Crouse Hospital — Pricing
759 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 759 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Estimate your out-of-pocket cost
Enter what's left on your plan this year, then choose a procedure — click any row below or its “Estimate” button.
No procedure selected yet — pick a row in the table below to see an estimate here.
Estimate only. Your plan's actual negotiated rate, network status, and benefit rules control what you pay — confirm with your insurer. Professional fees (surgeon, anesthesia) are usually billed separately.
Showing all 759 procedures
Procedures with negotiated rates only
These 759 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 |
|---|---|---|---|
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,368 – $8,944 · median $3,857 | 21 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $214,788 – $539,738 · median $245,950 | 20 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $84,027 – $211,151 · median $96,218 | 20 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $163,420 – $410,655 · median $187,129 | 20 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $107,744 – $270,748 · median $123,375 | 20 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $81,204 – $204,055 · median $92,985 | 20 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $36,976 – $92,916 · median $42,341 | 20 plans |
| 007 | LUNG TRANSPLANT | $99,652 – $250,414 · median $114,110 | 20 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $41,489 – $104,258 · median $47,509 | 20 plans |
| 010 | PANCREAS TRANSPLANT | $60,796 – $152,772 · median $69,616 | 20 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $41,145 – $103,392 · median $47,114 | 20 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $31,291 – $78,632 · median $35,831 | 20 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $20,207 – $50,777 · median $23,138 | 20 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $99,904 – $251,046 · median $114,398 | 20 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $46,025 – $115,655 · median $52,702 | 20 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $46,025 – $115,655 · median $52,702 | 20 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $287,567 – $722,622 · median $329,287 | 20 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $60,447 – $151,897 · median $69,217 | 20 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $61,467 – $154,460 · median $70,385 | 20 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $42,147 – $105,910 · median $48,261 | 20 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $26,920 – $67,647 · median $30,826 | 20 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $43,502 – $109,317 · median $49,814 | 20 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $28,989 – $72,845 · median $33,194 | 20 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $34,102 – $85,695 · median $39,050 | 20 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $23,322 – $58,606 · median $26,706 | 20 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $18,817 – $47,286 · median $21,547 | 20 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $46,357 – $116,490 · median $53,083 | 20 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $25,595 – $64,318 · median $29,309 | 20 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $16,969 – $42,641 · median $19,431 | 20 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $31,954 – $80,297 · median $36,590 | 20 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,284 – $40,921 · median $18,647 | 20 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,166 – $30,572 · median $13,931 | 20 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $29,652 – $74,512 · median $33,954 | 20 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,346 – $43,588 · median $19,862 | 20 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,978 – $35,124 · median $16,006 | 20 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $25,322 – $63,632 · median $28,996 | 20 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,286 – $30,874 · median $14,069 | 20 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,679 – $21,809 · median $9,938 | 20 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $28,763 – $72,278 · median $32,936 | 20 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,219 – $43,270 · median $19,717 | 20 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,402 – $33,678 · median $15,346 | 20 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $15,346 – $38,562 · median $17,572 | 20 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,026 – $17,655 · median $8,045 | 20 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,431 – $28,725 · median $13,089 | 20 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,319 – $20,905 · median $9,526 | 20 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $19,094 – $47,982 · median $21,864 | 20 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,175 – $25,569 · median $11,651 | 20 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $14,075 – $35,370 · median $16,117 | 20 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,330 – $23,446 · median $10,684 | 20 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,805 – $17,099 · median $7,792 | 20 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $20,614 – $51,800 · median $23,605 | 20 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,580 – $34,124 · median $15,550 | 20 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,712 – $26,918 · median $12,266 | 20 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $15,168 – $38,115 · median $17,369 | 20 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,754 – $19,485 · median $8,879 | 20 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,248 – $13,189 · median $6,010 | 20 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,094 – $27,878 · median $12,703 | 20 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,722 – $16,891 · median $7,697 | 20 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,101 – $15,331 · median $6,986 | 20 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $13,259 – $33,317 · median $15,182 | 20 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $8,036 – $20,194 · median $9,202 | 20 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,720 – $14,375 · median $6,550 | 20 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,785 – $29,616 · median $13,495 | 20 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,948 – $19,974 · median $9,102 | 20 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $13,134 – $33,003 · median $15,039 | 20 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,992 – $17,569 · median $8,006 | 20 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $11,791 – $29,629 · median $13,501 | 20 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,609 – $19,121 · median $8,713 | 20 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,084 – $12,775 · median $5,821 | 20 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $15,157 – $38,089 · median $17,356 | 20 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,899 – $17,337 · median $7,900 | 20 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $17,692 – $44,458 · median $20,259 | 20 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,602 – $26,642 · median $12,140 | 20 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,290 – $18,320 · median $8,348 | 20 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,279 – $43,419 · median $19,785 | 20 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,001 – $25,132 · median $11,452 | 20 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,741 – $16,938 · median $7,719 | 20 plans |
| 088 | CONCUSSION WITH MCC | $10,757 – $27,031 · median $12,317 | 20 plans |
| 089 | CONCUSSION WITH CC | $8,175 – $20,543 · median $9,361 | 20 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,537 – $16,427 · median $7,485 | 20 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $13,900 – $34,929 · median $15,917 | 20 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,073 – $20,286 · median $9,244 | 20 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,019 – $15,124 · median $6,892 | 20 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $27,822 – $69,913 · median $31,858 | 20 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $18,279 – $45,933 · median $20,931 | 20 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $18,279 – $45,933 · median $20,931 | 20 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $27,333 – $68,685 · median $31,299 | 20 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $16,541 – $41,566 · median $18,941 | 20 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,624 – $26,697 · median $12,166 | 20 plans |
| 100 | SEIZURES WITH MCC | $15,138 – $38,041 · median $17,335 | 20 plans |
| 101 | SEIZURES WITHOUT MCC | $7,028 – $17,661 · median $8,048 | 20 plans |
| 102 | HEADACHES WITH MCC | $8,841 – $22,217 · median $10,124 | 20 plans |
| 103 | HEADACHES WITHOUT MCC | $6,483 – $16,291 · median $7,423 | 20 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $17,207 – $43,239 · median $19,703 | 20 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,014 – $22,650 · median $10,321 | 20 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,674 – $29,336 · median $13,368 | 20 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $12,723 – $31,972 · median $14,569 | 20 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,225 – $20,667 · median $9,418 | 20 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,870 – $22,288 · median $10,156 | 20 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,172 – $12,997 · median $5,923 | 20 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,125 – $15,390 · median $7,013 | 20 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,942 – $24,984 · median $11,385 | 20 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,296 – $15,821 · median $7,210 | 20 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $18,385 – $46,200 · median $21,052 | 20 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,459 – $18,743 · median $8,541 | 20 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,665 – $26,799 · median $12,212 | 20 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,203 – $15,588 · median $7,103 | 20 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,469 – $26,308 · median $11,988 | 20 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $32,248 – $81,037 · median $36,927 | 20 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $16,383 – $41,168 · median $18,760 | 20 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,990 – $30,129 · median $13,729 | 20 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $25,178 – $63,268 · median $28,830 | 20 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,395 – $33,660 · median $15,339 | 20 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,034 – $22,702 · median $10,345 | 20 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $17,493 – $43,958 · median $20,031 | 20 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,492 – $23,852 · median $10,869 | 20 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,105 – $15,342 · median $6,991 | 20 plans |
| 149 | DYSEQUILIBRIUM | $5,700 – $14,323 · median $6,527 | 20 plans |
| 150 | EPISTAXIS WITH MCC | $10,540 – $26,485 · median $12,069 | 20 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,780 – $14,524 · median $6,618 | 20 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,653 – $21,744 · median $9,908 | 20 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,427 – $13,637 · median $6,214 | 20 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,401 – $31,162 · median $14,200 | 20 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,119 – $17,889 · median $8,152 | 20 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,127 – $12,884 · median $5,871 | 20 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,486 – $31,376 · median $14,298 | 20 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,172 – $18,023 · median $8,213 | 20 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,030 – $12,639 · median $5,759 | 20 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $35,146 – $88,318 · median $40,245 | 20 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $19,193 – $48,229 · median $21,977 | 20 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $14,213 – $35,716 · median $16,275 | 20 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $29,359 – $73,776 · median $33,619 | 20 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,933 – $35,011 · median $15,954 | 20 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,324 – $25,942 · median $11,822 | 20 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $23,399 – $58,798 · median $26,793 | 20 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,745 – $27,000 · median $12,303 | 20 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,211 – $15,607 · median $7,112 | 20 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,326 – $30,974 · median $14,114 | 20 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,565 – $19,010 · median $8,662 | 20 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,869 – $14,748 · median $6,721 | 20 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $13,327 – $33,490 · median $15,261 | 20 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,466 – $21,275 · median $9,695 | 20 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,386 – $16,048 · median $7,313 | 20 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $12,103 – $30,415 · median $13,859 | 20 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,144 – $20,466 · median $9,326 | 20 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,930 – $14,902 · median $6,790 | 20 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $12,048 – $30,275 · median $13,796 | 20 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,656 – $19,238 · median $8,766 | 20 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,598 – $14,068 · median $6,411 | 20 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,435 – $23,710 · median $10,804 | 20 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,563 – $21,518 · median $9,805 | 20 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,551 – $16,461 · median $7,501 | 20 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,935 – $12,401 · median $5,651 | 20 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,048 – $25,249 · median $11,505 | 20 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,253 – $15,712 · median $7,160 | 20 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,748 – $11,932 · median $5,437 | 20 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $14,367 – $36,102 · median $16,451 | 20 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,549 – $18,970 · median $8,644 | 20 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,341 – $13,421 · median $6,116 | 20 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,461 – $33,825 · median $15,414 | 20 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,445 – $21,221 · median $9,670 | 20 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,163 – $12,974 · median $5,912 | 20 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,371 – $18,523 · median $8,441 | 20 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,312 – $13,348 · median $6,082 | 20 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,184 – $15,540 · median $7,081 | 20 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $14,395 – $36,172 · median $16,483 | 20 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,907 – $17,356 · median $7,909 | 20 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $49,314 – $123,919 · median $56,468 | 20 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $20,464 – $51,425 · median $23,433 | 20 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $83,068 – $208,740 · median $95,120 | 20 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $80,787 – $203,009 · median $92,508 | 20 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $73,591 – $184,927 · median $84,268 | 20 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $49,243 – $123,741 · median $56,387 | 20 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $45,364 – $113,996 · median $51,946 | 20 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $59,000 – $148,260 · median $67,560 | 20 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $40,388 – $101,491 · median $46,248 | 20 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $35,019 – $88,000 · median $40,100 | 20 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $37,999 – $95,486 · median $43,511 | 20 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $23,686 – $59,520 · median $27,123 | 20 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $64,615 – $162,370 · median $73,989 | 20 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $46,580 – $117,050 · median $53,338 | 20 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $59,601 – $149,772 · median $68,249 | 20 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $40,567 – $101,941 · median $46,453 | 20 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $44,868 – $112,748 · median $51,378 | 20 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $31,355 – $78,793 · median $35,905 | 20 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $38,407 – $96,513 · median $43,979 | 20 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $22,206 – $55,801 · median $25,428 | 20 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,513 – $28,931 · median $13,184 | 20 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $25,865 – $64,995 · median $29,617 | 20 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $17,178 – $43,166 · median $19,670 | 20 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,761 – $34,580 · median $15,758 | 20 plans |
| 245 | AICD GENERATOR PROCEDURES | $37,263 – $93,637 · median $42,669 | 20 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $17,634 – $44,312 · median $20,192 | 20 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,915 – $29,941 · median $13,644 | 20 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $26,157 – $65,731 · median $29,952 | 20 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $19,467 – $48,919 · median $22,291 | 20 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,339 – $33,521 · median $15,275 | 20 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $19,951 – $50,135 · median $22,846 | 20 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,915 – $32,453 · median $14,788 | 20 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,801 – $17,090 · median $7,788 | 20 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $21,392 – $53,757 · median $24,496 | 20 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $13,403 – $33,680 · median $15,347 | 20 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $25,973 – $65,267 · median $29,741 | 20 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,470 – $36,360 · median $16,569 | 20 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $11,573 – $29,083 · median $13,253 | 20 plans |
| 263 | VEIN LIGATION AND STRIPPING | $20,451 – $51,392 · median $23,419 | 20 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $26,651 – $66,970 · median $30,517 | 20 plans |
| 265 | AICD LEAD PROCEDURES | $27,201 – $68,352 · median $31,147 | 20 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $45,681 – $114,791 · median $52,308 | 20 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $35,874 – $90,148 · median $41,079 | 20 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $50,842 – $127,759 · median $58,218 | 20 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $31,726 – $79,724 · median $36,329 | 20 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $39,140 – $98,354 · median $44,819 | 20 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $26,264 – $65,999 · median $30,075 | 20 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $19,080 – $47,945 · median $21,848 | 20 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $29,817 – $74,926 · median $34,143 | 20 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $23,798 – $59,802 · median $27,251 | 20 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $53,887 – $135,412 · median $61,705 | 20 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $47,233 – $118,692 · median $54,086 | 20 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $35,472 – $89,136 · median $40,618 | 20 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $38,151 – $95,869 · median $43,686 | 20 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $24,434 – $61,400 · median $27,979 | 20 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,516 – $31,451 · median $14,332 | 20 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,029 – $17,663 · median $8,049 | 20 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,529 – $13,894 · median $6,331 | 20 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $14,910 – $37,468 · median $17,073 | 20 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,650 – $14,198 · median $6,470 | 20 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,281 – $10,800 · median $4,902 | 20 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $16,877 – $42,409 · median $19,325 | 20 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,309 – $20,880 · median $9,515 | 20 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $20,828 – $52,339 · median $23,850 | 20 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,023 – $30,211 · median $13,767 | 20 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,465 – $18,759 · median $8,548 | 20 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,949 – $25,002 · median $11,393 | 20 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,567 – $16,502 · median $7,520 | 20 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,184 – $10,603 · median $4,791 | 20 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $9,364 – $23,530 · median $10,722 | 20 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $6,022 – $15,134 · median $6,896 | 20 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,493 – $31,394 · median $14,306 | 20 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,371 – $13,497 · median $6,150 | 20 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,334 – $30,995 · median $14,124 | 20 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,164 – $20,514 · median $9,348 | 20 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,440 – $13,670 · median $6,229 | 20 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,870 – $22,290 · median $10,157 | 20 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,127 – $12,884 · median $5,871 | 20 plans |
| 304 | HYPERTENSION WITH MCC | $8,958 – $22,511 · median $10,258 | 20 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,724 – $14,384 · median $6,555 | 20 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,418 – $28,692 · median $13,074 | 20 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,064 – $17,751 · median $8,089 | 20 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,195 – $23,106 · median $10,529 | 20 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,637 – $14,166 · median $6,455 | 20 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,266 – $10,771 · median $4,885 | 20 plans |
| 311 | ANGINA PECTORIS | $5,325 – $13,380 · median $6,097 | 20 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,644 – $16,695 · median $7,608 | 20 plans |
| 313 | CHEST PAIN | $5,440 – $13,670 · median $6,229 | 20 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $16,421 – $41,264 · median $18,803 | 20 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,338 – $18,439 · median $8,402 | 20 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,206 – $13,081 · median $5,961 | 20 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $33,496 – $84,171 · median $38,356 | 20 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $17,651 – $44,354 · median $20,212 | 20 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $21,707 – $54,548 · median $24,857 | 20 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $13,795 – $34,666 · median $15,797 | 20 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $32,479 – $81,615 · median $37,191 | 20 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $24,363 – $61,222 · median $27,898 | 20 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $21,824 – $54,841 · median $24,990 | 20 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $38,728 – $97,320 · median $44,347 | 20 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $18,515 – $46,525 · median $21,201 | 20 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,151 – $30,533 · median $13,914 | 20 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $35,014 – $87,986 · median $40,094 | 20 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,024 – $45,291 · median $20,639 | 20 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,589 – $31,635 · median $14,416 | 20 plans |
| 332 | RECTAL RESECTION WITH MCC | $26,449 – $66,464 · median $30,287 | 20 plans |
| 333 | RECTAL RESECTION WITH CC | $16,206 – $40,723 · median $18,557 | 20 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,647 – $31,781 · median $14,482 | 20 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $27,629 – $69,429 · median $31,638 | 20 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $16,107 – $40,474 · median $18,443 | 20 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,705 – $29,414 · median $13,404 | 20 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $20,546 – $51,630 · median $23,527 | 20 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,352 – $28,525 · median $12,999 | 20 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,496 – $23,861 · median $10,873 | 20 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $18,047 – $45,351 · median $20,666 | 20 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,599 – $24,122 · median $10,992 | 20 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,717 – $16,879 · median $7,692 | 20 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $18,443 – $46,345 · median $21,119 | 20 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,472 – $28,828 · median $13,136 | 20 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,408 – $21,127 · median $9,627 | 20 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $22,365 – $56,200 · median $25,609 | 20 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,971 – $32,595 · median $14,853 | 20 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,166 – $25,546 · median $11,641 | 20 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $32,527 – $81,736 · median $37,246 | 20 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,172 – $43,151 · median $19,663 | 20 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,333 – $25,965 · median $11,832 | 20 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,734 – $31,999 · median $14,582 | 20 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,759 – $19,498 · median $8,885 | 20 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,322 – $13,375 · median $6,095 | 20 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,329 – $33,494 · median $15,263 | 20 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,849 – $19,723 · median $8,987 | 20 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,531 – $13,900 · median $6,334 | 20 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $16,100 – $40,457 · median $18,436 | 20 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,369 – $23,543 · median $10,728 | 20 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,733 – $16,919 · median $7,710 | 20 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,864 – $34,839 · median $15,876 | 20 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,518 – $18,891 · median $8,608 | 20 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,855 – $12,200 · median $5,559 | 20 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,673 – $36,872 · median $16,802 | 20 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,305 – $20,868 · median $9,509 | 20 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,714 – $14,357 · median $6,542 | 20 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,640 – $24,224 · median $11,038 | 20 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,631 – $16,663 · median $7,593 | 20 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,389 – $31,133 · median $14,187 | 20 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,568 – $19,017 · median $8,666 | 20 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,111 – $12,844 · median $5,853 | 20 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,208 – $28,165 · median $12,834 | 20 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,112 – $15,360 · median $6,999 | 20 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,173 – $10,580 · median $4,778 | 20 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,795 – $24,613 · median $11,216 | 20 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,950 – $14,951 · median $6,813 | 20 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,627 – $31,731 · median $14,459 | 20 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,178 – $18,036 · median $8,219 | 20 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,853 – $12,194 · median $5,557 | 20 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $18,894 – $47,478 · median $21,635 | 20 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,538 – $28,995 · median $13,212 | 20 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,569 – $21,533 · median $9,812 | 20 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $41,395 – $104,020 · median $47,400 | 20 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $21,415 – $53,812 · median $24,521 | 20 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $16,286 – $40,924 · median $18,649 | 20 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $26,698 – $67,089 · median $30,571 | 20 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $15,986 – $40,171 · median $18,305 | 20 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,827 – $29,721 · median $13,543 | 20 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $20,866 – $52,433 · median $23,893 | 20 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $16,254 – $40,844 · median $18,612 | 20 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,677 – $31,855 · median $14,516 | 20 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $26,717 – $67,137 · median $30,593 | 20 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $15,083 – $37,903 · median $17,272 | 20 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,448 – $26,255 · median $11,964 | 20 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $18,121 – $45,537 · median $20,750 | 20 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,646 – $31,777 · median $14,480 | 20 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,047 – $25,247 · median $11,505 | 20 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $26,913 – $67,629 · median $30,818 | 20 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,487 – $31,378 · median $14,299 | 20 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,204 – $28,155 · median $12,830 | 20 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $31,015 – $77,936 · median $35,514 | 20 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,411 – $43,751 · median $19,937 | 20 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,787 – $29,619 · median $13,497 | 20 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,938 – $37,539 · median $17,106 | 20 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,157 – $20,499 · median $9,341 | 20 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,311 – $13,346 · median $6,081 | 20 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,913 – $34,962 · median $15,931 | 20 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,599 – $21,608 · median $9,846 | 20 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,987 – $15,045 · median $6,856 | 20 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,686 – $31,878 · median $14,527 | 20 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,559 – $16,482 · median $7,511 | 20 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,690 – $11,786 · median $5,371 | 20 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $14,415 – $36,222 · median $16,506 | 20 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,367 – $18,514 · median $8,436 | 20 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,358 – $13,465 · median $6,136 | 20 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,844 – $32,275 · median $14,707 | 20 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,270 – $20,780 · median $9,469 | 20 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,080 – $15,277 · median $6,962 | 20 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $64,579 – $162,280 · median $73,948 | 20 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $43,764 – $109,974 · median $50,113 | 20 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $32,926 – $82,738 · median $37,702 | 20 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $46,793 – $117,586 · median $53,582 | 20 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $21,837 – $54,874 · median $25,005 | 20 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $41,184 – $103,490 · median $47,159 | 20 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,484 – $56,499 · median $25,746 | 20 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,238 – $33,266 · median $15,159 | 20 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $38,847 – $97,619 · median $44,483 | 20 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $26,118 – $65,631 · median $29,907 | 20 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $20,003 – $50,266 · median $22,905 | 20 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $24,924 – $62,632 · median $28,540 | 20 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $14,377 – $36,128 · median $16,463 | 20 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $37,038 – $93,072 · median $42,411 | 20 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $22,092 – $55,514 · median $25,297 | 20 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $18,052 – $45,362 · median $20,671 | 20 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $34,197 – $85,932 · median $39,158 | 20 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,450 – $41,336 · median $18,836 | 20 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,869 – $22,286 · median $10,156 | 20 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $26,223 – $65,895 · median $30,027 | 20 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,832 – $44,810 · median $20,419 | 20 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,541 – $34,026 · median $15,505 | 20 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $22,426 – $56,353 · median $25,679 | 20 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,821 – $39,758 · median $18,117 | 20 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,097 – $30,397 · median $13,852 | 20 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $19,430 – $48,827 · median $22,249 | 20 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $24,548 – $61,686 · median $28,109 | 20 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $16,172 – $40,639 · median $18,519 | 20 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,049 – $30,279 · median $13,797 | 20 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $14,987 – $37,659 · median $17,161 | 20 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,443 – $23,729 · median $10,813 | 20 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $27,079 – $68,045 · median $31,007 | 20 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $18,308 – $46,006 · median $20,964 | 20 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $14,377 – $36,127 · median $16,462 | 20 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $26,845 – $67,459 · median $30,740 | 20 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $15,044 – $37,805 · median $17,227 | 20 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $10,238 – $25,726 · median $11,723 | 20 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $19,253 – $48,380 · median $22,046 | 20 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $8,851 – $22,242 · median $10,135 | 20 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $24,162 – $60,716 · median $27,667 | 20 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,609 – $34,197 · median $15,583 | 20 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,654 – $26,772 · median $12,200 | 20 plans |
| 503 | FOOT PROCEDURES WITH MCC | $20,181 – $50,712 · median $23,109 | 20 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,382 – $33,628 · median $15,324 | 20 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,382 – $33,628 · median $15,324 | 20 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $11,431 – $28,725 · median $13,089 | 20 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,779 – $37,138 · median $16,923 | 20 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,841 – $24,729 · median $11,269 | 20 plans |
| 509 | ARTHROSCOPY | $13,395 – $33,660 · median $15,339 | 20 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $21,794 – $54,765 · median $24,955 | 20 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $14,954 – $37,579 · median $17,124 | 20 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,260 – $30,807 · median $14,038 | 20 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,480 – $28,849 · median $13,146 | 20 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,775 – $19,537 · median $8,903 | 20 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $23,580 – $59,254 · median $27,001 | 20 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $15,340 – $38,547 · median $17,565 | 20 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,382 – $28,602 · median $13,033 | 20 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $27,329 – $68,674 · median $31,294 | 20 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $15,036 – $37,784 · median $17,218 | 20 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,928 – $27,462 · median $12,514 | 20 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $22,225 – $55,849 · median $25,450 | 20 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $16,075 – $40,394 · median $18,407 | 20 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,628 – $29,219 · median $13,315 | 20 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,207 – $15,597 · median $7,107 | 20 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,141 – $25,482 · median $11,612 | 20 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,183 – $15,538 · median $7,080 | 20 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,008 – $17,609 · median $8,024 | 20 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,120 – $12,867 · median $5,863 | 20 plans |
| 539 | OSTEOMYELITIS WITH MCC | $15,421 – $38,752 · median $17,658 | 20 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,868 – $24,797 · median $11,299 | 20 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,671 – $16,764 · median $7,639 | 20 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $14,222 – $35,738 · median $16,285 | 20 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,090 – $20,328 · median $9,263 | 20 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,762 – $14,480 · median $6,598 | 20 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $19,268 – $48,418 · median $22,064 | 20 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,828 – $22,183 · median $10,108 | 20 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,690 – $14,298 · median $6,515 | 20 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $15,362 – $38,602 · median $17,590 | 20 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,189 – $23,091 · median $10,522 | 20 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,574 – $16,519 · median $7,527 | 20 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,012 – $32,697 · median $14,899 | 20 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,349 – $18,468 · median $8,415 | 20 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,958 – $25,025 · median $11,403 | 20 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,364 – $15,992 · median $7,287 | 20 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,268 – $25,802 · median $11,758 | 20 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,226 – $15,645 · median $7,129 | 20 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,817 – $29,694 · median $13,531 | 20 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,587 – $16,551 · median $7,542 | 20 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,155 – $35,569 · median $16,208 | 20 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,683 – $21,819 · median $9,943 | 20 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,234 – $15,666 · median $7,139 | 20 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $11,159 – $28,042 · median $12,778 | 20 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,815 – $17,126 · median $7,804 | 20 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,965 – $30,068 · median $13,701 | 20 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,775 – $19,539 · median $8,903 | 20 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,704 – $14,334 · median $6,532 | 20 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $22,953 – $57,679 · median $26,283 | 20 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,767 – $32,082 · median $14,619 | 20 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,711 – $21,890 · median $9,975 | 20 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $46,957 – $117,998 · median $53,770 | 20 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $26,420 – $66,392 · median $30,254 | 20 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $15,225 – $38,259 · median $17,434 | 20 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $41,140 – $103,380 · median $47,109 | 20 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,304 – $51,022 · median $23,250 | 20 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,890 – $32,390 · median $14,760 | 20 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $24,854 – $62,454 · median $28,459 | 20 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,519 – $33,973 · median $15,481 | 20 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,974 – $27,577 · median $12,566 | 20 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,353 – $33,555 · median $15,291 | 20 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,526 – $31,476 · median $14,343 | 20 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $15,612 – $39,231 · median $17,877 | 20 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $15,137 – $38,037 · median $17,333 | 20 plans |
| 592 | SKIN ULCERS WITH MCC | $15,680 – $39,401 · median $17,954 | 20 plans |
| 593 | SKIN ULCERS WITH CC | $9,323 – $23,428 · median $10,676 | 20 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,471 – $16,262 · median $7,410 | 20 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $16,128 – $40,528 · median $18,468 | 20 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,244 – $20,715 · median $9,440 | 20 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $13,395 – $33,660 · median $15,339 | 20 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,227 – $20,673 · median $9,420 | 20 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,519 – $16,381 · median $7,465 | 20 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,294 – $18,330 · median $8,353 | 20 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,571 – $11,487 · median $5,235 | 20 plans |
| 602 | CELLULITIS WITH MCC | $11,203 – $28,152 · median $12,828 | 20 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,716 – $16,877 · median $7,691 | 20 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,329 – $28,468 · median $12,972 | 20 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,043 – $17,699 · median $8,065 | 20 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $12,279 – $30,855 · median $14,060 | 20 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,590 – $16,559 · median $7,546 | 20 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,378 – $43,668 · median $19,899 | 20 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,927 – $27,458 · median $12,512 | 20 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $29,471 – $74,058 · median $33,747 | 20 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,729 – $37,012 · median $16,866 | 20 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,494 – $23,858 · median $10,872 | 20 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $20,790 – $52,243 · median $23,806 | 20 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,177 – $30,600 · median $13,944 | 20 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,146 – $28,010 · median $12,764 | 20 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $28,533 – $71,701 · median $32,673 | 20 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,585 – $36,652 · median $16,702 | 20 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,649 – $19,221 · median $8,759 | 20 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $21,862 – $54,937 · median $25,034 | 20 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,509 – $28,920 · median $13,178 | 20 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,660 – $24,275 · median $11,062 | 20 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $30,087 – $75,604 · median $34,452 | 20 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $17,150 – $43,095 · median $19,638 | 20 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,685 – $26,851 · median $12,235 | 20 plans |
| 637 | DIABETES WITH MCC | $11,105 – $27,904 · median $12,716 | 20 plans |
| 638 | DIABETES WITH CC | $6,994 – $17,575 · median $8,008 | 20 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,778 – $12,006 · median $5,471 | 20 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,126 – $25,446 · median $11,595 | 20 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,958 – $14,973 · median $6,823 | 20 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $9,464 – $23,781 · median $10,837 | 20 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,637 – $31,756 · median $14,471 | 20 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,880 – $19,801 · median $9,023 | 20 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,938 – $14,921 · median $6,799 | 20 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $35,131 – $88,281 · median $40,228 | 20 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $26,478 – $66,537 · median $30,320 | 20 plans |
| 652 | KIDNEY TRANSPLANT | $23,420 – $58,852 · median $26,818 | 20 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $42,507 – $106,816 · median $48,674 | 20 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $21,519 – $54,075 · median $24,641 | 20 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $15,840 – $39,804 · median $18,138 | 20 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $24,843 – $62,427 · median $28,447 | 20 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,940 – $35,029 · median $15,962 | 20 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,468 – $28,818 · median $13,132 | 20 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $19,706 – $49,518 · median $22,565 | 20 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,218 – $25,676 · median $11,700 | 20 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,828 – $19,671 · median $8,964 | 20 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $23,788 – $59,775 · median $27,239 | 20 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,647 – $29,267 · median $13,336 | 20 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,234 – $20,690 · median $9,428 | 20 plans |
| 665 | PROSTATECTOMY WITH MCC | $26,182 – $65,792 · median $29,980 | 20 plans |
| 666 | PROSTATECTOMY WITH CC | $12,561 – $31,564 · median $14,383 | 20 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,837 – $19,694 · median $8,974 | 20 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $22,237 – $55,880 · median $25,464 | 20 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,800 – $29,652 · median $13,512 | 20 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,287 – $18,312 · median $8,345 | 20 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,144 – $33,028 · median $15,050 | 20 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,345 – $20,970 · median $9,556 | 20 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $31,946 – $80,278 · median $36,581 | 20 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,602 – $44,232 · median $20,156 | 20 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,936 – $29,993 · median $13,667 | 20 plans |
| 682 | RENAL FAILURE WITH MCC | $11,452 – $28,778 · median $13,114 | 20 plans |
| 683 | RENAL FAILURE WITH CC | $6,778 – $17,032 · median $7,761 | 20 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,632 – $11,639 · median $5,303 | 20 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $14,379 – $36,132 · median $16,465 | 20 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,027 – $20,171 · median $9,192 | 20 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,522 – $13,877 · median $6,323 | 20 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,924 – $22,424 · median $10,218 | 20 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,120 – $15,379 · median $7,008 | 20 plans |
| 693 | URINARY STONES WITH MCC | $11,212 – $28,175 · median $12,839 | 20 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,958 – $14,973 · median $6,823 | 20 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,600 – $21,610 · median $9,847 | 20 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,275 – $13,256 · median $6,040 | 20 plans |
| 697 | URETHRAL STRICTURE | $7,639 – $19,196 · median $8,747 | 20 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,817 – $32,208 · median $14,677 | 20 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,777 – $19,543 · median $8,905 | 20 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,293 – $13,302 · median $6,061 | 20 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,797 – $37,184 · median $16,944 | 20 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,304 – $28,406 · median $12,944 | 20 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $17,135 – $43,057 · median $19,620 | 20 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,448 – $28,769 · median $13,109 | 20 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $14,569 – $36,609 · median $16,682 | 20 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,156 – $20,495 · median $9,339 | 20 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,026 – $27,707 · median $12,626 | 20 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,165 – $18,006 · median $8,205 | 20 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $17,220 – $43,272 · median $19,718 | 20 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,822 – $27,195 · median $12,393 | 20 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $14,149 – $35,554 · median $16,201 | 20 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,393 – $23,605 · median $10,756 | 20 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $13,183 – $33,128 · median $15,096 | 20 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,562 – $21,516 · median $9,805 | 20 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,556 – $13,961 · median $6,362 | 20 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,628 – $24,193 · median $11,024 | 20 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,676 – $14,264 · median $6,500 | 20 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,204 – $28,155 · median $12,830 | 20 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,231 – $15,657 · median $7,134 | 20 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,395 – $21,095 · median $9,612 | 20 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,628 – $11,629 · median $5,299 | 20 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,034 – $40,292 · median $18,360 | 20 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,256 – $23,260 · median $10,599 | 20 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $30,025 – $75,449 · median $34,381 | 20 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $15,238 – $38,292 · median $17,449 | 20 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,567 – $29,066 · median $13,245 | 20 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $30,355 – $76,279 · median $34,759 | 20 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,865 – $34,841 · median $15,876 | 20 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,474 – $26,320 · median $11,994 | 20 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,929 – $35,002 · median $15,950 | 20 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,140 – $22,969 · median $10,466 | 20 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $14,900 – $37,441 · median $17,061 | 20 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,814 – $19,636 · median $8,948 | 20 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,769 – $32,087 · median $14,622 | 20 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,284 – $18,303 · median $8,340 | 20 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,388 – $26,103 · median $11,895 | 20 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $19,739 – $49,601 · median $22,602 | 20 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,833 – $24,708 · median $11,259 | 20 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,796 – $34,668 · median $15,798 | 20 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,465 – $21,271 · median $9,693 | 20 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,282 – $18,299 · median $8,339 | 20 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,792 – $27,119 · median $12,358 | 20 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,772 – $19,531 · median $8,900 | 20 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,880 – $12,263 · median $5,588 | 20 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,515 – $18,885 · median $8,606 | 20 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,834 – $12,146 · median $5,535 | 20 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $8,359 – $21,006 · median $9,572 | 20 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,595 – $26,624 · median $12,132 | 20 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,205 – $20,617 · median $9,395 | 20 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,441 – $13,672 · median $6,230 | 20 plans |
| 779 | ABORTION WITHOUT D&C | $7,128 – $17,912 · median $8,162 | 20 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $14,046 – $35,297 · median $16,084 | 20 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,258 – $20,752 · median $9,456 | 20 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,661 – $16,737 · median $7,627 | 20 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $12,322 – $30,963 · median $14,109 | 20 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,096 – $20,345 · median $9,271 | 20 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,899 – $17,335 · median $7,899 | 20 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $13,745 – $34,540 · median $15,739 | 20 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $45,330 – $113,909 · median $51,907 | 20 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $30,957 – $77,793 · median $35,449 | 20 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $18,679 – $46,939 · median $21,389 | 20 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $31,801 – $79,912 · median $36,415 | 20 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $11,256 – $28,286 · median $12,889 | 20 plans |
| 795 | NORMAL NEWBORN | $1,524 – $5,193 · median $1,745 | 20 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $9,734 – $24,461 · median $11,147 | 20 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,383 – $18,552 · median $8,454 | 20 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $7,383 – $18,552 · median $8,454 | 20 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $36,256 – $91,108 · median $41,516 | 20 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $22,218 – $55,832 · median $25,442 | 20 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $12,518 – $31,457 · median $14,334 | 20 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $27,335 – $68,689 · median $31,301 | 20 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,573 – $34,107 · median $15,542 | 20 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,430 – $21,185 · median $9,653 | 20 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,610 – $19,123 · median $8,714 | 20 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,518 – $13,865 · median $6,318 | 20 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,860 – $12,211 · median $5,565 | 20 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $17,464 – $43,885 · median $19,998 | 20 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,444 – $23,731 · median $10,814 | 20 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,258 – $18,238 · median $8,311 | 20 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,728 – $26,958 · median $12,284 | 20 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,037 – $17,684 · median $8,058 | 20 plans |
| 813 | COAGULATION DISORDERS | $11,804 – $29,662 · median $13,516 | 20 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,940 – $40,056 · median $18,253 | 20 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,748 – $19,470 · median $8,872 | 20 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,028 – $12,635 · median $5,758 | 20 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $19,331 – $48,576 · median $22,135 | 20 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,821 – $24,680 · median $11,246 | 20 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,226 – $15,645 · median $7,129 | 20 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $44,396 – $111,562 · median $50,837 | 20 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,022 – $42,775 · median $19,492 | 20 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,721 – $21,915 · median $9,986 | 20 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $35,682 – $89,665 · median $40,859 | 20 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $16,771 – $42,143 · median $19,204 | 20 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,385 – $23,584 · median $10,747 | 20 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $36,414 – $91,504 · median $41,697 | 20 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $17,995 – $45,218 · median $20,605 | 20 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,222 – $30,713 · median $13,996 | 20 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $23,515 – $59,089 · median $26,926 | 20 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,152 – $28,023 · median $12,770 | 20 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,777 – $22,055 · median $10,050 | 20 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,699 – $14,321 · median $6,526 | 20 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,964 – $10,155 · median $4,539 | 20 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $42,147 – $105,910 · median $48,261 | 20 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $16,287 – $40,926 · median $18,650 | 20 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,689 – $24,348 · median $11,095 | 20 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $38,181 – $95,944 · median $43,720 | 20 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $15,465 – $38,863 · median $17,709 | 20 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,450 – $26,258 · median $11,966 | 20 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $24,317 – $61,105 · median $27,845 | 20 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,956 – $30,045 · median $13,691 | 20 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,021 – $20,156 · median $9,185 | 20 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $14,437 – $36,278 · median $16,531 | 20 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,114 – $22,901 · median $10,436 | 20 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,381 – $16,034 · median $7,306 | 20 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $19,473 – $48,934 · median $22,298 | 20 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,689 – $24,348 · median $11,095 | 20 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,244 – $15,691 · median $7,150 | 20 plans |
| 849 | RADIOTHERAPY | $20,368 – $51,181 · median $23,323 | 20 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $38,136 – $95,831 · median $43,669 | 20 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,236 – $38,286 · median $17,446 | 20 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,395 – $31,148 · median $14,194 | 20 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $34,402 – $86,448 · median $39,393 | 20 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $16,614 – $41,750 · median $19,025 | 20 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,824 – $24,687 · median $11,250 | 20 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $14,020 – $35,232 · median $16,055 | 20 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,624 – $19,159 · median $8,731 | 20 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,847 – $17,207 · median $7,841 | 20 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,254 – $28,280 · median $12,887 | 20 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,747 – $16,954 · median $7,726 | 20 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $16,351 – $41,087 · median $18,723 | 20 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,007 – $20,121 · median $9,169 | 20 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,487 – $13,788 · median $6,283 | 20 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $53,045 – $133,295 · median $60,740 | 20 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,961 – $37,596 · median $17,132 | 20 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,862 – $19,755 · median $9,002 | 20 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $29,964 – $75,296 · median $34,311 | 20 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,309 – $18,368 · median $8,370 | 20 plans |
| 881 | DEPRESSIVE NEUROSES | $6,970 – $17,515 · median $7,981 | 20 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,335 – $18,433 · median $8,400 | 20 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $14,136 – $35,523 · median $16,187 | 20 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,736 – $32,003 · median $14,583 | 20 plans |
| 885 | PSYCHOSES | $10,748 – $27,010 · median $12,308 | 20 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $13,699 – $34,423 · median $15,686 | 20 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,069 – $22,790 · median $10,385 | 20 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,759 – $11,959 · median $5,449 | 20 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $11,040 – $27,743 · median $12,642 | 20 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $13,579 – $34,122 · median $15,549 | 20 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,727 – $16,904 · median $7,703 | 20 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $33,783 – $84,894 · median $38,685 | 20 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,470 – $36,360 · median $16,569 | 20 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,296 – $23,359 · median $10,645 | 20 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $29,442 – $73,983 · median $33,713 | 20 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $12,568 – $31,581 · median $14,391 | 20 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $16,642 – $41,819 · median $19,056 | 20 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $30,376 – $76,332 · median $34,783 | 20 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $15,381 – $38,650 · median $17,612 | 20 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,671 – $24,302 · median $11,074 | 20 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,340 – $31,009 · median $14,130 | 20 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,988 – $17,559 · median $8,002 | 20 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $13,252 – $33,300 · median $15,174 | 20 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,064 – $12,725 · median $5,799 | 20 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $12,503 – $31,419 · median $14,317 | 20 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,745 – $16,950 · median $7,724 | 20 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,905 – $34,942 · median $15,923 | 20 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,746 – $19,466 · median $8,870 | 20 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,244 – $13,177 · median $6,005 | 20 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,882 – $32,371 · median $14,751 | 20 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,777 – $19,543 · median $8,905 | 20 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $180,891 – $454,557 · median $207,134 | 20 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $50,928 – $127,976 · median $58,316 | 20 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $24,251 – $60,940 · median $27,770 | 20 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $32,993 – $82,909 · median $37,780 | 20 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $16,362 – $41,116 · median $18,736 | 20 plans |
| 935 | NON-EXTENSIVE BURNS | $16,748 – $42,086 · median $19,178 | 20 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $24,202 – $60,818 · median $27,714 | 20 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,100 – $40,457 · median $18,436 | 20 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $14,902 – $37,447 · median $17,064 | 20 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,640 – $29,250 · median $13,329 | 20 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,514 – $21,393 · median $9,749 | 20 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,808 – $24,645 · median $11,230 | 20 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,058 – $15,224 · median $6,937 | 20 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,228 – $20,675 · median $9,421 | 20 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,469 – $11,230 · median $5,118 | 20 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,323 – $10,887 · median $4,951 | 20 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $52,067 – $130,838 · median $59,621 | 20 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $29,146 – $73,242 · median $33,375 | 20 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $56,916 – $143,023 · median $65,173 | 20 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $31,338 – $78,749 · median $35,885 | 20 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $20,160 – $50,660 · median $23,085 | 20 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $20,715 – $52,055 · median $23,721 | 20 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,439 – $28,744 · median $13,098 | 20 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,959 – $17,487 · median $7,968 | 20 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $48,224 – $121,181 · median $55,220 | 20 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $20,232 – $50,840 · median $23,167 | 20 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $22,770 – $57,219 · median $26,074 | 20 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,838 – $27,236 · median $12,411 | 20 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,648 – $19,219 · median $8,758 | 20 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,995 – $27,629 · median $12,590 | 20 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $36,249 – $91,090 · median $41,508 | 20 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,669 – $46,912 · median $21,377 | 17 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,720 – $31,965 · median $14,566 | 17 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $26,709 – $67,116 · median $30,584 | 17 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,085 – $32,881 · median $14,983 | 17 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,811 – $22,141 · median $10,089 | 17 plans |
No procedures match that keyword.