 | 3 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,525 – $12,429 · median $8,853 | 3 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,573 – $8,625 · median $6,557 | 3 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,884 – $7,804 · median $5,745 | 3 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $16,347 – $26,463 · median $19,231 | 3 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $8,990 – $15,026 · median $10,576 | 3 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,498 – $11,604 · median $8,821 | 3 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,476 – $17,184 · median $12,325 | 3 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,723 – $11,099 · median $7,909 | 3 plans |
| 813 | COAGULATION DISORDERS | $11,644 – $19,345 · median $13,698 | 3 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,884 – $23,226 · median $18,687 | 3 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,421 – $12,744 · median $8,730 | 3 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,301 – $9,010 · median $6,236 | 3 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $16,831 – $38,684 · median $19,801 | 3 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,756 – $19,654 · median $10,301 | 3 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,771 – $10,982 · median $7,966 | 3 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $45,133 – $65,726 · median $53,096 | 3 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $16,660 – $26,727 · median $19,600 | 3 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,246 – $14,894 · median $10,878 | 3 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $33,602 – $53,474 · median $39,531 | 3 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $16,666 – $28,308 · median $19,607 | 3 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,639 – $16,273 · median $11,340 | 3 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $32,758 – $63,554 · median $38,538 | 3 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $17,296 – $30,093 · median $20,347 | 3 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,244 – $21,495 · median $14,404 | 3 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $23,540 – $39,116 · median $27,694 | 3 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,802 – $18,175 · median $13,885 | 3 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $7,537 – $14,768 · median $8,867 | 3 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,506 – $8,658 · median $6,478 | 3 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,820 – $6,229 · median $4,494 | 3 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $41,791 – $68,351 · median $49,165 | 3 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $16,686 – $25,920 · median $19,630 | 3 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,937 – $19,390 · median $10,513 | 3 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $35,503 – $66,524 · median $41,768 | 3 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $14,573 – $27,490 · median $17,144 | 3 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,726 – $16,991 · median $11,443 | 3 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $23,326 – $38,403 · median $27,442 | 3 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,745 – $19,712 · median $13,817 | 3 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,960 – $13,642 · median $9,364 | 3 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $13,888 – $23,946 · median $16,338 | 3 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,637 – $14,098 · median $10,161 | 3 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,456 – $10,450 · median $7,595 | 3 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $18,242 – $29,775 · median $21,461 | 3 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,051 – $15,056 · median $10,648 | 3 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,669 – $11,484 · median $6,669 | 3 plans |
| 849 | RADIOTHERAPY | $20,089 – $28,909 · median $23,633 | 3 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $37,315 – $60,576 · median $43,899 | 3 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,213 – $25,407 · median $17,897 | 3 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,702 – $18,882 · median $14,944 | 3 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $33,054 – $54,541 · median $38,886 | 3 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,941 – $26,067 · median $18,754 | 3 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,579 – $17,484 · median $11,270 | 3 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,749 – $22,608 · median $16,175 | 3 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,505 – $12,433 · median $8,829 | 3 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,589 – $10,484 · median $7,752 | 3 plans |
| 865 | VIRAL ILLNESS WITH MCC | $12,240 – $20,676 · median $14,400 | 3 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,850 – $11,120 · median $8,058 | 3 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,617 – $26,122 · median $18,372 | 3 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,102 – $13,048 · median $9,532 | 3 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,155 – $9,156 · median $6,065 | 3 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $51,986 – $83,936 · median $61,159 | 3 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,798 – $24,191 · median $17,409 | 3 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,687 – $12,706 · median $9,044 | 3 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $27,852 – $39,506 · median $32,766 | 3 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,125 – $11,201 · median $8,382 | 3 plans |
| 881 | DEPRESSIVE NEUROSES | $6,766 – $10,574 · median $7,960 | 3 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,011 – $10,796 · median $8,248 | 3 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $13,998 – $19,955 · median $16,468 | 3 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $13,114 – $19,405 · median $15,427 | 3 plans |
| 885 | PSYCHOSES | $10,199 – $16,012 · median $11,998 | 3 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $12,552 – $16,871 · median $14,767 | 3 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,670 – $16,025 · median $11,377 | 3 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,288 – $7,067 · median $5,045 | 3 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $12,008 – $19,266 · median $14,127 | 3 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $13,272 – $21,699 · median $15,614 | 3 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,386 – $10,522 · median $7,513 | 3 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $32,303 – $54,367 · median $38,002 | 3 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,067 – $24,495 · median $16,550 | 3 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,267 – $15,025 · median $10,902 | 3 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $24,304 – $43,901 · median $28,593 | 3 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,821 – $19,280 · median $13,906 | 3 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $14,044 – $22,097 · median $16,522 | 3 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $27,762 – $47,780 · median $32,661 | 3 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,959 – $25,418 · median $17,598 | 3 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,123 – $16,868 · median $11,910 | 3 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $11,155 – $18,714 · median $13,123 | 3 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,775 – $10,989 · median $7,971 | 3 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $13,241 – $22,496 · median $15,577 | 3 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,917 – $8,210 · median $5,785 | 3 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $11,912 – $18,818 · median $14,014 | 3 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,426 – $10,107 · median $7,560 | 3 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,620 – $22,169 · median $16,023 | 3 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,716 – $12,629 · median $9,078 | 3 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,208 – $8,997 · median $6,127 | 3 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,024 – $19,230 · median $15,322 | 3 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,549 – $11,658 · median $8,881 | 3 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $196,741 – $234,620 · median $231,456 | 3 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $51,649 – $76,524 · median $60,762 | 3 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $24,000 – $36,324 · median $28,235 | 3 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $22,631 – $37,488 · median $26,624 | 3 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $15,618 – $23,187 · median $18,374 | 3 plans |
| 935 | NON-EXTENSIVE BURNS | $15,235 – $25,018 · median $17,923 | 3 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $23,999 – $38,280 · median $28,234 | 3 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,172 – $27,233 · median $19,025 | 3 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $13,853 – $23,328 · median $16,298 | 3 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,267 – $18,604 · median $13,255 | 3 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,559 – $13,875 · median $8,893 | 3 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,342 – $15,025 · median $10,990 | 3 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,979 – $9,611 · median $7,034 | 3 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,733 – $14,733 · median $9,098 | 3 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,689 – $8,769 · median $5,516 | 3 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,404 – $7,035 · median $5,181 | 3 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $45,457 – $83,257 · median $53,478 | 3 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $28,947 – $47,020 · median $34,054 | 3 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $53,983 – $91,594 · median $63,509 | 3 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $30,190 – $51,547 · median $35,517 | 3 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $18,902 – $31,749 · median $22,237 | 3 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $20,409 – $34,277 · median $24,010 | 3 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,203 – $18,101 · median $13,180 | 3 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,135 – $11,246 · median $8,394 | 3 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $51,297 – $89,580 · median $60,348 | 3 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $17,946 – $38,173 · median $21,113 | 3 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $21,769 – $35,510 · median $25,610 | 3 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,176 – $17,004 · median $11,971 | 3 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,309 – $11,406 · median $7,423 | 3 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,570 – $16,067 · median $12,435 | 3 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $35,382 – $56,614 · median $41,625 | 3 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,556 – $31,001 · median $21,830 | 3 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,205 – $20,644 · median $14,359 | 3 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $25,204 – $41,015 · median $29,651 | 3 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,666 – $20,968 · median $14,901 | 3 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,063 – $13,626 · median $9,486 | 3 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $22,952 – $27,002 · median $24,977 | 2 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $80,393 – $94,578 · median $87,485 | 2 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $52,515 – $61,781 · median $57,148 | 2 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC | $46,353 – $54,532 · median $50,442 | 2 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $35,696 – $41,994 · median $38,845 | 2 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $33,292 – $39,167 · median $36,230 | 2 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $23,889 – $28,104 · median $25,997 | 2 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $21,457 – $25,243 · median $23,350 | 2 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $13,610 – $16,011 · median $14,811 | 2 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $30,901 – $36,353 · median $33,627 | 2 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $22,158 – $26,067 · median $24,112 | 2 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $19,737 – $23,220 · median $21,478 | 2 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $16,769 – $19,727 · median $18,248 | 2 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,295 – $13,288 · median $12,292 | 2 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,308 – $9,774 · median $9,041 | 2 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $347,886 – $347,886 · median $347,886 | 1 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $166,528 – $166,528 · median $166,528 | 1 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $140,991 – $140,991 · median $140,991 | 1 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $59,443 – $59,443 · median $59,443 | 1 plans |
| 007 | LUNG TRANSPLANT | $150,882 – $150,882 · median $150,882 | 1 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $69,106 – $69,106 · median $69,106 | 1 plans |
| 010 | PANCREAS TRANSPLANT | $51,254 – $51,254 · median $51,254 | 1 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $138,345 – $138,345 · median $138,345 | 1 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $75,203 – $75,203 · median $75,203 | 1 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $54,014 – $54,014 · median $54,014 | 1 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $446,755 – $446,755 · median $446,755 | 1 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $88,184 – $88,184 · median $88,184 | 1 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $57,399 – $57,399 · median $57,399 | 1 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $43,831 – $43,831 · median $43,831 | 1 plans |
| 652 | KIDNEY TRANSPLANT | $38,132 – $38,132 · median $38,132 | 1 plans |
No procedures match that keyword.