Samaritan Medical Center (Acute Care) — Pricing
781 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 781 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 781 procedures
Procedures with negotiated rates only
These 781 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 | $258,829 – $397,325 · median $345,500 | 13 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $104,661 – $160,708 · median $139,746 | 13 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $196,036 – $300,951 · median $261,697 | 13 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $127,932 – $196,424 · median $170,804 | 13 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $95,228 – $146,231 · median $127,157 | 13 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $42,827 – $65,807 · median $57,223 | 13 plans |
| 007 | LUNG TRANSPLANT | $119,608 – $183,650 · median $159,695 | 13 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $51,764 – $79,523 · median $69,150 | 13 plans |
| 010 | PANCREAS TRANSPLANT | $54,437 – $101,794 · median $88,516 | 13 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $50,374 – $77,389 · median $67,295 | 13 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $38,939 – $59,839 · median $52,034 | 13 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $26,616 – $40,926 · median $35,588 | 13 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $110,997 – $170,434 · median $148,203 | 13 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $54,767 – $84,131 · median $73,157 | 13 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $50,173 – $77,080 · median $67,026 | 13 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $398,836 – $612,209 · median $532,355 | 13 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $65,895 – $101,211 · median $88,010 | 13 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $72,676 – $111,619 · median $97,060 | 13 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $48,894 – $75,117 · median $65,319 | 13 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $29,346 – $45,116 · median $39,231 | 13 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $52,925 – $81,305 · median $70,700 | 13 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $36,130 – $55,528 · median $48,285 | 13 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $41,993 – $64,527 · median $56,110 | 13 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $28,717 – $44,149 · median $38,391 | 13 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $23,302 – $35,838 · median $31,164 | 13 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $55,493 – $85,245 · median $74,126 | 13 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $31,510 – $48,436 · median $42,118 | 13 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $20,275 – $31,193 · median $27,124 | 13 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $41,382 – $63,588 · median $55,294 | 13 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $19,682 – $30,283 · median $26,333 | 13 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $15,359 – $23,647 · median $20,563 | 13 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $35,750 – $54,944 · median $47,777 | 13 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $22,079 – $33,962 · median $29,532 | 13 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $17,944 – $27,615 · median $24,013 | 13 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $30,406 – $46,742 · median $40,645 | 13 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $14,986 – $23,076 · median $20,066 | 13 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $10,857 – $16,738 · median $14,555 | 13 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $35,662 – $54,809 · median $47,660 | 13 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $20,307 – $31,243 · median $27,168 | 13 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $15,957 – $24,566 · median $21,362 | 13 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $16,729 – $25,751 · median $22,392 | 13 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $9,044 – $13,956 · median $12,135 | 13 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $14,102 – $21,720 · median $18,887 | 13 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $9,417 – $14,528 · median $12,633 | 13 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $21,456 – $33,006 · median $28,701 | 13 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $11,966 – $18,441 · median $16,036 | 13 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $15,789 – $24,308 · median $21,137 | 13 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $11,461 – $17,665 · median $15,361 | 13 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $8,495 – $13,114 · median $11,403 | 13 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $25,465 – $39,158 · median $34,051 | 13 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $16,230 – $24,984 · median $21,725 | 13 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $12,966 – $19,975 · median $17,369 | 13 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $18,574 – $28,582 · median $24,854 | 13 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $9,331 – $14,397 · median $12,519 | 13 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,321 – $9,777 · median $8,502 | 13 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $13,565 – $20,895 · median $18,169 | 13 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,984 – $12,328 · median $10,720 | 13 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $7,378 – $11,399 · median $9,912 | 13 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $15,376 – $23,674 · median $20,586 | 13 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $9,476 – $14,619 · median $12,712 | 13 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,984 – $10,795 · median $9,387 | 13 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $14,817 – $22,817 · median $19,841 | 13 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $9,520 – $14,687 · median $12,771 | 13 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $17,710 – $27,257 · median $23,701 | 13 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,622 – $11,773 · median $10,237 | 13 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $16,717 – $25,733 · median $22,376 | 13 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $8,272 – $12,771 · median $11,105 | 13 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $21,110 – $32,475 · median $28,239 | 13 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $12,892 – $19,861 · median $17,271 | 13 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,828 – $13,624 · median $11,847 | 13 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $20,983 – $32,280 · median $28,070 | 13 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $12,032 – $18,542 · median $16,123 | 13 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $8,448 – $13,041 · median $11,340 | 13 plans |
| 088 | CONCUSSION WITH MCC | $12,485 – $19,238 · median $16,728 | 13 plans |
| 089 | CONCUSSION WITH CC | $10,147 – $15,648 · median $13,607 | 13 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,603 – $11,744 · median $10,213 | 13 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $16,220 – $24,970 · median $21,713 | 13 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $9,448 – $14,577 · median $12,675 | 13 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,355 – $11,363 · median $9,881 | 13 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $32,505 – $49,964 · median $43,447 | 13 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $23,821 – $36,636 · median $31,858 | 13 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $23,821 – $36,636 · median $31,858 | 13 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $33,359 – $51,274 · median $44,586 | 13 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $21,196 – $32,606 · median $28,353 | 13 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $12,583 – $19,388 · median $16,859 | 13 plans |
| 100 | SEIZURES WITH MCC | $17,888 – $27,530 · median $23,939 | 13 plans |
| 101 | SEIZURES WITHOUT MCC | $8,336 – $12,870 · median $11,191 | 13 plans |
| 102 | HEADACHES WITH MCC | $10,353 – $15,964 · median $13,882 | 13 plans |
| 103 | HEADACHES WITHOUT MCC | $7,724 – $11,930 · median $10,374 | 13 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $21,715 – $33,403 · median $29,046 | 13 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $12,496 – $19,255 · median $16,743 | 13 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $14,176 – $21,833 · median $18,985 | 13 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $16,700 – $25,706 · median $22,353 | 13 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $10,020 – $15,454 · median $13,438 | 13 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $10,744 – $16,565 · median $14,405 | 13 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,258 – $11,214 · median $9,752 | 13 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $7,376 – $11,396 · median $9,909 | 13 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $12,220 – $18,831 · median $16,375 | 13 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $7,091 – $10,959 · median $9,530 | 13 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $20,042 – $30,836 · median $26,814 | 13 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $9,377 – $14,467 · median $12,580 | 13 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $13,791 – $21,242 · median $18,471 | 13 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $8,185 – $12,637 · median $10,989 | 13 plans |
| 139 | SALIVARY GLAND PROCEDURES | $11,413 – $17,592 · median $15,297 | 13 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $39,394 – $60,538 · median $52,641 | 13 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $20,145 – $30,993 · median $26,951 | 13 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $14,744 – $22,705 · median $19,743 | 13 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $34,604 – $53,185 · median $46,248 | 13 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $16,005 – $24,640 · median $21,426 | 13 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $11,104 – $17,118 · median $14,885 | 13 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $19,556 – $30,090 · median $26,165 | 13 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $11,744 – $18,099 · median $15,738 | 13 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $7,362 – $11,374 · median $9,891 | 13 plans |
| 149 | DYSEQUILIBRIUM | $6,942 – $10,729 · median $9,330 | 13 plans |
| 150 | EPISTAXIS WITH MCC | $12,298 – $18,950 · median $16,478 | 13 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,779 – $10,480 · median $9,113 | 13 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $10,919 – $16,833 · median $14,638 | 13 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,818 – $10,540 · median $9,165 | 13 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $14,440 – $22,238 · median $19,338 | 13 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $8,465 – $13,067 · median $11,363 | 13 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,383 – $9,872 · median $8,584 | 13 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $15,856 – $24,412 · median $21,227 | 13 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $8,403 – $12,972 · median $11,280 | 13 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,544 – $10,118 · median $8,799 | 13 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $41,394 – $63,607 · median $55,310 | 13 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $23,312 – $35,854 · median $31,177 | 13 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $17,680 – $27,210 · median $23,661 | 13 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $34,521 – $53,059 · median $46,138 | 13 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $16,656 – $25,639 · median $22,295 | 13 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,620 – $19,444 · median $16,908 | 13 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $27,490 – $42,267 · median $36,754 | 13 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $12,687 – $19,547 · median $16,997 | 13 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $7,435 – $11,486 · median $9,988 | 13 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $14,433 – $22,227 · median $19,328 | 13 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $9,014 – $13,910 · median $12,096 | 13 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,973 – $10,778 · median $9,372 | 13 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $16,311 – $25,109 · median $21,834 | 13 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $9,892 – $15,257 · median $13,267 | 13 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,962 – $10,761 · median $9,357 | 13 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $14,130 – $21,762 · median $18,924 | 13 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $9,828 – $15,159 · median $13,182 | 13 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $7,264 – $11,224 · median $9,760 | 13 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $14,394 – $22,168 · median $19,276 | 13 plans |
| 187 | PLEURAL EFFUSION WITH CC | $9,135 – $14,096 · median $12,257 | 13 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,624 – $10,242 · median $8,906 | 13 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $11,410 – $17,588 · median $15,293 | 13 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $10,231 – $15,777 · median $13,719 | 13 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $7,786 – $12,025 · median $10,457 | 13 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,930 – $9,176 · median $7,979 | 13 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $12,140 – $18,707 · median $16,267 | 13 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $7,443 – $11,499 · median $9,999 | 13 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,805 – $8,984 · median $7,813 | 13 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $17,430 – $26,827 · median $23,328 | 13 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,766 – $13,529 · median $11,764 | 13 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,615 – $10,228 · median $8,894 | 13 plans |
| 199 | PNEUMOTHORAX WITH MCC | $16,293 – $25,082 · median $21,810 | 13 plans |
| 200 | PNEUMOTHORAX WITH CC | $10,153 – $15,658 · median $13,616 | 13 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,605 – $10,212 · median $8,880 | 13 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $8,970 – $13,842 · median $12,037 | 13 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $6,188 – $9,573 · median $8,324 | 13 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $7,457 – $11,520 · median $10,018 | 13 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $16,911 – $26,030 · median $22,635 | 13 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $8,692 – $13,416 · median $11,666 | 13 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $59,431 – $91,290 · median $79,382 | 13 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $25,387 – $39,039 · median $33,947 | 13 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $100,433 – $154,220 · median $134,104 | 13 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $91,963 – $141,220 · median $122,800 | 13 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $90,354 – $138,750 · median $120,652 | 13 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $60,729 – $93,283 · median $81,115 | 13 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $60,729 – $93,283 · median $81,115 | 13 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $70,917 – $108,918 · median $94,711 | 13 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $49,254 – $75,670 · median $65,800 | 13 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $46,551 – $71,522 · median $62,193 | 13 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $45,694 – $70,207 · median $61,049 | 13 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $29,089 – $44,721 · median $38,888 | 13 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $77,859 – $119,572 · median $103,976 | 13 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $55,994 – $86,015 · median $74,796 | 13 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $70,611 – $108,449 · median $94,303 | 13 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $50,454 – $77,511 · median $67,401 | 13 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $54,202 – $83,265 · median $72,404 | 13 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $38,688 – $59,453 · median $51,698 | 13 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $45,457 – $69,842 · median $60,732 | 13 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $26,327 – $40,482 · median $35,202 | 13 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $12,786 – $19,700 · median $17,130 | 13 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $29,489 – $45,334 · median $39,421 | 13 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $19,681 – $30,282 · median $26,332 | 13 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $16,694 – $25,697 · median $22,345 | 13 plans |
| 245 | AICD GENERATOR PROCEDURES | $42,138 – $64,749 · median $56,304 | 13 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $20,158 – $31,013 · median $26,968 | 13 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $13,803 – $21,260 · median $18,487 | 13 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $32,218 – $49,523 · median $43,064 | 13 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $23,973 – $36,869 · median $32,060 | 13 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $16,456 – $25,332 · median $22,027 | 13 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $24,913 – $38,312 · median $33,315 | 13 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $15,682 – $24,144 · median $20,994 | 13 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $10,088 – $15,558 · median $13,528 | 13 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $29,020 – $44,616 · median $38,796 | 13 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $18,676 – $28,739 · median $24,991 | 13 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $30,043 – $46,185 · median $40,161 | 13 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $17,461 – $26,874 · median $23,369 | 13 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $15,054 – $23,180 · median $20,156 | 13 plans |
| 263 | VEIN LIGATION AND STRIPPING | $28,238 – $43,415 · median $37,752 | 13 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $30,854 – $47,430 · median $41,243 | 13 plans |
| 265 | AICD LEAD PROCEDURES | $33,418 – $51,365 · median $44,665 | 13 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $56,602 – $86,948 · median $75,607 | 13 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $43,971 – $67,561 · median $58,749 | 13 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $63,524 – $97,572 · median $84,845 | 13 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $39,005 – $59,941 · median $52,122 | 13 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $48,732 – $74,869 · median $65,103 | 13 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $32,846 – $50,487 · median $43,902 | 13 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $23,580 – $36,265 · median $31,535 | 13 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $38,103 – $58,556 · median $50,918 | 13 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $30,402 – $46,736 · median $40,640 | 13 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $65,856 – $101,151 · median $87,958 | 13 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $55,477 – $85,221 · median $74,105 | 13 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $42,656 – $65,544 · median $56,995 | 13 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $50,443 – $78,978 · median $68,677 | 13 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $33,309 – $51,197 · median $44,519 | 13 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $14,815 – $22,814 · median $19,838 | 13 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $8,489 – $13,104 · median $11,395 | 13 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,679 – $10,325 · median $8,979 | 13 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $18,295 – $28,154 · median $24,482 | 13 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,393 – $9,887 · median $8,598 | 13 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,527 – $8,565 · median $7,448 | 13 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $20,437 – $31,443 · median $27,341 | 13 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $9,883 – $15,244 · median $13,256 | 13 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $24,994 – $38,437 · median $33,423 | 13 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $15,765 – $24,271 · median $21,105 | 13 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,587 – $13,254 · median $11,525 | 13 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $11,857 – $18,274 · median $15,890 | 13 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,841 – $12,110 · median $10,531 | 13 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,228 – $8,098 · median $7,042 | 13 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $14,426 – $22,216 · median $19,318 | 13 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,856 – $9,062 · median $7,880 | 13 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,203 – $6,526 · median $5,675 | 13 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $15,080 – $23,219 · median $20,191 | 13 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $9,859 – $15,207 · median $13,224 | 13 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,647 – $10,277 · median $8,937 | 13 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $11,052 – $17,038 · median $14,815 | 13 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $6,218 – $9,618 · median $8,364 | 13 plans |
| 304 | HYPERTENSION WITH MCC | $10,991 – $16,944 · median $14,734 | 13 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,974 – $10,779 · median $9,373 | 13 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $14,554 – $22,413 · median $19,489 | 13 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $8,434 – $13,020 · median $11,322 | 13 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $11,120 – $17,142 · median $14,906 | 13 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,795 – $10,504 · median $9,134 | 13 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,229 – $8,100 · median $7,043 | 13 plans |
| 311 | ANGINA PECTORIS | $6,483 – $10,025 · median $8,717 | 13 plans |
| 312 | SYNCOPE AND COLLAPSE | $8,050 – $12,431 · median $10,809 | 13 plans |
| 313 | CHEST PAIN | $6,650 – $10,282 · median $8,940 | 13 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $19,259 – $29,634 · median $25,768 | 13 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $8,897 – $13,730 · median $11,939 | 13 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,300 – $9,744 · median $8,473 | 13 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $41,219 – $63,339 · median $55,077 | 13 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $22,215 – $34,171 · median $29,714 | 13 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $25,129 – $38,644 · median $33,603 | 13 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $16,283 – $25,066 · median $21,797 | 13 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $39,968 – $61,418 · median $53,407 | 13 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $29,103 – $44,742 · median $38,906 | 13 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $29,651 – $45,584 · median $39,638 | 13 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $46,064 – $70,774 · median $61,542 | 13 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $22,575 – $34,723 · median $30,194 | 13 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $14,799 – $22,788 · median $19,816 | 13 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $42,453 – $65,232 · median $56,724 | 13 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $22,141 – $34,056 · median $29,614 | 13 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $15,543 – $23,931 · median $20,810 | 13 plans |
| 332 | RECTAL RESECTION WITH MCC | $33,441 – $51,400 · median $44,696 | 13 plans |
| 333 | RECTAL RESECTION WITH CC | $21,633 – $33,277 · median $28,936 | 13 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $15,128 – $23,293 · median $20,255 | 13 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $32,981 – $50,694 · median $44,082 | 13 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $19,476 – $29,967 · median $26,058 | 13 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $14,177 – $21,834 · median $18,986 | 13 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $23,855 – $36,687 · median $31,902 | 13 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,897 – $21,405 · median $18,613 | 13 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,956 – $16,890 · median $14,687 | 13 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $21,202 – $32,616 · median $28,362 | 13 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $12,088 – $18,628 · median $16,198 | 13 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $8,041 – $12,416 · median $10,797 | 13 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $23,015 – $35,399 · median $30,782 | 13 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $14,080 – $21,686 · median $18,857 | 13 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $10,786 – $16,629 · median $14,460 | 13 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $26,803 – $41,212 · median $35,837 | 13 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $15,539 – $23,924 · median $20,803 | 13 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $12,422 – $19,141 · median $16,644 | 13 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $40,572 – $62,345 · median $54,213 | 13 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $21,478 – $33,040 · median $28,731 | 13 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,911 – $19,891 · median $17,297 | 13 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $14,703 – $22,641 · median $19,688 | 13 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $9,238 – $14,253 · median $12,394 | 13 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,473 – $10,009 · median $8,704 | 13 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $16,376 – $25,210 · median $21,921 | 13 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $9,430 – $14,548 · median $12,651 | 13 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,718 – $10,386 · median $9,032 | 13 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $19,753 – $30,392 · median $26,428 | 13 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $11,172 – $17,222 · median $14,975 | 13 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $8,537 – $13,178 · median $11,459 | 13 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $16,883 – $25,988 · median $22,598 | 13 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $9,058 – $13,977 · median $12,154 | 13 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,822 – $9,011 · median $7,836 | 13 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $18,123 – $27,890 · median $24,252 | 13 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $10,007 – $15,434 · median $13,421 | 13 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $7,394 – $11,424 · median $9,934 | 13 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $12,752 – $19,647 · median $17,085 | 13 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,895 – $12,192 · median $10,602 | 13 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $14,614 – $22,505 · median $19,570 | 13 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $9,017 – $13,915 · median $12,100 | 13 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,292 – $9,733 · median $8,463 | 13 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $13,640 – $21,009 · median $18,269 | 13 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $7,295 – $11,271 · median $9,801 | 13 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,024 – $7,787 · median $6,771 | 13 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $11,714 – $18,054 · median $15,699 | 13 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $7,200 – $11,126 · median $9,675 | 13 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $14,771 – $22,746 · median $19,779 | 13 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $8,642 – $13,339 · median $11,599 | 13 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,994 – $9,275 · median $8,065 | 13 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $22,119 – $34,024 · median $29,586 | 13 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $13,980 – $21,531 · median $18,723 | 13 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $10,572 – $16,302 · median $14,175 | 13 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $50,526 – $77,622 · median $67,497 | 13 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $26,786 – $41,187 · median $35,815 | 13 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $20,500 – $31,539 · median $27,425 | 13 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $32,932 – $50,619 · median $44,017 | 13 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $20,110 – $30,939 · median $26,904 | 13 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $14,664 – $22,581 · median $19,636 | 13 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $30,509 – $46,901 · median $40,783 | 13 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $19,419 – $29,879 · median $25,982 | 13 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $15,336 – $23,613 · median $20,533 | 13 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $32,904 – $50,576 · median $43,980 | 13 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $19,088 – $29,372 · median $25,540 | 13 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $12,591 – $19,401 · median $16,870 | 13 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $22,041 – $33,903 · median $29,481 | 13 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $15,624 – $24,054 · median $20,917 | 13 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $12,615 – $19,436 · median $16,901 | 13 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $31,468 – $48,372 · median $42,063 | 13 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $16,048 – $24,705 · median $21,483 | 13 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $12,926 – $19,914 · median $17,316 | 13 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $38,357 – $58,946 · median $51,257 | 13 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $20,207 – $31,090 · median $27,034 | 13 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $13,857 – $21,343 · median $18,559 | 13 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $18,178 – $27,975 · median $24,326 | 13 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,755 – $15,047 · median $13,085 | 13 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,581 – $10,175 · median $8,848 | 13 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $16,964 – $26,111 · median $22,705 | 13 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $10,447 – $16,109 · median $14,008 | 13 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,881 – $12,171 · median $10,584 | 13 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $15,057 – $23,184 · median $20,160 | 13 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $7,769 – $12,000 · median $10,434 | 13 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,739 – $8,884 · median $7,725 | 13 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $16,576 – $25,516 · median $22,188 | 13 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $8,916 – $13,759 · median $11,964 | 13 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,462 – $9,994 · median $8,690 | 13 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $15,432 – $23,761 · median $20,662 | 13 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $10,108 – $15,589 · median $13,555 | 13 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $7,641 – $11,803 · median $10,263 | 13 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $77,614 – $119,197 · median $103,649 | 13 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $55,075 – $84,605 · median $73,569 | 13 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $38,538 – $59,224 · median $51,499 | 13 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $51,010 – $78,366 · median $68,144 | 13 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $24,568 – $37,782 · median $32,854 | 13 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $52,641 – $80,868 · median $70,320 | 13 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $28,767 – $44,227 · median $38,459 | 13 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $16,844 – $25,927 · median $22,545 | 13 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $48,077 – $73,864 · median $64,229 | 13 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $32,572 – $50,066 · median $43,536 | 13 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $25,381 – $39,029 · median $33,938 | 13 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $28,015 – $43,072 · median $37,454 | 13 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $17,815 – $27,418 · median $23,842 | 13 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $44,598 – $68,524 · median $59,586 | 13 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $27,210 – $41,837 · median $36,380 | 13 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $22,548 – $34,682 · median $30,158 | 13 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $39,649 – $60,929 · median $52,982 | 13 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $21,018 – $32,334 · median $28,117 | 13 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,900 – $16,805 · median $14,613 | 13 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $31,907 – $49,046 · median $42,648 | 13 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $22,713 – $34,935 · median $30,379 | 13 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $17,169 – $26,426 · median $22,979 | 13 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $26,898 – $41,358 · median $35,964 | 13 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $19,345 – $29,766 · median $25,883 | 13 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $15,064 – $23,195 · median $20,170 | 13 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $25,601 – $39,368 · median $34,233 | 13 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $29,806 – $45,821 · median $39,844 | 13 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $19,313 – $29,717 · median $25,841 | 13 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $14,465 – $22,277 · median $19,371 | 13 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $16,338 – $25,150 · median $21,870 | 13 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,315 – $15,906 · median $13,832 | 13 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $33,911 – $52,122 · median $45,323 | 13 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $23,423 – $36,025 · median $31,326 | 13 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $18,532 – $28,518 · median $24,798 | 13 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $33,487 – $51,471 · median $44,757 | 13 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $16,661 – $25,646 · median $22,301 | 13 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $11,160 – $17,203 · median $14,959 | 13 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $27,863 – $42,840 · median $37,252 | 13 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $14,586 – $28,636 · median $24,901 | 13 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $29,230 – $44,938 · median $39,076 | 13 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $16,145 – $24,855 · median $21,613 | 13 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $12,431 – $19,154 · median $16,656 | 13 plans |
| 503 | FOOT PROCEDURES WITH MCC | $25,779 – $39,640 · median $34,470 | 13 plans |
| 504 | FOOT PROCEDURES WITH CC | $17,264 – $26,572 · median $23,106 | 13 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $16,558 – $25,489 · median $22,164 | 13 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $12,461 – $19,201 · median $16,696 | 13 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $16,684 – $25,682 · median $22,332 | 13 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $13,987 – $21,542 · median $18,733 | 13 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $27,897 – $42,892 · median $37,297 | 13 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $19,205 – $29,552 · median $25,697 | 13 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $15,289 – $23,541 · median $20,471 | 13 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $14,540 – $22,392 · median $19,471 | 13 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $9,442 – $14,567 · median $12,667 | 13 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $29,434 – $45,251 · median $39,349 | 13 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $19,193 – $29,533 · median $25,681 | 13 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $14,193 – $21,859 · median $19,007 | 13 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $34,518 – $53,053 · median $46,133 | 13 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $18,474 – $28,429 · median $24,721 | 13 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $13,798 – $21,252 · median $18,480 | 13 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $26,509 – $40,761 · median $35,445 | 13 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $19,559 – $30,094 · median $26,169 | 13 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $14,479 – $22,298 · median $19,390 | 13 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $7,445 – $11,502 · median $10,002 | 13 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $11,841 – $18,248 · median $15,868 | 13 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $7,459 – $11,523 · median $10,020 | 13 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $8,814 – $13,603 · median $11,829 | 13 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,653 – $10,286 · median $8,944 | 13 plans |
| 539 | OSTEOMYELITIS WITH MCC | $18,192 – $27,996 · median $24,345 | 13 plans |
| 540 | OSTEOMYELITIS WITH CC | $11,973 – $18,451 · median $16,044 | 13 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $7,272 – $11,237 · median $9,771 | 13 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $16,315 – $25,116 · median $21,840 | 13 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $9,495 – $14,648 · median $12,737 | 13 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,969 – $10,772 · median $9,367 | 13 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $22,921 – $35,254 · median $30,656 | 13 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $10,653 – $16,425 · median $14,283 | 13 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,723 – $11,929 · median $10,373 | 13 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $17,834 – $27,446 · median $23,867 | 13 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $11,150 – $17,188 · median $14,946 | 13 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $8,073 – $12,466 · median $10,840 | 13 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $15,480 – $23,835 · median $20,726 | 13 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $8,879 – $13,702 · median $11,915 | 13 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $11,973 – $18,451 · median $16,044 | 13 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,667 – $11,842 · median $10,298 | 13 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,208 – $18,812 · median $16,358 | 13 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,671 – $11,849 · median $10,304 | 13 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $13,733 – $21,153 · median $18,394 | 13 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $8,250 – $12,737 · median $11,075 | 13 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $17,224 – $26,511 · median $23,053 | 13 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $10,401 – $16,038 · median $13,946 | 13 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,425 – $11,471 · median $9,975 | 13 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $13,159 – $20,272 · median $17,628 | 13 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $8,271 – $12,769 · median $11,104 | 13 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $14,257 – $21,956 · median $19,092 | 13 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $9,000 – $13,888 · median $12,076 | 13 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,921 – $10,697 · median $9,302 | 13 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $27,164 – $41,766 · median $36,319 | 13 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $15,604 – $24,025 · median $20,891 | 13 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $10,587 – $16,324 · median $14,195 | 13 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $60,509 – $92,944 · median $80,821 | 13 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $32,062 – $49,284 · median $42,855 | 13 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $16,597 – $25,548 · median $22,216 | 13 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $45,267 – $69,552 · median $60,480 | 13 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $24,482 – $37,650 · median $32,739 | 13 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,837 – $22,847 · median $19,867 | 13 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $29,911 – $45,982 · median $39,985 | 13 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $15,960 – $24,570 · median $21,365 | 13 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $13,328 – $20,532 · median $17,854 | 13 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $17,794 – $27,386 · median $23,814 | 13 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $15,927 – $24,519 · median $21,321 | 13 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $19,772 – $30,421 · median $26,453 | 13 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $17,817 – $27,421 · median $23,844 | 13 plans |
| 592 | SKIN ULCERS WITH MCC | $17,874 – $27,509 · median $23,921 | 13 plans |
| 593 | SKIN ULCERS WITH CC | $10,957 – $16,891 · median $14,688 | 13 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $8,006 – $12,362 · median $10,750 | 13 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $19,587 – $30,137 · median $26,206 | 13 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $9,998 – $15,420 · median $13,409 | 13 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $15,397 – $23,707 · median $20,615 | 13 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $10,449 – $16,112 · median $14,010 | 13 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,106 – $10,982 · median $9,549 | 13 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $9,620 – $14,840 · median $12,905 | 13 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,588 – $8,651 · median $7,523 | 13 plans |
| 602 | CELLULITIS WITH MCC | $13,127 – $20,223 · median $17,585 | 13 plans |
| 603 | CELLULITIS WITHOUT MCC | $8,044 – $12,421 · median $10,800 | 13 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $13,596 – $20,943 · median $18,211 | 13 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $8,460 – $13,060 · median $11,356 | 13 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $13,976 – $21,525 · median $18,718 | 13 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $8,372 – $12,924 · median $11,238 | 13 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $20,243 – $31,145 · median $27,083 | 13 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $12,924 – $19,911 · median $17,314 | 13 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $32,210 – $49,511 · median $43,053 | 13 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $17,274 – $26,587 · median $23,120 | 13 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $13,099 – $20,180 · median $17,548 | 13 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $26,668 – $41,005 · median $35,657 | 13 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $14,780 – $22,760 · median $19,791 | 13 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $13,932 – $21,457 · median $18,659 | 13 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $32,873 – $50,528 · median $43,938 | 13 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $16,568 – $25,504 · median $22,178 | 13 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,563 – $17,821 · median $15,497 | 13 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $27,894 – $42,886 · median $37,292 | 13 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $13,848 – $21,330 · median $18,548 | 13 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $12,268 – $18,904 · median $16,439 | 13 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $34,421 – $52,904 · median $46,004 | 13 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $20,123 – $30,961 · median $26,922 | 13 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $13,480 – $20,764 · median $18,056 | 13 plans |
| 637 | DIABETES WITH MCC | $13,269 – $20,441 · median $17,775 | 13 plans |
| 638 | DIABETES WITH CC | $8,277 – $12,779 · median $11,112 | 13 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,737 – $8,881 · median $7,723 | 13 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $12,336 – $19,008 · median $16,529 | 13 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $7,187 – $11,107 · median $9,658 | 13 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $13,135 – $20,234 · median $17,595 | 13 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $15,203 – $23,409 · median $20,356 | 13 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $9,467 – $14,605 · median $12,700 | 13 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $7,096 – $10,966 · median $9,536 | 13 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $43,422 – $66,719 · median $58,017 | 13 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $34,227 – $52,606 · median $45,745 | 13 plans |
| 652 | KIDNEY TRANSPLANT | $29,828 – $45,855 · median $39,874 | 13 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $47,994 – $73,736 · median $64,119 | 13 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $25,854 – $39,756 · median $34,571 | 13 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $19,549 – $30,079 · median $26,156 | 13 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $29,406 – $45,207 · median $39,310 | 13 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $16,902 – $26,016 · median $22,623 | 13 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $14,332 – $22,073 · median $19,194 | 13 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $23,468 – $36,094 · median $31,386 | 13 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $12,207 – $18,811 · median $16,357 | 13 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $9,563 – $14,752 · median $12,828 | 13 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $28,276 – $43,473 · median $37,803 | 13 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $14,041 – $21,625 · median $18,804 | 13 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,669 – $14,915 · median $12,970 | 13 plans |
| 665 | PROSTATECTOMY WITH MCC | $28,827 – $44,319 · median $38,539 | 13 plans |
| 666 | PROSTATECTOMY WITH CC | $16,157 – $24,872 · median $21,628 | 13 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $10,217 – $15,756 · median $13,701 | 13 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $26,969 – $41,467 · median $36,059 | 13 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $14,334 – $22,075 · median $19,196 | 13 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $9,026 – $13,929 · median $12,112 | 13 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $16,579 – $25,520 · median $22,191 | 13 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $9,970 – $15,378 · median $13,372 | 13 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $38,806 – $59,635 · median $51,856 | 13 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $21,599 – $33,226 · median $28,892 | 13 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $15,160 – $23,343 · median $20,298 | 13 plans |
| 682 | RENAL FAILURE WITH MCC | $13,679 – $21,069 · median $18,321 | 13 plans |
| 683 | RENAL FAILURE WITH CC | $8,089 – $12,490 · median $10,861 | 13 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,544 – $8,585 · median $7,465 | 13 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $16,659 – $25,643 · median $22,299 | 13 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $9,677 – $14,928 · median $12,981 | 13 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,299 – $11,278 · median $9,807 | 13 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $10,717 – $16,523 · median $14,368 | 13 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $7,477 – $11,550 · median $10,044 | 13 plans |
| 693 | URINARY STONES WITH MCC | $12,418 – $19,134 · median $16,638 | 13 plans |
| 694 | URINARY STONES WITHOUT MCC | $7,220 – $11,156 · median $9,701 | 13 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $10,564 – $16,289 · median $14,164 | 13 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,364 – $9,842 · median $8,558 | 13 plans |
| 697 | URETHRAL STRICTURE | $9,955 – $15,353 · median $13,351 | 13 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $15,280 – $23,527 · median $20,458 | 13 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $9,375 – $14,463 · median $12,577 | 13 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $6,372 – $9,855 · median $8,569 | 13 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $18,475 – $28,430 · median $24,722 | 13 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $14,170 – $21,823 · median $18,977 | 13 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $21,493 – $33,063 · median $28,750 | 13 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $12,941 – $19,938 · median $17,337 | 13 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $19,246 – $29,614 · median $25,751 | 13 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $10,157 – $15,664 · median $13,621 | 13 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $13,885 – $21,387 · median $18,597 | 13 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $9,766 – $15,064 · median $13,099 | 13 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $20,664 – $31,790 · median $27,643 | 13 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $13,586 – $20,927 · median $18,198 | 13 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $17,461 – $26,874 · median $23,369 | 13 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $12,405 – $19,114 · median $16,621 | 13 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $16,714 – $25,728 · median $22,373 | 13 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $10,554 – $16,273 · median $14,151 | 13 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,056 – $9,370 · median $8,148 | 13 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $10,808 – $16,663 · median $14,490 | 13 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,668 – $10,310 · median $8,965 | 13 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $13,696 – $21,096 · median $18,344 | 13 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,492 – $11,574 · median $10,065 | 13 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $9,778 – $15,083 · median $13,115 | 13 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,207 – $9,601 · median $8,349 | 13 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $19,673 – $30,269 · median $26,321 | 13 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $12,427 – $19,148 · median $16,651 | 13 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $33,014 – $50,745 · median $44,126 | 13 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $19,032 – $29,285 · median $25,465 | 13 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $13,563 – $20,892 · median $18,167 | 13 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $33,091 – $50,863 · median $44,229 | 13 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $16,713 – $25,727 · median $22,371 | 13 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $13,171 – $20,291 · median $17,644 | 13 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $16,946 – $26,084 · median $22,682 | 13 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $11,459 – $17,663 · median $15,359 | 13 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $18,925 – $29,122 · median $25,323 | 13 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $10,506 – $16,200 · median $14,087 | 13 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $16,044 – $24,699 · median $21,478 | 13 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,940 – $12,262 · median $10,662 | 13 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $12,813 – $19,741 · median $17,166 | 13 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $23,714 – $36,472 · median $31,715 | 13 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,630 – $20,995 · median $18,257 | 13 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $17,010 – $26,182 · median $22,767 | 13 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,047 – $15,495 · median $13,474 | 13 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,871 – $13,691 · median $11,905 | 13 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,225 – $20,373 · median $17,716 | 13 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,042 – $13,953 · median $12,133 | 13 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,129 – $9,482 · median $8,245 | 13 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $9,305 – $14,357 · median $12,484 | 13 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,269 – $8,162 · median $7,098 | 13 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $4,415 – $15,266 · median $13,274 | 13 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $15,607 – $24,029 · median $20,895 | 13 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $9,033 – $14,289 · median $12,425 | 13 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $6,047 – $9,356 · median $8,136 | 13 plans |
| 779 | ABORTION WITHOUT D&C | $7,770 – $12,001 · median $10,436 | 13 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $7,132 – $34,877 · median $30,328 | 13 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,132 – $15,103 · median $13,133 | 13 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,132 – $13,652 · median $11,872 | 13 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $7,132 – $23,458 · median $20,398 | 13 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,132 – $15,906 · median $13,832 | 13 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,132 – $13,667 · median $11,884 | 13 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,415 – $16,618 · median $14,450 | 13 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,415 – $14,256 · median $12,397 | 13 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $4,415 – $13,643 · median $11,863 | 13 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $41,829 – $64,274 · median $55,891 | 13 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $25,948 – $39,900 · median $34,695 | 13 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $17,631 – $27,135 · median $23,595 | 13 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $36,797 – $56,551 · median $49,175 | 13 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $17,169 – $26,426 · median $22,979 | 13 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $12,524 – $19,297 · median $16,780 | 13 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,415 – $15,373 · median $13,368 | 13 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,415 – $10,763 · median $9,360 | 13 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,415 – $9,632 · median $8,376 | 13 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $20,392 – $31,373 · median $27,281 | 13 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $11,692 – $18,020 · median $15,669 | 13 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $9,666 – $14,911 · median $12,966 | 13 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $12,970 – $19,982 · median $17,375 | 13 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $8,481 – $13,091 · median $11,384 | 13 plans |
| 813 | COAGULATION DISORDERS | $14,088 – $21,697 · median $18,867 | 13 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $19,642 – $30,222 · median $26,280 | 13 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $9,365 – $14,449 · median $12,564 | 13 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,837 – $9,034 · median $7,856 | 13 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $21,073 – $32,418 · median $28,189 | 13 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $10,706 – $16,507 · median $14,354 | 13 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,942 – $12,265 · median $10,665 | 13 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $54,167 – $83,211 · median $72,358 | 13 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $20,676 – $31,808 · median $27,659 | 13 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,120 – $17,142 · median $14,906 | 13 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $42,345 – $65,067 · median $56,580 | 13 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $20,925 – $32,191 · median $27,992 | 13 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,463 – $19,204 · median $16,699 | 13 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $43,204 – $66,385 · median $57,726 | 13 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $21,346 – $32,837 · median $28,554 | 13 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $15,736 – $24,227 · median $21,067 | 13 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $29,186 – $44,869 · median $39,017 | 13 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,900 – $21,409 · median $18,617 | 13 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $11,106 – $17,121 · median $14,888 | 13 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,665 – $10,304 · median $8,960 | 13 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,830 – $7,488 · median $6,511 | 13 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $50,705 – $77,897 · median $67,736 | 13 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $19,264 – $29,642 · median $25,776 | 13 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $11,263 – $17,362 · median $15,098 | 13 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $44,373 – $68,178 · median $59,285 | 13 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $19,279 – $29,665 · median $25,796 | 13 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $13,336 – $20,543 · median $17,864 | 13 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $29,878 – $45,931 · median $39,940 | 13 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $15,068 – $23,201 · median $20,175 | 13 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $9,332 – $14,398 · median $12,520 | 13 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $18,424 – $28,352 · median $24,654 | 13 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $11,244 – $17,332 · median $15,072 | 13 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,865 – $12,147 · median $10,563 | 13 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $23,944 – $36,825 · median $32,022 | 13 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $12,083 – $18,619 · median $16,191 | 13 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,845 – $12,116 · median $10,535 | 13 plans |
| 849 | RADIOTHERAPY | $25,025 – $38,483 · median $33,464 | 13 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $45,613 – $70,082 · median $60,941 | 13 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $18,454 – $28,399 · median $24,695 | 13 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $13,828 – $21,299 · median $18,521 | 13 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $42,012 – $64,555 · median $56,135 | 13 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $19,779 – $30,432 · median $26,462 | 13 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,865 – $19,820 · median $17,235 | 13 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $16,844 – $25,927 · median $22,545 | 13 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $9,217 – $14,221 · median $12,366 | 13 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $8,199 – $12,659 · median $11,008 | 13 plans |
| 865 | VIRAL ILLNESS WITH MCC | $13,838 – $21,314 · median $18,534 | 13 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $8,032 – $12,402 · median $10,784 | 13 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $19,333 – $29,747 · median $25,867 | 13 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $9,523 – $14,691 · median $12,775 | 13 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,740 – $10,419 · median $9,060 | 13 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $63,837 – $98,053 · median $85,263 | 13 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $17,941 – $27,611 · median $24,010 | 13 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $9,451 – $14,581 · median $12,679 | 13 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $35,696 – $54,862 · median $47,706 | 13 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $8,868 – $13,686 · median $11,901 | 13 plans |
| 881 | DEPRESSIVE NEUROSES | $8,690 – $13,413 · median $11,663 | 13 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $9,918 – $15,297 · median $13,302 | 13 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $18,161 – $27,948 · median $24,303 | 13 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $14,860 – $22,882 · median $19,897 | 13 plans |
| 885 | PSYCHOSES | $12,901 – $19,875 · median $17,283 | 13 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $19,018 – $29,493 · median $25,646 | 13 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,891 – $15,256 · median $13,266 | 13 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,698 – $8,820 · median $7,670 | 13 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $13,074 – $20,142 · median $17,515 | 13 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $16,118 – $24,813 · median $21,576 | 13 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $8,154 – $12,589 · median $10,947 | 13 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $38,760 – $59,564 · median $51,795 | 13 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $17,682 – $27,214 · median $23,664 | 13 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $10,802 – $16,655 · median $14,482 | 13 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $33,925 – $52,143 · median $45,342 | 13 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $13,701 – $21,103 · median $18,350 | 13 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $18,142 – $27,920 · median $24,278 | 13 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $35,460 – $54,499 · median $47,390 | 13 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $18,428 – $28,358 · median $24,659 | 13 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $12,124 – $18,683 · median $16,246 | 13 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $15,097 – $23,246 · median $20,214 | 13 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $8,178 – $12,628 · median $10,980 | 13 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $15,531 – $23,913 · median $20,794 | 13 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,154 – $9,520 · median $8,279 | 13 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $14,486 – $22,308 · median $19,398 | 13 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,916 – $12,225 · median $10,630 | 13 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $16,909 – $26,028 · median $22,633 | 13 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $9,257 – $14,283 · median $12,420 | 13 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,358 – $9,834 · median $8,551 | 13 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $16,157 – $24,874 · median $21,629 | 13 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $9,399 – $14,502 · median $12,610 | 13 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $197,193 – $302,727 · median $263,241 | 13 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $66,247 – $101,751 · median $88,479 | 13 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $29,747 – $45,731 · median $39,766 | 13 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $34,289 – $55,277 · median $48,067 | 13 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $20,417 – $31,411 · median $27,314 | 13 plans |
| 935 | NON-EXTENSIVE BURNS | $19,026 – $29,277 · median $25,458 | 13 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $33,513 – $51,511 · median $44,792 | 13 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $21,584 – $33,202 · median $28,871 | 13 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $18,728 – $28,819 · median $25,060 | 13 plans |
| 945 | REHABILITATION WITH CC/MCC | $14,303 – $22,027 · median $19,154 | 13 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $10,592 – $16,332 · median $14,201 | 13 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $11,724 – $18,069 · median $15,713 | 13 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $7,393 – $11,423 · median $9,933 | 13 plans |
| 949 | AFTERCARE WITH CC/MCC | $10,988 – $16,940 · median $14,730 | 13 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,797 – $8,973 · median $7,803 | 13 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,135 – $7,957 · median $6,919 | 13 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $62,168 – $95,491 · median $83,036 | 13 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $34,755 – $53,417 · median $46,450 | 13 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $70,377 – $108,090 · median $93,992 | 13 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $38,920 – $59,809 · median $52,008 | 13 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $27,192 – $41,809 · median $36,356 | 13 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $25,249 – $38,828 · median $33,763 | 13 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $14,155 – $21,800 · median $18,957 | 13 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $8,686 – $13,407 · median $11,658 | 13 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $56,536 – $86,847 · median $75,519 | 13 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $24,359 – $37,461 · median $32,575 | 13 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $26,655 – $40,985 · median $35,640 | 13 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $11,961 – $18,432 · median $16,028 | 13 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $8,337 – $12,871 · median $11,192 | 13 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $11,986 – $18,471 · median $16,061 | 13 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $43,333 – $66,583 · median $57,899 | 13 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $22,707 – $34,925 · median $30,370 | 13 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $15,831 – $24,372 · median $21,193 | 13 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $31,665 – $48,674 · median $42,325 | 13 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,180 – $23,374 · median $20,325 | 13 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,076 – $17,074 · median $14,847 | 13 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $104,540 – $160,524 · median $139,586 | 12 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $52,709 – $80,973 · median $70,411 | 12 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $61,757 – $94,859 · median $82,486 | 12 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $22,371 – $34,411 · median $29,922 | 12 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $31,759 – $48,819 · median $42,451 | 12 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $22,298 – $34,299 · median $29,825 | 12 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $37,133 – $57,067 · median $49,624 | 12 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $101,792 – $156,305 · median $135,918 | 12 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $66,671 – $102,402 · median $89,045 | 12 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $51,925 – $79,769 · median $69,365 | 12 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $83,213 – $127,790 · median $111,122 | 12 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $53,265 – $81,826 · median $71,153 | 12 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $61,711 – $94,790 · median $82,426 | 12 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $39,168 – $60,190 · median $52,339 | 12 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $49,224 – $75,624 · median $65,760 | 12 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $29,836 – $45,867 · median $39,885 | 12 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $79,979 – $122,827 · median $106,806 | 12 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $21,140 – $25,622 · median $22,280 | 11 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $69,717 – $84,327 · median $73,328 | 11 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $47,612 – $57,613 · median $50,098 | 11 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $28,729 – $34,794 · median $30,255 | 11 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $48,909 – $59,181 · median $51,462 | 11 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $17,312 – $20,997 · median $18,258 | 11 plans |
| 795 | NORMAL NEWBORN | $2,344 – $2,907 · median $2,528 | 11 plans |
| 077 | Inpatient MS-DRG | $17,087 – $17,087 · median $17,087 | 1 plans |
| 078 | Inpatient MS-DRG | $11,500 – $11,500 · median $11,500 | 1 plans |
| 079 | Inpatient MS-DRG | $8,378 – $8,378 · median $8,378 | 1 plans |
| 294 | Inpatient MS-DRG | $12,369 – $12,369 · median $12,369 | 1 plans |
| 295 | Inpatient MS-DRG | $9,014 – $9,014 · median $9,014 | 1 plans |
| 453 | Inpatient MS-DRG | $100,214 – $100,214 · median $100,214 | 1 plans |
| 454 | Inpatient MS-DRG | $69,169 – $69,169 · median $69,169 | 1 plans |
| 455 | Inpatient MS-DRG | $52,085 – $52,085 · median $52,085 | 1 plans |
| 459 | Inpatient MS-DRG | $75,005 – $75,005 · median $75,005 | 1 plans |
| 460 | Inpatient MS-DRG | $41,367 – $41,367 · median $41,367 | 1 plans |
| 509 | Inpatient MS-DRG | $15,449 – $15,449 · median $15,449 | 1 plans |
No procedures match that keyword.