Portsmouth Regional Hospital — Pricing
768 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 768 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 768 procedures
Procedures with negotiated rates only
These 768 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 |
|---|---|---|---|
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA | $78,762 – $199,969 · median $95,463 | 16 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA | $78,762 – $199,969 · median $95,463 | 16 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA | $78,762 – $199,969 · median $95,463 | 16 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER | $56,663 – $180,717 · median $77,786 | 16 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER | $56,663 – $180,717 · median $99,337 | 16 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER | $56,663 – $180,717 · median $68,958 | 16 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $53,350 – $207,839 · median $72,788 | 16 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $49,913 – $185,350 · median $62,688 | 16 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $38,186 – $151,603 · median $45,953 | 16 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $39,109 – $150,767 · median $59,835 | 16 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $24,950 – $53,973 · median $30,166 | 16 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $24,950 – $53,973 · median $30,166 | 16 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $17,362 – $60,186 · median $21,130 | 16 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $17,362 – $60,186 · median $21,130 | 16 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $99,432 – $270,363 · median $119,838 | 16 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $74,660 – $206,182 · median $89,982 | 16 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $33,826 – $91,527 · median $41,118 | 16 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $23,057 – $62,388 · median $28,028 | 16 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $22,387 – $58,345 · median $34,315 | 16 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $22,387 – $58,345 · median $34,315 | 16 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $22,387 – $58,345 · median $34,315 | 16 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC | $22,387 – $70,848 · median $31,713 | 16 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT | $28,542 – $70,848 · median $33,978 | 16 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $22,387 – $42,767 · median $40,629 | 16 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $28,917 – $36,573 · median $36,360 | 16 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $4,829 – $17,451 · median $12,193 | 13 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $7,380 – $23,361 · median $20,117 | 13 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,380 – $23,361 · median $20,117 | 13 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,380 – $23,361 · median $20,117 | 13 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $7,380 – $23,361 · median $20,117 | 13 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,380 – $23,361 · median $20,117 | 13 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,380 – $23,361 · median $20,117 | 13 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,829 – $17,451 · median $12,193 | 13 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,829 – $17,451 · median $12,193 | 13 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $4,829 – $17,451 · median $12,193 | 13 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,829 – $17,451 · median $12,193 | 13 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,829 – $17,451 · median $12,193 | 13 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,829 – $17,451 · median $12,193 | 13 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $44,830 – $108,972 · median $49,811 | 12 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $26,150 – $39,837 · median $39,837 | 12 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $26,150 – $39,837 · median $39,837 | 12 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $26,150 – $39,837 · median $39,837 | 12 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $133,096 – $273,483 · median $147,884 | 12 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $40,556 – $63,019 · median $45,062 | 12 plans |
| 245 | AICD GENERATOR PROCEDURES | $24,950 – $53,973 · median $29,371 | 12 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $58,287 – $73,581 · median $73,581 | 12 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $58,287 – $73,581 · median $73,581 | 12 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $66,223 – $83,807 · median $73,581 | 12 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $31,020 – $36,790 · median $36,790 | 12 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $31,020 – $36,790 · median $36,790 | 12 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $31,020 – $60,347 · median $60,347 | 12 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $31,020 – $35,672 · median $34,625 | 12 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $31,020 – $35,672 · median $34,625 | 12 plans |
| 265 | AICD LEAD PROCEDURES | $24,950 – $53,973 · median $29,371 | 12 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $61,160 – $117,633 · median $68,758 | 12 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $40,593 – $78,074 · median $45,482 | 12 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $29,073 – $55,918 · median $32,684 | 12 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $24,417 – $31,450 · median $31,450 | 12 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $98,124 – $257,722 · median $109,027 | 12 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT | $98,124 – $257,722 · median $109,027 | 12 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT | $98,124 – $257,722 · median $109,027 | 12 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $98,124 – $257,722 · median $109,027 | 12 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $98,124 – $257,722 · median $109,027 | 12 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL | $92,439 – $115,873 · median $109,027 | 12 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $73,279 – $109,027 · median $109,027 | 12 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY | $92,439 – $115,873 · median $109,027 | 12 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $73,279 – $109,027 · median $109,027 | 12 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX | $98,124 – $133,234 · median $109,027 | 12 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX | $98,124 – $133,234 · median $109,027 | 12 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX | $98,124 – $133,234 · median $109,027 | 12 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $42,458 – $47,175 · median $47,175 | 12 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $42,458 – $47,175 · median $47,175 | 12 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $42,458 – $47,175 · median $47,175 | 12 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $24,651 – $168,141 · median $44,997 | 12 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $24,651 – $65,897 · median $30,281 | 12 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $24,651 – $65,897 · median $36,272 | 12 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $31,020 – $53,464 · median $53,464 | 12 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $31,020 – $62,987 · median $62,987 | 12 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $31,020 – $43,164 · median $43,164 | 12 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $30,932 – $35,672 · median $34,369 | 12 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $26,622 – $35,672 · median $29,580 | 12 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $26,622 – $35,672 · median $29,580 | 12 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $31,020 – $49,728 · median $49,728 | 12 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $31,020 – $36,589 · median $36,589 | 12 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ | $26,819 – $35,672 · median $29,799 | 12 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $26,622 – $35,672 · median $29,580 | 12 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $26,622 – $35,672 · median $29,580 | 12 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $31,020 – $55,585 · median $55,585 | 12 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $31,020 – $71,584 · median $50,051 | 12 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST | $31,020 – $66,496 · median $66,496 | 12 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $31,020 – $36,135 · median $36,135 | 12 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $23,843 – $35,672 · median $26,492 | 12 plans |
| 603 | CELLULITIS WITHOUT MCC | $24,417 – $31,450 · median $31,450 | 12 plans |
| 683 | RENAL FAILURE WITH CC | $24,417 – $31,450 · median $31,450 | 12 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $26,890 – $39,837 · median $39,837 | 12 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $24,417 – $31,450 · median $31,450 | 12 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $26,890 – $39,837 · median $39,837 | 12 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $24,417 – $31,450 · median $31,450 | 12 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $31,020 – $401,841 · median $98,453 | 11 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $72,393 – $311,519 · median $109,875 | 11 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $71,118 – $257,919 · median $90,492 | 11 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $71,631 – $292,976 · median $92,938 | 11 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $35,851 – $221,968 · median $78,290 | 11 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $54,178 – $234,586 · median $74,630 | 11 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $10,782 – $33,964 · median $14,103 | 11 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $8,482 – $28,883 · median $14,103 | 11 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A | $29,670 – $100,544 · median $37,087 | 11 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $20,681 – $65,150 · median $30,376 | 11 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $31,020 – $106,701 · median $37,634 | 11 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $18,772 – $59,137 · median $35,672 | 11 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $17,694 – $55,741 · median $35,672 | 11 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $328,737 – $1,035,595 · median $622,557 | 7 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $132,929 – $780,375 · median $275,669 | 7 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $31,020 – $381,014 · median $134,387 | 7 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $31,020 – $171,356 · median $60,439 | 7 plans |
| 007 | LUNG TRANSPLANT | $31,020 – $478,562 · median $168,793 | 7 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $31,020 – $207,112 · median $73,050 | 7 plans |
| 010 | PANCREAS TRANSPLANT | $31,020 – $265,171 · median $93,528 | 7 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $63,980 – $201,551 · median $114,256 | 7 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $49,456 – $155,798 · median $102,563 | 7 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $33,805 – $143,222 · median $70,106 | 7 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $23,886 – $444,109 · median $156,641 | 7 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $23,886 – $219,126 · median $77,288 | 7 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $23,886 – $200,745 · median $70,805 | 7 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $23,886 – $1,595,777 · median $562,845 | 7 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $31,020 – $263,652 · median $92,992 | 7 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $31,020 – $290,784 · median $102,562 | 7 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $31,020 – $195,627 · median $68,999 | 7 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ | $31,020 – $117,418 · median $41,414 | 7 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI | $31,020 – $211,758 · median $74,689 | 7 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI | $31,020 – $144,560 · median $50,988 | 7 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $53,336 – $168,019 · median $86,935 | 7 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $36,473 – $114,897 · median $75,638 | 7 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $31,020 – $222,031 · median $78,312 | 7 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $31,020 – $126,072 · median $44,467 | 7 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $25,751 – $81,121 · median $31,020 | 7 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $31,020 – $165,572 · median $58,399 | 7 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $24,998 – $78,749 · median $31,020 | 7 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $19,507 – $61,451 · median $31,020 | 7 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $31,020 – $143,038 · median $50,451 | 7 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $28,042 – $88,339 · median $31,158 | 7 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $22,790 – $71,794 · median $31,020 | 7 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $31,020 – $121,656 · median $42,909 | 7 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $19,034 – $59,962 · median $31,020 | 7 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $13,789 – $43,439 · median $28,596 | 7 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $31,020 – $142,687 · median $50,327 | 7 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE | $25,792 – $81,251 · median $31,020 | 7 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $20,267 – $63,845 · median $31,020 | 7 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $21,248 – $66,935 · median $23,886 | 7 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $11,487 – $36,185 · median $23,821 | 7 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $17,911 – $56,425 · median $23,886 | 7 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $11,961 – $37,678 · median $23,886 | 7 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $23,886 – $85,848 · median $30,279 | 7 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $15,198 – $47,878 · median $23,886 | 7 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $20,053 – $63,173 · median $23,886 | 7 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $14,557 – $45,856 · median $23,886 | 7 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $10,790 – $33,990 · median $22,376 | 7 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A | $23,886 – $101,886 · median $35,936 | 7 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A | $20,613 – $64,936 · median $23,886 | 7 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A | $16,467 – $51,876 · median $23,886 | 7 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $23,590 – $74,314 · median $26,211 | 7 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $11,851 – $37,335 · median $23,886 | 7 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $8,028 – $28,883 · median $16,649 | 7 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $17,229 – $54,274 · median $23,886 | 7 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $10,140 – $31,943 · median $21,028 | 7 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $9,370 – $29,519 · median $19,432 | 7 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $19,529 – $61,521 · median $23,886 | 7 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $12,036 – $37,915 · median $23,886 | 7 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $8,871 – $28,883 · median $18,396 | 7 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $18,819 – $59,285 · median $23,886 | 7 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $12,092 – $38,092 · median $23,886 | 7 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $22,493 – $70,859 · median $24,993 | 7 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $9,680 – $30,494 · median $20,075 | 7 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $21,232 – $66,887 · median $23,886 | 7 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $10,506 – $33,096 · median $21,787 | 7 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $23,886 – $84,462 · median $29,791 | 7 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $16,374 – $51,580 · median $23,886 | 7 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $11,212 – $35,321 · median $23,252 | 7 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $23,886 – $83,956 · median $29,612 | 7 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $15,281 – $48,140 · median $23,886 | 7 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $10,730 – $33,802 · median $22,252 | 7 plans |
| 088 | CONCUSSION WITH MCC | $15,857 – $49,954 · median $23,886 | 7 plans |
| 089 | CONCUSSION WITH CC | $12,887 – $40,598 · median $23,886 | 7 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $9,657 – $30,421 · median $20,026 | 7 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $20,601 – $64,899 · median $23,886 | 7 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $12,000 – $37,804 · median $23,886 | 7 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $9,341 – $29,426 · median $19,372 | 7 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $23,886 – $130,056 · median $45,872 | 7 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $23,886 – $95,312 · median $33,617 | 7 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $23,886 – $95,312 · median $33,617 | 7 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $23,886 – $133,470 · median $47,076 | 7 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $23,886 – $84,806 · median $29,912 | 7 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $15,982 – $50,346 · median $23,886 | 7 plans |
| 100 | SEIZURES WITH MCC | $22,720 – $71,573 · median $25,244 | 7 plans |
| 101 | SEIZURES WITHOUT MCC | $10,588 – $33,355 · median $21,958 | 7 plans |
| 102 | HEADACHES WITH MCC | $13,149 – $41,422 · median $23,886 | 7 plans |
| 103 | HEADACHES WITHOUT MCC | $9,810 – $30,905 · median $20,345 | 7 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $27,580 – $86,883 · median $31,020 | 7 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $15,872 – $49,999 · median $31,020 | 7 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $18,005 – $56,721 · median $31,020 | 7 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $21,210 – $66,817 · median $31,020 | 7 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $12,727 – $40,091 · median $26,392 | 7 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $13,646 – $42,989 · median $23,886 | 7 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $9,218 – $29,038 · median $19,116 | 7 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $9,368 – $29,511 · median $19,428 | 7 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $15,521 – $48,894 · median $23,886 | 7 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $9,007 – $28,883 · median $18,678 | 7 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $25,455 – $80,190 · median $31,020 | 7 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $11,910 – $37,519 · median $24,699 | 7 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $17,516 – $55,180 · median $31,020 | 7 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $10,396 – $35,672 · median $21,559 | 7 plans |
| 139 | SALIVARY GLAND PROCEDURES | $14,496 – $45,664 · median $30,061 | 7 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $31,020 – $157,620 · median $55,594 | 7 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $25,586 – $80,600 · median $31,020 | 7 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $18,727 – $58,993 · median $31,020 | 7 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $31,020 – $138,452 · median $48,833 | 7 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $20,328 – $64,038 · median $31,020 | 7 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $14,104 – $44,430 · median $29,248 | 7 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $23,886 – $78,246 · median $27,598 | 7 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $14,915 – $46,987 · median $23,886 | 7 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $9,350 – $29,456 · median $19,391 | 7 plans |
| 149 | DYSEQUILIBRIUM | $8,817 – $28,883 · median $18,284 | 7 plans |
| 150 | EPISTAXIS WITH MCC | $15,619 – $49,204 · median $23,886 | 7 plans |
| 151 | EPISTAXIS WITHOUT MCC | $8,610 – $28,883 · median $17,856 | 7 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $13,868 – $43,687 · median $23,886 | 7 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $8,660 – $28,883 · median $17,958 | 7 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $18,341 – $57,778 · median $23,886 | 7 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $10,751 – $33,868 · median $22,296 | 7 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $8,107 – $28,883 · median $16,812 | 7 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $20,139 – $63,443 · median $23,886 | 7 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $10,673 – $33,621 · median $22,133 | 7 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $8,311 – $28,883 · median $17,236 | 7 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $52,574 – $165,620 · median $62,833 | 7 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $29,608 – $93,272 · median $61,401 | 7 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $22,455 – $78,762 · median $46,567 | 7 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $31,020 – $138,123 · median $48,717 | 7 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $21,155 – $66,643 · median $31,020 | 7 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $16,029 – $50,494 · median $31,020 | 7 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY | $31,020 – $109,990 · median $38,794 | 7 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $16,113 – $50,760 · median $23,886 | 7 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $9,443 – $29,748 · median $19,583 | 7 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $18,331 – $57,748 · median $23,886 | 7 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $11,449 – $36,067 · median $23,743 | 7 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $8,857 – $28,883 · median $18,367 | 7 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $20,716 – $65,261 · median $23,886 | 7 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $12,563 – $39,578 · median $23,886 | 7 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $8,843 – $28,883 · median $18,338 | 7 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $17,947 – $56,536 · median $23,886 | 7 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $12,483 – $39,323 · median $23,886 | 7 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $9,226 – $29,064 · median $19,133 | 7 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $18,282 – $57,593 · median $23,886 | 7 plans |
| 187 | PLEURAL EFFUSION WITH CC | $11,603 – $36,551 · median $23,886 | 7 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $8,413 – $28,883 · median $17,447 | 7 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $14,492 – $45,653 · median $23,886 | 7 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $12,994 – $40,934 · median $23,886 | 7 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $9,889 – $31,152 · median $20,508 | 7 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $7,531 – $28,883 · median $15,618 | 7 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $22,138 – $69,740 · median $24,598 | 7 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $11,134 – $35,073 · median $23,089 | 7 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $8,401 – $28,883 · median $17,423 | 7 plans |
| 199 | PNEUMOTHORAX WITH MCC | $20,694 – $65,191 · median $23,886 | 7 plans |
| 200 | PNEUMOTHORAX WITH CC | $12,895 – $40,624 · median $23,886 | 7 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $8,389 – $28,883 · median $17,396 | 7 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $11,393 – $35,890 · median $23,626 | 7 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $7,860 – $28,883 · median $16,299 | 7 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $9,471 – $29,837 · median $19,642 | 7 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $21,479 – $67,663 · median $23,886 | 7 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $11,040 – $34,777 · median $22,894 | 7 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $75,483 – $237,788 · median $119,081 | 7 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $32,244 – $148,926 · median $66,868 | 7 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $132,776 – $418,275 · median $147,529 | 7 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $57,352 – $210,893 · median $74,384 | 7 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $58,036 – $182,826 · median $120,355 | 7 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $36,946 – $151,603 · median $76,618 | 7 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $31,020 – $181,877 · median $64,149 | 7 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $31,020 – $105,337 · median $37,153 | 7 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC | $16,240 – $51,159 · median $31,020 | 7 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $31,020 – $99,680 · median $35,158 | 7 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $19,917 – $62,744 · median $31,020 | 7 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $12,812 – $40,361 · median $26,570 | 7 plans |
| 263 | VEIN LIGATION AND STRIPPING | $31,020 – $112,983 · median $39,850 | 7 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $31,020 – $123,449 · median $43,541 | 7 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $80,682 – $254,166 · median $92,266 | 7 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $49,541 – $156,064 · median $57,352 | 7 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES | $31,020 – $205,693 · median $72,550 | 7 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES | $31,020 – $133,271 · median $47,006 | 7 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $18,817 – $59,278 · median $23,886 | 7 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $23,236 – $73,198 · median $25,818 | 7 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $8,120 – $28,883 · median $16,839 | 7 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $7,025 – $28,883 · median $14,569 | 7 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $23,886 – $81,772 · median $28,842 | 7 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $12,553 – $39,544 · median $23,886 | 7 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $23,886 – $100,005 · median $35,273 | 7 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $20,023 – $63,077 · median $23,886 | 7 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $10,906 – $34,356 · median $22,617 | 7 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $15,060 – $47,442 · median $23,886 | 7 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $9,959 – $31,374 · median $20,654 | 7 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $6,640 – $28,883 · median $13,769 | 7 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $18,322 – $57,718 · median $23,886 | 7 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $7,437 – $28,883 · median $15,423 | 7 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $5,339 – $28,883 · median $11,071 | 7 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $19,153 – $60,335 · median $23,886 | 7 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $12,522 – $39,448 · median $23,886 | 7 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $8,443 – $28,883 · median $17,508 | 7 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $14,037 – $44,219 · median $23,886 | 7 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $7,897 – $28,883 · median $16,377 | 7 plans |
| 304 | HYPERTENSION WITH MCC | $13,959 – $43,975 · median $23,886 | 7 plans |
| 305 | HYPERTENSION WITHOUT MCC | $8,858 – $28,883 · median $18,369 | 7 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $18,485 – $58,232 · median $23,886 | 7 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $10,712 – $33,746 · median $22,215 | 7 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $14,124 – $44,493 · median $23,886 | 7 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $8,630 – $28,883 · median $17,897 | 7 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $6,641 – $28,883 · median $13,772 | 7 plans |
| 311 | ANGINA PECTORIS | $8,234 – $28,883 · median $17,075 | 7 plans |
| 312 | SYNCOPE AND COLLAPSE | $10,224 – $32,209 · median $21,203 | 7 plans |
| 313 | CHEST PAIN | $8,446 – $28,883 · median $17,515 | 7 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $23,886 – $77,056 · median $27,179 | 7 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $11,300 – $35,598 · median $23,434 | 7 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,001 – $28,883 · median $16,593 | 7 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $31,020 – $247,093 · median $87,152 | 7 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $28,414 – $89,510 · median $48,014 | 7 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $31,020 – $164,922 · median $58,169 | 7 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $28,216 – $88,885 · median $31,351 | 7 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $31,020 – $159,915 · median $56,403 | 7 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $31,020 – $116,442 · median $41,070 | 7 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $31,020 – $118,637 · median $41,844 | 7 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $31,020 – $184,304 · median $65,006 | 7 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $28,672 – $90,323 · median $31,858 | 7 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $18,796 – $59,211 · median $31,020 | 7 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $31,020 – $169,859 · median $59,911 | 7 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $28,121 – $88,586 · median $31,245 | 7 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $19,741 – $62,190 · median $31,020 | 7 plans |
| 332 | RECTAL RESECTION WITH MCC | $31,020 – $133,799 · median $47,192 | 7 plans |
| 333 | RECTAL RESECTION WITH CC | $27,475 – $86,554 · median $31,020 | 7 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $19,214 – $60,527 · median $31,020 | 7 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $31,020 – $131,959 · median $46,543 | 7 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $24,736 – $77,925 · median $31,020 | 7 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $18,006 – $56,724 · median $31,020 | 7 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $30,298 – $95,445 · median $33,664 | 7 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,651 – $55,605 · median $31,020 | 7 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,915 – $43,835 · median $28,857 | 7 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $26,929 – $84,832 · median $31,020 | 7 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $15,353 – $48,365 · median $31,020 | 7 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $10,213 – $35,672 · median $21,179 | 7 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $29,231 – $92,086 · median $32,479 | 7 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $17,883 – $56,336 · median $31,020 | 7 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $13,699 – $43,155 · median $28,409 | 7 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $31,020 – $107,241 · median $37,825 | 7 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $19,736 – $62,171 · median $31,020 | 7 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $15,778 – $49,703 · median $31,020 | 7 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $31,020 – $162,332 · median $57,256 | 7 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $27,280 – $85,937 · median $31,020 | 7 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $16,398 – $51,658 · median $31,020 | 7 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $40,337 – $127,070 · median $49,805 | 7 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $28,321 – $89,218 · median $49,805 | 7 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $18,674 – $58,827 · median $23,886 | 7 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $11,733 – $36,961 · median $23,886 | 7 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $8,221 – $28,883 · median $17,048 | 7 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $20,800 – $65,523 · median $23,886 | 7 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $11,977 – $37,730 · median $23,886 | 7 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $8,533 – $28,883 · median $17,695 | 7 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $23,886 – $79,034 · median $27,876 | 7 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $14,189 – $44,700 · median $23,886 | 7 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $10,843 – $34,157 · median $22,485 | 7 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $21,444 – $67,552 · median $23,886 | 7 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $11,504 – $36,241 · median $23,857 | 7 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $7,395 – $28,883 · median $15,336 | 7 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $23,018 – $72,511 · median $25,575 | 7 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $12,710 – $40,040 · median $23,886 | 7 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $9,392 – $29,585 · median $19,476 | 7 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $16,196 – $51,022 · median $23,886 | 7 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $10,027 – $31,588 · median $20,795 | 7 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $18,561 – $58,472 · median $23,886 | 7 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $11,453 – $36,078 · median $23,750 | 7 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $7,992 – $28,883 · median $16,574 | 7 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $17,324 – $54,574 · median $23,886 | 7 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $9,265 – $29,186 · median $19,213 | 7 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $6,381 – $28,883 · median $13,234 | 7 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $14,878 – $46,869 · median $23,886 | 7 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $18,761 – $59,101 · median $23,886 | 7 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $10,976 – $34,578 · median $22,763 | 7 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,613 – $28,883 · median $15,788 | 7 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $28,094 – $88,501 · median $31,215 | 7 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $17,755 – $55,934 · median $31,020 | 7 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $13,428 – $42,301 · median $27,847 | 7 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $64,172 – $202,157 · median $127,460 | 7 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $34,021 – $159,770 · median $70,553 | 7 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $26,037 – $82,023 · median $31,020 | 7 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH | $31,020 – $131,763 · median $46,474 | 7 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH | $25,541 – $80,460 · median $31,020 | 7 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH | $18,625 – $58,672 · median $31,020 | 7 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $31,020 – $122,070 · median $43,055 | 7 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $24,664 – $77,696 · median $31,020 | 7 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $19,479 – $61,362 · median $31,020 | 7 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $31,020 – $131,652 · median $46,435 | 7 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $24,244 – $76,373 · median $31,020 | 7 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $15,992 – $50,379 · median $31,020 | 7 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $27,994 – $88,187 · median $31,104 | 7 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $19,843 – $62,511 · median $31,020 | 7 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $16,022 – $50,472 · median $31,020 | 7 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $31,020 – $125,906 · median $44,408 | 7 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $20,382 – $64,208 · median $31,020 | 7 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $16,417 – $51,717 · median $31,020 | 7 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $31,020 – $153,470 · median $54,130 | 7 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $25,665 – $80,852 · median $31,020 | 7 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $17,599 – $55,442 · median $31,020 | 7 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT | $84,679 – $266,756 · median $175,607 | 7 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $23,088 – $72,733 · median $25,654 | 7 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $12,390 – $39,031 · median $23,886 | 7 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,358 – $28,883 · median $17,333 | 7 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $21,546 – $67,873 · median $23,940 | 7 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $13,268 – $41,799 · median $23,886 | 7 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $10,010 – $31,533 · median $20,758 | 7 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $19,123 – $60,242 · median $23,886 | 7 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $9,868 – $31,086 · median $20,464 | 7 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,289 – $28,883 · median $15,117 | 7 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $21,053 – $66,321 · median $23,886 | 7 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $11,324 – $35,672 · median $23,483 | 7 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C | $8,208 – $28,883 · median $17,022 | 7 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $19,601 – $61,746 · median $23,886 | 7 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $12,838 – $40,442 · median $23,886 | 7 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $9,705 – $30,572 · median $20,126 | 7 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $54,033 – $204,097 · median $71,987 | 7 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $31,203 – $98,298 · median $54,033 | 7 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE | $31,020 – $210,619 · median $74,287 | 7 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE | $31,020 – $115,101 · median $40,597 | 7 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE | $21,393 – $67,393 · median $31,020 | 7 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $31,020 – $158,640 · median $55,954 | 7 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $26,695 – $84,096 · median $31,020 | 7 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC | $13,844 – $43,613 · median $28,711 | 7 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $31,020 – $127,661 · median $45,027 | 7 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $28,848 – $90,877 · median $32,053 | 7 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $21,806 – $68,694 · median $31,020 | 7 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $31,020 – $119,254 · median $42,062 | 7 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $24,530 – $77,275 · median $31,020 | 7 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $18,372 – $57,877 · median $31,020 | 7 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $20,750 – $158,318 · median $43,032 | 7 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,101 – $158,318 · median $27,168 | 7 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT | $31,020 – $133,984 · median $47,257 | 7 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT | $21,161 – $66,661 · median $31,020 | 7 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT | $14,174 – $44,652 · median $29,394 | 7 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC | $31,020 – $111,483 · median $39,321 | 7 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT | $23,635 – $74,455 · median $31,020 | 7 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $31,020 – $116,952 · median $41,250 | 7 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $20,506 – $64,599 · median $31,020 | 7 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $15,788 – $49,736 · median $31,020 | 7 plans |
| 503 | FOOT PROCEDURES WITH MCC | $31,020 – $103,142 · median $36,379 | 7 plans |
| 504 | FOOT PROCEDURES WITH CC | $21,927 – $69,074 · median $31,020 | 7 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $21,031 – $66,251 · median $31,020 | 7 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $15,827 – $49,858 · median $31,020 | 7 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC | $26,622 – $35,672 · median $29,580 | 7 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $18,390 – $57,933 · median $23,886 | 7 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $9,456 – $29,789 · median $19,610 | 7 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $15,039 – $47,375 · median $23,886 | 7 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $9,474 – $29,844 · median $19,646 | 7 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $11,195 – $35,265 · median $23,215 | 7 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $8,450 – $28,883 · median $17,523 | 7 plans |
| 539 | OSTEOMYELITIS WITH MCC | $23,106 – $72,788 · median $25,673 | 7 plans |
| 540 | OSTEOMYELITIS WITH CC | $15,206 – $47,903 · median $23,886 | 7 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $9,237 – $29,098 · median $19,155 | 7 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH | $20,722 – $65,279 · median $23,886 | 7 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH | $12,059 – $37,989 · median $23,886 | 7 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH | $8,852 – $28,883 · median $18,357 | 7 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $23,886 – $91,709 · median $32,346 | 7 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $13,530 – $42,623 · median $23,886 | 7 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,809 – $30,901 · median $20,342 | 7 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $22,651 – $71,354 · median $25,167 | 7 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $14,161 – $44,611 · median $23,886 | 7 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $10,254 – $32,301 · median $21,264 | 7 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $19,662 – $61,939 · median $23,886 | 7 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $11,277 – $35,524 · median $23,386 | 7 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $15,206 – $47,903 · median $23,886 | 7 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $9,738 – $30,676 · median $20,194 | 7 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $15,506 – $48,846 · median $23,886 | 7 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $9,743 – $30,694 · median $20,206 | 7 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $17,442 – $54,947 · median $23,886 | 7 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $10,478 – $33,007 · median $21,729 | 7 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $21,876 – $68,916 · median $24,307 | 7 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $13,210 – $41,614 · median $23,886 | 7 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $9,430 – $29,707 · median $19,556 | 7 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT | $16,714 – $52,652 · median $23,886 | 7 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT | $10,505 – $33,092 · median $21,785 | 7 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $18,107 – $57,042 · median $23,886 | 7 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $11,430 – $36,008 · median $23,704 | 7 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $8,790 – $28,883 · median $18,228 | 7 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $31,020 – $108,685 · median $38,334 | 7 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $19,819 – $62,434 · median $31,020 | 7 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $13,447 – $42,360 · median $27,886 | 7 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $31,020 – $242,100 · median $85,391 | 7 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $31,020 – $128,282 · median $45,246 | 7 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $21,080 – $66,406 · median $31,020 | 7 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $31,020 – $181,119 · median $63,882 | 7 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $31,020 – $97,954 · median $34,549 | 7 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $18,844 – $59,363 · median $31,020 | 7 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $31,020 – $119,676 · median $42,211 | 7 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $20,270 – $63,857 · median $31,020 | 7 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $16,928 – $53,328 · median $31,020 | 7 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $22,600 – $71,196 · median $31,020 | 7 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $20,228 – $63,723 · median $31,020 | 7 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $25,112 – $79,107 · median $31,020 | 7 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $22,630 – $71,288 · median $31,020 | 7 plans |
| 592 | SKIN ULCERS WITH MCC | $22,702 – $71,517 · median $25,225 | 7 plans |
| 593 | SKIN ULCERS WITH CC | $13,916 – $43,839 · median $23,886 | 7 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $10,168 – $32,032 · median $21,087 | 7 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $23,886 – $78,368 · median $27,641 | 7 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $12,698 – $40,003 · median $23,886 | 7 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $19,556 – $61,606 · median $23,886 | 7 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $13,271 – $41,806 · median $23,886 | 7 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $9,026 – $28,883 · median $18,717 | 7 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $12,219 – $38,491 · median $23,886 | 7 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,097 – $28,883 · median $14,718 | 7 plans |
| 602 | CELLULITIS WITH MCC | $16,673 – $52,523 · median $23,886 | 7 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $17,269 – $54,400 · median $23,886 | 7 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $10,745 – $33,850 · median $22,284 | 7 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $17,751 – $55,919 · median $23,886 | 7 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $10,633 – $33,495 · median $22,050 | 7 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $25,711 – $80,996 · median $31,020 | 7 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $16,415 – $51,710 · median $31,020 | 7 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH | $31,020 – $128,873 · median $45,455 | 7 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH | $21,940 – $69,115 · median $31,020 | 7 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH | $16,638 – $52,412 · median $31,020 | 7 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR | $31,020 – $131,527 · median $46,391 | 7 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR | $21,044 – $66,292 · median $31,020 | 7 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR | $14,686 – $46,263 · median $30,455 | 7 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $31,020 – $111,605 · median $39,364 | 7 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $17,589 – $55,409 · median $31,020 | 7 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $15,582 – $49,086 · median $31,020 | 7 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $31,020 – $137,720 · median $48,575 | 7 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $25,559 – $80,515 · median $31,020 | 7 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $17,121 – $53,934 · median $31,020 | 7 plans |
| 637 | DIABETES WITH MCC | $16,853 – $53,092 · median $23,886 | 7 plans |
| 638 | DIABETES WITH CC | $10,513 – $33,118 · median $21,802 | 7 plans |
| 639 | DIABETES WITHOUT CC/MCC | $7,287 – $28,883 · median $15,112 | 7 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M | $15,667 – $49,356 · median $23,886 | 7 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU | $9,129 – $28,883 · median $18,931 | 7 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $16,682 – $52,552 · median $23,886 | 7 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $19,310 – $60,830 · median $23,886 | 7 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $12,024 – $37,878 · median $23,886 | 7 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $9,013 – $28,883 · median $18,690 | 7 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $31,020 – $173,736 · median $61,278 | 7 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $31,020 – $136,944 · median $48,301 | 7 plans |
| 652 | KIDNEY TRANSPLANT | $37,884 – $492,098 · median $78,564 | 7 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $31,020 – $192,028 · median $67,730 | 7 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $31,020 – $103,445 · median $36,486 | 7 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $24,829 – $78,217 · median $31,020 | 7 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $31,020 – $117,654 · median $41,498 | 7 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $21,467 – $67,626 · median $31,020 | 7 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $18,204 – $57,345 · median $31,020 | 7 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $29,806 – $93,896 · median $33,118 | 7 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $15,504 – $48,842 · median $31,020 | 7 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $12,146 – $38,262 · median $25,188 | 7 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $31,020 – $113,135 · median $39,904 | 7 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $17,833 – $56,177 · median $31,020 | 7 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $12,281 – $38,687 · median $25,468 | 7 plans |
| 665 | PROSTATECTOMY WITH MCC | $31,020 – $115,341 · median $40,682 | 7 plans |
| 666 | PROSTATECTOMY WITH CC | $20,520 – $64,644 · median $31,020 | 7 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $12,976 – $40,879 · median $26,911 | 7 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $31,020 – $107,906 · median $38,059 | 7 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $18,206 – $57,353 · median $31,020 | 7 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $11,464 – $36,115 · median $23,775 | 7 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $21,056 – $66,332 · median $31,020 | 7 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $12,663 – $39,892 · median $26,261 | 7 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $31,020 – $155,266 · median $54,764 | 7 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $27,433 – $86,421 · median $31,020 | 7 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $19,255 – $60,656 · median $31,020 | 7 plans |
| 682 | RENAL FAILURE WITH MCC | $17,373 – $54,729 · median $23,886 | 7 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $7,042 – $28,883 · median $14,604 | 7 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $21,158 – $66,654 · median $23,886 | 7 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $12,291 – $38,720 · median $23,886 | 7 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $9,271 – $29,205 · median $19,226 | 7 plans |
| 693 | URINARY STONES WITH MCC | $15,772 – $49,685 · median $23,886 | 7 plans |
| 694 | URINARY STONES WITHOUT MCC | $9,170 – $28,887 · median $19,016 | 7 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $13,417 – $42,268 · median $23,886 | 7 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $8,082 – $28,883 · median $16,761 | 7 plans |
| 697 | URETHRAL STRICTURE | $12,643 – $39,829 · median $23,886 | 7 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $19,407 – $61,137 · median $24,417 | 7 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $11,907 – $37,508 · median $23,886 | 7 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $8,093 – $28,883 · median $16,783 | 7 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $23,465 – $73,919 · median $36,605 | 7 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $17,997 – $56,695 · median $36,605 | 7 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $27,298 – $85,996 · median $31,020 | 7 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $16,437 – $51,780 · median $31,020 | 7 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $24,444 – $77,005 · median $31,020 | 7 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $12,900 – $40,638 · median $26,752 | 7 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $17,636 – $55,557 · median $31,020 | 7 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $12,404 – $39,075 · median $25,723 | 7 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $26,245 – $82,677 · median $31,020 | 7 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $17,256 – $54,359 · median $31,020 | 7 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $22,177 – $69,862 · median $31,020 | 7 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $15,755 – $49,633 · median $31,020 | 7 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $21,229 – $66,876 · median $23,886 | 7 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $13,405 – $42,227 · median $23,886 | 7 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,692 – $28,883 · median $15,951 | 7 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $13,727 – $43,244 · median $23,886 | 7 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $8,469 – $28,883 · median $17,564 | 7 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $17,395 – $54,799 · median $23,886 | 7 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $9,516 – $29,977 · median $19,734 | 7 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $12,419 – $39,123 · median $23,886 | 7 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,883 – $28,883 · median $16,348 | 7 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $24,986 – $78,712 · median $31,020 | 7 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $15,784 – $49,722 · median $31,020 | 7 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $31,020 – $132,092 · median $46,590 | 7 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $24,172 – $76,147 · median $31,020 | 7 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $17,226 – $54,267 · median $31,020 | 7 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC | $37,139 – $132,399 · median $46,698 | 7 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $21,228 – $66,872 · median $37,139 | 7 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT | $16,729 – $52,700 · median $34,693 | 7 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $21,523 – $67,803 · median $37,139 | 7 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $14,554 – $46,553 · median $30,183 | 7 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $24,037 – $75,722 · median $31,020 | 7 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $13,344 – $42,035 · median $27,672 | 7 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $20,377 – $64,193 · median $31,020 | 7 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $10,085 – $35,672 · median $20,914 | 7 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $16,274 – $51,266 · median $31,020 | 7 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $30,119 – $94,883 · median $33,466 | 7 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $17,312 – $54,537 · median $31,020 | 7 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $21,604 – $68,058 · median $24,005 | 7 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $12,761 – $40,199 · median $23,886 | 7 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $11,267 – $35,494 · median $23,366 | 7 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $16,797 – $52,914 · median $23,886 | 7 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $11,484 – $36,178 · median $23,816 | 7 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,784 – $28,883 · median $16,143 | 7 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $11,819 – $37,231 · median $23,886 | 7 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $6,692 – $28,883 · median $13,879 | 7 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $19,822 – $62,445 · median $31,020 | 7 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $11,762 – $37,054 · median $24,393 | 7 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $7,680 – $28,883 · median $15,927 | 7 plans |
| 779 | ABORTION WITHOUT D&C | $9,869 – $31,089 · median $20,466 | 7 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $31,020 – $167,361 · median $59,030 | 7 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $31,020 – $103,819 · median $36,618 | 7 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $22,393 – $70,541 · median $31,020 | 7 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $31,020 – $147,228 · median $51,929 | 7 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $21,806 – $68,694 · median $31,020 | 7 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $15,907 – $50,110 · median $31,020 | 7 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO | $23,886 – $81,591 · median $28,778 | 7 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO | $14,850 – $46,780 · median $23,886 | 7 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO | $12,277 – $38,676 · median $23,886 | 7 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $16,473 – $51,895 · median $23,886 | 7 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $10,771 – $33,931 · median $22,337 | 7 plans |
| 813 | COAGULATION DISORDERS | $17,893 – $56,366 · median $23,886 | 7 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $23,886 – $78,590 · median $27,719 | 7 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $11,895 – $37,471 · median $23,886 | 7 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $7,414 – $28,883 · median $15,375 | 7 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $31,020 – $216,728 · median $76,442 | 7 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $26,260 – $82,725 · median $31,020 | 7 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $14,124 – $44,493 · median $29,290 | 7 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $31,020 – $169,427 · median $59,758 | 7 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $26,577 – $83,723 · median $31,020 | 7 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $15,829 – $49,866 · median $31,020 | 7 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. | $31,020 – $172,863 · median $60,970 | 7 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. | $27,112 – $85,408 · median $31,020 | 7 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. | $19,987 – $62,962 · median $31,020 | 7 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE | $31,020 – $116,775 · median $41,187 | 7 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE | $17,655 – $55,616 · median $31,020 | 7 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $23,886 – $202,874 · median $71,555 | 7 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $23,886 – $77,079 · median $27,186 | 7 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $14,305 – $45,065 · median $23,886 | 7 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT | $23,886 – $177,538 · median $62,619 | 7 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE | $23,886 – $77,138 · median $27,207 | 7 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $16,938 – $53,358 · median $23,886 | 7 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $23,886 – $119,542 · median $42,164 | 7 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $19,137 – $60,287 · median $23,886 | 7 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $11,853 – $37,338 · median $23,886 | 7 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES | $23,400 – $73,716 · median $26,000 | 7 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES | $14,281 – $44,988 · median $23,886 | 7 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES | $9,990 – $31,470 · median $20,717 | 7 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $23,886 – $95,803 · median $33,791 | 7 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $15,346 – $48,343 · median $23,886 | 7 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,964 – $31,389 · median $20,663 | 7 plans |
| 849 | RADIOTHERAPY | $23,886 – $100,127 · median $35,316 | 7 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $31,020 – $320,003 · median $112,868 | 7 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $31,020 – $182,501 · median $64,370 | 7 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $23,439 – $73,838 · median $26,890 | 7 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $17,563 – $55,328 · median $31,020 | 7 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $31,020 – $168,093 · median $59,288 | 7 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $25,121 – $79,137 · median $31,020 | 7 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $16,340 – $51,473 · median $31,020 | 7 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $21,393 – $67,393 · median $23,886 | 7 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $11,706 – $36,876 · median $23,886 | 7 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $10,413 – $32,804 · median $21,595 | 7 plans |
| 865 | VIRAL ILLNESS WITH MCC | $17,576 – $55,368 · median $23,886 | 7 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $10,201 – $32,135 · median $21,155 | 7 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $23,886 – $77,352 · median $27,283 | 7 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $12,095 – $38,103 · median $23,886 | 7 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $8,560 – $28,883 · median $17,751 | 7 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $23,886 – $255,419 · median $90,088 | 7 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $7,237 – $28,883 · median $15,007 | 7 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $16,606 – $52,312 · median $23,886 | 7 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $20,471 – $64,488 · median $23,886 | 7 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $10,356 – $32,623 · median $21,476 | 7 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $31,020 – $155,081 · median $54,698 | 7 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $22,458 – $70,748 · median $31,020 | 7 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $13,720 – $43,221 · median $28,453 | 7 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $31,020 – $135,736 · median $47,875 | 7 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $17,401 – $54,818 · median $31,020 | 7 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $23,042 – $72,589 · median $31,020 | 7 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $31,020 – $141,877 · median $50,041 | 7 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $23,405 – $73,731 · median $31,020 | 7 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $15,399 – $48,510 · median $31,020 | 7 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $19,175 – $60,405 · median $23,886 | 7 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $10,387 – $32,723 · median $21,542 | 7 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $19,726 – $62,142 · median $23,886 | 7 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $7,816 – $28,883 · median $16,209 | 7 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $18,398 – $57,959 · median $23,886 | 7 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $10,054 – $31,673 · median $20,851 | 7 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $21,476 – $67,655 · median $23,886 | 7 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $11,758 – $37,039 · median $23,886 | 7 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $8,075 – $28,883 · median $16,747 | 7 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $20,522 – $64,647 · median $23,886 | 7 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $11,938 – $37,608 · median $23,886 | 7 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $31,020 – $134,088 · median $47,294 | 7 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $27,413 – $86,358 · median $31,020 | 7 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ | $23,786 – $74,932 · median $31,020 | 7 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $14,891 – $46,909 · median $23,886 | 7 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $9,390 – $29,582 · median $19,474 | 7 plans |
| 949 | AFTERCARE WITH CC/MCC | $13,956 – $43,964 · median $23,886 | 7 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $7,363 – $28,883 · median $15,270 | 7 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $6,522 – $28,883 · median $13,526 | 7 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $31,020 – $248,741 · median $87,733 | 7 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $31,020 – $139,058 · median $49,047 | 7 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $31,020 – $281,586 · median $99,318 | 7 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $31,020 – $155,720 · median $54,924 | 7 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $31,020 – $108,796 · median $38,373 | 7 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $23,886 – $101,025 · median $35,632 | 7 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $17,978 – $56,636 · median $23,886 | 7 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $11,033 – $34,755 · median $22,880 | 7 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $31,020 – $226,207 · median $79,785 | 7 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $30,938 – $97,462 · median $34,376 | 7 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $23,886 – $106,649 · median $37,616 | 7 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $15,191 – $47,855 · median $23,886 | 7 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $10,589 – $33,358 · median $21,960 | 7 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $15,223 – $47,955 · median $23,886 | 7 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $31,020 – $173,381 · median $61,153 | 7 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $28,840 – $90,851 · median $32,044 | 7 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $20,106 – $63,339 · median $31,020 | 7 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $31,020 – $126,693 · median $44,686 | 7 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $19,280 – $60,738 · median $31,020 | 7 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $14,067 – $44,315 · median $29,173 | 7 plans |
| 509 | ARTHROSCOPY | $26,622 – $29,580 · median $29,580 | 5 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH | $80,619 – $101,056 · median $90,838 | 2 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC | $114,256 – $143,222 · median $128,739 | 2 plans |
| 230 | OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC | $120,945 – $151,603 · median $136,274 | 2 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $205,602 – $257,722 · median $231,662 | 2 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $205,602 – $257,722 · median $231,662 | 2 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $205,602 – $257,722 · median $231,662 | 2 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $92,439 – $115,873 · median $104,156 | 2 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $73,279 – $73,279 · median $73,279 | 2 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $31,020 – $35,672 · median $33,346 | 2 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $31,020 – $35,672 · median $33,346 | 2 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $31,020 – $35,672 · median $33,346 | 2 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $23,886 – $28,883 · median $26,385 | 2 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $23,886 – $28,883 · median $26,385 | 2 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $23,886 – $28,883 · median $26,385 | 2 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $31,020 – $35,672 · median $33,346 | 2 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $23,886 – $28,883 · median $26,385 | 2 plans |
| 881 | DEPRESSIVE NEUROSES | $23,886 – $28,883 · median $26,385 | 2 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $23,886 – $28,883 · median $26,385 | 2 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $23,886 – $28,883 · median $26,385 | 2 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $23,886 – $28,883 · median $26,385 | 2 plans |
| 885 | PSYCHOSES | $23,886 – $28,883 · median $26,385 | 2 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $23,886 – $28,883 · median $26,385 | 2 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $23,886 – $28,883 · median $26,385 | 2 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | — | 2 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $31,020 – $35,672 · median $33,346 | 2 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $31,020 – $35,672 · median $33,346 | 2 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $23,886 – $28,883 · median $26,385 | 2 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $23,886 – $28,883 · median $26,385 | 2 plans |
| 935 | NON-EXTENSIVE BURNS | $23,886 – $28,883 · median $26,385 | 2 plans |
No procedures match that keyword.