Spring Valley Hospital Medical Center — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Showing all 771 procedures
Procedures with negotiated rates only
These 771 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $2,646 – $183,216 · median $94,725 | 24 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $2,646 – $148,745 · median $63,932 | 24 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $2,646 – $148,745 · median $59,959 | 24 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $2,646 – $146,889 · median $75,943 | 24 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $2,646 – $100,553 · median $53,285 | 24 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $2,646 – $100,999 · median $53,262 | 24 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $2,646 – $111,706 · median $58,331 | 24 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $2,646 – $85,225 · median $41,571 | 24 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $2,646 – $148,745 · median $45,978 | 23 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $2,646 – $116,859 · median $49,889 | 23 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $2,646 – $85,225 · median $31,708 | 23 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $2,646 – $160,869 · median $83,171 | 23 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $2,646 – $138,564 · median $60,358 | 23 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $2,646 – $148,387 · median $76,718 | 23 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $2,625 – $37,276 · median $15,797 | 22 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $43,637 – $90,000 · median $54,191 | 22 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $3,600 – $22,097 · median $11,016 | 22 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $14,983 – $58,156 · median $19,061 | 22 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $19,506 – $51,760 · median $27,296 | 22 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $14,812 – $41,774 · median $17,904 | 22 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $13,558 – $41,774 · median $17,214 | 22 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $2,646 – $64,481 · median $33,292 | 21 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $2,646 – $64,993 · median $22,111 | 21 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $2,646 – $64,481 · median $18,067 | 21 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $2,625 – $46,369 · median $22,698 | 21 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $37,951 – $113,729 · median $59,975 | 21 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $19,363 – $74,233 · median $38,379 | 21 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $14,941 – $59,249 · median $30,632 | 21 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $15,079 – $55,000 · median $28,436 | 21 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $15,079 – $44,943 · median $23,701 | 21 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $6,304 – $20,812 · median $10,760 | 21 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $9,376 – $20,560 · median $10,842 | 21 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $8,059 – $16,583 · median $8,745 | 21 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $9,376 – $20,157 · median $10,630 | 21 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $8,059 – $17,175 · median $9,057 | 21 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $6,304 – $24,235 · median $12,530 | 21 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,304 – $18,380 · median $9,503 | 21 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,304 – $18,380 · median $9,503 | 21 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $6,304 – $18,946 · median $9,795 | 21 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $6,304 – $13,737 · median $7,244 | 21 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,793 – $12,099 · median $6,380 | 21 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $18,523 – $93,563 · median $33,275 | 20 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $18,523 – $93,563 · median $22,279 | 20 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $49,187 – $126,578 · median $65,442 | 20 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $38,591 – $85,225 · median $42,062 | 20 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $47,609 – $97,445 · median $51,388 | 20 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $31,947 – $85,225 · median $34,821 | 20 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $23,208 – $85,225 · median $25,296 | 20 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $14,344 – $134,160 · median $70,056 | 20 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $14,344 – $117,594 · median $60,798 | 20 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $14,344 – $126,889 · median $46,115 | 20 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $3,600 – $42,017 · median $21,723 | 20 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $16,974 – $54,044 · median $28,221 | 20 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $14,941 – $35,382 · median $18,112 | 20 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $36,286 – $94,080 · median $39,166 | 20 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $27,968 – $198,865 · median $102,815 | 20 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $27,968 – $134,838 · median $70,410 | 20 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $38,845 – $104,490 · median $54,976 | 20 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $27,968 – $158,338 · median $81,863 | 20 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $38,845 – $106,611 · median $54,766 | 20 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $10,545 – $34,678 · median $17,929 | 20 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $10,545 – $24,659 · median $12,000 | 20 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $9,376 – $34,970 · median $18,080 | 20 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $9,376 – $30,676 · median $15,860 | 20 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $14,941 – $64,481 · median $27,536 | 19 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $14,941 – $64,481 · median $17,597 | 19 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $14,941 – $64,663 · median $33,432 | 19 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,941 – $64,481 · median $18,997 | 19 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $14,078 – $64,481 · median $15,195 | 19 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $15,074 – $45,115 · median $23,325 | 19 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,682 – $31,483 · median $16,603 | 19 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $12,221 – $25,013 · median $13,191 | 19 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $32,625 – $127,282 · median $65,806 | 19 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $20,501 – $77,521 · median $40,079 | 19 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $32,625 – $97,770 · median $50,548 | 19 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $20,501 – $69,937 · median $30,289 | 19 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $23,791 – $61,115 · median $32,229 | 19 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $19,672 – $40,263 · median $21,233 | 19 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,486 – $52,643 · median $12,398 | 19 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $35,261 – $72,171 · median $38,060 | 18 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $41,481 – $84,902 · median $44,773 | 18 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $26,488 – $65,513 · median $30,320 | 18 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $22,889 – $47,071 · median $24,706 | 18 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $56,388 – $115,413 · median $60,863 | 18 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $26,488 – $79,554 · median $41,542 | 18 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $19,808 – $40,542 · median $21,380 | 18 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $14,798 – $33,549 · median $15,973 | 18 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $23,754 – $63,044 · median $32,594 | 18 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $14,945 – $30,589 · median $16,131 | 18 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $10,557 – $26,488 · median $11,395 | 18 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $15,074 – $47,039 · median $24,319 | 18 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $14,035 – $28,727 · median $15,112 | 18 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $10,423 – $21,334 · median $11,251 | 18 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $18,299 – $160,779 · median $83,956 | 18 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $53,234 – $108,957 · median $57,459 | 18 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $40,050 – $93,563 · median $43,229 | 18 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $47,253 – $96,716 · median $50,731 | 18 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $31,769 – $76,887 · median $34,291 | 18 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $24,331 – $50,458 · median $26,005 | 18 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $30,318 – $62,053 · median $32,724 | 18 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $44,378 – $92,211 · median $48,151 | 18 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $20,806 – $48,375 · median $25,010 | 18 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $14,657 – $29,999 · median $15,820 | 18 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $18,229 – $52,643 · median $19,676 | 18 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $29,445 – $68,039 · median $35,529 | 18 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $18,290 – $44,378 · median $19,741 | 18 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $13,293 – $44,378 · median $14,348 | 18 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,545 – $28,797 · median $15,037 | 18 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $10,545 – $75,573 · median $39,072 | 18 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $10,545 – $34,519 · median $18,025 | 18 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,545 – $26,076 · median $13,617 | 18 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $117,445 – $406,857 · median $210,350 | 17 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $117,445 – $268,244 · median $138,685 | 17 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $74,768 – $153,032 · median $80,702 | 17 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $51,266 – $120,770 · median $55,335 | 17 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $32,745 – $71,166 · median $35,344 | 17 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $52,915 – $108,306 · median $57,115 | 17 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $36,068 – $73,823 · median $38,931 | 17 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $21,099 – $43,185 · median $22,774 | 17 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $17,002 – $34,800 · median $18,021 | 17 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $16,302 – $33,366 · median $17,596 | 17 plans |
| 245 | AICD GENERATOR PROCEDURES | $45,326 – $92,771 · median $48,923 | 17 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $31,817 – $65,123 · median $34,343 | 17 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $23,679 – $64,481 · median $25,559 | 17 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $16,226 – $64,481 · median $17,514 | 17 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $39,506 – $80,860 · median $42,642 | 17 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $29,635 – $60,656 · median $31,987 | 17 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $50,458 – $116,499 · median $60,231 | 17 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $26,562 – $54,366 · median $28,670 | 17 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $27,278 – $55,832 · median $29,443 | 17 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $19,245 – $39,390 · median $20,772 | 17 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $14,714 – $30,116 · median $15,882 | 17 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $23,791 – $67,416 · median $34,855 | 17 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $22,270 – $45,581 · median $23,791 | 17 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $17,487 – $35,792 · median $18,875 | 17 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $23,791 – $66,835 · median $34,554 | 17 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $18,300 – $37,455 · median $19,752 | 17 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $12,453 – $25,488 · median $13,441 | 17 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $23,419 – $47,933 · median $24,782 | 17 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $10,767 – $23,791 · median $11,621 | 17 plans |
| 503 | FOOT PROCEDURES WITH MCC | $23,791 – $50,243 · median $25,976 | 17 plans |
| 504 | FOOT PROCEDURES WITH CC | $16,278 – $33,317 · median $17,570 | 17 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $16,278 – $33,317 · median $17,570 | 17 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $13,904 – $28,459 · median $15,008 | 17 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $17,977 – $36,795 · median $19,404 | 17 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,970 – $24,501 · median $12,921 | 17 plans |
| 509 | ARTHROSCOPY | $16,294 – $33,349 · median $17,587 | 17 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $23,791 – $54,258 · median $28,052 | 17 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $18,190 – $37,231 · median $19,634 | 17 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $14,913 – $30,522 · median $16,096 | 17 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $13,965 – $28,582 · median $15,073 | 17 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $9,457 – $23,791 · median $10,207 | 17 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $19,553 – $58,156 · median $21,105 | 17 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $36,522 – $74,751 · median $39,420 | 17 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $18,535 – $37,938 · median $20,006 | 17 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $9,505 – $19,455 · median $10,260 | 17 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,545 – $31,791 · median $16,436 | 17 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $8,860 – $18,134 · median $9,563 | 17 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,545 – $25,862 · median $13,371 | 17 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $10,545 – $49,142 · median $25,407 | 17 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,545 – $24,480 · median $12,656 | 17 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,419 – $26,378 · median $13,638 | 17 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $9,980 – $20,427 · median $10,772 | 17 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $6,618 – $13,545 · median $7,143 | 17 plans |
| 779 | ABORTION WITHOUT D&C | $8,670 – $17,746 · median $9,359 | 17 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $3,511 – $48,126 · median $24,882 | 17 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $3,511 – $24,451 · median $12,642 | 17 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,511 – $15,500 · median $8,014 | 17 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $261,264 – $534,747 · median $279,235 | 16 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $102,209 – $209,198 · median $109,239 | 16 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $98,774 – $202,168 · median $105,568 | 16 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $44,977 – $92,057 · median $48,071 | 16 plans |
| 007 | LUNG TRANSPLANT | $121,215 – $248,098 · median $129,552 | 16 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $50,467 – $103,294 · median $53,938 | 16 plans |
| 010 | PANCREAS TRANSPLANT | $73,951 – $151,359 · median $79,037 | 16 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $50,048 – $102,436 · median $53,490 | 16 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $38,062 – $77,905 · median $40,680 | 16 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $24,579 – $50,308 · median $26,270 | 16 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $121,521 – $248,725 · median $129,879 | 16 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $55,984 – $114,586 · median $59,834 | 16 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $55,984 – $114,586 · median $59,834 | 16 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $349,791 – $715,940 · median $373,850 | 16 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $73,527 – $150,492 · median $78,584 | 16 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $34,987 – $71,610 · median $37,393 | 16 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $20,945 – $42,870 · median $22,386 | 16 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $18,666 – $38,205 · median $19,950 | 16 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,546 – $17,492 · median $9,134 | 16 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $13,904 – $28,459 · median $14,861 | 16 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $10,119 – $20,712 · median $10,815 | 16 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $23,226 – $47,538 · median $24,823 | 16 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $12,377 – $25,332 · median $13,228 | 16 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $17,121 – $35,043 · median $18,299 | 16 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $11,349 – $23,229 · median $12,130 | 16 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $8,277 – $16,941 · median $8,846 | 16 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $25,074 – $51,321 · median $26,799 | 16 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $16,518 – $33,809 · median $17,654 | 16 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $13,030 – $26,669 · median $13,926 | 16 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $18,450 – $37,763 · median $19,719 | 16 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $9,432 – $19,305 · median $10,081 | 16 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,384 – $13,067 · median $6,823 | 16 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $13,494 – $27,620 · median $14,423 | 16 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $8,176 – $16,734 · median $8,738 | 16 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $7,421 – $15,189 · median $7,931 | 16 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $16,128 – $33,009 · median $17,237 | 16 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $9,775 – $20,007 · median $10,447 | 16 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,958 – $14,242 · median $7,437 | 16 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $14,336 – $29,342 · median $15,322 | 16 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $9,668 – $19,789 · median $10,333 | 16 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $15,975 – $32,698 · median $17,074 | 16 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $8,504 – $17,406 · median $9,089 | 16 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $14,342 – $29,355 · median $15,329 | 16 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $9,256 – $18,944 · median $9,892 | 16 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $6,184 – $12,657 · median $6,609 | 16 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $18,437 – $37,736 · median $19,705 | 16 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $8,392 – $17,177 · median $8,969 | 16 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $21,520 – $44,047 · median $23,000 | 16 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $12,896 – $26,395 · median $13,783 | 16 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,868 – $18,151 · median $9,478 | 16 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $21,017 – $43,018 · median $22,463 | 16 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $12,165 – $24,899 · median $13,002 | 16 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $8,199 – $16,782 · median $8,763 | 16 plans |
| 088 | CONCUSSION WITH MCC | $13,084 – $26,781 · median $13,984 | 16 plans |
| 089 | CONCUSSION WITH CC | $9,944 – $20,353 · median $10,628 | 16 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,952 – $16,275 · median $8,498 | 16 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $16,908 – $34,606 · median $18,071 | 16 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $9,820 – $20,098 · median $10,495 | 16 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,321 – $14,984 · median $7,824 | 16 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $33,842 – $69,267 · median $36,170 | 16 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $22,234 – $45,508 · median $23,764 | 16 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $22,234 – $45,508 · median $23,764 | 16 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $33,248 – $68,050 · median $35,534 | 16 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $20,121 – $41,182 · median $21,504 | 16 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $12,923 – $26,450 · median $13,812 | 16 plans |
| 100 | SEIZURES WITH MCC | $18,414 – $37,689 · median $19,680 | 16 plans |
| 101 | SEIZURES WITHOUT MCC | $8,549 – $17,498 · median $9,137 | 16 plans |
| 102 | HEADACHES WITH MCC | $10,755 – $22,012 · median $11,494 | 16 plans |
| 103 | HEADACHES WITHOUT MCC | $7,886 – $16,140 · median $8,428 | 16 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $20,930 – $42,839 · median $22,370 | 16 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,964 – $22,441 · median $11,718 | 16 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $14,200 – $29,065 · median $15,177 | 16 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $15,476 – $31,677 · median $16,541 | 16 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $10,004 – $20,476 · median $10,692 | 16 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $10,789 – $22,082 · median $11,531 | 16 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,291 – $12,877 · median $6,724 | 16 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $7,450 – $15,248 · median $7,962 | 16 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $12,094 – $24,753 · median $12,926 | 16 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $7,658 – $15,675 · median $8,185 | 16 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $22,363 – $45,772 · median $23,901 | 16 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $9,073 – $18,570 · median $9,697 | 16 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $12,972 – $26,551 · median $13,864 | 16 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,545 – $15,443 · median $8,064 | 16 plans |
| 139 | SALIVARY GLAND PROCEDURES | $12,735 – $26,065 · median $13,611 | 16 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $39,226 – $80,287 · median $41,924 | 16 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $19,928 – $40,787 · median $21,298 | 16 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $14,584 – $29,850 · median $15,587 | 16 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $30,626 – $62,683 · median $32,732 | 16 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $16,294 – $33,349 · median $17,414 | 16 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $10,989 – $22,492 · median $11,745 | 16 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $21,278 – $43,551 · median $22,742 | 16 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $11,546 – $23,631 · median $12,340 | 16 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $7,427 – $15,200 · median $7,937 | 16 plans |
| 149 | DYSEQUILIBRIUM | $6,933 – $14,191 · median $7,410 | 16 plans |
| 150 | EPISTAXIS WITH MCC | $12,820 – $26,240 · median $13,702 | 16 plans |
| 151 | EPISTAXIS WITHOUT MCC | $7,031 – $14,390 · median $7,514 | 16 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $10,525 – $21,543 · median $11,249 | 16 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,601 – $13,511 · median $7,055 | 16 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $15,084 – $30,874 · median $16,122 | 16 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $8,659 – $17,723 · median $9,255 | 16 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,237 – $12,765 · median $6,666 | 16 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $15,188 – $31,086 · median $16,233 | 16 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $8,724 – $17,856 · median $9,324 | 16 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,118 – $12,522 · median $6,539 | 16 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $42,751 – $87,501 · median $45,691 | 16 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $23,345 – $47,783 · median $24,951 | 16 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $17,289 – $35,386 · median $18,478 | 16 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $35,712 – $73,094 · median $38,168 | 16 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $16,948 – $34,688 · median $18,113 | 16 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,558 – $25,702 · median $13,421 | 16 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $28,462 – $58,254 · median $30,419 | 16 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $13,070 – $26,750 · median $13,969 | 16 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $7,555 – $15,462 · median $8,074 | 16 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $14,993 – $30,688 · median $16,025 | 16 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $9,202 – $18,834 · median $9,835 | 16 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $7,139 – $14,612 · median $7,630 | 16 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $16,211 – $33,180 · median $17,326 | 16 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $10,298 – $21,078 · median $11,007 | 16 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $7,768 – $15,899 · median $8,302 | 16 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $14,722 – $30,133 · median $15,735 | 16 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $9,907 – $20,277 · median $10,588 | 16 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $7,213 – $14,764 · median $7,709 | 16 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $14,655 – $29,995 · median $15,663 | 16 plans |
| 187 | PLEURAL EFFUSION WITH CC | $9,312 – $19,060 · median $9,953 | 16 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,810 – $13,938 · median $7,278 | 16 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $11,477 – $23,491 · median $12,266 | 16 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $10,416 – $21,319 · median $11,132 | 16 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $7,968 – $16,309 · median $8,516 | 16 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $6,003 – $12,286 · median $6,416 | 16 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $12,222 – $25,015 · median $13,062 | 16 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $7,606 – $15,567 · median $8,129 | 16 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,776 – $11,821 · median $6,173 | 16 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $17,475 – $35,768 · median $18,677 | 16 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $9,182 – $18,794 · median $9,814 | 16 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,496 – $13,296 · median $6,943 | 16 plans |
| 199 | PNEUMOTHORAX WITH MCC | $16,373 – $33,512 · median $17,500 | 16 plans |
| 200 | PNEUMOTHORAX WITH CC | $10,272 – $21,025 · median $10,979 | 16 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,280 – $12,854 · median $6,712 | 16 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $8,966 – $18,352 · median $9,583 | 16 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $6,461 – $13,224 · median $6,905 | 16 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $7,522 – $15,396 · median $8,040 | 16 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $17,510 – $35,838 · median $18,714 | 16 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $8,401 – $17,196 · median $8,979 | 16 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $59,984 – $122,773 · median $64,110 | 16 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $24,893 – $50,949 · median $26,605 | 16 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $101,042 – $206,810 · median $107,992 | 16 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $98,268 – $201,132 · median $105,027 | 16 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $46,718 – $95,621 · median $49,931 | 16 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $27,011 – $55,285 · median $28,869 | 16 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $14,005 – $28,664 · median $14,968 | 16 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $24,268 – $49,672 · median $25,938 | 16 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $15,709 – $32,153 · median $16,790 | 16 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,272 – $16,932 · median $8,841 | 16 plans |
| 263 | VEIN LIGATION AND STRIPPING | $24,877 – $50,917 · median $26,588 | 16 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $32,417 – $66,351 · median $34,647 | 16 plans |
| 265 | AICD LEAD PROCEDURES | $33,086 – $67,720 · median $35,362 | 16 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $46,406 – $94,983 · median $49,598 | 16 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $29,721 – $60,832 · median $31,766 | 16 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $15,224 – $31,160 · median $16,271 | 16 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $8,550 – $17,499 · median $9,138 | 16 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,725 – $13,765 · median $7,188 | 16 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $18,137 – $37,121 · median $19,384 | 16 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,873 – $14,067 · median $7,346 | 16 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,207 – $10,658 · median $5,565 | 16 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $25,335 – $51,855 · median $27,078 | 16 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $14,624 – $29,932 · median $15,630 | 16 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $9,080 – $18,585 · median $9,705 | 16 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $12,102 – $24,770 · median $12,935 | 16 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,988 – $16,349 · median $8,537 | 16 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,089 – $10,417 · median $5,439 | 16 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $11,390 – $23,312 · median $12,173 | 16 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $7,325 – $14,994 · median $7,829 | 16 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $15,196 – $31,103 · median $16,242 | 16 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $6,533 – $13,372 · median $6,983 | 16 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,097 – $8,385 · median $4,379 | 16 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $15,003 – $30,709 · median $16,035 | 16 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $9,930 – $20,324 · median $10,613 | 16 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,617 – $13,543 · median $7,072 | 16 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $10,790 – $22,084 · median $11,532 | 16 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $6,237 – $12,765 · median $6,666 | 16 plans |
| 304 | HYPERTENSION WITH MCC | $10,896 – $22,302 · median $11,646 | 16 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,963 – $14,251 · median $7,442 | 16 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $13,889 – $28,427 · median $14,844 | 16 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $8,592 – $17,587 · median $9,183 | 16 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $11,185 – $22,893 · median $11,954 | 16 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,857 – $14,035 · median $7,329 | 16 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,189 – $10,622 · median $5,546 | 16 plans |
| 311 | ANGINA PECTORIS | $6,477 – $13,257 · median $6,922 | 16 plans |
| 312 | SYNCOPE AND COLLAPSE | $8,081 – $16,541 · median $8,637 | 16 plans |
| 313 | CHEST PAIN | $6,617 – $13,543 · median $7,072 | 16 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $19,974 – $40,882 · median $21,348 | 16 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $8,925 – $18,268 · median $9,539 | 16 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,332 – $12,960 · median $6,768 | 16 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $57,380 – $117,443 · median $61,326 | 16 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $40,744 – $83,393 · median $43,546 | 16 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $21,470 – $43,944 · median $22,947 | 16 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $26,546 – $54,334 · median $28,372 | 16 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $47,108 – $96,420 · median $50,349 | 16 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $22,521 – $46,095 · median $24,070 | 16 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $14,780 – $30,251 · median $15,797 | 16 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $42,590 – $87,173 · median $45,520 | 16 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $21,924 – $44,872 · median $23,432 | 16 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $15,313 – $31,343 · median $16,367 | 16 plans |
| 332 | RECTAL RESECTION WITH MCC | $32,173 – $65,850 · median $34,386 | 16 plans |
| 333 | RECTAL RESECTION WITH CC | $19,712 – $40,347 · median $21,068 | 16 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $15,384 – $31,487 · median $16,442 | 16 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $33,607 – $68,787 · median $35,919 | 16 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $19,592 – $40,100 · median $20,939 | 16 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $14,238 – $29,142 · median $15,218 | 16 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $24,992 – $51,152 · median $26,711 | 16 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,808 – $28,261 · median $14,758 | 16 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,550 – $23,641 · median $12,345 | 16 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $21,952 – $44,931 · median $23,462 | 16 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $11,676 – $23,899 · median $12,480 | 16 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $8,170 – $16,723 · median $8,732 | 16 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $22,434 – $45,917 · median $23,977 | 16 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $13,954 – $28,561 · median $14,914 | 16 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $10,227 – $20,932 · median $10,930 | 16 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $27,204 – $55,680 · median $29,075 | 16 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $15,778 – $32,294 · median $16,863 | 16 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $12,366 – $25,309 · median $13,216 | 16 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $39,565 – $80,980 · median $42,286 | 16 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $20,888 – $42,752 · median $22,324 | 16 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,569 – $25,725 · median $13,433 | 16 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $15,489 – $31,703 · median $16,555 | 16 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $9,438 – $19,318 · median $10,088 | 16 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,474 – $13,251 · median $6,919 | 16 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $16,213 – $33,184 · median $17,328 | 16 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $9,547 – $19,540 · median $10,204 | 16 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,728 – $13,771 · median $7,191 | 16 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $19,583 – $40,083 · median $20,931 | 16 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $11,396 – $23,326 · median $12,180 | 16 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $8,190 – $16,763 · median $8,753 | 16 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $16,864 – $34,517 · median $18,024 | 16 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $9,144 – $18,716 · median $9,773 | 16 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,905 – $12,087 · median $6,312 | 16 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $17,848 – $36,531 · median $19,076 | 16 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $10,102 – $20,675 · median $10,796 | 16 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,950 – $14,225 · median $7,428 | 16 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $11,726 – $24,000 · median $12,532 | 16 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $8,066 – $16,508 · median $8,620 | 16 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $15,070 – $30,845 · median $16,107 | 16 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $9,206 – $18,842 · median $9,839 | 16 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,217 – $12,725 · median $6,645 | 16 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $13,634 – $27,905 · median $14,571 | 16 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $7,435 – $15,218 · median $7,946 | 16 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,075 – $10,388 · median $5,424 | 16 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $11,914 – $24,385 · median $12,733 | 16 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $7,237 – $14,813 · median $7,735 | 16 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $15,360 – $31,438 · median $16,416 | 16 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $8,731 – $17,870 · median $9,331 | 16 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,903 – $12,081 · median $6,309 | 16 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $50,352 – $103,058 · median $53,815 | 16 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $26,048 – $53,315 · median $27,840 | 16 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $19,810 – $40,546 · median $21,172 | 16 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $32,475 – $66,469 · median $34,709 | 16 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $19,445 – $39,800 · median $20,783 | 16 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $14,387 – $29,446 · median $15,376 | 16 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $25,380 – $51,948 · median $27,126 | 16 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $19,771 – $40,466 · median $21,131 | 16 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $15,420 – $31,561 · median $16,481 | 16 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $32,498 – $66,516 · median $34,733 | 16 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $18,347 – $37,552 · median $19,609 | 16 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $12,709 – $26,012 · median $13,583 | 16 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $32,737 – $67,004 · median $34,988 | 16 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $15,189 – $31,088 · median $16,234 | 16 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $13,629 – $27,895 · median $14,566 | 16 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $37,726 – $77,216 · median $40,321 | 16 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $21,178 – $43,346 · median $22,635 | 16 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $14,337 – $29,345 · median $15,324 | 16 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $18,171 – $37,192 · median $19,421 | 16 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,923 – $20,309 · median $10,605 | 16 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,460 – $13,222 · median $6,904 | 16 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $16,923 – $34,638 · median $18,087 | 16 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $10,460 – $21,408 · median $11,179 | 16 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,283 – $14,906 · median $7,784 | 16 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $15,431 – $31,584 · median $16,492 | 16 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $7,978 – $16,330 · median $8,527 | 16 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,705 – $11,677 · median $6,098 | 16 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $17,534 – $35,887 · median $18,740 | 16 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $8,962 – $18,342 · median $9,578 | 16 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,518 – $13,340 · median $6,966 | 16 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $15,623 – $31,977 · median $16,698 | 16 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $10,059 – $20,588 · median $10,751 | 16 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $7,395 – $15,136 · median $7,904 | 16 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $50,095 – $102,533 · median $53,541 | 16 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $27,349 – $55,976 · median $29,230 | 16 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $16,103 – $32,958 · median $17,210 | 16 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $41,596 – $85,138 · median $44,457 | 16 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $20,009 – $40,954 · median $21,386 | 16 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,788 – $22,080 · median $11,530 | 16 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $31,897 – $65,286 · median $34,091 | 16 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $21,691 – $44,396 · median $23,183 | 16 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $16,471 – $33,712 · median $17,604 | 16 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $29,390 – $60,155 · median $31,412 | 16 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $16,553 – $33,881 · median $17,692 | 16 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $12,959 – $26,524 · median $13,851 | 16 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $28,682 – $58,706 · median $30,655 | 16 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $18,659 – $38,190 · median $19,942 | 16 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $13,845 – $28,337 · median $14,797 | 16 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $27,034 – $55,333 · median $28,894 | 16 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $14,144 – $28,949 · median $15,116 | 16 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $7,550 – $15,453 · median $8,069 | 16 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $12,335 – $25,247 · median $13,183 | 16 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $7,521 – $15,394 · median $8,039 | 16 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $8,524 – $17,446 · median $9,110 | 16 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,228 – $12,748 · median $6,657 | 16 plans |
| 539 | OSTEOMYELITIS WITH MCC | $18,758 – $38,393 · median $20,048 | 16 plans |
| 540 | OSTEOMYELITIS WITH CC | $12,003 – $24,567 · median $12,829 | 16 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $8,115 – $16,609 · median $8,673 | 16 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $17,299 – $35,407 · median $18,489 | 16 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $9,840 – $20,140 · median $10,517 | 16 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $7,009 – $14,346 · median $7,491 | 16 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $23,437 – $47,971 · median $25,049 | 16 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $10,738 – $21,978 · median $11,476 | 16 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,921 – $14,166 · median $7,397 | 16 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $18,686 – $38,245 · median $19,971 | 16 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $11,177 – $22,878 · median $11,946 | 16 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,996 – $16,366 · median $8,546 | 16 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $15,827 – $32,394 · median $16,916 | 16 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $8,939 – $18,297 · median $9,554 | 16 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $12,113 – $24,793 · median $12,946 | 16 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,741 – $15,844 · median $8,273 | 16 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,490 – $25,564 · median $13,349 | 16 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,573 – $15,500 · median $8,094 | 16 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $14,374 – $29,420 · median $15,362 | 16 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $8,012 – $16,398 · median $8,563 | 16 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $17,217 – $35,240 · median $18,402 | 16 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $10,562 – $21,617 · median $11,288 | 16 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,583 – $15,521 · median $8,105 | 16 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $13,574 – $27,783 · median $14,508 | 16 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $8,290 – $16,968 · median $8,860 | 16 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $14,555 – $29,790 · median $15,556 | 16 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $9,458 – $19,358 · median $10,108 | 16 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,939 – $14,202 · median $7,416 | 16 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $27,920 – $57,146 · median $29,840 | 16 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $15,529 – $31,785 · median $16,597 | 16 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $10,596 – $21,687 · median $11,325 | 16 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $57,118 – $116,907 · median $61,047 | 16 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $32,137 – $65,778 · median $34,348 | 16 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $18,520 – $37,905 · median $19,793 | 16 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $50,042 – $102,424 · median $53,484 | 16 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $24,698 – $50,551 · median $26,397 | 16 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $15,679 – $32,091 · median $16,757 | 16 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $30,231 – $61,876 · median $32,311 | 16 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $16,445 – $33,659 · median $17,576 | 16 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $13,349 – $27,322 · median $14,267 | 16 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $16,243 – $33,245 · median $17,360 | 16 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $15,236 – $31,185 · median $16,284 | 16 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $18,990 – $38,868 · median $20,296 | 16 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $18,412 – $37,685 · median $19,678 | 16 plans |
| 592 | SKIN ULCERS WITH MCC | $19,072 – $39,037 · median $20,384 | 16 plans |
| 593 | SKIN ULCERS WITH CC | $11,341 – $23,212 · median $12,121 | 16 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,872 – $16,112 · median $8,413 | 16 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $19,618 – $40,153 · median $20,967 | 16 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $10,027 – $20,524 · median $10,717 | 16 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $16,294 – $33,349 · median $17,414 | 16 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $10,007 – $20,482 · median $10,695 | 16 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,929 – $16,229 · median $8,475 | 16 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,873 – $18,160 · median $9,483 | 16 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,560 – $11,381 · median $5,943 | 16 plans |
| 602 | CELLULITIS WITH MCC | $13,627 – $27,891 · median $14,564 | 16 plans |
| 603 | CELLULITIS WITHOUT MCC | $8,170 – $16,721 · median $8,731 | 16 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $13,780 – $28,205 · median $14,728 | 16 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $8,567 – $17,536 · median $9,157 | 16 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $14,936 – $30,570 · median $15,963 | 16 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $8,016 – $16,406 · median $8,567 | 16 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $21,138 – $43,265 · median $22,592 | 16 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $13,291 – $27,204 · median $14,205 | 16 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $35,848 – $73,373 · median $38,314 | 16 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $17,916 – $36,669 · median $19,148 | 16 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,548 – $23,637 · median $12,343 | 16 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $34,708 – $71,038 · median $37,095 | 16 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $17,741 – $36,313 · median $18,962 | 16 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,304 – $19,043 · median $9,944 | 16 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $26,593 – $54,429 · median $28,422 | 16 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $13,999 – $28,653 · median $14,962 | 16 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $11,751 – $24,051 · median $12,559 | 16 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $36,597 – $74,905 · median $39,114 | 16 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $20,861 – $42,697 · median $22,296 | 16 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $12,997 – $26,602 · median $13,891 | 16 plans |
| 637 | DIABETES WITH MCC | $13,507 – $27,646 · median $14,436 | 16 plans |
| 638 | DIABETES WITH CC | $8,507 – $17,412 · median $9,092 | 16 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,812 – $11,895 · median $6,212 | 16 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $12,317 – $25,211 · median $13,165 | 16 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $7,248 – $14,834 · median $7,746 | 16 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $11,511 – $23,561 · median $12,303 | 16 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $15,372 – $31,462 · median $16,429 | 16 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $9,585 – $19,618 · median $10,244 | 16 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $7,223 – $14,783 · median $7,719 | 16 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $42,733 – $87,465 · median $45,673 | 16 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $32,208 – $65,922 · median $34,423 | 16 plans |
| 652 | KIDNEY TRANSPLANT | $28,488 – $58,307 · median $30,447 | 16 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $51,705 – $105,828 · median $55,262 | 16 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $26,175 – $53,575 · median $27,976 | 16 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $19,267 – $39,435 · median $20,592 | 16 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $30,218 – $61,850 · median $32,297 | 16 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $16,956 – $34,705 · median $18,122 | 16 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $13,950 – $28,552 · median $14,909 | 16 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $23,970 – $49,060 · median $25,618 | 16 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $12,429 – $25,439 · median $13,284 | 16 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $9,522 – $19,489 · median $10,177 | 16 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $28,935 – $59,222 · median $30,925 | 16 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $14,167 – $28,996 · median $15,141 | 16 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $10,015 – $20,499 · median $10,704 | 16 plans |
| 665 | PROSTATECTOMY WITH MCC | $31,847 – $65,183 · median $34,038 | 16 plans |
| 666 | PROSTATECTOMY WITH CC | $15,279 – $31,272 · median $16,330 | 16 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $9,533 – $19,512 · median $10,189 | 16 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $27,049 – $55,363 · median $28,910 | 16 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $14,353 – $29,378 · median $15,341 | 16 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $8,864 – $18,143 · median $9,474 | 16 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $15,988 – $32,723 · median $17,087 | 16 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $10,151 – $20,776 · median $10,849 | 16 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $38,859 – $79,535 · median $41,532 | 16 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $21,411 – $43,823 · median $22,883 | 16 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $14,518 – $29,716 · median $15,517 | 16 plans |
| 682 | RENAL FAILURE WITH MCC | $13,930 – $28,512 · median $14,888 | 16 plans |
| 683 | RENAL FAILURE WITH CC | $8,245 – $16,875 · median $8,812 | 16 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,634 – $11,531 · median $6,021 | 16 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $17,490 – $35,798 · median $18,693 | 16 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $9,764 – $19,984 · median $10,436 | 16 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,717 – $13,748 · median $7,179 | 16 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $10,855 – $22,217 · median $11,601 | 16 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $7,444 – $15,237 · median $7,956 | 16 plans |
| 693 | URINARY STONES WITH MCC | $13,638 – $27,914 · median $14,576 | 16 plans |
| 694 | URINARY STONES WITHOUT MCC | $7,248 – $14,834 · median $7,746 | 16 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $10,460 – $21,410 · median $11,180 | 16 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,417 – $13,133 · median $6,858 | 16 plans |
| 697 | URETHRAL STRICTURE | $9,292 – $19,018 · median $9,931 | 16 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $15,591 – $31,910 · median $16,663 | 16 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $9,460 – $19,362 · median $10,110 | 16 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $6,439 – $13,179 · median $6,882 | 16 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $17,999 – $36,840 · median $19,237 | 16 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $13,750 – $28,144 · median $14,696 | 16 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $20,842 – $42,659 · median $22,276 | 16 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $13,926 – $28,503 · median $14,884 | 16 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $17,721 – $36,271 · median $18,940 | 16 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $9,921 – $20,305 · median $10,603 | 16 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $13,412 – $27,451 · median $14,334 | 16 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,716 – $17,839 · median $9,315 | 16 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $20,946 – $42,872 · median $22,387 | 16 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $13,164 – $26,944 · median $14,070 | 16 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $17,210 – $35,225 · median $18,394 | 16 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $11,426 – $23,386 · median $12,212 | 16 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $16,036 – $32,821 · median $17,139 | 16 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $10,415 – $21,317 · median $11,131 | 16 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,758 – $13,832 · median $7,223 | 16 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $11,711 – $23,969 · median $12,516 | 16 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,904 – $14,132 · median $7,379 | 16 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $13,629 – $27,895 · median $14,566 | 16 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,579 – $15,512 · median $8,100 | 16 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $10,211 – $20,899 · median $10,913 | 16 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,629 – $11,521 · median $6,016 | 16 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $19,504 – $39,920 · median $20,845 | 16 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $11,259 – $23,045 · median $12,034 | 16 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $18,124 – $37,095 · median $19,370 | 16 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $16,781 – $34,348 · median $17,936 | 16 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,296 – $21,074 · median $11,005 | 16 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,858 – $18,130 · median $9,467 | 16 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,127 – $26,868 · median $14,030 | 16 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,454 – $19,350 · median $10,104 | 16 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,936 – $12,150 · median $6,344 | 16 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $9,142 – $18,711 · median $9,770 | 16 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,880 – $12,034 · median $6,284 | 16 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $16,719 – $34,221 · median $17,869 | 16 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $55,139 – $112,856 · median $58,931 | 16 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $37,656 – $77,073 · median $40,246 | 16 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $22,721 – $46,505 · median $24,284 | 16 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $38,682 – $79,173 · median $41,343 | 16 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $13,692 – $28,024 · median $14,634 | 16 plans |
| 795 | NORMAL NEWBORN | $1,853 – $3,793 · median $1,981 | 16 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $44,101 – $90,265 · median $47,135 | 16 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $27,026 – $55,316 · median $28,885 | 16 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $15,227 – $31,166 · median $16,274 | 16 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $33,249 – $68,054 · median $35,536 | 16 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $16,510 – $33,792 · median $17,645 | 16 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,255 – $20,989 · median $10,960 | 16 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $21,243 – $43,479 · median $22,704 | 16 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $11,487 – $23,512 · median $12,277 | 16 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,828 – $18,069 · median $9,435 | 16 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $13,049 – $26,709 · median $13,947 | 16 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $8,560 – $17,520 · median $9,149 | 16 plans |
| 813 | COAGULATION DISORDERS | $14,358 – $29,387 · median $15,345 | 16 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $19,390 – $39,686 · median $20,723 | 16 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $9,424 – $19,290 · median $10,073 | 16 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $6,116 – $12,518 · median $6,537 | 16 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $54,003 – $110,531 · median $57,717 | 16 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $20,706 – $42,380 · median $22,130 | 16 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,608 – $21,712 · median $11,338 | 16 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $43,403 – $88,836 · median $46,388 | 16 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $20,400 – $41,753 · median $21,803 | 16 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,416 – $23,366 · median $12,201 | 16 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $44,293 – $90,658 · median $47,340 | 16 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $21,888 – $44,800 · median $23,394 | 16 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $14,867 – $30,429 · median $15,890 | 16 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $28,603 – $58,543 · median $30,570 | 16 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,565 – $27,764 · median $14,498 | 16 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $10,676 – $21,851 · median $11,410 | 16 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,932 – $14,189 · median $7,409 | 16 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,821 – $9,868 · median $5,153 | 16 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $51,266 – $104,930 · median $54,793 | 16 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $19,811 – $40,548 · median $21,173 | 16 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $11,786 – $24,123 · median $12,597 | 16 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $46,442 – $95,057 · median $49,637 | 16 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $18,812 – $38,503 · median $20,106 | 16 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $12,711 – $26,016 · median $13,585 | 16 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $29,578 – $60,540 · median $31,613 | 16 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $14,543 – $29,767 · median $15,544 | 16 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $9,757 – $19,969 · median $10,428 | 16 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $17,561 – $35,942 · median $18,768 | 16 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $11,086 – $22,690 · median $11,848 | 16 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,761 – $15,886 · median $8,295 | 16 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $23,687 – $48,481 · median $25,316 | 16 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $11,786 – $24,123 · median $12,597 | 16 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,595 – $15,546 · median $8,118 | 16 plans |
| 849 | RADIOTHERAPY | $24,775 – $50,708 · median $26,479 | 16 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $85,441 – $174,879 · median $91,318 | 16 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $46,388 – $94,945 · median $49,578 | 16 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $18,533 – $37,932 · median $19,807 | 16 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $15,078 – $30,860 · median $16,115 | 16 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $41,846 – $85,648 · median $44,724 | 16 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $20,210 – $41,364 · median $21,600 | 16 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,950 – $24,459 · median $12,772 | 16 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $17,054 – $34,906 · median $18,227 | 16 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $9,274 – $18,982 · median $9,912 | 16 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $8,329 – $17,048 · median $8,902 | 16 plans |
| 865 | VIRAL ILLNESS WITH MCC | $13,689 – $28,018 · median $14,631 | 16 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $8,207 – $16,797 · median $8,771 | 16 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $19,889 – $40,707 · median $21,257 | 16 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $9,740 – $19,935 · median $10,410 | 16 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,674 – $13,661 · median $7,133 | 16 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $64,522 – $132,062 · median $68,960 | 16 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $18,199 – $37,249 · median $19,450 | 16 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $9,563 – $19,573 · median $10,220 | 16 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $36,448 – $74,600 · median $38,954 | 16 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $8,891 – $18,198 · median $9,503 | 16 plans |
| 881 | DEPRESSIVE NEUROSES | $8,478 – $17,353 · median $9,062 | 16 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,923 – $18,263 · median $9,536 | 16 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $17,195 – $35,194 · median $18,378 | 16 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $15,491 – $31,707 · median $16,557 | 16 plans |
| 885 | PSYCHOSES | $13,074 – $26,760 · median $13,973 | 16 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $16,663 – $34,105 · median $17,809 | 16 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $11,032 – $22,580 · median $11,791 | 16 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,789 – $11,848 · median $6,187 | 16 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $13,429 – $27,487 · median $14,353 | 16 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $16,517 – $33,807 · median $17,653 | 16 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $8,183 – $16,748 · median $8,745 | 16 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $41,093 – $84,109 · median $43,920 | 16 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $17,600 – $36,024 · median $18,811 | 16 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $11,307 – $23,143 · median $12,085 | 16 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $35,812 – $73,299 · median $38,275 | 16 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $15,287 – $31,289 · median $16,339 | 16 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $20,243 – $41,433 · median $21,635 | 16 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $36,949 – $75,627 · median $39,491 | 16 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $18,709 – $38,293 · median $19,996 | 16 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $11,764 – $24,077 · median $12,573 | 16 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $15,010 – $30,722 · median $16,042 | 16 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $8,500 – $17,397 · median $9,084 | 16 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $16,119 – $32,992 · median $17,228 | 16 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,160 – $12,607 · median $6,583 | 16 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $15,208 – $31,128 · median $16,254 | 16 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $8,205 – $16,793 · median $8,769 | 16 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $16,914 – $34,619 · median $18,078 | 16 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $9,423 – $19,286 · median $10,071 | 16 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,379 – $13,055 · median $6,817 | 16 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $15,669 – $32,072 · median $16,747 | 16 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $9,460 – $19,362 · median $10,110 | 16 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $220,032 – $450,354 · median $235,166 | 16 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $61,948 – $126,792 · median $66,209 | 16 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $29,499 – $60,377 · median $31,528 | 16 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $40,133 – $82,142 · median $42,893 | 16 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $19,903 – $40,736 · median $21,272 | 16 plans |
| 935 | NON-EXTENSIVE BURNS | $20,372 – $41,696 · median $21,773 | 16 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $29,439 – $60,255 · median $31,464 | 16 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $19,583 – $40,083 · median $20,931 | 16 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $18,126 – $37,100 · median $19,373 | 16 plans |
| 945 | REHABILITATION WITH CC/MCC | $14,158 – $28,979 · median $15,132 | 16 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $10,356 – $21,196 · median $11,068 | 16 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $11,930 – $24,417 · median $12,750 | 16 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $7,369 – $15,083 · median $7,876 | 16 plans |
| 949 | AFTERCARE WITH CC/MCC | $10,008 – $20,484 · median $10,696 | 16 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,436 – $11,127 · median $5,810 | 16 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,259 – $10,764 · median $5,621 | 16 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $63,333 – $129,628 · median $67,690 | 16 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $35,453 – $72,564 · median $37,892 | 16 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $69,231 – $141,700 · median $73,993 | 16 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $38,119 – $78,020 · median $40,741 | 16 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $24,522 – $50,192 · median $26,209 | 16 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $25,198 – $51,574 · median $26,931 | 16 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $13,914 – $28,478 · median $14,871 | 16 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $8,464 – $17,325 · median $9,047 | 16 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $58,659 – $120,061 · median $62,693 | 16 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $24,610 – $50,370 · median $26,302 | 16 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $27,697 – $56,690 · median $29,602 | 16 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $13,184 – $26,984 · median $14,090 | 16 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $9,303 – $19,041 · median $9,943 | 16 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $13,374 – $27,373 · median $14,294 | 16 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $44,093 – $90,248 · median $47,126 | 16 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $22,708 – $46,479 · median $24,270 | 16 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $15,473 – $31,669 · median $16,537 | 16 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $32,488 – $66,495 · median $34,723 | 16 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,916 – $32,577 · median $17,011 | 16 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,717 – $21,936 · median $11,455 | 16 plans |
No procedures match that keyword.