Oswego Hospital — Pricing
772 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 772 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 772 procedures
Procedures with negotiated rates only
These 772 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 | $260,573 – $485,309 · median $260,573 | 10 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $105,639 – $219,280 · median $105,639 | 10 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $197,468 – $381,825 · median $197,468 | 10 plans |
| 004 | TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITHOUT MAJ O.R. | $129,025 – $263,262 · median $129,025 | 10 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $96,159 – $185,358 · median $96,159 | 10 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $43,498 – $86,624 · median $43,498 | 10 plans |
| 007 | LUNG TRANSPLANT | $120,660 – $219,679 · median $120,660 | 10 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $52,479 – $94,232 · median $52,479 | 10 plans |
| 010 | PANCREAS TRANSPLANT | $67,062 – $86,207 · median $67,062 | 10 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $51,082 – $92,344 · median $51,082 | 10 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $39,591 – $71,724 · median $39,591 | 10 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $27,207 – $48,098 · median $27,207 | 10 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $112,007 – $205,253 · median $112,007 | 10 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $55,497 – $110,624 · median $55,497 | 10 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $50,880 – $110,624 · median $50,880 | 10 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $401,276 – $659,816 · median $401,276 | 10 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $66,681 – $143,156 · median $66,681 | 10 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $73,495 – $151,374 · median $73,495 | 10 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $49,595 – $109,986 · median $49,595 | 10 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $29,950 – $62,264 · median $29,950 | 10 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $53,646 – $101,523 · median $53,646 | 10 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $36,768 – $67,854 · median $36,768 | 10 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $42,660 – $79,086 · median $42,660 | 10 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $29,317 – $52,887 · median $29,317 | 10 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $23,875 – $43,571 · median $23,875 | 10 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $56,226 – $107,921 · median $56,226 | 10 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $32,124 – $61,396 · median $32,124 | 10 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $20,834 – $41,531 · median $20,834 | 10 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $42,046 – $73,724 · median $42,046 | 10 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $20,238 – $38,572 · median $20,238 | 10 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $15,893 – $29,065 · median $15,893 | 10 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $36,386 – $69,870 · median $36,386 | 10 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $22,646 – $41,182 · median $22,646 | 10 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $18,491 – $32,383 · median $18,491 | 10 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $31,015 – $60,454 · median $31,015 | 10 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $15,519 – $28,653 · median $15,519 | 10 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $11,369 – $20,434 · median $11,369 | 10 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $36,297 – $68,959 · median $36,297 | 10 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $20,866 – $39,950 · median $20,866 | 10 plans |
| 042 | PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITHOUT COMPLICATION/COMORBITY | $16,494 – $31,158 · median $16,494 | 10 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $17,270 – $34,824 · median $17,270 | 10 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $9,547 – $17,619 · median $9,547 | 10 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH COMORBITY | $14,631 – $26,389 · median $14,631 | 10 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT COMORBITY | $9,922 – $19,220 · median $9,922 | 10 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH COMORBITY | $22,021 – $42,874 · median $22,021 | 10 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT COMORBITY | $12,484 – $24,414 · median $12,484 | 10 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $16,326 – $30,945 · median $16,326 | 10 plans |
| 059 | MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMPLICATION | $11,976 – $21,262 · median $11,976 | 10 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $8,996 – $16,072 · median $8,996 | 10 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $26,049 – $50,195 · median $26,049 | 10 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $16,768 – $33,520 · median $16,768 | 10 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $13,488 – $26,627 · median $13,488 | 10 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY | $19,124 – $35,872 · median $19,124 | 10 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS | $9,836 – $18,203 · median $9,836 | 10 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,811 – $12,312 · median $6,811 | 10 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $14,090 – $25,375 · median $14,090 | 10 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $8,481 – $15,599 · median $8,481 | 10 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $7,873 – $14,304 · median $7,873 | 10 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMORBITY | $15,911 – $32,048 · median $15,911 | 10 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $9,981 – $19,016 · median $9,981 | 10 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $7,477 – $14,023 · median $7,477 | 10 plans |
| 073 | CRANIAL & PERIPHERAL NERVE DISORDERS WITH COMORBITY | $15,349 – $27,096 · median $15,349 | 10 plans |
| 074 | CRANIAL & PERIPHERAL NERVE DISORDERS WITHOUT COMORBITY | $10,026 – $18,378 · median $10,026 | 10 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $18,256 – $34,274 · median $18,256 | 10 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $8,118 – $16,521 · median $8,118 | 10 plans |
| 080 | NONTRAUMATIC STUPOR & COMA WITH COMORBITY | $17,258 – $39,556 · median $17,258 | 10 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $8,771 – $16,288 · median $8,771 | 10 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $21,673 – $40,802 · median $21,673 | 10 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $13,414 – $24,292 · median $13,414 | 10 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $9,330 – $16,471 · median $9,330 | 10 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $21,546 – $40,704 · median $21,546 | 10 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $12,550 – $23,588 · median $12,550 | 10 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $8,948 – $15,871 · median $8,948 | 10 plans |
| 088 | CONCUSSION WITH MCC | $13,005 – $27,469 · median $13,005 | 10 plans |
| 089 | CONCUSSION WITH CC | $10,655 – $20,594 · median $10,655 | 10 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $8,099 – $16,741 · median $8,099 | 10 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMORBITY | $16,759 – $32,043 · median $16,759 | 10 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION | $9,954 – $18,376 · median $9,954 | 10 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,849 – $13,869 · median $7,849 | 10 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $33,125 – $64,879 · median $33,125 | 10 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $24,398 – $42,699 · median $24,398 | 10 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $24,398 – $39,036 · median $24,398 | 10 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $33,982 – $65,133 · median $33,982 | 10 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $21,759 – $38,585 · median $21,759 | 10 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $13,104 – $23,643 · median $13,104 | 10 plans |
| 100 | SEIZURES WITH COMORBITY | $18,435 – $35,505 · median $18,435 | 10 plans |
| 101 | SEIZURES WITHOUT MCC | $8,836 – $16,290 · median $8,836 | 10 plans |
| 102 | HEADACHES WITH MCC | $10,862 – $21,609 · median $10,862 | 10 plans |
| 103 | HEADACHES WITHOUT MCC | $8,221 – $15,087 · median $8,221 | 10 plans |
| 113 | ORBITAL PROCEDURES WITH COMPLICATION/COMORBITY | $22,281 – $44,903 · median $22,281 | 10 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $13,017 – $22,060 · median $13,017 | 10 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $14,705 – $28,017 · median $14,705 | 10 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $17,241 – $32,788 · median $17,241 | 10 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $10,528 – $21,462 · median $10,528 | 10 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $11,256 – $22,945 · median $11,256 | 10 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,752 – $13,333 · median $7,752 | 10 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $7,871 – $14,399 · median $7,871 | 10 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $12,739 – $23,674 · median $12,739 | 10 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $7,585 – $14,282 · median $7,585 | 10 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $20,600 – $47,496 · median $20,600 | 10 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $9,882 – $16,818 · median $9,882 | 10 plans |
| 137 | MOUTH PROCEDURES WITH COMPLICATION/COMORBITY | $14,318 – $26,948 · median $14,318 | 10 plans |
| 138 | MOUTH PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,684 – $15,504 · median $8,684 | 10 plans |
| 139 | SALIVARY GLAND PROCEDURES | $11,928 – $21,271 · median $11,928 | 10 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $40,048 – $67,662 · median $40,048 | 10 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $20,703 – $37,102 · median $20,703 | 10 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $15,276 – $27,669 · median $15,276 | 10 plans |
| 143 | OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $35,234 – $59,558 · median $35,234 | 10 plans |
| 144 | OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH CC | $16,543 – $30,992 · median $16,543 | 10 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $11,618 – $21,869 · median $11,618 | 10 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $20,112 – $37,806 · median $20,112 | 10 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $12,260 – $22,132 · median $12,260 | 10 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $7,857 – $15,934 · median $7,857 | 10 plans |
| 149 | DYSEQUILIBRIUM | $7,434 – $13,337 · median $7,434 | 10 plans |
| 150 | EPISTAXIS WITH MCC | $12,817 – $23,541 · median $12,817 | 10 plans |
| 151 | EPISTAXIS WITHOUT MCC | $7,271 – $13,802 · median $7,271 | 10 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $11,431 – $21,279 · median $11,431 | 10 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $7,310 – $13,160 · median $7,310 | 10 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $14,970 – $27,548 · median $14,970 | 10 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $8,965 – $16,953 · median $8,965 | 10 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,873 – $11,739 · median $6,873 | 10 plans |
| 157 | DENTAL & ORAL DISEASES WITH COMORBITY | $16,393 – $30,571 · median $16,393 | 10 plans |
| 158 | DENTAL & ORAL DISEASES WITH COMPLICATION | $8,903 – $16,808 · median $8,903 | 10 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $7,034 – $12,092 · median $7,034 | 10 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $42,058 – $84,416 · median $42,058 | 10 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $23,886 – $45,675 · median $23,886 | 10 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $18,226 – $33,604 · median $18,226 | 10 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $35,151 – $72,671 · median $35,151 | 10 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $17,197 – $32,591 · median $17,197 | 10 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,141 – $24,279 · median $13,141 | 10 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $28,085 – $55,070 · median $28,085 | 10 plans |
| 175 | PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE | $13,208 – $25,126 · median $13,208 | 10 plans |
| 176 | PULMONARY EMBOLISM WITHOUT COMORBITY | $7,930 – $14,607 · median $7,930 | 10 plans |
| 177 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY | $14,963 – $30,381 · median $14,963 | 10 plans |
| 178 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMPLICATION | $9,517 – $17,671 · median $9,517 | 10 plans |
| 179 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITHOUT COMPLICATION/COMORBITY | $7,466 – $13,670 · median $7,466 | 10 plans |
| 180 | RESPIRATORY NEOPLASMS WITH COMORBITY | $16,850 – $31,129 · median $16,850 | 10 plans |
| 181 | RESPIRATORY NEOPLASMS WITH COMPLICATION | $10,399 – $19,720 · median $10,399 | 10 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $7,455 – $13,593 · median $7,455 | 10 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $14,659 – $28,198 · median $14,659 | 10 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $10,335 – $18,838 · median $10,335 | 10 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $7,758 – $13,534 · median $7,758 | 10 plans |
| 186 | PLEURAL EFFUSION WITH COMORBITY | $14,924 – $27,797 · median $14,924 | 10 plans |
| 187 | PLEURAL EFFUSION WITH COMPLICATION | $9,639 – $17,843 · median $9,639 | 10 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $7,115 – $13,369 · median $7,115 | 10 plans |
| 189 | PULMONARY EDEMA & RESPIRATORY FAILURE | $11,925 – $22,064 · median $11,925 | 10 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY | $10,740 – $19,736 · median $10,740 | 10 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION | $8,283 – $15,205 · median $8,283 | 10 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION/COMORBITY | $6,417 – $11,494 · median $6,417 | 10 plans |
| 193 | SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY | $12,658 – $23,758 · median $12,658 | 10 plans |
| 194 | SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION | $7,938 – $14,725 · median $7,938 | 10 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $6,292 – $11,204 · median $6,292 | 10 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH COMORBITY | $17,975 – $33,945 · median $17,975 | 10 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $9,268 – $17,864 · median $9,268 | 10 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATION/COMORBITY | $7,106 – $13,937 · median $7,106 | 10 plans |
| 199 | PNEUMOTHORAX WITH COMORBITY | $16,832 – $31,772 · median $16,832 | 10 plans |
| 200 | PNEUMOTHORAX WITH COMPLICATION | $10,662 – $19,288 · median $10,662 | 10 plans |
| 201 | PNEUMOTHORAX WITHOUT COMPLICATION/COMORBITY | $7,096 – $12,646 · median $7,096 | 10 plans |
| 202 | BRONCHITIS & ASTHMA WITH COMPLICATION/COMORBITY | $9,473 – $17,148 · median $9,473 | 10 plans |
| 203 | BRONCHITIS & ASTHMA WITHOUT COMPLICATION/COMORBITY | $6,677 – $12,445 · median $6,677 | 10 plans |
| 204 | RESPIRATORY SIGNS & SYMPTOMS | $7,952 – $14,737 · median $7,952 | 10 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH COMORBITY | $17,453 – $32,421 · median $17,453 | 10 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT COMORBITY | $9,193 – $16,360 · median $9,193 | 10 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $60,184 – $123,715 · median $60,184 | 10 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $25,971 – $48,422 · median $25,971 | 10 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $101,390 – $192,892 · median $101,390 | 10 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $92,878 – $182,937 · median $92,878 | 10 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $91,261 – $173,812 · median $91,261 | 10 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $61,489 – $113,996 · median $61,489 | 10 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $61,489 – $102,022 · median $61,489 | 10 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $71,727 – $138,100 · median $71,727 | 10 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $49,957 – $93,926 · median $49,957 | 10 plans |
| 221 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITHOUT COMPLICATION/COMORBITY | $47,241 – $83,252 · median $47,241 | 10 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH COMORBITY | $46,379 – $90,238 · median $46,379 | 10 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT COMORBITY | $29,691 – $56,943 · median $29,691 | 10 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $78,703 – $145,335 · median $78,703 | 10 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $56,730 – $106,533 · median $56,730 | 10 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $71,420 – $139,683 · median $71,420 | 10 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $51,162 – $93,089 · median $51,162 | 10 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $54,930 – $105,316 · median $54,930 | 10 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $39,338 – $72,374 · median $39,338 | 10 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $46,141 – $86,085 · median $46,141 | 10 plans |
| 240 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMPLICATION | $26,916 – $50,310 · median $26,916 | 10 plans |
| 241 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITHOUT COMPLICATION/COMORBITY | $13,308 – $24,890 · median $13,308 | 10 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMORBITY | $30,093 – $61,877 · median $30,093 | 10 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION | $20,237 – $40,790 · median $20,237 | 10 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION/COMORBITY | $17,235 – $32,765 · median $17,235 | 10 plans |
| 245 | AICD GENERATOR PROCEDURES | $42,806 – $81,153 · median $42,806 | 10 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $20,716 – $42,100 · median $20,716 | 10 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $14,330 – $28,420 · median $14,330 | 10 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH COMORBITY | $32,836 – $60,063 · median $32,836 | 10 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH COMPLICATION | $24,550 – $45,688 · median $24,550 | 10 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY | $16,996 – $31,074 · median $16,996 | 10 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $25,495 – $49,203 · median $25,495 | 10 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $16,218 – $29,365 · median $16,218 | 10 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $10,596 – $17,748 · median $10,596 | 10 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $29,623 – $48,508 · median $29,623 | 10 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $19,227 – $33,429 · median $19,227 | 10 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $30,650 – $59,372 · median $30,650 | 10 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $18,006 – $33,701 · median $18,006 | 10 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $15,587 – $29,466 · median $15,587 | 10 plans |
| 263 | VEIN LIGATION & STRIPPING | $28,837 – $50,597 · median $28,837 | 10 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $31,465 – $58,491 · median $31,465 | 10 plans |
| 265 | AICD LEAD PROCEDURES | $34,042 – $63,292 · median $34,042 | 10 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $57,341 – $111,861 · median $57,341 | 10 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $44,647 – $87,400 · median $44,647 | 10 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $64,298 – $122,761 · median $64,298 | 10 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $39,657 – $74,476 · median $39,657 | 10 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $49,432 – $90,564 · median $49,432 | 10 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $33,467 – $61,897 · median $33,467 | 10 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $24,155 – $43,689 · median $24,155 | 10 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $38,751 – $69,791 · median $38,751 | 10 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $31,011 – $58,039 · median $31,011 | 10 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $66,642 – $126,004 · median $66,642 | 10 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $56,211 – $111,218 · median $56,211 | 10 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $43,327 – $85,648 · median $43,327 | 10 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $52,123 – $79,881 · median $52,123 | 10 plans |
| 279 | HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS | $33,932 – $57,320 · median $33,932 | 10 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMORBITY | $15,347 – $28,413 · median $15,347 | 10 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMPLICATION | $8,989 – $16,351 · median $8,989 | 10 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITHOUT COMPLICATION/COMORBITY | $7,170 – $12,860 · median $7,170 | 10 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMORBITY | $18,844 – $35,306 · median $18,844 | 10 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMPLICATION | $6,883 – $13,247 · median $6,883 | 10 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $6,017 – $8,752 · median $6,017 | 10 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $20,997 – $38,605 · median $20,997 | 10 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $10,391 – $19,370 · median $10,391 | 10 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $25,577 – $46,438 · median $25,577 | 10 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $16,301 – $26,464 · median $16,301 | 10 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $9,088 – $18,360 · median $9,088 | 10 plans |
| 291 | HEART FAILURE & SHOCK WITH COMORBITY | $12,374 – $22,993 · median $12,374 | 10 plans |
| 292 | HEART FAILURE & SHOCK WITH COMPLICATION | $8,338 – $15,339 · median $8,338 | 10 plans |
| 293 | HEART FAILURE & SHOCK WITHOUT COMPLICATION/COMORBITY | $5,712 – $10,056 · median $5,712 | 10 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $14,956 – $28,712 · median $14,956 | 10 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $6,343 – $13,049 · median $6,343 | 10 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,682 – $7,860 · median $4,682 | 10 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH COMORBITY | $15,613 – $28,228 · median $15,613 | 10 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION | $10,367 – $19,109 · median $10,367 | 10 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY | $7,138 – $12,712 · median $7,138 | 10 plans |
| 302 | ATHEROSCLEROSIS WITH COMORBITY | $11,565 – $20,078 · median $11,565 | 10 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $6,707 – $11,786 · median $6,707 | 10 plans |
| 304 | HYPERTENSION WITH COMORBITY | $11,504 – $20,577 · median $11,504 | 10 plans |
| 305 | HYPERTENSION WITHOUT COMORBITY | $7,467 – $13,494 · median $7,467 | 10 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $15,085 – $27,523 · median $15,085 | 10 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $8,934 – $16,881 · median $8,934 | 10 plans |
| 308 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY | $11,634 – $21,530 · median $11,634 | 10 plans |
| 309 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION | $7,287 – $13,337 · median $7,287 | 10 plans |
| 310 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATION/COMORBITY | $5,713 – $9,904 · median $5,713 | 10 plans |
| 311 | ANGINA PECTORIS | $6,973 – $12,502 · median $6,973 | 10 plans |
| 312 | SYNCOPE & COLLAPSE | $8,548 – $15,464 · median $8,548 | 10 plans |
| 313 | CHEST PAIN | $7,141 – $12,959 · median $7,141 | 10 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY | $19,813 – $37,492 · median $19,813 | 10 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION | $9,399 – $17,323 · median $9,399 | 10 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $6,789 – $12,406 · median $6,789 | 10 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $41,882 – $78,117 · median $41,882 | 10 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $22,784 – $39,865 · median $22,784 | 10 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $25,712 – $51,483 · median $25,712 | 10 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $16,822 – $32,655 · median $16,822 | 10 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $40,625 – $74,143 · median $40,625 | 10 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $29,705 – $53,165 · median $29,705 | 10 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $30,257 – $47,357 · median $30,257 | 10 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $46,751 – $90,960 · median $46,751 | 10 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $23,145 – $44,726 · median $23,145 | 10 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $15,331 – $28,606 · median $15,331 | 10 plans |
| 329 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY | $43,122 – $80,891 · median $43,122 | 10 plans |
| 330 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION | $22,709 – $42,482 · median $22,709 | 10 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $16,079 – $29,944 · median $16,079 | 10 plans |
| 332 | RECTAL RESECTION WITH MCC | $34,065 – $64,967 · median $34,065 | 10 plans |
| 333 | RECTAL RESECTION WITH CC | $22,198 – $37,242 · median $22,198 | 10 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $15,661 – $28,746 · median $15,661 | 10 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $33,603 – $64,025 · median $33,603 | 10 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH COMPLICATION | $20,031 – $37,704 · median $20,031 | 10 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION/COMORBITY | $14,706 – $26,799 · median $14,706 | 10 plans |
| 344 | MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY | $24,431 – $49,078 · median $24,431 | 10 plans |
| 345 | MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION | $14,425 – $27,591 · median $14,425 | 10 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,468 – $23,063 · median $11,468 | 10 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $21,766 – $45,652 · median $21,766 | 10 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $12,606 – $23,307 · median $12,606 | 10 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $8,539 – $17,476 · median $8,539 | 10 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $23,588 – $42,982 · median $23,588 | 10 plans |
| 351 | INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMPLICATION | $14,608 – $26,068 · median $14,608 | 10 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $11,298 – $19,861 · median $11,298 | 10 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMORBITY | $27,394 – $52,371 · median $27,394 | 10 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $16,074 – $30,764 · median $16,074 | 10 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITHOUT COMPLICATION/COMORBITY | $12,942 – $24,403 · median $12,942 | 10 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMORBITY | $41,232 – $76,627 · median $41,232 | 10 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $22,043 – $39,342 · median $22,043 | 10 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,433 – $22,943 · median $13,433 | 10 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $15,234 – $29,586 · median $15,234 | 10 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $9,742 – $17,699 · median $9,742 | 10 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,963 – $13,319 · median $6,963 | 10 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMORBITY | $16,916 – $31,300 · median $16,916 | 10 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMPLICATION | $9,935 – $18,667 · median $9,935 | 10 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITHOUT COMPLICATION/COMORBITY | $7,210 – $12,832 · median $7,210 | 10 plans |
| 374 | DIGESTIVE MALIGNANCY WITH COMORBITY | $20,309 – $37,591 · median $20,309 | 10 plans |
| 375 | DIGESTIVE MALIGNANCY WITH COMPLICATION | $11,685 – $21,460 · median $11,685 | 10 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $9,037 – $15,964 · median $9,037 | 10 plans |
| 377 | G.I. HEMORRHAGE WITH COMORBITY | $17,425 – $32,062 · median $17,425 | 10 plans |
| 378 | G.I. HEMORRHAGE WITH COMPLICATION | $9,561 – $17,619 · median $9,561 | 10 plans |
| 379 | G.I. HEMORRHAGE WITHOUT COMPLICATION/COMORBITY | $6,309 – $11,340 · median $6,309 | 10 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH COMORBITY | $18,671 – $34,896 · median $18,671 | 10 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH COMPLICATION | $10,515 – $19,216 · median $10,515 | 10 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT COMPLICATION/COMORBITY | $7,889 – $13,559 · median $7,889 | 10 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH COMORBITY | $13,274 – $25,040 · median $13,274 | 10 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $8,392 – $15,683 · median $8,392 | 10 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH COMORBITY | $15,145 – $28,062 · median $15,145 | 10 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH COMPLICATION | $9,520 – $17,400 · median $9,520 | 10 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION/COMORBITY | $6,782 – $12,252 · median $6,782 | 10 plans |
| 388 | G.I. OBSTRUCTION WITH COMORBITY | $14,166 – $26,031 · median $14,166 | 10 plans |
| 389 | G.I. OBSTRUCTION WITH COMPLICATION | $7,789 – $14,263 · median $7,789 | 10 plans |
| 390 | G.I. OBSTRUCTION WITHOUT COMPLICATION/COMORBITY | $5,507 – $10,011 · median $5,507 | 10 plans |
| 391 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY | $12,230 – $22,847 · median $12,230 | 10 plans |
| 392 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY | $7,694 – $14,069 · median $7,694 | 10 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMORBITY | $15,303 – $29,005 · median $15,303 | 10 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION | $9,143 – $16,779 · median $9,143 | 10 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,482 – $11,596 · median $6,482 | 10 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $22,687 – $40,234 · median $22,687 | 10 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $14,507 – $27,102 · median $14,507 | 10 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $11,083 – $19,935 · median $11,083 | 10 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $51,235 – $98,593 · median $51,235 | 10 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $27,377 – $51,710 · median $27,377 | 10 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $21,060 – $38,522 · median $21,060 | 10 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $33,554 – $66,661 · median $33,554 | 10 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $20,668 – $35,053 · median $20,668 | 10 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $15,195 – $28,031 · median $15,195 | 10 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $31,119 – $51,587 · median $31,119 | 10 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $19,973 – $36,633 · median $19,973 | 10 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $15,871 – $27,035 · median $15,871 | 10 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $33,526 – $63,133 · median $33,526 | 10 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $19,641 – $35,385 · median $19,641 | 10 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $13,112 – $23,984 · median $13,112 | 10 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMORBITY | $22,608 – $41,509 · median $22,608 | 10 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION | $16,159 – $29,276 · median $16,159 | 10 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY | $13,135 – $23,518 · median $13,135 | 10 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMORBITY | $32,082 – $57,323 · median $32,082 | 10 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $16,585 – $30,617 · median $16,585 | 10 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT COMPLICATION/COMORBITY | $13,448 – $25,270 · median $13,448 | 10 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $39,006 – $70,040 · median $39,006 | 10 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMPLICATION | $20,766 – $37,381 · median $20,766 | 10 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY | $14,384 – $28,688 · median $14,384 | 10 plans |
| 432 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMORBITY | $18,727 – $34,314 · median $18,727 | 10 plans |
| 433 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMPLICATION | $10,262 – $18,464 · median $10,262 | 10 plans |
| 434 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITHOUT COMPLICATION/COMORBITY | $7,071 – $11,990 · median $7,071 | 10 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMORBITY | $17,506 – $31,518 · median $17,506 | 10 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION | $10,957 – $19,712 · median $10,957 | 10 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $8,378 – $14,884 · median $8,378 | 10 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMORBITY | $15,589 – $29,887 · median $15,589 | 10 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION | $8,266 – $15,316 · median $8,266 | 10 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $6,226 – $11,025 · median $6,226 | 10 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMORBITY | $17,116 – $32,741 · median $17,116 | 10 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMPLICATION | $9,418 – $17,040 · median $9,418 | 10 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITHOUT COMPLICATION/COMORBITY | $6,953 – $12,800 · median $6,953 | 10 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH COMORBITY | $15,967 – $29,249 · median $15,967 | 10 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH COMPLICATION | $10,616 – $19,464 · median $10,616 | 10 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION/COMORBITY | $8,137 – $14,354 · median $8,137 | 10 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $78,458 – $150,962 · median $78,458 | 10 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $55,807 – $108,803 · median $55,807 | 10 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $39,188 – $81,146 · median $39,188 | 10 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $51,722 – $122,113 · median $51,722 | 10 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $25,148 – $50,974 · median $25,148 | 10 plans |
| 463 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMORBITY | $53,360 – $101,431 · median $53,360 | 10 plans |
| 464 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMPLICATION | $29,368 – $53,752 · median $29,368 | 10 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $17,386 – $33,504 · median $17,386 | 10 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMORBITY | $48,774 – $92,887 · median $48,774 | 10 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $33,192 – $62,436 · median $33,192 | 10 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $25,965 – $47,810 · median $25,965 | 10 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT | $28,612 – $59,633 · median $28,612 | 10 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY | $18,362 – $33,699 · median $18,362 | 10 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $45,278 – $88,094 · median $45,278 | 10 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $27,804 – $52,928 · median $27,804 | 10 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $23,118 – $44,067 · median $23,118 | 10 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $40,304 – $77,059 · median $40,304 | 10 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $21,581 – $38,409 · median $21,581 | 10 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,413 – $21,077 · median $11,413 | 10 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $32,523 – $60,335 · median $32,523 | 10 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $23,284 – $42,690 · median $23,284 | 10 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $17,712 – $33,382 · median $17,712 | 10 plans |
| 480 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMORBITY | $27,490 – $52,812 · median $27,490 | 10 plans |
| 481 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION | $19,899 – $37,159 · median $19,899 | 10 plans |
| 482 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY | $15,597 – $28,447 · median $15,597 | 10 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $26,187 – $44,490 · median $26,187 | 10 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $30,412 – $58,992 · median $30,412 | 10 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $19,867 – $35,967 · median $19,867 | 10 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $14,995 – $27,668 · median $14,995 | 10 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $16,877 – $37,727 · median $16,877 | 10 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,824 – $22,166 · median $10,824 | 10 plans |
| 492 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMORBITY | $34,538 – $62,003 · median $34,538 | 10 plans |
| 493 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMPLICATION | $23,998 – $43,012 · median $23,998 | 10 plans |
| 494 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITHOUT COMPLICATION/COMORBITY | $19,082 – $33,476 · median $19,082 | 10 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $34,111 – $64,136 · median $34,111 | 10 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $17,202 – $35,594 · median $17,202 | 10 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $11,673 – $25,563 · median $11,673 | 10 plans |
| 498 | LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR WITH COMPLICATION/COMORBITY | $28,460 – $46,760 · median $28,460 | 10 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $18,687 – $23,099 · median $19,159 | 10 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $29,833 – $58,075 · median $29,833 | 10 plans |
| 501 | SOFT TISSUE PROCEDURES WITH COMPLICATION | $16,684 – $31,085 · median $16,684 | 10 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $12,951 – $24,763 · median $12,951 | 10 plans |
| 503 | FOOT PROCEDURES WITH MCC | $26,365 – $48,030 · median $26,365 | 10 plans |
| 504 | FOOT PROCEDURES WITH CC | $17,808 – $30,931 · median $17,808 | 10 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $17,099 – $30,547 · median $17,099 | 10 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $12,981 – $26,194 · median $12,981 | 10 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $17,225 – $38,177 · median $17,225 | 10 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $14,515 – $25,682 · median $14,515 | 10 plans |
| 510 | SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMORBITY | $28,494 – $48,723 · median $28,494 | 10 plans |
| 511 | SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMPLICATION | $19,759 – $35,707 · median $19,759 | 10 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $15,823 – $28,902 · median $15,823 | 10 plans |
| 513 | HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITH COMPLICATION/COMORBITY | $15,071 – $29,030 · median $15,071 | 10 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $9,947 – $18,652 · median $9,947 | 10 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $30,039 – $56,619 · median $30,039 | 10 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $19,747 – $36,549 · median $19,747 | 10 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $14,722 – $26,763 · median $14,722 | 10 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $35,147 – $65,400 · median $35,147 | 10 plans |
| 519 | BACK & NECK PROC EXC SPINAL FUSION WITH COMPLICATION | $19,024 – $35,256 · median $19,024 | 10 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $14,324 – $25,637 · median $14,324 | 10 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $27,099 – $53,623 · median $27,099 | 10 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $20,114 – $37,827 · median $20,114 | 10 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $15,009 – $29,217 · median $15,009 | 10 plans |
| 534 | FRACTURES OF FEMUR WITHOUT COMORBITY | $7,940 – $14,506 · median $7,940 | 10 plans |
| 535 | FRACTURES OF HIP & PELVIS WITH COMORBITY | $12,358 – $23,223 · median $12,358 | 10 plans |
| 536 | FRACTURES OF HIP & PELVIS WITHOUT COMORBITY | $7,954 – $14,096 · median $7,954 | 10 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $9,316 – $17,318 · median $9,316 | 10 plans |
| 538 | SPRAINS; STRAINS; & DISLOCATIONS OF HIP; PELVIS & THIGH WITHOUT COMPLICATION/COMORBITY | $7,144 – $12,699 · median $7,144 | 10 plans |
| 539 | OSTEOMYELITIS WITH MCC | $18,741 – $35,539 · median $18,741 | 10 plans |
| 540 | OSTEOMYELITIS WITH COMPLICATION | $12,490 – $23,249 · median $12,490 | 10 plans |
| 541 | OSTEOMYELITIS WITHOUT COMPLICATION/COMORBITY | $7,767 – $15,364 · median $7,767 | 10 plans |
| 542 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMORBITY | $16,855 – $32,661 · median $16,855 | 10 plans |
| 543 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMPLICATION | $10,000 – $19,533 · median $10,000 | 10 plans |
| 544 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITHOUT COMPLICATION/COMORBITY | $7,462 – $13,745 · median $7,462 | 10 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH COMORBITY | $23,493 – $44,651 · median $23,493 | 10 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $11,164 – $21,478 · median $11,164 | 10 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,220 – $14,567 · median $8,220 | 10 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $18,381 – $34,919 · median $18,381 | 10 plans |
| 549 | SEPTIC ARTHRITIS WITH COMPLICATION | $11,663 – $21,602 · median $11,663 | 10 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $8,571 – $16,491 · median $8,571 | 10 plans |
| 551 | MEDICAL BACK PROBLEMS WITH COMORBITY | $16,016 – $30,479 · median $16,016 | 10 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT COMORBITY | $9,381 – $17,305 · median $9,381 | 10 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $12,490 – $24,204 · median $12,490 | 10 plans |
| 554 | BONE DISEASES & ARTHROPATHIES WITHOUT COMORBITY | $8,163 – $14,718 · median $8,163 | 10 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,727 – $25,055 · median $12,727 | 10 plans |
| 556 | SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITHOUT COMORBITY | $8,168 – $14,764 · median $8,168 | 10 plans |
| 557 | TENDONITIS; MYOSITIS & BURSITIS WITH COMORBITY | $14,259 – $27,881 · median $14,259 | 10 plans |
| 558 | TENDONITIS; MYOSITIS & BURSITIS WITHOUT COMORBITY | $8,749 – $15,731 · median $8,749 | 10 plans |
| 559 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY | $17,768 – $33,141 · median $17,768 | 10 plans |
| 560 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION | $10,910 – $20,275 · median $10,910 | 10 plans |
| 561 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY | $7,920 – $13,973 · median $7,920 | 10 plans |
| 562 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITH COMORBITY | $13,683 – $27,234 · median $13,683 | 10 plans |
| 563 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITHOUT COMORBITY | $8,770 – $16,039 · median $8,770 | 10 plans |
| 564 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMORBITY | $14,786 – $27,972 · median $14,786 | 10 plans |
| 565 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION | $9,502 – $17,898 · median $9,502 | 10 plans |
| 566 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $7,413 – $13,441 · median $7,413 | 10 plans |
| 570 | SKIN DEBRIDEMENT WITH COMORBITY | $27,757 – $52,334 · median $27,757 | 10 plans |
| 571 | SKIN DEBRIDEMENT WITH COMPLICATION | $16,140 – $30,300 · median $16,140 | 10 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT COMPLICATION/COMORBITY | $11,098 – $20,409 · median $11,098 | 10 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $61,267 – $111,360 · median $61,267 | 10 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $32,679 – $60,994 · median $32,679 | 10 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $17,138 – $36,642 · median $17,138 | 10 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $45,951 – $101,779 · median $45,951 | 10 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $25,062 – $47,443 · median $25,062 | 10 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $15,369 – $28,842 · median $15,369 | 10 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $30,518 – $59,855 · median $30,518 | 10 plans |
| 580 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMPLICATION | $16,497 – $31,280 · median $16,497 | 10 plans |
| 581 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITHOUT COMPLICATION/COMORBITY | $13,853 – $24,118 · median $13,853 | 10 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $18,341 – $29,856 · median $18,341 | 10 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $16,464 – $27,256 · median $16,464 | 10 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $20,328 – $35,077 · median $20,328 | 10 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $18,364 – $30,159 · median $18,364 | 10 plans |
| 592 | SKIN ULCERS WITH COMORBITY | $18,421 – $37,432 · median $18,421 | 10 plans |
| 593 | SKIN ULCERS WITH COMPLICATION | $11,469 – $21,668 · median $11,469 | 10 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $8,504 – $14,102 · median $8,504 | 10 plans |
| 595 | MAJOR SKIN DISORDERS WITH COMORBITY | $20,142 – $38,952 · median $20,142 | 10 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT COMORBITY | $10,506 – $18,070 · median $10,506 | 10 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $15,932 – $28,663 · median $15,932 | 10 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $10,959 – $21,469 · median $10,959 | 10 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,600 – $11,129 · median $7,600 | 10 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $10,126 – $18,366 · median $10,126 | 10 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,074 – $11,150 · median $6,074 | 10 plans |
| 602 | CELLULITIS WITH COMORBITY | $13,650 – $26,640 · median $13,650 | 10 plans |
| 603 | CELLULITIS WITHOUT COMORBITY | $8,542 – $15,844 · median $8,542 | 10 plans |
| 604 | TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITH COMORBITY | $14,122 – $26,975 · median $14,122 | 10 plans |
| 605 | TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITHOUT COMORBITY | $8,960 – $16,276 · median $8,960 | 10 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $14,503 – $28,400 · median $14,503 | 10 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $8,871 – $16,002 · median $8,871 | 10 plans |
| 614 | ADRENAL & PITUITARY PROCEDURES WITH COMPLICATION/COMORBITY | $20,802 – $40,338 · median $20,802 | 10 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $13,446 – $26,346 · median $13,446 | 10 plans |
| 616 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMORBITY | $32,828 – $70,878 · median $32,828 | 10 plans |
| 617 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMPLICATION | $17,818 – $35,540 · median $17,818 | 10 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $13,623 – $20,801 · median $13,623 | 10 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $27,259 – $46,357 · median $27,259 | 10 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH COMPLICATION | $15,312 – $29,052 · median $15,312 | 10 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION/COMORBITY | $14,459 – $27,173 · median $14,459 | 10 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $33,494 – $68,513 · median $33,494 | 10 plans |
| 623 | SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMPLICATION | $17,109 – $33,336 · median $17,109 | 10 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $12,078 – $19,960 · median $12,078 | 10 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $28,490 – $52,316 · median $28,490 | 10 plans |
| 626 | THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITH COMPLICATION | $14,375 – $26,718 · median $14,375 | 10 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $12,787 – $22,136 · median $12,787 | 10 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $35,050 – $71,896 · median $35,050 | 10 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $20,682 – $40,524 · median $20,682 | 10 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $14,005 – $25,006 · median $14,005 | 10 plans |
| 637 | DIABETES WITH COMORBITY | $13,793 – $25,956 · median $13,793 | 10 plans |
| 638 | DIABETES WITH COMPLICATION | $8,777 – $16,107 · median $8,777 | 10 plans |
| 639 | DIABETES WITHOUT COMPLICATION/COMORBITY | $6,224 – $11,148 · median $6,224 | 10 plans |
| 640 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY | $12,855 – $23,554 · median $12,855 | 10 plans |
| 641 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY | $7,681 – $13,994 · median $7,681 | 10 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $13,658 – $23,341 · median $13,658 | 10 plans |
| 643 | ENDOCRINE DISORDERS WITH COMORBITY | $15,737 – $29,462 · median $15,737 | 10 plans |
| 644 | ENDOCRINE DISORDERS WITH COMPLICATION | $9,972 – $19,014 · median $9,972 | 10 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $7,589 – $13,627 · median $7,589 | 10 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $44,096 – $80,546 · median $44,096 | 10 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $34,855 – $61,936 · median $34,855 | 10 plans |
| 652 | KIDNEY TRANSPLANT | $30,434 – $53,806 · median $30,434 | 10 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $48,691 – $96,952 · median $48,691 | 10 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $26,441 – $49,026 · median $26,441 | 10 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $20,104 – $37,749 · median $20,104 | 10 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $30,010 – $56,191 · median $30,010 | 10 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $17,444 – $33,028 · median $17,444 | 10 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $14,862 – $26,512 · median $14,862 | 10 plans |
| 659 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMORBITY | $24,042 – $46,365 · median $24,042 | 10 plans |
| 660 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION | $12,726 – $24,104 · median $12,726 | 10 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $10,069 – $18,776 · median $10,069 | 10 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $28,875 – $53,668 · median $28,875 | 10 plans |
| 663 | MINOR BLADDER PROCEDURES WITH COMPLICATION | $14,568 – $26,129 · median $14,568 | 10 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $10,175 – $19,012 · median $10,175 | 10 plans |
| 665 | PROSTATECTOMY WITH MCC | $29,429 – $55,323 · median $29,429 | 10 plans |
| 666 | PROSTATECTOMY WITH COMPLICATION | $16,695 – $30,757 · median $16,695 | 10 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $10,726 – $18,797 · median $10,726 | 10 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH COMORBITY | $27,561 – $50,468 · median $27,561 | 10 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH COMPLICATION | $14,864 – $27,483 · median $14,864 | 10 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $9,529 – $17,239 · median $9,529 | 10 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $17,119 – $30,658 · median $17,119 | 10 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $10,478 – $16,525 · median $10,478 | 10 plans |
| 673 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMORBITY | $39,457 – $66,227 · median $39,457 | 10 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $22,165 – $42,663 · median $22,165 | 10 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $15,693 – $28,413 · median $15,693 | 10 plans |
| 682 | RENAL FAILURE WITH COMORBITY | $14,205 – $26,878 · median $14,205 | 10 plans |
| 683 | RENAL FAILURE WITH COMPLICATION | $8,587 – $16,132 · median $8,587 | 10 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $6,030 – $10,898 · median $6,030 | 10 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $17,200 – $32,942 · median $17,200 | 10 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $10,184 – $18,720 · median $10,184 | 10 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,794 – $13,985 · median $7,794 | 10 plans |
| 689 | KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY | $11,228 – $21,032 · median $11,228 | 10 plans |
| 690 | KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY | $7,972 – $14,451 · median $7,972 | 10 plans |
| 693 | URINARY STONES WITH MCC | $12,938 – $25,365 · median $12,938 | 10 plans |
| 694 | URINARY STONES WITHOUT MCC | $7,714 – $14,017 · median $7,714 | 10 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $11,075 – $21,419 · median $11,075 | 10 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,853 – $12,395 · median $6,853 | 10 plans |
| 697 | URETHRAL STRICTURE | $10,462 – $19,935 · median $10,462 | 10 plans |
| 698 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY | $15,814 – $29,629 · median $15,814 | 10 plans |
| 699 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION | $9,879 – $18,282 · median $9,879 | 10 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $6,862 – $12,685 · median $6,862 | 10 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH COMPLICATION/COMORBITY | $19,025 – $35,136 · median $19,025 | 10 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT COMPLICATION/COMORBITY | $14,698 – $26,120 · median $14,698 | 10 plans |
| 709 | PENIS PROCEDURES WITH COMPLICATION/COMORBITY | $22,058 – $37,967 · median $22,058 | 10 plans |
| 710 | PENIS PROCEDURES WITHOUT COMPLICATION/COMORBITY | $13,464 – $22,105 · median $13,464 | 10 plans |
| 711 | TESTES PROCEDURES WITH COMPLICATION/COMORBITY | $19,800 – $38,019 · median $19,800 | 10 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $10,665 – $21,283 · median $10,665 | 10 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $14,413 – $25,981 · median $14,413 | 10 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $10,273 – $17,166 · median $10,273 | 10 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $21,225 – $39,534 · median $21,225 | 10 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $14,112 – $25,470 · median $14,112 | 10 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $18,006 – $32,482 · median $18,006 | 10 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $12,925 – $21,057 · median $12,925 | 10 plans |
| 722 | MALIGNANCY; MALE REPRODUCTIVE SYSTEM WITH COMORBITY | $17,256 – $33,576 · median $17,256 | 10 plans |
| 723 | MALIGNANCY; MALE REPRODUCTIVE SYSTEM WITH COMPLICATION | $11,065 – $19,956 · median $11,065 | 10 plans |
| 724 | MALIGNANCY; MALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY | $6,544 – $14,497 · median $6,544 | 10 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $11,320 – $22,223 · median $11,320 | 10 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $7,160 – $13,090 · median $7,160 | 10 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $14,222 – $29,030 · median $14,222 | 10 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT COMORBITY | $7,988 – $14,329 · median $7,988 | 10 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $10,285 – $17,979 · median $10,285 | 10 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,696 – $11,132 · median $6,696 | 10 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $20,229 – $38,927 · median $20,229 | 10 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $12,947 – $22,569 · median $12,947 | 10 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $33,636 – $69,616 · median $33,636 | 10 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $19,584 – $35,349 · median $19,584 | 10 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $14,089 – $24,439 · median $14,089 | 10 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $33,713 – $64,764 · median $33,713 | 10 plans |
| 740 | UTERINE; ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG WITH COMPLICATION | $17,255 – $32,003 · median $17,255 | 10 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $13,695 – $23,269 · median $13,695 | 10 plans |
| 742 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITH COMPLICATION/COMORBITY | $17,489 – $31,912 · median $17,489 | 10 plans |
| 743 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $11,974 – $20,810 · median $11,974 | 10 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $19,478 – $33,712 · median $19,478 | 10 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $11,016 – $18,552 · median $11,016 | 10 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $16,582 – $30,017 · median $16,582 | 10 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $8,438 – $15,889 · median $8,438 | 10 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $13,335 – $25,160 · median $13,335 | 10 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $24,290 – $45,081 · median $24,290 | 10 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY | $14,156 – $24,356 · median $14,156 | 10 plans |
| 754 | MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY | $17,553 – $33,176 · median $17,553 | 10 plans |
| 755 | MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION | $10,555 – $19,426 · median $10,555 | 10 plans |
| 756 | MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY | $9,373 – $17,725 · median $9,373 | 10 plans |
| 757 | INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY | $13,749 – $26,713 · median $13,749 | 10 plans |
| 758 | INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION | $9,545 – $17,776 · median $9,545 | 10 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,618 – $11,573 · median $6,618 | 10 plans |
| 760 | MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH COMPLICATION/COMORBITY | $9,810 – $17,827 · median $9,810 | 10 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,753 – $10,846 · median $5,753 | 10 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROC EXCEPT STERIL &/OR D&C | $10,064 – $17,648 · median $10,405 | 10 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $16,143 – $27,650 · median $16,143 | 10 plans |
| 770 | ABORTION WITH D&C; ASPIRATION CURETTAGE OR HYSTEROTOMY | $9,765 – $14,304 · median $9,765 | 10 plans |
| 776 | POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE | $6,535 – $12,835 · median $6,535 | 10 plans |
| 779 | ABORTION WITHOUT D&C | $8,267 – $17,716 · median $8,267 | 10 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $23,246 – $31,731 · median $23,246 | 10 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH COMPLICATION | $10,298 – $18,341 · median $10,298 | 10 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT COMPLICATION/COMORBITY | $9,348 – $15,515 · median $9,348 | 10 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $15,769 – $31,332 · median $15,769 | 10 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMPLICATION | $10,824 – $18,824 · median $10,824 | 10 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT COMPLICATION/COMORBITY | $9,358 – $15,312 · median $9,358 | 10 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $11,290 – $25,402 · median $11,290 | 10 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $9,744 – $17,836 · median $9,744 | 10 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $9,342 – $14,528 · median $9,342 | 10 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $42,495 – $88,732 · median $42,495 | 10 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $26,535 – $50,462 · median $26,535 | 10 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $18,176 – $32,052 · median $18,176 | 10 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $37,438 – $60,717 · median $37,438 | 10 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $17,712 – $33,279 · median $17,712 | 10 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $13,044 – $21,677 · median $13,044 | 10 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMORBITY | $10,475 – $18,056 · median $10,475 | 10 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMPLICATION | $7,457 – $13,373 · median $7,457 | 10 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY | $6,716 – $11,718 · median $6,716 | 10 plans |
| 808 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMORBITY | $20,952 – $39,223 · median $20,952 | 10 plans |
| 809 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMPLICATION | $12,208 – $21,570 · median $12,208 | 10 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $10,173 – $17,990 · median $10,173 | 10 plans |
| 811 | RED BLOOD CELL DISORDERS WITH COMORBITY | $13,493 – $25,137 · median $13,493 | 10 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT COMORBITY | $8,981 – $16,131 · median $8,981 | 10 plans |
| 813 | COAGULATION DISORDERS | $14,616 – $27,938 · median $14,616 | 10 plans |
| 814 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMORBITY | $20,198 – $38,112 · median $20,198 | 10 plans |
| 815 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMPLICATION | $9,870 – $17,805 · median $9,870 | 10 plans |
| 816 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITHOUT COMPLICATION/COMORBITY | $6,324 – $12,719 · median $6,324 | 10 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $21,636 – $40,385 · median $21,636 | 10 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $11,218 – $21,009 · median $11,218 | 10 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,440 – $16,247 · median $8,440 | 10 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $54,895 – $108,290 · median $54,895 | 10 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $21,237 – $39,975 · median $21,237 | 10 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,634 – $22,186 · median $11,634 | 10 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $43,014 – $80,625 · median $43,014 | 10 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $21,487 – $39,989 · median $21,487 | 10 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,983 – $23,128 · median $12,983 | 10 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $43,877 – $78,599 · median $43,877 | 10 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $21,910 – $41,499 · median $21,910 | 10 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $16,273 – $29,378 · median $16,273 | 10 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $29,789 – $56,481 · median $29,789 | 10 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $14,427 – $28,318 · median $14,427 | 10 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $11,620 – $18,085 · median $11,620 | 10 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $7,156 – $13,211 · median $7,156 | 10 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $5,312 – $9,166 · median $5,312 | 10 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $51,415 – $100,272 · median $51,415 | 10 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $19,818 – $40,036 · median $19,818 | 10 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $11,777 – $21,442 · median $11,777 | 10 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $45,051 – $85,186 · median $45,051 | 10 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $19,833 – $34,966 · median $19,833 | 10 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $13,860 – $23,337 · median $13,860 | 10 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $30,484 – $55,969 · median $30,484 | 10 plans |
| 841 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMPLICATION | $15,601 – $28,180 · median $15,601 | 10 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $9,837 – $19,098 · median $9,837 | 10 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $18,974 – $33,321 · median $18,974 | 10 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $11,758 – $20,724 · median $11,758 | 10 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $8,363 – $15,489 · median $8,363 | 10 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $24,521 – $43,770 · median $24,521 | 10 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $12,601 – $21,716 · median $12,601 | 10 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,342 – $13,602 · median $8,342 | 10 plans |
| 849 | RADIOTHERAPY | $25,607 – $48,200 · median $25,607 | 10 plans |
| 853 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY | $46,298 – $89,532 · median $46,298 | 10 plans |
| 854 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION | $19,004 – $36,502 · median $19,004 | 10 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $14,355 – $30,478 · median $14,355 | 10 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMORBITY | $42,679 – $79,308 · median $42,679 | 10 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $20,335 – $38,248 · median $20,335 | 10 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $13,387 – $22,984 · median $13,387 | 10 plans |
| 862 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITH COMORBITY | $17,386 – $32,988 · median $17,386 | 10 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $9,721 – $18,008 · median $9,721 | 10 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $8,698 – $15,810 · median $8,698 | 10 plans |
| 865 | VIRAL ILLNESS WITH MCC | $14,365 – $29,369 · median $14,365 | 10 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $8,530 – $16,435 · median $8,530 | 10 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $19,887 – $37,471 · median $19,887 | 10 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $10,029 – $19,440 · median $10,029 | 10 plans |
| 869 | OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $7,231 – $12,370 · median $7,231 | 10 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $64,613 – $124,734 · median $64,613 | 10 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY | $18,488 – $35,506 · median $18,488 | 10 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY | $9,956 – $18,444 · median $9,956 | 10 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $36,332 – $66,827 · median $36,332 | 10 plans |
| 880 | ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION | $9,371 – $17,096 · median $9,371 | 10 plans |
| 881 | DEPRESSIVE NEUROSES | $9,191 – $16,235 · median $9,191 | 10 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $10,425 – $16,822 · median $10,425 | 10 plans |
| 883 | DISORDERS OF PERSONALITY & IMPULSE CONTROL | $18,709 – $33,587 · median $18,709 | 10 plans |
| 884 | ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY | $15,392 – $31,464 · median $15,392 | 10 plans |
| 885 | PSYCHOSES | $13,423 – $24,471 · median $13,423 | 10 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $19,721 – $30,118 · median $19,721 | 10 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $10,398 – $23,203 · median $10,398 | 10 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE; LEFT AMA | $6,184 – $10,289 · median $6,184 | 10 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $13,598 – $28,812 · median $13,598 | 10 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH COMORBITY | $16,656 – $31,844 · median $16,656 | 10 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY | $8,652 – $15,323 · median $8,652 | 10 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $39,410 – $77,507 · median $39,410 | 10 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $18,228 – $33,753 · median $18,228 | 10 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $11,314 – $22,234 · median $11,314 | 10 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $34,551 – $58,315 · median $34,551 | 10 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $14,227 – $28,362 · median $14,227 | 10 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $18,691 – $33,698 · median $18,691 | 10 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $36,094 – $66,613 · median $36,094 | 10 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $18,977 – $35,891 · median $18,977 | 10 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $12,642 – $24,290 · median $12,642 | 10 plans |
| 913 | TRAUMATIC INJURY WITH COMORBITY | $15,630 – $26,765 · median $15,630 | 10 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $8,677 – $16,256 · median $8,677 | 10 plans |
| 915 | ALLERGIC REACTIONS WITH COMORBITY | $16,067 – $31,771 · median $16,067 | 10 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,643 – $11,798 · median $6,643 | 10 plans |
| 917 | POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY | $15,016 – $28,581 · median $15,016 | 10 plans |
| 918 | POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY | $8,414 – $15,418 · median $8,414 | 10 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $17,451 – $32,679 · median $17,451 | 10 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH COMPLICATION | $9,761 – $18,514 · median $9,761 | 10 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,848 – $12,497 · median $6,848 | 10 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $16,696 – $31,249 · median $16,696 | 10 plans |
| 923 | OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITHOUT COMORBITY | $9,904 – $18,113 · median $9,904 | 10 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $198,631 – $472,058 · median $198,631 | 10 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $67,034 – $123,925 · median $67,034 | 10 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $30,353 – $57,586 · median $30,353 | 10 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $36,604 – $54,300 · median $36,604 | 10 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $20,977 – $37,475 · median $20,977 | 10 plans |
| 935 | NON-EXTENSIVE BURNS | $19,579 – $36,554 · median $19,579 | 10 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $34,137 – $57,583 · median $34,137 | 10 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $22,149 – $38,802 · median $22,149 | 10 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $19,279 – $33,239 · median $19,279 | 10 plans |
| 945 | REHABILITATION WITH CC/MCC | $14,832 – $27,034 · median $14,832 | 10 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $11,103 – $18,136 · median $11,103 | 10 plans |
| 947 | SIGNS & SYMPTOMS WITH COMORBITY | $12,241 – $22,415 · median $12,241 | 10 plans |
| 948 | SIGNS & SYMPTOMS WITHOUT COMORBITY | $7,888 – $14,345 · median $7,888 | 10 plans |
| 949 | AFTERCARE WITH CC/MCC | $11,501 – $18,556 · median $11,501 | 10 plans |
| 950 | AFTERCARE WITHOUT COMPLICATION/COMORBITY | $6,284 – $11,250 · median $6,284 | 10 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,619 – $10,566 · median $5,619 | 10 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $62,935 – $109,069 · median $62,935 | 10 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $35,386 – $69,455 · median $35,386 | 10 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $71,185 – $129,527 · median $71,185 | 10 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $39,571 – $72,438 · median $39,571 | 10 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $27,785 – $45,353 · median $27,785 | 10 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY | $25,833 – $48,969 · median $25,833 | 10 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION | $14,684 – $26,881 · median $14,684 | 10 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $9,188 – $17,119 · median $9,188 | 10 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $57,275 – $123,081 · median $57,275 | 10 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $24,938 – $43,060 · median $24,938 | 10 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $27,246 – $52,232 · median $27,246 | 10 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $12,478 – $24,415 · median $12,478 | 10 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $8,837 – $15,138 · median $8,837 | 10 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $12,503 – $25,361 · median $12,503 | 10 plans |
| 981 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $44,007 – $84,896 · median $44,007 | 10 plans |
| 982 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $23,278 – $44,522 · median $23,278 | 10 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $16,367 – $29,285 · median $16,367 | 10 plans |
| 987 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $32,280 – $60,473 · median $32,280 | 10 plans |
| 988 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $15,714 – $30,392 · median $15,714 | 10 plans |
| 989 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION/COMORBITY | $11,589 – $19,347 · median $11,589 | 10 plans |
| 789 | NEONATES; DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $17,186 – $26,359 · median $17,186 | 9 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $55,625 – $86,929 · median $55,625 | 9 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $38,133 – $59,367 · median $38,133 | 9 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $23,191 – $35,822 · median $23,191 | 9 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $39,160 – $60,984 · median $39,160 | 9 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $14,157 – $21,586 · median $14,157 | 9 plans |
| 795 | NORMAL NEWBORN | $2,313 – $2,922 · median $2,313 | 9 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $105,518 – $116,070 · median $105,518 | 8 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $53,429 – $58,772 · median $53,429 | 8 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $62,521 – $68,774 · median $62,521 | 8 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $22,941 – $25,235 · median $22,941 | 8 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $32,375 – $35,612 · median $32,375 | 8 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $22,867 – $25,154 · median $22,867 | 8 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $37,776 – $41,554 · median $37,776 | 8 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $102,756 – $113,031 · median $102,756 | 8 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $67,460 – $74,206 · median $67,460 | 8 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $52,641 – $57,905 · median $52,641 | 8 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $84,084 – $92,493 · median $84,084 | 8 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $53,988 – $59,386 · median $53,988 | 8 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $62,476 – $68,724 · median $62,476 | 8 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $39,821 – $43,803 · median $39,821 | 8 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $49,927 – $54,920 · median $49,927 | 8 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $30,442 – $33,487 · median $30,442 | 8 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $80,835 – $88,918 · median $80,835 | 8 plans |
| 774 | COCAINE ABUSE AND DEPENDENCE | $10,064 – $10,064 · median $10,064 | 1 plans |
| 775 | ALCOHOL ABUSE AND DEPENDENCE | $10,064 – $10,064 · median $10,064 | 1 plans |
No procedures match that keyword.