Brooklyn Hospital Center - Downtown Campus — Pricing
775 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 775 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 775 procedures
Procedures with negotiated rates only
These 775 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $229,796 – $985,197 · median $418,743 | 16 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $103,830 – $445,147 · median $187,286 | 16 plans |
| 003 | ECMO OR TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITH MAJ O.R. | $180,796 – $775,121 · median $326,115 | 16 plans |
| 004 | TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITHOUT MAJ O.R. | $124,656 – $534,433 · median $224,851 | 16 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $87,768 – $376,285 · median $159,398 | 16 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $41,017 – $175,850 · median $73,985 | 16 plans |
| 007 | LUNG TRANSPLANT | $104,019 – $445,957 · median $191,838 | 16 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $44,619 – $191,294 · median $81,368 | 16 plans |
| 010 | PANCREAS TRANSPLANT | $40,819 – $264,401 · median $106,923 | 16 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $43,725 – $187,462 · median $80,169 | 16 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $33,962 – $145,602 · median $61,754 | 16 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $22,775 – $97,641 · median $41,080 | 16 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $97,188 – $434,482 · median $185,202 | 16 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $52,381 – $224,571 · median $94,483 | 16 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $52,381 – $224,571 · median $94,483 | 16 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $312,426 – $1,339,453 · median $565,309 | 16 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $67,785 – $290,612 · median $122,269 | 16 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $71,676 – $307,295 · median $129,288 | 16 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $52,079 – $223,277 · median $93,939 | 16 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $29,482 – $126,399 · median $53,437 | 16 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITH COMORBITY OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $48,071 – $206,095 · median $86,710 | 16 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $32,129 – $137,746 · median $57,953 | 16 plans |
| 025 | CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMORBITY | $37,448 – $160,548 · median $67,711 | 16 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $25,042 – $107,363 · median $45,835 | 16 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $20,631 – $88,451 · median $37,469 | 16 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $51,101 – $219,085 · median $92,175 | 16 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $29,071 – $124,636 · median $52,438 | 16 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $19,665 – $84,310 · median $35,471 | 16 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $34,909 – $149,663 · median $63,285 | 16 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $18,264 – $78,304 · median $32,945 | 16 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $13,762 – $59,002 · median $24,824 | 16 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $33,084 – $141,839 · median $59,676 | 16 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $19,500 – $83,601 · median $35,173 | 16 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $15,334 – $65,739 · median $27,920 | 16 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH COMORBITY | $28,625 – $122,723 · median $51,633 | 16 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH COMPLICATION | $13,567 – $58,166 · median $24,669 | 16 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,676 – $41,482 · median $17,609 | 16 plans |
| 040 | PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMORBITY | $32,652 – $139,989 · median $58,897 | 16 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $18,916 – $81,099 · median $34,350 | 16 plans |
| 042 | PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITHOUT COMPLICATION/COMORBITY | $14,754 – $63,252 · median $26,835 | 16 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $16,489 – $70,694 · median $30,276 | 16 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,343 – $35,767 · median $15,048 | 16 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH COMORBITY | $12,495 – $53,571 · median $22,845 | 16 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $9,101 – $39,017 · median $16,717 | 16 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH COMORBITY | $20,301 – $87,036 · median $37,380 | 16 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT COMORBITY | $11,560 – $49,561 · median $20,852 | 16 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $14,653 – $62,820 · median $27,322 | 16 plans |
| 059 | MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMPLICATION | $10,067 – $43,162 · median $18,571 | 16 plans |
| 060 | MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITHOUT COMPLICATION/COMORBITY | $7,610 – $32,626 · median $13,897 | 16 plans |
| 061 | ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMORBITY | $23,768 – $101,899 · median $42,872 | 16 plans |
| 062 | ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMPLICATION | $15,872 – $68,048 · median $28,630 | 16 plans |
| 063 | ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT COMPLICATION/COMORBITY | $12,608 – $54,054 · median $22,742 | 16 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY | $16,985 – $72,821 · median $30,638 | 16 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS | $8,619 – $36,952 · median $15,740 | 16 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION/COMORBITY | $5,830 – $24,995 · median $10,750 | 16 plans |
| 067 | NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITH COMORBITY | $12,015 – $51,513 · median $22,069 | 16 plans |
| 068 | NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITHOUT COMORBITY | $7,386 – $31,666 · median $13,600 | 16 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,773 – $29,038 · median $12,441 | 16 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMORBITY | $15,175 – $65,059 · median $27,372 | 16 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $9,004 – $38,603 · median $16,373 | 16 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,640 – $28,467 · median $11,977 | 16 plans |
| 073 | CRANIAL & PERIPHERAL NERVE DISORDERS WITH COMORBITY | $12,830 – $55,007 · median $23,491 | 16 plans |
| 074 | CRANIAL & PERIPHERAL NERVE DISORDERS WITHOUT COMORBITY | $8,702 – $37,309 · median $15,993 | 16 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $16,229 – $69,578 · median $29,273 | 16 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,823 – $33,538 · median $14,274 | 16 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $12,812 – $54,930 · median $23,478 | 16 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $8,623 – $36,970 · median $15,617 | 16 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $6,282 – $26,933 · median $11,331 | 16 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $18,730 – $80,300 · median $33,784 | 16 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,713 – $33,066 · median $14,083 | 16 plans |
| 082 | TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMORBITY | $19,320 – $82,830 · median $35,169 | 16 plans |
| 083 | TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMPLICATION | $11,502 – $49,313 · median $21,124 | 16 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,799 – $33,437 · median $14,511 | 16 plans |
| 085 | TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMORBITY | $19,273 – $82,630 · median $34,765 | 16 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $11,169 – $47,884 · median $20,264 | 16 plans |
| 087 | TRAUMATIC STUPOR & COMA; COMA <1 HR WITHOUT COMPLICATION/COMORBITY | $7,515 – $32,219 · median $13,746 | 16 plans |
| 088 | CONCUSSION WITH MCC | $13,007 – $55,763 · median $23,461 | 16 plans |
| 089 | CONCUSSION WITH CC | $9,751 – $41,806 · median $17,589 | 16 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,927 – $33,986 · median $14,299 | 16 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMORBITY | $15,172 – $65,048 · median $27,691 | 16 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION | $8,701 – $37,305 · median $16,101 | 16 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION/COMORBITY | $6,567 – $28,154 · median $12,163 | 16 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $30,721 – $131,707 · median $55,468 | 16 plans |
| 095 | BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMPLICATION | $20,218 – $86,680 · median $36,584 | 16 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $18,484 – $79,496 · median $34,843 | 16 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $30,841 – $132,223 · median $55,630 | 16 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $18,270 – $78,329 · median $33,109 | 16 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $11,195 – $47,997 · median $20,835 | 16 plans |
| 100 | SEIZURES WITH COMORBITY | $16,812 – $72,076 · median $30,419 | 16 plans |
| 101 | SEIZURES WITHOUT COMORBITY | $7,713 – $33,069 · median $14,196 | 16 plans |
| 102 | HEADACHES WITH COMORBITY | $10,232 – $43,867 · median $18,456 | 16 plans |
| 103 | HEADACHES WITHOUT COMORBITY | $7,144 – $30,626 · median $13,147 | 16 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $21,262 – $91,155 · median $38,352 | 16 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,446 – $44,783 · median $18,842 | 16 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $13,266 – $56,875 · median $23,929 | 16 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $15,525 – $66,561 · median $28,004 | 16 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $10,162 – $43,569 · median $18,331 | 16 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $10,865 – $46,579 · median $19,597 | 16 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,313 – $27,067 · median $11,388 | 16 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,818 – $29,230 · median $12,507 | 16 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $11,210 – $48,059 · median $20,253 | 16 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,763 – $28,994 · median $12,602 | 16 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $22,490 – $96,420 · median $40,567 | 16 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,964 – $34,142 · median $14,824 | 16 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $12,760 – $54,705 · median $23,016 | 16 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,341 – $31,473 · median $13,242 | 16 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,072 – $45,531 · median $19,572 | 16 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $32,038 – $140,249 · median $60,661 | 16 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $17,568 – $75,319 · median $32,266 | 16 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $13,102 – $56,170 · median $23,942 | 16 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $28,201 – $120,906 · median $50,868 | 16 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $14,675 – $62,914 · median $26,750 | 16 plans |
| 145 | OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $10,355 – $44,394 · median $18,678 | 16 plans |
| 146 | EAR; NOSE; MOUTH & THROAT MALIGNANCY WITH COMORBITY | $17,901 – $76,748 · median $33,571 | 16 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $10,480 – $44,929 · median $19,126 | 16 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $7,545 – $32,346 · median $13,609 | 16 plans |
| 149 | DYSEQUILIBRIUM | $6,315 – $27,074 · median $11,631 | 16 plans |
| 150 | EPISTAXIS WITH MCC | $11,147 – $47,790 · median $20,712 | 16 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,536 – $28,020 · median $11,922 | 16 plans |
| 152 | OTITIS MEDIA & URI WITH COMORBITY | $10,076 – $43,198 · median $18,175 | 16 plans |
| 153 | OTITIS MEDIA & URI WITHOUT COMORBITY | $6,231 – $26,714 · median $11,308 | 16 plans |
| 154 | OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMORBITY | $13,044 – $55,923 · median $24,244 | 16 plans |
| 155 | OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMPLICATION | $8,027 – $34,415 · median $14,590 | 16 plans |
| 156 | OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $5,559 – $23,831 · median $10,371 | 16 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $14,475 – $62,060 · median $26,110 | 16 plans |
| 158 | DENTAL & ORAL DISEASES WITH COMPLICATION | $7,958 – $34,120 · median $14,568 | 16 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,726 – $24,548 · median $10,454 | 16 plans |
| 163 | MAJOR CHEST PROCEDURES WITH COMORBITY | $39,971 – $171,368 · median $72,099 | 16 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $21,627 – $92,722 · median $39,011 | 16 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT COMPLICATION/COMORBITY | $15,912 – $68,218 · median $28,707 | 16 plans |
| 166 | OTHER RESP SYSTEM O.R. PROCEDURES WITH COMORBITY | $34,410 – $147,525 · median $62,068 | 16 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $15,432 – $66,161 · median $27,980 | 16 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,496 – $49,288 · median $20,874 | 16 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $26,076 – $111,795 · median $47,035 | 16 plans |
| 175 | PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE | $11,897 – $51,007 · median $21,645 | 16 plans |
| 176 | PULMONARY EMBOLISM WITHOUT COMORBITY | $6,916 – $29,652 · median $12,681 | 16 plans |
| 177 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY | $14,385 – $61,674 · median $25,948 | 16 plans |
| 178 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMPLICATION | $8,367 – $35,872 · median $15,322 | 16 plans |
| 179 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITHOUT COMPLICATION/COMORBITY | $6,473 – $27,751 · median $11,938 | 16 plans |
| 180 | RESPIRATORY NEOPLASMS WITH COMORBITY | $14,740 – $63,194 · median $26,756 | 16 plans |
| 181 | RESPIRATORY NEOPLASMS WITH COMPLICATION | $9,337 – $40,032 · median $17,083 | 16 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,436 – $27,773 · median $12,353 | 16 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $13,352 – $57,243 · median $24,293 | 16 plans |
| 184 | MAJOR CHEST TRAUMA WITH COMPLICATION | $8,920 – $38,243 · median $16,383 | 16 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT COMPLICATION/COMORBITY | $6,408 – $27,474 · median $11,926 | 16 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $13,162 – $56,428 · median $24,053 | 16 plans |
| 187 | PLEURAL EFFUSION WITH COMPLICATION | $8,449 – $36,221 · median $15,483 | 16 plans |
| 188 | PLEURAL EFFUSION WITHOUT COMPLICATION/COMORBITY | $6,330 – $27,140 · median $11,558 | 16 plans |
| 189 | PULMONARY EDEMA & RESPIRATORY FAILURE | $10,447 – $44,791 · median $19,045 | 16 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY | $9,345 – $40,064 · median $17,176 | 16 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION | $7,200 – $30,866 · median $13,263 | 16 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION/COMORBITY | $5,442 – $23,333 · median $10,087 | 16 plans |
| 193 | SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY | $11,250 – $48,230 · median $20,385 | 16 plans |
| 194 | SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION | $6,972 – $29,892 · median $12,774 | 16 plans |
| 195 | SIMPLE PNEUMONIA & PLEURISY WITHOUT COMPLICATION/COMORBITY | $5,305 – $22,744 · median $9,786 | 16 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH COMORBITY | $16,073 – $68,909 · median $29,003 | 16 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,459 – $36,265 · median $15,400 | 16 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,599 – $28,292 · median $11,903 | 16 plans |
| 199 | PNEUMOTHORAX WITH COMORBITY | $15,044 – $64,499 · median $27,178 | 16 plans |
| 200 | PNEUMOTHORAX WITH COMPLICATION | $9,133 – $39,155 · median $16,860 | 16 plans |
| 201 | PNEUMOTHORAX WITHOUT COMPLICATION/COMORBITY | $5,988 – $25,671 · median $10,833 | 16 plans |
| 202 | BRONCHITIS & ASTHMA WITH COMPLICATION/COMORBITY | $8,120 – $34,811 · median $14,904 | 16 plans |
| 203 | BRONCHITIS & ASTHMA WITHOUT COMPLICATION/COMORBITY | $5,893 – $25,264 · median $10,868 | 16 plans |
| 204 | RESPIRATORY SIGNS & SYMPTOMS | $6,978 – $29,917 · median $12,720 | 16 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH COMORBITY | $15,351 – $65,815 · median $28,303 | 16 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT COMORBITY | $7,746 – $33,211 · median $14,123 | 16 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $58,580 – $251,147 · median $105,665 | 16 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $22,928 – $98,299 · median $41,357 | 16 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $91,336 – $391,580 · median $164,749 | 16 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $86,622 – $371,369 · median $157,883 | 16 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $82,301 – $352,846 · median $148,452 | 16 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $53,978 – $231,417 · median $97,539 | 16 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $48,308 – $207,109 · median $88,458 | 16 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $65,391 – $280,348 · median $117,951 | 16 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $44,474 – $190,673 · median $80,259 | 16 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $39,420 – $169,005 · median $71,105 | 16 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $42,728 – $183,187 · median $77,072 | 16 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $26,963 – $115,598 · median $48,635 | 16 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $68,817 – $295,036 · median $125,873 | 16 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $50,444 – $216,267 · median $91,665 | 16 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $66,141 – $283,562 · median $119,303 | 16 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $44,078 – $188,975 · median $80,019 | 16 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $49,867 – $213,795 · median $89,950 | 16 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $34,269 – $146,922 · median $62,119 | 16 plans |
| 239 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMORBITY | $40,762 – $174,756 · median $74,801 | 16 plans |
| 240 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMPLICATION | $23,822 – $102,131 · median $43,634 | 16 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,786 – $50,528 · median $22,205 | 16 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMORBITY | $29,299 – $125,614 · median $52,849 | 16 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION | $19,314 – $82,804 · median $34,838 | 16 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION/COMORBITY | $15,514 – $66,513 · median $27,984 | 16 plans |
| 245 | AICD GENERATOR PROCEDURES | $38,426 – $164,744 · median $71,456 | 16 plans |
| 250 | PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITH COMORBITY | $19,935 – $85,466 · median $35,958 | 16 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $13,457 – $57,693 · median $24,273 | 16 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH COMORBITY | $28,440 – $121,931 · median $51,724 | 16 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH COMPLICATION | $21,633 – $92,748 · median $39,043 | 16 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $14,714 – $63,081 · median $26,740 | 16 plans |
| 255 | UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMORBITY | $23,298 – $99,884 · median $42,024 | 16 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,905 – $59,613 · median $25,557 | 16 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,404 – $36,029 · median $15,158 | 16 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH COMORBITY | $22,969 – $98,474 · median $42,067 | 16 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $15,829 – $67,862 · median $28,552 | 16 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $28,113 – $120,527 · median $51,234 | 16 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMPLICATION | $15,958 – $68,415 · median $28,977 | 16 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT COMPLICATION/COMORBITY | $13,952 – $59,817 · median $25,167 | 16 plans |
| 263 | VEIN LIGATION AND STRIPPING | $23,958 – $102,713 · median $43,214 | 16 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $27,696 – $118,739 · median $51,408 | 16 plans |
| 265 | AICD LEAD PROCEDURES | $29,969 – $128,486 · median $54,171 | 16 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $52,967 – $227,083 · median $95,540 | 16 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $41,384 – $177,425 · median $74,648 | 16 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $58,128 – $249,209 · median $104,849 | 16 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $35,265 – $151,190 · median $63,610 | 16 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMORBITY | $42,883 – $183,849 · median $77,570 | 16 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMPLICATION | $29,309 – $125,654 · median $52,866 | 16 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY | $20,687 – $88,690 · median $37,754 | 16 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES WITH COMORBITY | $33,047 – $141,679 · median $59,609 | 16 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES WITHOUT COMORBITY | $27,482 – $117,823 · median $49,571 | 16 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $59,664 – $255,794 · median $107,620 | 16 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $52,663 – $225,778 · median $94,991 | 16 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $40,555 – $173,869 · median $73,152 | 16 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $37,824 – $165,919 · median $71,629 | 16 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $27,141 – $116,361 · median $48,956 | 16 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMORBITY | $13,454 – $57,679 · median $24,755 | 16 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMPLICATION | $7,742 – $33,193 · median $14,226 | 16 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITHOUT COMPLICATION/COMORBITY | $6,089 – $26,107 · median $11,255 | 16 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMORBITY | $16,717 – $71,672 · median $30,155 | 16 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,273 – $26,893 · median $11,545 | 16 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,144 – $18,617 · median $8,212 | 16 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITH COMORBITY | $18,279 – $78,369 · median $33,412 | 16 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITHOUT COMORBITY | $9,172 – $39,323 · median $16,780 | 16 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $21,989 – $94,271 · median $40,589 | 16 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,531 – $53,723 · median $23,398 | 16 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,694 – $37,272 · median $15,681 | 16 plans |
| 291 | HEART FAILURE & SHOCK WITH COMORBITY | $10,887 – $46,677 · median $19,936 | 16 plans |
| 292 | HEART FAILURE & SHOCK WITH COMPLICATION | $7,263 – $31,139 · median $13,341 | 16 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,762 – $20,414 · median $8,747 | 16 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $9,275 – $40,723 · median $17,805 | 16 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,355 – $26,191 · median $11,149 | 16 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $13,595 – $58,286 · median $24,878 | 16 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $6,179 – $26,489 · median $11,207 | 16 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,722 – $15,957 · median $6,990 | 16 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH COMORBITY | $13,366 – $57,304 · median $24,509 | 16 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION | $9,048 – $38,792 · median $16,528 | 16 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY | $6,019 – $25,805 · median $11,107 | 16 plans |
| 302 | ATHEROSCLEROSIS WITH COMORBITY | $9,507 – $40,759 · median $17,607 | 16 plans |
| 303 | ATHEROSCLEROSIS WITHOUT COMORBITY | $5,581 – $23,926 · median $10,393 | 16 plans |
| 304 | HYPERTENSION WITH COMORBITY | $9,744 – $41,773 · median $17,921 | 16 plans |
| 305 | HYPERTENSION WITHOUT COMORBITY | $6,390 – $27,394 · median $11,727 | 16 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $13,032 – $55,872 · median $23,507 | 16 plans |
| 307 | CARDIAC CONGENITAL & VALVULAR DISORDERS WITHOUT COMORBITY | $7,993 – $34,269 · median $14,508 | 16 plans |
| 308 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY | $10,195 – $43,707 · median $18,581 | 16 plans |
| 309 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION | $6,315 – $27,074 · median $11,577 | 16 plans |
| 310 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATION/COMORBITY | $4,689 – $20,105 · median $8,746 | 16 plans |
| 311 | ANGINA PECTORIS | $5,920 – $25,380 · median $10,907 | 16 plans |
| 312 | SYNCOPE & COLLAPSE | $7,322 – $31,393 · median $13,468 | 16 plans |
| 313 | CHEST PAIN | $6,136 – $26,307 · median $11,224 | 16 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY | $17,753 – $76,111 · median $32,485 | 16 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION | $8,203 – $35,167 · median $14,958 | 16 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $5,874 – $25,184 · median $10,757 | 16 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $36,989 – $158,581 · median $66,720 | 16 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $18,876 – $80,928 · median $34,688 | 16 plans |
| 321 | CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION | $24,377 – $104,513 · median $43,971 | 16 plans |
| 322 | SHOULDER AND ELBOW JOINT REPLACEMENT | $15,462 – $66,292 · median $27,891 | 16 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $35,107 – $150,514 · median $63,942 | 16 plans |
| 324 | NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT | $25,174 – $107,926 · median $46,877 | 16 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $22,424 – $96,136 · median $41,897 | 16 plans |
| 326 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMORBITY | $43,070 – $184,652 · median $77,688 | 16 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $21,178 – $90,795 · median $38,200 | 16 plans |
| 328 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITHOUT COMPLICATION/COMORBITY | $13,545 – $58,071 · median $24,528 | 16 plans |
| 329 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY | $38,302 – $164,213 · median $69,366 | 16 plans |
| 330 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION | $20,115 – $86,240 · median $36,284 | 16 plans |
| 331 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $14,179 – $60,787 · median $25,575 | 16 plans |
| 332 | RECTAL RESECTION WITH MCC | $30,762 – $131,885 · median $55,488 | 16 plans |
| 333 | RECTAL RESECTION WITH CC | $17,634 – $75,602 · median $32,177 | 16 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $13,611 – $58,355 · median $25,028 | 16 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $30,316 – $129,973 · median $54,893 | 16 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH COMPLICATION | $17,853 – $76,540 · median $32,310 | 16 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION/COMORBITY | $12,689 – $54,403 · median $23,280 | 16 plans |
| 344 | MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY | $23,239 – $99,630 · median $41,917 | 16 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,064 – $56,010 · median $23,565 | 16 plans |
| 346 | MINOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $10,921 – $46,819 · median $19,698 | 16 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $21,616 – $92,675 · median $38,991 | 16 plans |
| 348 | ANAL & STOMAL PROCEDURES WITH COMPLICATION | $11,036 – $47,314 · median $19,906 | 16 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $8,275 – $35,476 · median $14,926 | 16 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $20,352 – $87,254 · median $36,861 | 16 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $12,343 – $52,920 · median $22,729 | 16 plans |
| 352 | INGUINAL & FEMORAL HERNIA PROCEDURES WITHOUT COMPLICATION/COMORBITY | $9,404 – $40,319 · median $17,099 | 16 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $24,798 – $106,316 · median $44,752 | 16 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMPLICATION | $14,567 – $62,452 · median $26,275 | 16 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITHOUT COMPLICATION/COMORBITY | $11,555 – $49,539 · median $20,842 | 16 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $36,283 – $155,556 · median $65,447 | 16 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION | $18,629 – $79,867 · median $34,021 | 16 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY | $10,864 – $46,576 · median $20,247 | 16 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH COMORBITY | $14,009 – $60,060 · median $25,504 | 16 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,381 – $35,931 · median $15,505 | 16 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,307 – $27,038 · median $11,376 | 16 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMORBITY | $14,821 – $63,539 · median $26,838 | 16 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMPLICATION | $8,839 – $37,894 · median $16,043 | 16 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITHOUT COMPLICATION/COMORBITY | $6,076 – $26,049 · median $11,244 | 16 plans |
| 374 | DIGESTIVE MALIGNANCY WITH COMORBITY | $17,800 – $76,311 · median $32,251 | 16 plans |
| 375 | DIGESTIVE MALIGNANCY WITH COMPLICATION | $10,162 – $43,565 · median $18,700 | 16 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,559 – $32,408 · median $13,783 | 16 plans |
| 377 | G.I. HEMORRHAGE WITH COMORBITY | $15,182 – $65,088 · median $27,669 | 16 plans |
| 378 | G.I. HEMORRHAGE WITH COMPLICATION | $8,343 – $35,767 · median $15,256 | 16 plans |
| 379 | G.I. HEMORRHAGE WITHOUT COMPLICATION/COMORBITY | $5,370 – $23,021 · median $9,944 | 16 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $16,523 – $70,840 · median $29,804 | 16 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH COMPLICATION | $9,099 – $39,010 · median $16,703 | 16 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,420 – $27,525 · median $11,749 | 16 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $11,857 – $50,833 · median $21,387 | 16 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,426 – $31,837 · median $13,560 | 16 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH COMORBITY | $13,287 – $56,966 · median $24,478 | 16 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH COMPLICATION | $8,239 – $35,323 · median $15,196 | 16 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION/COMORBITY | $5,801 – $24,871 · median $10,601 | 16 plans |
| 388 | G.I. OBSTRUCTION WITH COMORBITY | $12,326 – $52,843 · median $22,480 | 16 plans |
| 389 | G.I. OBSTRUCTION WITH COMPLICATION | $6,753 – $28,954 · median $12,432 | 16 plans |
| 390 | G.I. OBSTRUCTION WITHOUT COMPLICATION/COMORBITY | $4,740 – $20,323 · median $8,715 | 16 plans |
| 391 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY | $10,818 – $46,379 · median $19,731 | 16 plans |
| 392 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY | $6,662 – $28,561 · median $12,198 | 16 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMORBITY | $13,734 – $58,882 · median $25,134 | 16 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION | $7,945 – $34,062 · median $14,559 | 16 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $5,491 – $23,541 · median $10,063 | 16 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $19,051 – $82,169 · median $35,950 | 16 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $12,833 – $55,018 · median $23,278 | 16 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $9,439 – $40,468 · median $17,275 | 16 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $46,684 – $200,147 · median $84,208 | 16 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $24,485 – $104,974 · median $44,166 | 16 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $18,240 – $78,202 · median $32,902 | 16 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $31,564 – $135,324 · median $56,935 | 16 plans |
| 409 | BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITH COMPLICATION | $16,598 – $71,160 · median $30,945 | 16 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $13,273 – $56,904 · median $23,972 | 16 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $24,427 – $104,723 · median $44,060 | 16 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $17,346 – $74,366 · median $31,930 | 16 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,801 – $55,132 · median $24,241 | 16 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $29,894 – $128,162 · median $53,921 | 16 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMPLICATION | $16,755 – $71,832 · median $30,314 | 16 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY | $11,356 – $48,688 · median $20,843 | 16 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMORBITY | $19,655 – $84,266 · median $35,880 | 16 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION | $13,862 – $59,431 · median $25,279 | 16 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY | $11,136 – $47,743 · median $20,271 | 16 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $27,143 – $117,045 · median $51,082 | 16 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $14,497 – $62,154 · median $26,150 | 16 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,965 – $51,298 · median $22,115 | 16 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMORBITY | $33,164 – $142,185 · median $60,712 | 16 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,700 – $75,886 · median $33,297 | 16 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $13,584 – $58,239 · median $24,503 | 16 plans |
| 432 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMORBITY | $16,248 – $69,658 · median $29,678 | 16 plans |
| 433 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMPLICATION | $8,743 – $37,483 · median $16,217 | 16 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,677 – $24,340 · median $10,651 | 16 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMORBITY | $14,924 – $63,983 · median $27,453 | 16 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $9,334 – $40,017 · median $17,196 | 16 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,048 – $30,215 · median $12,713 | 16 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMORBITY | $14,151 – $60,671 · median $25,605 | 16 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION | $7,252 – $31,092 · median $13,323 | 16 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $5,220 – $22,381 · median $9,650 | 16 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMORBITY | $15,503 – $66,466 · median $28,473 | 16 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMPLICATION | $8,069 – $34,593 · median $14,849 | 16 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITHOUT COMPLICATION/COMORBITY | $6,061 – $25,984 · median $11,077 | 16 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH COMORBITY | $13,850 – $59,377 · median $25,440 | 16 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH COMPLICATION | $9,216 – $39,512 · median $16,790 | 16 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION/COMORBITY | $6,797 – $29,139 · median $12,447 | 16 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $71,481 – $306,459 · median $128,936 | 16 plans |
| 457 | SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITH COMPLICATION | $51,519 – $220,874 · median $92,928 | 16 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $38,423 – $164,729 · median $69,306 | 16 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY WITH COMORBITY | $57,821 – $247,893 · median $104,296 | 16 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY WITHOUT COMORBITY | $24,137 – $103,480 · median $43,627 | 16 plans |
| 463 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMORBITY | $48,028 – $205,909 · median $86,632 | 16 plans |
| 464 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMPLICATION | $25,452 – $109,119 · median $45,909 | 16 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $15,864 – $68,015 · median $28,616 | 16 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $43,982 – $188,564 · median $79,334 | 16 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION | $29,564 – $126,748 · median $53,326 | 16 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY | $22,638 – $97,056 · median $40,834 | 16 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT | $28,237 – $121,058 · median $50,933 | 16 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY | $15,957 – $68,411 · median $28,895 | 16 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $41,713 – $178,835 · median $75,241 | 16 plans |
| 472 | CERVICAL SPINAL FUSION WITH COMPLICATION | $25,062 – $107,447 · median $45,206 | 16 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY | $20,866 – $89,458 · median $37,637 | 16 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMORBITY | $36,488 – $156,433 · median $66,830 | 16 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMPLICATION | $18,187 – $77,973 · median $32,946 | 16 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,980 – $42,787 · median $18,080 | 16 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY | $28,569 – $122,483 · median $51,911 | 16 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION | $20,214 – $86,662 · median $36,461 | 16 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $15,807 – $67,768 · median $28,512 | 16 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $25,007 – $107,210 · median $45,106 | 16 plans |
| 481 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION | $17,595 – $75,435 · median $31,802 | 16 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $13,470 – $57,748 · median $24,405 | 16 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $21,066 – $90,316 · median $38,441 | 16 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $27,933 – $119,757 · median $50,385 | 16 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $17,030 – $73,014 · median $31,542 | 16 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,101 – $56,166 · median $23,993 | 16 plans |
| 488 | KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION/COMORBITY | $17,864 – $76,588 · median $32,223 | 16 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,496 – $44,998 · median $19,100 | 16 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $29,359 – $125,868 · median $53,451 | 16 plans |
| 493 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMPLICATION | $20,366 – $87,316 · median $36,758 | 16 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $15,851 – $67,957 · median $28,788 | 16 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $30,369 – $130,198 · median $54,778 | 16 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $16,854 – $72,258 · median $30,401 | 16 plans |
| 497 | LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITHOUT COMPLICATION/COMORBITY | $12,104 – $51,895 · median $21,834 | 16 plans |
| 498 | LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR WITH COMPLICATION/COMORBITY | $22,141 – $94,926 · median $39,938 | 16 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $10,938 – $46,892 · median $19,729 | 16 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $27,499 – $117,895 · median $49,602 | 16 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $14,719 – $63,103 · median $26,981 | 16 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT COMPLICATION/COMORBITY | $11,725 – $50,269 · median $21,393 | 16 plans |
| 503 | FOOT PROCEDURES WITH MCC | $22,743 – $97,503 · median $41,022 | 16 plans |
| 504 | FOOT PROCEDURES WITH CC | $14,646 – $62,790 · median $26,709 | 16 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,464 – $62,012 · median $26,527 | 16 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $12,403 – $53,174 · median $22,752 | 16 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $18,077 – $77,500 · median $32,606 | 16 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $12,160 – $52,135 · median $21,934 | 16 plans |
| 509 | ARTHROSCOPY | $11,246 – $58,256 · median $24,041 | 16 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $23,071 – $98,910 · median $42,519 | 16 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $16,907 – $72,487 · median $30,497 | 16 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $13,685 – $58,671 · median $24,764 | 16 plans |
| 513 | HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITH COMPLICATION/COMORBITY | $13,746 – $58,933 · median $24,795 | 16 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,832 – $37,865 · median $15,971 | 16 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $26,810 – $114,939 · median $48,358 | 16 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $17,306 – $74,195 · median $31,216 | 16 plans |
| 517 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITHOUT COMPLICATION/COMORBITY | $12,673 – $54,330 · median $22,980 | 16 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $30,967 – $132,765 · median $55,858 | 16 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $16,694 – $71,570 · median $30,211 | 16 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $12,139 – $52,044 · median $22,048 | 16 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $25,391 – $108,857 · median $45,799 | 16 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $17,911 – $76,791 · median $32,341 | 16 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $13,834 – $59,311 · median $24,954 | 16 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,869 – $29,448 · median $12,630 | 16 plans |
| 535 | FRACTURES OF HIP & PELVIS WITH COMORBITY | $10,996 – $47,143 · median $20,212 | 16 plans |
| 536 | FRACTURES OF HIP & PELVIS WITHOUT COMORBITY | $6,675 – $28,616 · median $12,415 | 16 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $8,200 – $35,156 · median $14,791 | 16 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,013 – $25,780 · median $10,846 | 16 plans |
| 539 | OSTEOMYELITIS WITH COMORBITY | $16,828 – $72,145 · median $30,682 | 16 plans |
| 540 | OSTEOMYELITIS WITH COMPLICATION | $11,009 – $47,197 · median $19,986 | 16 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $7,275 – $31,190 · median $13,444 | 16 plans |
| 542 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMORBITY | $15,465 – $66,302 · median $28,266 | 16 plans |
| 543 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMPLICATION | $9,249 – $39,653 · median $16,683 | 16 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,508 – $27,903 · median $11,880 | 16 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $21,142 – $90,643 · median $38,376 | 16 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH COMPLICATION | $10,170 – $43,602 · median $18,344 | 16 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,898 – $29,572 · median $12,442 | 16 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $16,534 – $70,887 · median $30,336 | 16 plans |
| 549 | SEPTIC ARTHRITIS WITH COMPLICATION | $10,229 – $43,853 · median $18,610 | 16 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT COMPLICATION/COMORBITY | $7,808 – $33,477 · median $14,085 | 16 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $14,432 – $61,874 · median $26,171 | 16 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT COMORBITY | $8,194 – $35,131 · median $14,959 | 16 plans |
| 553 | BONE DISEASES & ARTHROPATHIES WITH COMORBITY | $11,461 – $49,135 · median $20,673 | 16 plans |
| 554 | BONE DISEASES & ARTHROPATHIES WITHOUT COMORBITY | $6,969 – $29,877 · median $12,868 | 16 plans |
| 555 | SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITH COMORBITY | $11,864 – $50,862 · median $21,399 | 16 plans |
| 556 | SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITHOUT COMORBITY | $6,991 – $29,972 · median $12,770 | 16 plans |
| 557 | TENDONITIS; MYOSITIS & BURSITIS WITH COMORBITY | $13,202 – $56,599 · median $23,891 | 16 plans |
| 558 | TENDONITIS; MYOSITIS & BURSITIS WITHOUT COMORBITY | $7,449 – $31,935 · median $13,544 | 16 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $15,692 – $67,277 · median $28,435 | 16 plans |
| 560 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION | $9,600 – $41,159 · median $17,536 | 16 plans |
| 561 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY | $6,616 – $28,365 · median $12,401 | 16 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $12,896 – $55,287 · median $23,261 | 16 plans |
| 563 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITHOUT COMORBITY | $7,595 – $32,560 · median $13,891 | 16 plans |
| 564 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMORBITY | $13,245 – $56,784 · median $24,065 | 16 plans |
| 565 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION | $8,475 – $36,334 · median $15,614 | 16 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,364 – $27,285 · median $11,685 | 16 plans |
| 570 | SKIN DEBRIDEMENT WITH COMORBITY | $24,780 – $106,240 · median $45,249 | 16 plans |
| 571 | SKIN DEBRIDEMENT WITH COMPLICATION | $14,347 – $61,511 · median $25,879 | 16 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT COMPLICATION/COMORBITY | $9,664 – $41,431 · median $17,625 | 16 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH COMORBITY | $52,729 – $226,065 · median $95,112 | 16 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION | $28,881 – $123,821 · median $52,397 | 16 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $17,350 – $74,384 · median $31,296 | 16 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $48,193 – $206,615 · median $86,929 | 16 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $22,464 – $96,311 · median $40,609 | 16 plans |
| 578 | SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS WITHOUT COMPLICATION/COMORBITY | $13,657 – $58,551 · median $25,286 | 16 plans |
| 579 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMORBITY | $28,342 – $121,509 · median $51,122 | 16 plans |
| 580 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMPLICATION | $14,811 – $63,499 · median $26,995 | 16 plans |
| 581 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITHOUT COMPLICATION/COMORBITY | $11,420 – $48,961 · median $21,366 | 16 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH COMPLICATION/COMORBITY | $14,137 – $60,609 · median $26,173 | 16 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $12,906 – $55,330 · median $24,214 | 16 plans |
| 584 | BREAST BIOPSY; LOCAL EXCISION & OTHER BREAST PROCEDURES WITH COMPLICATION/COMORBITY | $16,609 – $71,207 · median $30,629 | 16 plans |
| 585 | BREAST BIOPSY; LOCAL EXCISION & OTHER BREAST PROCEDURES WITHOUT COMPLICATION/COMORBITY | $14,280 – $65,830 · median $27,877 | 16 plans |
| 592 | SKIN ULCERS WITH COMORBITY | $17,724 – $75,988 · median $31,970 | 16 plans |
| 593 | SKIN ULCERS WITH COMPLICATION | $10,260 – $43,987 · median $18,759 | 16 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,677 – $28,627 · median $12,669 | 16 plans |
| 595 | MAJOR SKIN DISORDERS WITH COMORBITY | $18,444 – $79,074 · median $33,269 | 16 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,556 – $36,683 · median $16,105 | 16 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH COMORBITY | $13,572 – $58,256 · median $25,643 | 16 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $10,166 – $43,584 · median $18,337 | 16 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT COMPLICATION/COMORBITY | $5,269 – $28,350 · median $12,017 | 16 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,696 – $37,283 · median $15,686 | 16 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,280 – $22,635 · median $9,605 | 16 plans |
| 602 | CELLULITIS WITH COMORBITY | $12,614 – $54,080 · median $22,765 | 16 plans |
| 603 | CELLULITIS WITHOUT COMORBITY | $7,502 – $32,164 · median $13,711 | 16 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $12,773 – $54,759 · median $23,039 | 16 plans |
| 605 | TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITHOUT COMORBITY | $7,707 – $33,040 · median $14,203 | 16 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $13,448 – $57,653 · median $24,542 | 16 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT COMORBITY | $7,577 – $32,484 · median $13,676 | 16 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $19,100 – $81,888 · median $34,674 | 16 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $12,475 – $53,483 · median $22,502 | 16 plans |
| 616 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMORBITY | $33,561 – $143,886 · median $60,537 | 16 plans |
| 617 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMPLICATION | $16,829 – $72,148 · median $30,355 | 16 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,850 – $42,227 · median $18,496 | 16 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH COMORBITY | $21,950 – $94,108 · median $40,518 | 16 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH COMPLICATION | $13,756 – $58,977 · median $24,813 | 16 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION/COMORBITY | $12,867 – $55,163 · median $23,209 | 16 plans |
| 622 | SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMORBITY | $32,441 – $139,084 · median $58,516 | 16 plans |
| 623 | SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMPLICATION | $15,785 – $67,673 · median $28,904 | 16 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,451 – $40,519 · median $17,047 | 16 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $24,772 – $106,203 · median $44,683 | 16 plans |
| 626 | THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITH COMPLICATION | $12,651 – $54,240 · median $23,070 | 16 plans |
| 627 | THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $10,481 – $44,936 · median $19,275 | 16 plans |
| 628 | OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMORBITY | $34,043 – $145,951 · median $61,406 | 16 plans |
| 629 | OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMPLICATION | $19,189 – $82,266 · median $34,612 | 16 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,841 – $50,764 · median $21,536 | 16 plans |
| 637 | DIABETES WITH COMORBITY | $12,290 – $52,691 · median $22,354 | 16 plans |
| 638 | DIABETES WITH COMPLICATION | $7,627 – $32,699 · median $14,079 | 16 plans |
| 639 | DIABETES WITHOUT COMPLICATION/COMORBITY | $5,279 – $22,632 · median $9,785 | 16 plans |
| 640 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY | $11,153 – $47,815 · median $20,357 | 16 plans |
| 641 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY | $6,626 – $28,409 · median $12,170 | 16 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $11,052 – $47,383 · median $19,935 | 16 plans |
| 643 | ENDOCRINE DISORDERS WITH COMORBITY | $13,950 – $59,809 · median $25,360 | 16 plans |
| 644 | ENDOCRINE DISORDERS WITH COMPLICATION | $9,003 – $38,599 · median $16,240 | 16 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT COMPLICATION/COMORBITY | $6,452 – $27,663 · median $11,977 | 16 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $38,139 – $163,511 · median $69,305 | 16 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $29,327 – $125,734 · median $52,900 | 16 plans |
| 652 | KIDNEY TRANSPLANT | $25,477 – $109,228 · median $46,357 | 16 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $45,907 – $196,817 · median $83,550 | 16 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $23,214 – $99,525 · median $42,423 | 16 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $17,874 – $76,631 · median $32,241 | 16 plans |
| 656 | KIDNEY & URETER PROCEDURES FOR NEOPLASM WITH COMORBITY | $26,607 – $114,071 · median $48,735 | 16 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $15,639 – $67,048 · median $28,209 | 16 plans |
| 658 | KIDNEY & URETER PROCEDURES FOR NEOPLASM WITHOUT COMPLICATION/COMORBITY | $12,554 – $53,821 · median $22,936 | 16 plans |
| 659 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMORBITY | $21,954 – $94,122 · median $39,600 | 16 plans |
| 660 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION | $11,413 – $48,932 · median $20,698 | 16 plans |
| 661 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION/COMORBITY | $8,890 – $38,116 · median $16,077 | 16 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $25,412 – $108,948 · median $46,613 | 16 plans |
| 663 | MINOR BLADDER PROCEDURES WITH COMPLICATION | $12,372 – $53,043 · median $22,910 | 16 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,002 – $38,596 · median $16,544 | 16 plans |
| 665 | PROSTATECTOMY WITH MCC | $26,196 – $113,865 · median $49,492 | 16 plans |
| 666 | PROSTATECTOMY WITH CC | $14,564 – $62,438 · median $26,269 | 16 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,901 – $38,159 · median $16,095 | 16 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH COMORBITY | $23,897 – $102,451 · median $43,736 | 16 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $13,013 – $55,792 · median $23,688 | 16 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,163 – $34,996 · median $14,874 | 16 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $14,517 – $62,238 · median $26,371 | 16 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,825 – $36,292 · median $15,459 | 16 plans |
| 673 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMORBITY | $31,359 – $138,936 · median $59,715 | 16 plans |
| 674 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMPLICATION | $20,201 – $86,607 · median $36,438 | 16 plans |
| 675 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITHOUT COMPLICATION/COMORBITY | $13,454 – $57,679 · median $24,267 | 16 plans |
| 682 | RENAL FAILURE WITH COMORBITY | $12,727 – $54,563 · median $23,096 | 16 plans |
| 683 | RENAL FAILURE WITH COMPLICATION | $7,639 – $32,749 · median $13,902 | 16 plans |
| 684 | RENAL FAILURE WITHOUT COMPLICATION/COMORBITY | $5,160 – $22,123 · median $9,538 | 16 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $15,598 – $66,873 · median $28,537 | 16 plans |
| 687 | KIDNEY & URINARY TRACT NEOPLASMS WITH COMPLICATION | $8,864 – $38,003 · median $16,224 | 16 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,622 – $28,390 · median $11,945 | 16 plans |
| 689 | KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY | $9,959 – $42,696 · median $18,107 | 16 plans |
| 690 | KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY | $6,843 – $29,336 · median $12,528 | 16 plans |
| 693 | URINARY STONES WITH MCC | $12,010 – $51,491 · median $22,167 | 16 plans |
| 694 | URINARY STONES WITHOUT COMORBITY | $6,637 – $28,456 · median $12,181 | 16 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $10,142 – $43,482 · median $18,294 | 16 plans |
| 696 | KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITHOUT COMORBITY | $5,869 – $25,162 · median $10,812 | 16 plans |
| 697 | URETHRAL STRICTURE | $9,439 – $40,468 · median $17,026 | 16 plans |
| 698 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY | $14,029 – $60,147 · median $25,597 | 16 plans |
| 699 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION | $8,656 – $37,112 · median $15,797 | 16 plans |
| 700 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $6,006 – $25,751 · median $10,966 | 16 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $16,637 – $71,327 · median $30,009 | 16 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT COMPLICATION/COMORBITY | $12,368 – $53,025 · median $22,607 | 16 plans |
| 709 | PENIS PROCEDURES WITH COMPLICATION/COMORBITY | $17,978 – $77,075 · median $33,334 | 16 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,467 – $49,789 · median $20,824 | 16 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $18,002 – $77,180 · median $32,472 | 16 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $10,078 – $43,205 · median $18,178 | 16 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION/COMORBITY | $12,302 – $52,742 · median $22,297 | 16 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,128 – $34,847 · median $14,732 | 16 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY WITH COMPLICATION/COMORBITY | $18,720 – $80,256 · median $34,154 | 16 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $12,060 – $51,706 · median $21,876 | 16 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY WITH COMPLICATION/COMORBITY | $15,380 – $65,939 · median $28,116 | 16 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,971 – $42,747 · median $18,530 | 16 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $15,898 – $68,160 · median $28,677 | 16 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,449 – $40,511 · median $17,280 | 16 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,865 – $29,430 · median $12,382 | 16 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $10,523 – $45,114 · median $19,289 | 16 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT COMORBITY | $6,198 – $26,573 · median $11,493 | 16 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH COMORBITY | $13,746 – $58,933 · median $24,795 | 16 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT COMORBITY | $6,785 – $29,088 · median $12,567 | 16 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH COMPLICATION/COMORBITY | $8,513 – $36,508 · median $16,193 | 16 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,271 – $22,599 · median $9,646 | 16 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $18,432 – $79,023 · median $33,247 | 16 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,687 – $45,816 · median $19,276 | 16 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $32,963 – $141,323 · median $59,645 | 16 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $16,738 – $71,759 · median $30,432 | 16 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,572 – $50,303 · median $22,037 | 16 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $30,666 – $132,015 · median $57,628 | 16 plans |
| 740 | UTERINE; ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG WITH COMPLICATION | $15,154 – $64,968 · median $27,641 | 16 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,018 – $47,237 · median $20,526 | 16 plans |
| 742 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITH COMPLICATION/COMORBITY | $15,111 – $64,783 · median $27,654 | 16 plans |
| 743 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $9,854 – $42,246 · median $18,191 | 16 plans |
| 744 | D&C; CONIZATION; LAPAROSCOPY & TUBAL INTERRUPTION WITH COMPLICATION/COMORBITY | $15,963 – $68,437 · median $29,358 | 16 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,784 – $37,661 · median $15,958 | 16 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $14,213 – $60,936 · median $25,739 | 16 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,523 – $32,255 · median $14,229 | 16 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $11,914 – $51,077 · median $21,489 | 16 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $21,346 – $91,515 · median $38,992 | 16 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,533 – $49,444 · median $20,803 | 16 plans |
| 754 | MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY | $15,709 – $67,349 · median $28,336 | 16 plans |
| 755 | MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION | $9,198 – $39,435 · median $16,942 | 16 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,393 – $35,982 · median $15,138 | 16 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,649 – $54,229 · median $22,816 | 16 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,417 – $36,087 · median $15,553 | 16 plans |
| 759 | INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY | $5,480 – $23,493 · median $10,076 | 16 plans |
| 760 | MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH COMPLICATION/COMORBITY | $8,441 – $36,189 · median $15,352 | 16 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,135 – $22,017 · median $9,690 | 16 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROC EXCEPT STERIL &/OR D&C | $10,329 – $44,285 · median $15,236 | 16 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $13,092 – $56,130 · median $23,616 | 16 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,773 – $35,682 · median $14,965 | 16 plans |
| 776 | POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE | $6,078 – $26,056 · median $11,166 | 16 plans |
| 779 | ABORTION WITHOUT D&C | $8,388 – $35,963 · median $15,131 | 16 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH COMORBITY | $14,088 – $64,416 · median $25,180 | 16 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH COMPLICATION | $8,684 – $37,232 · median $15,066 | 16 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT COMPLICATION/COMORBITY | $7,346 – $31,495 · median $13,365 | 16 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMORBITY | $14,088 – $63,605 · median $22,164 | 16 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMPLICATION | $8,913 – $38,214 · median $14,925 | 16 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT COMPLICATION/COMORBITY | $7,250 – $31,084 · median $13,385 | 16 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $11,271 – $51,567 · median $17,640 | 16 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $8,445 – $36,207 · median $13,528 | 16 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,879 – $32,107 · median $13,528 | 16 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $42,015 – $180,129 · median $75,786 | 16 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $23,894 – $102,440 · median $43,717 | 16 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $15,177 – $65,066 · median $27,375 | 16 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $28,750 – $123,258 · median $53,064 | 16 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $15,758 – $67,557 · median $28,423 | 16 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,264 – $44,005 · median $18,514 | 16 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMORBITY | $8,550 – $36,654 · median $13,925 | 16 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMPLICATION | $6,332 – $27,147 · median $11,420 | 16 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY | $5,548 – $23,788 · median $10,897 | 16 plans |
| 808 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMORBITY | $18,572 – $79,623 · median $34,219 | 16 plans |
| 809 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMPLICATION | $10,213 – $43,787 · median $18,817 | 16 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,518 – $36,520 · median $15,365 | 16 plans |
| 811 | RED BLOOD CELL DISORDERS WITH COMORBITY | $11,903 – $51,029 · median $21,635 | 16 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT COMORBITY | $7,638 – $32,746 · median $14,128 | 16 plans |
| 813 | COAGULATION DISORDERS | $13,229 – $56,715 · median $23,907 | 16 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $18,046 – $77,369 · median $32,551 | 16 plans |
| 815 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMPLICATION | $8,431 – $36,145 · median $15,545 | 16 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $6,023 – $25,820 · median $10,863 | 16 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH COMORBITY | $19,122 – $84,069 · median $36,403 | 16 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,948 – $42,713 · median $18,881 | 16 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY | $7,693 – $32,982 · median $13,877 | 16 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $51,276 – $219,834 · median $92,490 | 16 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $18,928 – $81,150 · median $34,190 | 16 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,505 – $45,038 · median $18,949 | 16 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $38,176 – $163,671 · median $69,823 | 16 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $18,935 – $81,179 · median $34,154 | 16 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,951 – $46,950 · median $19,753 | 16 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $37,217 – $159,559 · median $69,501 | 16 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $19,650 – $84,244 · median $35,765 | 16 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,911 – $59,638 · median $25,092 | 16 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $26,744 – $114,660 · median $48,241 | 16 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,409 – $57,486 · median $24,186 | 16 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMORBITY | $8,563 – $38,169 · median $16,578 | 16 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMPLICATION | $6,256 – $26,820 · median $11,571 | 16 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY | $4,340 – $18,607 · median $8,131 | 16 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $47,480 – $203,557 · median $85,642 | 16 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH COMPLICATION | $18,957 – $81,274 · median $34,194 | 16 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $10,153 – $43,529 · median $18,971 | 16 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $40,336 – $172,931 · median $74,176 | 16 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $16,556 – $70,981 · median $30,448 | 16 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,050 – $47,376 · median $20,537 | 16 plans |
| 840 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMORBITY | $26,502 – $113,620 · median $48,169 | 16 plans |
| 841 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMPLICATION | $13,343 – $57,206 · median $24,155 | 16 plans |
| 842 | LYMPHOMA & NON-ACUTE LEUKEMIA WITHOUT COMPLICATION/COMORBITY | $9,043 – $38,770 · median $16,399 | 16 plans |
| 843 | OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITH COMORBITY | $15,778 – $67,644 · median $28,768 | 16 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,813 – $42,071 · median $18,127 | 16 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,334 – $31,444 · median $13,250 | 16 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $20,725 – $88,854 · median $38,136 | 16 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $10,283 – $44,085 · median $19,102 | 16 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,441 – $27,612 · median $12,233 | 16 plans |
| 849 | RADIOTHERAPY | $22,823 – $97,849 · median $41,168 | 16 plans |
| 853 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY | $42,394 – $181,755 · median $76,469 | 16 plans |
| 854 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION | $17,284 – $74,101 · median $31,176 | 16 plans |
| 855 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY | $14,431 – $61,871 · median $26,031 | 16 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMORBITY | $37,553 – $160,999 · median $68,078 | 16 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMPLICATION | $18,111 – $77,646 · median $33,013 | 16 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,883 – $46,659 · median $19,822 | 16 plans |
| 862 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITH COMORBITY | $15,620 – $66,968 · median $28,245 | 16 plans |
| 863 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITHOUT COMORBITY | $8,527 – $36,556 · median $15,534 | 16 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,486 – $32,095 · median $13,810 | 16 plans |
| 865 | VIRAL ILLNESS WITH MCC | $13,906 – $59,620 · median $25,084 | 16 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,782 – $33,364 · median $14,037 | 16 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $17,743 – $76,068 · median $32,413 | 16 plans |
| 868 | OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMPLICATION | $9,205 – $39,464 · median $16,604 | 16 plans |
| 869 | OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $5,857 – $25,111 · median $10,986 | 16 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $59,062 – $253,216 · median $106,535 | 16 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY | $16,812 – $72,079 · median $30,326 | 16 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY | $8,734 – $37,443 · median $15,949 | 16 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $31,643 – $135,662 · median $58,267 | 16 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $8,095 – $34,705 · median $14,825 | 16 plans |
| 881 | DEPRESSIVE NEUROSES | $7,687 – $32,957 · median $14,119 | 16 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,965 – $34,149 · median $14,717 | 16 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $15,903 – $68,182 · median $28,686 | 16 plans |
| 884 | ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY | $14,899 – $63,874 · median $26,874 | 16 plans |
| 885 | PSYCHOSES | $11,587 – $49,677 · median $21,337 | 16 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $14,261 – $61,140 · median $26,600 | 16 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $10,987 – $47,103 · median $19,818 | 16 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $36,700 – $157,342 · median $66,681 | 16 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $15,982 – $68,520 · median $29,001 | 16 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $10,528 – $45,136 · median $19,004 | 16 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $27,613 – $128,042 · median $53,765 | 16 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $13,430 – $57,577 · median $24,777 | 16 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $15,956 – $72,376 · median $30,874 | 16 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMORBITY | $31,541 – $135,226 · median $58,525 | 16 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION | $16,995 – $72,861 · median $30,814 | 16 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $11,501 – $49,310 · median $20,746 | 16 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,673 – $54,334 · median $23,818 | 16 plans |
| 914 | TRAUMATIC INJURY WITHOUT COMORBITY | $7,697 – $33,000 · median $14,145 | 16 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $15,044 – $64,496 · median $27,135 | 16 plans |
| 916 | ALLERGIC REACTIONS WITHOUT COMORBITY | $5,587 – $23,951 · median $10,344 | 16 plans |
| 917 | POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY | $13,533 – $58,021 · median $24,824 | 16 plans |
| 918 | POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY | $7,300 – $31,299 · median $13,534 | 16 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH COMORBITY | $15,473 – $66,339 · median $27,997 | 16 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH COMPLICATION | $8,767 – $37,585 · median $15,881 | 16 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION/COMORBITY | $5,917 – $25,369 · median $10,833 | 16 plans |
| 922 | OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITH COMORBITY | $14,797 – $63,438 · median $26,690 | 16 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $8,577 – $36,770 · median $15,717 | 16 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $223,522 – $958,297 · median $403,183 | 16 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $58,679 – $251,573 · median $105,844 | 16 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $27,267 – $116,903 · median $49,184 | 16 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $25,711 – $143,489 · median $58,309 | 16 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $17,744 – $76,075 · median $32,425 | 16 plans |
| 935 | NON-EXTENSIVE BURNS | $17,309 – $74,206 · median $32,325 | 16 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $27,266 – $116,895 · median $49,181 | 16 plans |
| 940 | O.R. PROC WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION | $18,373 – $78,769 · median $33,140 | 16 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $15,739 – $67,477 · median $29,135 | 16 plans |
| 947 | SIGNS & SYMPTOMS WITH COMORBITY | $10,614 – $45,503 · median $19,537 | 16 plans |
| 948 | SIGNS & SYMPTOMS WITHOUT COMORBITY | $6,792 – $29,121 · median $12,424 | 16 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,786 – $37,668 · median $16,321 | 16 plans |
| 950 | AFTERCARE WITHOUT COMPLICATION/COMORBITY | $5,327 – $22,839 · median $9,609 | 16 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,003 – $21,450 · median $9,111 | 16 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $51,645 – $226,440 · median $97,667 | 16 plans |
| 956 | LIMB REATTACHMENT; HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA | $32,887 – $140,996 · median $59,321 | 16 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $61,332 – $262,945 · median $111,629 | 16 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $34,300 – $147,053 · median $62,135 | 16 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $21,475 – $92,068 · median $39,490 | 16 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $23,187 – $99,408 · median $41,824 | 16 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,728 – $54,570 · median $23,086 | 16 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $8,106 – $34,753 · median $14,621 | 16 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $58,280 – $249,860 · median $105,123 | 16 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $20,389 – $87,989 · median $38,463 | 16 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH COMORBITY | $24,732 – $106,032 · median $45,041 | 16 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $11,561 – $49,564 · median $21,389 | 16 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,168 – $33,261 · median $14,191 | 16 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $12,009 – $51,484 · median $21,975 | 16 plans |
| 981 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $40,199 – $172,342 · median $72,509 | 16 plans |
| 982 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $21,081 – $90,381 · median $38,026 | 16 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,867 – $59,449 · median $25,349 | 16 plans |
| 987 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $28,634 – $122,763 · median $52,401 | 16 plans |
| 988 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $14,391 – $61,696 · median $26,193 | 16 plans |
| 989 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION/COMORBITY | $9,161 – $39,275 · median $17,208 | 16 plans |
| 789 | NEONATES; DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $15,429 – $66,146 · median $27,812 | 14 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME; NEONATE | $50,881 – $218,140 · median $91,010 | 14 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $34,749 – $148,976 · median $62,252 | 14 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $20,967 – $89,890 · median $33,572 | 14 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $35,695 – $153,033 · median $63,940 | 14 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $12,634 – $54,167 · median $20,381 | 14 plans |
| 795 | NORMAL NEWBORN | $1,710 – $7,333 · median $3,283 | 14 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE; LEFT AMA | $4,872 – $20,887 · median $8,940 | 13 plans |
| 895 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $13,643 – $58,490 · median $21,830 | 13 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH COMORBITY | $15,078 – $64,645 · median $24,362 | 13 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY | $7,255 – $31,106 · median $12,381 | 13 plans |
| 945 | REHABILITATION WITH CC/MCC | $12,801 – $54,879 · median $20,972 | 13 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,588 – $36,818 · median $15,505 | 13 plans |
| 454 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION | $51,866 – $222,364 · median $122,185 | 9 plans |
| 455 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION/COMORBITY | $39,055 – $167,441 · median $92,006 | 9 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH COMORBITY | $56,242 – $241,124 · median $132,493 | 9 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT COMORBITY | $31,019 – $132,987 · median $73,074 | 9 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $83,102 – $205,153 · median $83,102 | 7 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $52,780 – $129,736 · median $52,780 | 7 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $140,287 – $347,385 · median $140,287 | 7 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $95,319 – $235,540 · median $95,319 | 7 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $74,005 – $182,527 · median $74,005 | 7 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $111,824 – $276,591 · median $111,824 | 7 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $73,557 – $181,413 · median $73,557 | 7 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $90,013 – $222,341 · median $90,013 | 7 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $55,064 – $135,417 · median $55,064 | 7 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $69,285 – $170,788 · median $69,285 | 7 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $41,765 – $102,338 · median $41,765 | 7 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $123,441 – $305,485 · median $123,441 | 7 plans |
No procedures match that keyword.