Saratoga Hospital — Pricing
776 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 776 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 776 procedures
Procedures with negotiated rates only
These 776 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 |
|---|---|---|---|
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $20,396 – $26,790 · median $22,664 | 14 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,765 – $26,790 · median $13,403 | 14 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $213,754 – $331,280 · median $236,404 | 13 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $88,079 – $149,684 · median $92,483 | 13 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $168,175 – $260,641 · median $179,866 | 13 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $112,940 – $179,708 · median $118,587 | 13 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $81,641 – $126,529 · median $89,376 | 13 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $38,153 – $59,131 · median $40,697 | 13 plans |
| 007 | LUNG TRANSPLANT | $96,757 – $149,957 · median $109,680 | 13 plans |
| 008 | SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT | $41,504 – $64,324 · median $45,665 | 13 plans |
| 010 | PANCREAS TRANSPLANT | $37,970 – $73,286 · median $65,639 | 13 plans |
| 011 | TRACHEOSTOMY FOR FACE- MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $40,673 – $63,036 · median $45,285 | 13 plans |
| 012 | TRACHEOSTOMY FOR FACE- MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $31,591 – $48,960 · median $34,440 | 13 plans |
| 013 | TRACHEOSTOMY FOR FACE- MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $21,181 – $32,833 · median $22,240 | 13 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $90,404 – $140,110 · median $109,957 | 13 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $48,244 – $75,514 · median $50,657 | 13 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $48,244 – $75,514 · median $50,657 | 13 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $290,615 – $450,402 · median $316,506 | 13 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $63,053 – $97,721 · median $66,530 | 13 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $64,432 – $103,331 · median $67,653 | 13 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $44,179 – $75,079 · median $46,388 | 13 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $28,218 – $47,955 · median $29,629 | 13 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $44,715 – $69,301 · median $47,880 | 13 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $29,886 – $46,318 · median $31,906 | 13 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $34,833 – $53,986 · median $37,534 | 13 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $23,294 – $36,102 · median $25,669 | 13 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $19,191 – $29,742 · median $20,711 | 13 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $47,534 – $73,669 · median $51,022 | 13 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $26,830 – $41,910 · median $28,171 | 13 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,787 – $28,350 · median $18,677 | 13 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $32,472 – $50,325 · median $35,170 | 13 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,989 – $26,330 · median $17,923 | 13 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,753 – $19,840 · median $13,390 | 13 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $30,774 – $47,695 · median $32,636 | 13 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $18,138 – $28,111 · median $19,091 | 13 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,263 – $22,105 · median $15,384 | 13 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $26,544 – $41,267 · median $27,871 | 13 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,620 – $19,559 · median $13,523 | 13 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,000 – $13,949 · median $9,552 | 13 plans |
| 040 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $30,150 – $47,072 · median $31,658 | 13 plans |
| 041 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,596 – $27,270 · median $18,952 | 13 plans |
| 042 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,724 – $21,269 · median $14,751 | 13 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $15,338 – $23,772 · median $16,890 | 13 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,365 – $12,027 · median $7,733 | 13 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,623 – $18,014 · median $12,581 | 13 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,465 – $13,120 · median $9,156 | 13 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $18,884 – $29,267 · median $21,016 | 13 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,666 – $16,665 · median $11,199 | 13 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,630 – $21,124 · median $15,492 | 13 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,365 – $14,514 · median $10,269 | 13 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,079 – $10,971 · median $7,490 | 13 plans |
| 061 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $21,608 – $34,264 · median $22,688 | 13 plans |
| 062 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $14,235 – $22,882 · median $14,946 | 13 plans |
| 063 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $11,228 – $18,176 · median $11,790 | 13 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $15,800 – $24,487 · median $16,694 | 13 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $8,017 – $12,425 · median $8,534 | 13 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,423 – $8,405 · median $5,777 | 13 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,177 – $17,322 · median $12,210 | 13 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,870 – $10,648 · median $7,398 | 13 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,300 – $9,764 · median $6,715 | 13 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $13,898 – $21,877 · median $14,593 | 13 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $8,375 – $12,981 · median $8,845 | 13 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,996 – $9,572 · median $6,296 | 13 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,935 – $18,496 · median $12,972 | 13 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,095 – $12,545 · median $8,748 | 13 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $13,767 – $23,396 · median $14,455 | 13 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,277 – $11,278 · median $7,695 | 13 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $11,918 – $18,471 · median $12,977 | 13 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,976 – $12,432 · median $8,375 | 13 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,329 – $9,056 · median $5,595 | 13 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $15,888 – $27,001 · median $16,683 | 13 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,174 – $11,119 · median $7,594 | 13 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $17,971 – $27,852 · median $19,472 | 13 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,699 – $16,582 · median $11,669 | 13 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,255 – $11,243 · median $8,024 | 13 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,928 – $27,785 · median $19,017 | 13 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,389 – $16,102 · median $11,008 | 13 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,990 – $10,834 · median $7,419 | 13 plans |
| 088 | CONCUSSION WITH MCC | $11,276 – $18,751 · median $11,839 | 13 plans |
| 089 | CONCUSSION WITH CC | $8,569 – $14,058 · median $8,998 | 13 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,852 – $11,428 · median $7,195 | 13 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $14,113 – $21,873 · median $15,299 | 13 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,094 – $12,544 · median $8,885 | 13 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,108 – $9,467 · median $6,624 | 13 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $28,576 – $44,288 · median $30,622 | 13 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $18,807 – $29,147 · median $20,119 | 13 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $17,193 – $26,647 · median $20,119 | 13 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $28,651 – $44,461 · median $30,084 | 13 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $16,995 – $26,339 · median $18,206 | 13 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,414 – $16,139 · median $11,693 | 13 plans |
| 100 | SEIZURES WITH MCC | $15,638 – $24,236 · median $16,662 | 13 plans |
| 101 | SEIZURES WITHOUT MCC | $7,175 – $11,120 · median $7,735 | 13 plans |
| 102 | HEADACHES WITH MCC | $9,268 – $14,751 · median $9,731 | 13 plans |
| 103 | HEADACHES WITHOUT MCC | $6,645 – $10,298 · median $7,135 | 13 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $18,037 – $30,652 · median $18,939 | 13 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,448 – $15,059 · median $9,921 | 13 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $12,237 – $19,125 · median $12,849 | 13 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $13,337 – $22,382 · median $14,004 | 13 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,621 – $14,650 · median $9,052 | 13 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,297 – $15,663 · median $9,762 | 13 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,422 – $9,102 · median $5,693 | 13 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,342 – $9,829 · median $6,741 | 13 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,422 – $16,160 · median $10,943 | 13 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,291 – $9,749 · median $6,930 | 13 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $19,272 – $32,422 · median $20,235 | 13 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,819 – $12,767 · median $8,210 | 13 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,179 – $18,395 · median $11,738 | 13 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,502 – $10,583 · median $6,827 | 13 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,369 – $14,520 · median $11,523 | 13 plans |
| 140 | SIMPLE PNEUMONIA & PLEURISY AGE 0-17 | $29,802 – $46,187 · median $35,494 | 13 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $16,342 – $25,327 · median $18,031 | 13 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,187 – $18,888 · median $13,196 | 13 plans |
| 143 | STOMACH-- ESOPHAGEAL & DUODENAL PROC AGE 0-17 | $26,232 – $40,655 · median $27,711 | 13 plans |
| 144 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,650 – $21,155 · median $14,743 | 13 plans |
| 145 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,470 – $14,928 · median $9,943 | 13 plans |
| 146 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH MCC | $16,652 – $25,807 · median $19,253 | 13 plans |
| 147 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH CC | $9,748 – $15,108 · median $10,447 | 13 plans |
| 148 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,400 – $10,877 · median $6,720 | 13 plans |
| 149 | DYSEQUILIBRIUM | $5,874 – $9,104 · median $6,273 | 13 plans |
| 150 | EPISTAXIS WITH MCC | $10,369 – $16,070 · median $11,600 | 13 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,059 – $9,422 · median $6,362 | 13 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,070 – $14,526 · median $9,524 | 13 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,689 – $8,983 · median $5,973 | 13 plans |
| 154 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH MCC | $12,133 – $18,805 · median $13,649 | 13 plans |
| 155 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH CC | $7,462 – $11,572 · median $7,835 | 13 plans |
| 156 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,171 – $8,013 · median $5,643 | 13 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $13,088 – $20,868 · median $13,743 | 13 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,403 – $11,473 · median $7,894 | 13 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,272 – $8,254 · median $5,536 | 13 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $36,841 – $57,624 · median $38,683 | 13 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $20,118 – $31,179 · median $21,124 | 13 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $14,801 – $22,939 · median $15,644 | 13 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $30,775 – $49,607 · median $32,314 | 13 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,355 – $22,247 · median $15,335 | 13 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,694 – $16,573 · median $11,363 | 13 plans |
| 173 | URETHRAL PROCEDURES AGE 0-17 | $24,256 – $37,592 · median $25,753 | 13 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $11,067 – $17,152 · median $11,826 | 13 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,433 – $9,971 · median $6,836 | 13 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,921 – $20,738 · median $13,567 | 13 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,783 – $12,062 · median $8,326 | 13 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,021 – $9,331 · median $6,460 | 13 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $13,711 – $21,250 · median $14,668 | 13 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,685 – $13,461 · median $9,318 | 13 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,301 – $9,765 · median $7,029 | 13 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $12,420 – $19,248 · median $13,321 | 13 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,297 – $12,859 · median $8,964 | 13 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,961 – $9,238 · median $6,527 | 13 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $12,243 – $18,974 · median $13,260 | 13 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,859 – $12,180 · median $8,426 | 13 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,868 – $9,126 · median $6,162 | 13 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,718 – $15,061 · median $10,385 | 13 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,693 – $13,472 · median $9,425 | 13 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,697 – $10,379 · median $7,210 | 13 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,063 – $7,846 · median $5,432 | 13 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,464 – $16,218 · median $11,059 | 13 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,486 – $10,051 · median $6,882 | 13 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,935 – $7,648 · median $5,226 | 13 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $14,951 – $23,171 · median $15,812 | 13 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,868 – $12,194 · median $8,309 | 13 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,598 – $9,514 · median $5,878 | 13 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,994 – $21,688 · median $14,815 | 13 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,495 – $13,166 · median $9,295 | 13 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,412 – $8,632 · median $5,683 | 13 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,553 – $11,705 · median $8,113 | 13 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,481 – $8,495 · median $5,846 | 13 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,482 – $10,060 · median $6,806 | 13 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $14,280 – $22,131 · median $15,843 | 13 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,206 – $11,168 · median $7,602 | 13 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $51,692 – $84,450 · median $54,276 | 13 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $21,328 – $33,054 · median $22,524 | 13 plans |
| 212 | TESTES PROCEDURES AGE 0-17 | $84,959 – $131,672 · median $91,427 | 13 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $80,574 – $124,876 · median $88,917 | 13 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $76,555 – $118,647 · median $80,997 | 13 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $50,209 – $77,816 · median $54,198 | 13 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $44,936 – $69,642 · median $49,930 | 13 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $60,826 – $94,269 · median $64,937 | 13 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $41,369 – $64,115 · median $44,453 | 13 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $36,668 – $56,829 · median $38,544 | 13 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $39,745 – $61,598 · median $41,823 | 13 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $24,828 – $38,871 · median $26,070 | 13 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $64,013 – $99,208 · median $71,118 | 13 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $46,923 – $72,722 · median $51,268 | 13 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $61,523 – $95,350 · median $65,599 | 13 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $41,001 – $63,544 · median $44,650 | 13 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $46,386 – $71,890 · median $49,383 | 13 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $31,877 – $49,404 · median $34,511 | 13 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $37,916 – $58,763 · median $42,272 | 13 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $22,159 – $34,342 · median $24,441 | 13 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $10,996 – $17,042 · median $12,672 | 13 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $27,112 – $42,239 · median $28,467 | 13 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $17,966 – $27,844 · median $18,907 | 13 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $14,425 – $22,366 · median $15,146 | 13 plans |
| 245 | AICD GENERATOR PROCEDURES | $35,744 – $55,396 · median $41,013 | 13 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $18,484 – $28,739 · median $19,409 | 13 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $12,490 – $19,400 · median $13,114 | 13 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $26,455 – $41,000 · median $28,790 | 13 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $20,123 – $31,187 · median $21,426 | 13 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,686 – $21,212 · median $14,682 | 13 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $20,913 – $33,587 · median $21,959 | 13 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,934 – $20,045 · median $14,214 | 13 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,129 – $12,115 · median $7,485 | 13 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $21,365 – $33,113 · median $23,545 | 13 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $14,049 – $22,819 · median $14,752 | 13 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $26,150 – $40,528 · median $28,587 | 13 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,844 – $23,005 · median $15,926 | 13 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $12,132 – $20,114 · median $12,738 | 13 plans |
| 263 | VEIN LIGATION AND STRIPPING | $21,438 – $34,538 · median $22,510 | 13 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $25,762 – $39,927 · median $29,333 | 13 plans |
| 265 | AICD LEAD PROCEDURES | $27,877 – $43,204 · median $29,938 | 13 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $47,884 – $76,359 · median $50,278 | 13 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $37,604 – $59,660 · median $39,484 | 13 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $53,293 – $83,799 · median $55,958 | 13 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $32,803 – $50,839 · median $34,919 | 13 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $39,889 – $61,821 · median $43,079 | 13 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $27,263 – $42,252 · median $28,907 | 13 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $19,243 – $29,823 · median $21,000 | 13 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $30,740 – $47,641 · median $32,817 | 13 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $24,946 – $39,619 · median $26,193 | 13 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $55,498 – $86,013 · median $59,310 | 13 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $48,986 – $75,920 · median $51,987 | 13 plans |
| 277 | OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC | $37,182 – $58,465 · median $39,041 | 13 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $35,184 – $54,528 · median $41,990 | 13 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $25,246 – $39,127 · median $26,893 | 13 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH MCC | $12,514 – $19,395 · median $13,776 | 13 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH CC | $7,202 – $11,161 · median $7,736 | 13 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITHOUT CC/MCC | $5,664 – $8,779 · median $6,085 | 13 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH MCC | $15,550 – $24,100 · median $16,411 | 13 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH CC | $5,835 – $9,043 · median $6,219 | 13 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITHOUT CC/MCC | $3,855 – $5,974 · median $4,712 | 13 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITH MCC | $17,003 – $26,352 · median $18,575 | 13 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,532 – $13,223 · median $9,145 | 13 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $20,454 – $31,699 · median $22,924 | 13 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $11,656 – $18,065 · median $13,233 | 13 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,825 – $13,265 · median $8,216 | 13 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $10,127 – $15,696 · median $10,951 | 13 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,756 – $10,471 · median $7,228 | 13 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,386 – $6,864 · median $4,605 | 13 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $8,627 – $13,370 · median $10,306 | 13 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $6,288 – $9,745 · median $6,628 | 13 plans |
| 296 | CARDIAC ARREST- UNEXPLAINED WITH MCC | $12,646 – $19,599 · median $13,750 | 13 plans |
| 297 | CARDIAC ARREST- UNEXPLAINED WITH CC | $5,630 – $8,907 · median $5,912 | 13 plans |
| 298 | CARDIAC ARREST- UNEXPLAINED WITHOUT CC/MCC | $3,468 – $5,375 · median $3,707 | 13 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,433 – $19,269 · median $13,576 | 13 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,417 – $13,044 · median $8,985 | 13 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,599 – $8,677 · median $5,987 | 13 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,843 – $13,705 · median $9,763 | 13 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,191 – $8,045 · median $5,643 | 13 plans |
| 304 | HYPERTENSION WITH MCC | $9,063 – $14,047 · median $9,860 | 13 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,944 – $9,212 · median $6,300 | 13 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,969 – $18,787 · median $12,567 | 13 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,405 – $11,523 · median $7,775 | 13 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,483 – $14,697 · median $10,121 | 13 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,874 – $9,104 · median $6,205 | 13 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,362 – $6,760 · median $4,696 | 13 plans |
| 311 | ANGINA PECTORIS | $5,507 – $8,534 · median $5,861 | 13 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,811 – $10,556 · median $7,312 | 13 plans |
| 313 | CHEST PAIN | $5,702 – $8,846 · median $5,987 | 13 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $16,514 – $25,593 · median $18,073 | 13 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,630 – $11,825 · median $8,076 | 13 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,457 – $8,468 · median $5,730 | 13 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $34,407 – $53,324 · median $36,867 | 13 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $17,559 – $27,213 · median $19,427 | 13 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $22,676 – $35,143 · median $23,892 | 13 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $14,383 – $22,291 · median $15,184 | 13 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $32,656 – $50,612 · median $35,747 | 13 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $23,416 – $36,291 · median $26,815 | 13 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $20,858 – $32,327 · median $24,020 | 13 plans |
| 326 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $40,063 – $62,091 · median $42,626 | 13 plans |
| 327 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $19,408 – $30,531 · median $20,378 | 13 plans |
| 328 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,600 – $19,527 · median $13,374 | 13 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $35,629 – $55,218 · median $38,538 | 13 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,711 – $28,999 · median $19,837 | 13 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,189 – $20,440 · median $13,856 | 13 plans |
| 332 | RECTAL RESECTION WITH MCC | $27,725 – $44,674 · median $29,111 | 13 plans |
| 333 | RECTAL RESECTION WITH CC | $16,403 – $25,422 · median $17,837 | 13 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,661 – $19,622 · median $13,920 | 13 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $28,200 – $43,704 · median $30,410 | 13 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $16,607 – $25,737 · median $17,728 | 13 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,804 – $18,293 · median $12,883 | 13 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $21,537 – $33,501 · median $22,614 | 13 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,899 – $18,834 · median $12,494 | 13 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,954 – $15,743 · median $10,451 | 13 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $18,918 – $31,163 · median $19,863 | 13 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,062 – $15,910 · median $10,565 | 13 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,041 – $11,929 · median $7,393 | 13 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $18,931 – $29,340 · median $20,299 | 13 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,482 – $17,795 · median $12,627 | 13 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,748 – $13,558 · median $9,254 | 13 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $23,067 – $35,750 · median $24,615 | 13 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,550 – $21,000 · median $14,277 | 13 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,656 – $16,658 · median $11,189 | 13 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $33,750 – $52,307 · median $35,800 | 13 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,328 – $26,856 · median $18,900 | 13 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,105 – $15,661 · median $11,373 | 13 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $13,031 – $20,196 · median $14,016 | 13 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,796 – $12,082 · median $8,540 | 13 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,579 – $9,092 · median $5,858 | 13 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,786 – $21,366 · median $14,670 | 13 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,222 – $12,742 · median $8,638 | 13 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,652 – $8,759 · median $6,088 | 13 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $16,557 – $25,660 · median $17,720 | 13 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,452 – $14,649 · median $10,312 | 13 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,031 – $10,897 · median $7,411 | 13 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $14,122 – $21,886 · median $15,259 | 13 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,760 – $12,027 · median $8,274 | 13 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,995 – $7,741 · median $5,344 | 13 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $15,370 – $23,820 · median $16,150 | 13 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,464 – $13,117 · median $9,140 | 13 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,972 – $9,256 · median $6,289 | 13 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,105 – $17,093 · median $10,610 | 13 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,908 – $10,705 · median $7,298 | 13 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,360 – $19,155 · median $13,636 | 13 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,664 – $11,878 · median $8,330 | 13 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,358 – $8,363 · median $5,626 | 13 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,465 – $17,769 · median $12,336 | 13 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,282 – $9,736 · median $6,727 | 13 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,374 – $6,834 · median $4,592 | 13 plans |
| 391 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $10,063 – $15,595 · median $10,780 | 13 plans |
| 392 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,197 – $9,604 · median $6,549 | 13 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,775 – $19,800 · median $13,898 | 13 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,390 – $11,454 · median $7,900 | 13 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,087 – $7,916 · median $5,341 | 13 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $17,721 – $27,465 · median $20,795 | 13 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,937 – $18,500 · median $12,700 | 13 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,780 – $13,608 · median $9,432 | 13 plans |
| 405 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH MCC | $43,391 – $67,301 · median $45,561 | 13 plans |
| 406 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH CC | $22,447 – $35,298 · median $23,570 | 13 plans |
| 407 | PANCREAS- LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $16,967 – $26,296 · median $17,925 | 13 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $27,986 – $45,504 · median $29,385 | 13 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $15,439 – $23,928 · median $17,595 | 13 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,346 – $19,135 · median $13,018 | 13 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $21,872 – $37,169 · median $22,965 | 13 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $16,297 – $25,258 · median $17,890 | 13 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $11,908 – $18,455 · median $13,953 | 13 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $27,807 – $43,096 · median $29,406 | 13 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $15,585 – $24,154 · median $16,601 | 13 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,564 – $16,372 · median $11,499 | 13 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $18,283 – $28,335 · median $19,945 | 13 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,895 – $19,984 · median $13,918 | 13 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,359 – $16,054 · median $11,058 | 13 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $25,248 – $39,130 · median $29,621 | 13 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,089 – $20,900 · median $13,744 | 13 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,130 – $17,249 · median $12,332 | 13 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $30,849 – $47,811 · median $34,136 | 13 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $16,815 – $26,060 · median $19,163 | 13 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $12,355 – $19,583 · median $12,973 | 13 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $15,113 – $23,423 · median $16,442 | 13 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,133 – $12,604 · median $8,978 | 13 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,281 – $8,185 · median $5,845 | 13 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,882 – $21,515 · median $15,313 | 13 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,682 – $13,456 · median $9,464 | 13 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,276 – $10,160 · median $6,590 | 13 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $13,163 – $20,401 · median $13,963 | 13 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,746 – $10,455 · median $7,219 | 13 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,856 – $7,526 · median $5,162 | 13 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $14,421 – $22,350 · median $15,865 | 13 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,505 – $11,632 · median $8,109 | 13 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,617 – $8,737 · median $5,897 | 13 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,883 – $19,966 · median $14,136 | 13 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,573 – $13,286 · median $9,102 | 13 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,322 – $9,798 · median $6,691 | 13 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH MCC | $66,491 – $103,049 · median $71,078 | 13 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH CC | $45,874 – $74,271 · median $48,168 | 13 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $34,513 – $55,391 · median $36,239 | 13 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC | $49,050 – $83,356 · median $51,502 | 13 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC | $22,452 – $34,796 · median $24,035 | 13 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $43,170 – $69,239 · median $45,328 | 13 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $23,568 – $36,692 · median $24,746 | 13 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,876 – $22,871 · median $14,570 | 13 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $40,721 – $63,406 · median $42,757 | 13 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $27,377 – $42,620 · median $28,746 | 13 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $20,968 – $32,636 · median $22,016 | 13 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $26,126 – $40,707 · median $27,433 | 13 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $14,843 – $23,004 · median $15,824 | 13 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $38,801 – $60,135 · median $40,765 | 13 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $23,157 – $36,130 · median $24,315 | 13 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $18,922 – $30,081 · median $19,869 | 13 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $33,940 – $52,602 · median $37,638 | 13 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,917 – $26,219 · median $18,105 | 13 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,283 – $14,388 · median $9,761 | 13 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $26,575 – $41,186 · median $28,862 | 13 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $18,692 – $29,141 · median $19,627 | 13 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $14,194 – $22,787 · median $14,903 | 13 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $23,261 – $36,050 · median $24,682 | 13 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $16,367 – $25,366 · median $17,414 | 13 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,529 – $19,418 · median $13,314 | 13 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $19,595 – $30,369 · median $21,386 | 13 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $25,732 – $40,269 · median $27,018 | 13 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,841 – $24,551 · median $17,800 | 13 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,186 – $18,886 · median $13,262 | 13 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $15,709 – $25,753 · median $16,495 | 13 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,763 – $15,131 · median $10,393 | 13 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH MCC | $27,309 – $42,324 · median $29,804 | 13 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH CC | $18,945 – $29,361 · median $20,150 | 13 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITHOUT CC/MCC | $14,744 – $22,851 · median $15,823 | 13 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $28,140 – $43,780 · median $29,547 | 13 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $15,677 – $24,297 · median $16,558 | 13 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $10,731 – $17,450 · median $11,268 | 13 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $20,181 – $31,919 · median $21,190 | 13 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $9,278 – $15,768 · median $9,742 | 13 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $25,327 – $39,643 · median $26,593 | 13 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,691 – $21,219 · median $14,978 | 13 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,907 – $16,904 · median $11,726 | 13 plans |
| 503 | FOOT PROCEDURES WITH MCC | $21,154 – $32,786 · median $22,212 | 13 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,623 – $21,114 · median $14,729 | 13 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,455 – $20,852 · median $14,729 | 13 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $11,537 – $17,880 · median $12,581 | 13 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $15,492 – $26,060 · median $16,266 | 13 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,316 – $17,531 · median $10,831 | 13 plans |
| 509 | ARTHROSCOPY | $10,776 – $16,701 · median $14,743 | 13 plans |
| 510 | SHOULDER- ELBOW OR FOREARM PROCEDURES- EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $21,460 – $33,259 · median $23,987 | 13 plans |
| 511 | SHOULDER- ELBOW OR FOREARM PROCEDURES- EXCEPT MAJOR JOINT PROCEDURES WITH CC | $15,676 – $24,374 · median $16,459 | 13 plans |
| 512 | SHOULDER- ELBOW OR FOREARM PROCEDURES- EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,730 – $19,729 · median $13,494 | 13 plans |
| 513 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,034 – $19,817 · median $12,636 | 13 plans |
| 514 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,150 – $12,732 · median $8,557 | 13 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $24,717 – $38,649 · median $25,953 | 13 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $16,079 – $24,949 · median $16,883 | 13 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,788 – $18,269 · median $12,528 | 13 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $28,647 – $44,643 · median $30,079 | 13 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $15,528 – $24,066 · median $16,549 | 13 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,292 – $17,500 · median $12,028 | 13 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $23,297 – $36,604 · median $24,462 | 13 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $16,661 – $25,822 · median $17,692 | 13 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $12,188 – $19,944 · median $12,798 | 13 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,389 – $9,902 · median $6,832 | 13 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,228 – $15,852 · median $11,161 | 13 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,209 – $9,622 · median $6,806 | 13 plans |
| 537 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITH CC/MCC | $7,345 – $11,822 · median $7,713 | 13 plans |
| 538 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITHOUT CC/MCC | $5,367 – $8,669 · median $5,636 | 13 plans |
| 539 | OSTEOMYELITIS WITH MCC | $15,653 – $24,259 · median $16,973 | 13 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,240 – $15,871 · median $10,861 | 13 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,767 – $10,488 · median $7,343 | 13 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $14,385 – $22,295 · median $15,653 | 13 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,480 – $13,334 · median $8,904 | 13 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,040 – $9,383 · median $6,342 | 13 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $19,666 – $30,479 · median $21,207 | 13 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,253 – $14,661 · median $9,716 | 13 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,964 – $10,065 · median $6,263 | 13 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $15,380 – $23,836 · median $16,908 | 13 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,515 – $14,746 · median $10,114 | 13 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,891 – $11,534 · median $7,235 | 13 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,425 – $20,806 · median $14,321 | 13 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,622 – $11,813 · median $8,089 | 13 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,439 – $16,522 · median $10,961 | 13 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,482 – $10,047 · median $7,004 | 13 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,763 – $17,103 · median $11,301 | 13 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,503 – $10,078 · median $6,853 | 13 plans |
| 557 | TENDONITIS- MYOSITIS AND BURSITIS WITH MCC | $12,280 – $19,032 · median $13,006 | 13 plans |
| 558 | TENDONITIS- MYOSITIS AND BURSITIS WITHOUT MCC | $6,904 – $10,738 · median $7,249 | 13 plans |
| 559 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,597 – $22,622 · median $15,579 | 13 plans |
| 560 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,930 – $13,840 · median $9,557 | 13 plans |
| 561 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,154 – $9,538 · median $6,862 | 13 plans |
| 562 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W MCC | $11,698 – $18,591 · median $12,282 | 13 plans |
| 563 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W/O MCC | $7,064 – $10,949 · median $7,501 | 13 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $12,320 – $19,094 · median $13,170 | 13 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,883 – $12,218 · median $8,558 | 13 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,920 – $9,175 · median $6,278 | 13 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $23,050 – $35,724 · median $25,263 | 13 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $13,346 – $20,683 · median $14,052 | 13 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,989 – $13,932 · median $9,588 | 13 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $49,048 – $76,016 · median $51,683 | 13 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $26,865 – $41,636 · median $29,079 | 13 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $15,959 – $25,012 · median $16,757 | 13 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $43,124 – $69,476 · median $45,280 | 13 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,896 – $32,385 · median $22,348 | 13 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,704 – $19,688 · median $14,187 | 13 plans |
| 579 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $26,052 – $40,858 · median $27,355 | 13 plans |
| 580 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,777 – $21,352 · median $14,880 | 13 plans |
| 581 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,623 – $16,463 · median $12,079 | 13 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,735 – $21,287 · median $14,697 | 13 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,005 – $18,605 · median $13,786 | 13 plans |
| 584 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $15,449 – $23,944 · median $17,183 | 13 plans |
| 585 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $13,283 – $20,587 · median $16,660 | 13 plans |
| 592 | SKIN ULCERS WITH MCC | $16,436 – $25,551 · median $17,258 | 13 plans |
| 593 | SKIN ULCERS WITH CC | $9,544 – $14,791 · median $10,262 | 13 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,211 – $9,626 · median $7,123 | 13 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $16,906 – $26,589 · median $17,751 | 13 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,959 – $12,335 · median $9,073 | 13 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,625 – $19,566 · median $14,743 | 13 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,624 – $14,655 · median $9,055 | 13 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,307 – $8,225 · median $7,175 | 13 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,646 – $12,537 · median $8,028 | 13 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,792 – $7,745 · median $5,031 | 13 plans |
| 602 | CELLULITIS WITH MCC | $11,733 – $18,185 · median $12,330 | 13 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,979 – $10,815 · median $7,392 | 13 plans |
| 604 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,875 – $18,413 · median $12,469 | 13 plans |
| 605 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,169 – $11,110 · median $7,752 | 13 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $12,509 – $19,386 · median $13,515 | 13 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,907 – $10,923 · median $7,253 | 13 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,767 – $27,536 · median $19,127 | 13 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,454 – $17,984 · median $12,027 | 13 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $30,893 – $48,383 · median $32,437 | 13 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $15,439 – $24,261 · median $16,211 | 13 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,162 – $14,199 · median $10,450 | 13 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,684 – $26,790 · median $12,268 | 13 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $29,909 – $46,768 · median $31,405 | 13 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,683 – $22,756 · median $16,053 | 13 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,018 – $13,625 · median $8,419 | 13 plans |
| 625 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $22,916 – $35,712 · median $24,062 | 13 plans |
| 626 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,768 – $18,238 · median $12,667 | 13 plans |
| 627 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,750 – $15,110 · median $10,633 | 13 plans |
| 628 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $31,538 – $49,077 · median $33,114 | 13 plans |
| 629 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $17,849 – $27,663 · median $18,876 | 13 plans |
| 630 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,014 – $17,070 · median $11,760 | 13 plans |
| 637 | DIABETES WITH MCC | $11,432 – $17,718 · median $12,222 | 13 plans |
| 638 | DIABETES WITH CC | $7,094 – $10,995 · median $7,698 | 13 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,910 – $7,610 · median $5,259 | 13 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITH MCC | $10,374 – $16,078 · median $11,145 | 13 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,164 – $9,553 · median $6,558 | 13 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $9,920 – $15,933 · median $10,416 | 13 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,977 – $20,111 · median $13,909 | 13 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,260 – $12,979 · median $8,673 | 13 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,002 – $9,302 · median $6,535 | 13 plans |
| 650 | NEONATE- BIRTHWT 1500-1999G- W/O SIGNIF O.R. PROC- W OTHER PROB | $35,476 – $54,982 · median $38,667 | 13 plans |
| 651 | NEONATE- BIRTHWT 2000-2499G- W SIGNIF O.R. PROC- W MULT MAJOR PROB | $27,280 – $42,279 · median $29,143 | 13 plans |
| 652 | KIDNEY TRANSPLANT | $23,699 – $36,729 · median $25,777 | 13 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $42,702 – $66,181 · median $46,785 | 13 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $21,593 – $33,466 · median $23,685 | 13 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,604 – $25,768 · median $17,434 | 13 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $24,749 – $38,357 · median $27,343 | 13 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $14,547 – $22,545 · median $15,342 | 13 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,677 – $18,098 · median $12,622 | 13 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $20,421 – $31,649 · median $21,689 | 13 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,616 – $16,454 · median $11,246 | 13 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,206 – $12,817 · median $8,616 | 13 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $23,638 – $36,635 · median $26,181 | 13 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,509 – $17,836 · median $12,819 | 13 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,374 – $12,978 · median $9,062 | 13 plans |
| 665 | PROSTATECTOMY WITH MCC | $24,367 – $37,764 · median $28,817 | 13 plans |
| 666 | PROSTATECTOMY WITH CC | $13,167 – $20,995 · median $13,825 | 13 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,215 – $12,831 · median $8,626 | 13 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $22,228 – $34,450 · median $24,475 | 13 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $12,105 – $18,760 · median $12,987 | 13 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,593 – $11,768 · median $8,021 | 13 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,503 – $20,928 · median $14,466 | 13 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,395 – $11,461 · median $9,185 | 13 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $29,170 – $45,208 · median $35,161 | 13 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $18,451 – $29,122 · median $19,373 | 13 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,511 – $19,395 · median $13,137 | 13 plans |
| 682 | RENAL FAILURE WITH MCC | $11,838 – $18,347 · median $12,605 | 13 plans |
| 683 | RENAL FAILURE WITH CC | $7,105 – $11,012 · median $7,460 | 13 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,800 – $7,439 · median $5,098 | 13 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $14,509 – $22,487 · median $15,826 | 13 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,245 – $12,779 · median $8,835 | 13 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,788 – $9,547 · median $6,078 | 13 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,264 – $14,357 · median $9,822 | 13 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,365 – $9,864 · median $6,736 | 13 plans |
| 693 | URINARY STONES WITH MCC | $11,172 – $17,314 · median $12,340 | 13 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,174 – $9,569 · median $6,558 | 13 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,014 – $14,621 · median $9,465 | 13 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,459 – $8,461 · median $5,806 | 13 plans |
| 697 | URETHRAL STRICTURE | $8,007 – $13,608 · median $8,408 | 13 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $13,050 – $20,225 · median $14,107 | 13 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,052 – $12,479 · median $8,560 | 13 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,549 – $8,659 · median $5,826 | 13 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $15,475 – $23,984 · median $16,287 | 13 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,505 – $17,830 · median $12,442 | 13 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $17,123 – $26,538 · median $18,859 | 13 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,233 – $15,859 · median $12,601 | 13 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $15,271 – $25,952 · median $16,035 | 13 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,549 – $14,528 · median $8,977 | 13 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,443 – $17,735 · median $12,136 | 13 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,511 – $11,718 · median $7,886 | 13 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $17,413 – $26,987 · median $18,953 | 13 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,218 – $17,386 · median $11,912 | 13 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $14,306 – $22,172 · median $15,572 | 13 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,275 – $14,374 · median $10,339 | 13 plans |
| 722 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH MCC | $13,819 – $22,919 · median $14,510 | 13 plans |
| 723 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH CC | $8,790 – $13,622 · median $9,424 | 13 plans |
| 724 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,824 – $9,896 · median $6,115 | 13 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,788 – $15,170 · median $10,596 | 13 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,765 – $8,935 · median $6,247 | 13 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,745 – $19,817 · median $12,332 | 13 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,311 – $9,781 · median $6,858 | 13 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,919 – $12,273 · median $9,239 | 13 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,851 – $7,599 · median $5,093 | 13 plans |
| 734 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,807 – $26,572 · median $17,648 | 13 plans |
| 735 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,703 – $15,406 · median $10,188 | 13 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $30,662 – $47,521 · median $33,046 | 13 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $15,569 – $24,130 · median $16,772 | 13 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,764 – $16,682 · median $12,731 | 13 plans |
| 739 | UTERINE- ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC | $28,525 – $44,209 · median $33,410 | 13 plans |
| 740 | UTERINE- ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC | $14,096 – $21,846 · median $15,260 | 13 plans |
| 741 | UTERINE- ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC | $10,249 – $15,884 · median $11,528 | 13 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $14,056 – $21,784 · median $15,331 | 13 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,166 – $14,205 · median $10,060 | 13 plans |
| 744 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $14,848 – $23,012 · median $16,399 | 13 plans |
| 745 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,171 – $12,664 · median $8,601 | 13 plans |
| 746 | VAGINA- CERVIX AND VULVA PROCEDURES WITH CC/MCC | $13,221 – $20,490 · median $14,054 | 13 plans |
| 747 | VAGINA- CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,998 – $10,846 · median $8,017 | 13 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,889 – $17,175 · median $11,433 | 13 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $19,856 – $30,773 · median $21,725 | 13 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,307 – $16,626 · median $10,822 | 13 plans |
| 754 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,462 – $22,647 · median $15,185 | 13 plans |
| 755 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,556 – $13,260 · median $9,317 | 13 plans |
| 756 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,633 – $12,099 · median $8,015 | 13 plans |
| 757 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,312 – $18,235 · median $11,878 | 13 plans |
| 758 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,830 – $12,135 · median $8,555 | 13 plans |
| 759 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,097 – $7,900 · median $5,371 | 13 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,852 – $12,169 · median $8,272 | 13 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,777 – $7,403 · median $5,320 | 13 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $8,763 – $14,891 · median $9,201 | 13 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $11,106 – $18,874 · median $11,661 | 13 plans |
| 770 | ABORTION WITH D&C- ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,300 – $9,890 · median $9,030 | 13 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,653 – $8,762 · median $5,988 | 13 plans |
| 779 | ABORTION WITHOUT D&C | $7,472 – $12,093 · median $7,845 | 13 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $13,976 – $21,660 · median $15,460 | 13 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,078 – $12,520 · median $9,089 | 13 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,833 – $10,591 · median $7,331 | 13 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $12,916 – $21,388 · median $13,562 | 13 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,291 – $12,850 · median $8,911 | 13 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,744 – $10,452 · median $7,593 | 13 plans |
| 789 | NEONATES- DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $14,351 – $22,242 · median $15,128 | 13 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME- NEONATE | $47,329 – $73,351 · median $49,892 | 13 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $32,323 – $50,094 · median $34,073 | 13 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $19,503 – $30,226 · median $20,559 | 13 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $33,203 – $51,459 · median $35,001 | 13 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $11,752 – $18,214 · median $12,389 | 13 plans |
| 795 | NORMAL NEWBORN | $1,591 – $2,466 · median $1,677 | 13 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $10,204 – $17,340 · median $10,714 | 13 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,739 – $12,175 · median $8,126 | 13 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,587 – $10,209 · median $8,126 | 13 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $38,005 – $60,570 · median $39,905 | 13 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $22,226 – $34,446 · median $24,454 | 13 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $13,122 – $21,879 · median $13,778 | 13 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $27,062 – $41,942 · median $30,086 | 13 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $14,227 – $22,717 · median $14,939 | 13 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,837 – $14,797 · median $9,279 | 13 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,953 – $12,325 · median $8,376 | 13 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,784 – $9,128 · median $6,073 | 13 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,094 – $7,999 · median $5,349 | 13 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $17,276 – $26,774 · median $19,221 | 13 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,500 – $14,724 · median $10,394 | 13 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,608 – $12,280 · median $7,988 | 13 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $11,072 – $17,159 · median $11,807 | 13 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,105 – $11,011 · median $7,745 | 13 plans |
| 813 | COAGULATION DISORDERS | $12,305 – $19,071 · median $12,992 | 13 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $16,709 – $26,016 · median $17,545 | 13 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,842 – $12,154 · median $8,528 | 13 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,271 – $8,682 · median $5,534 | 13 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $20,263 – $34,435 · median $21,276 | 13 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $10,295 – $17,495 · median $10,810 | 13 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,526 – $11,091 · median $6,853 | 13 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $46,537 – $73,921 · median $48,864 | 13 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,607 – $27,287 · median $18,736 | 13 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,141 – $15,144 · median $9,599 | 13 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $35,511 – $55,036 · median $39,273 | 13 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $17,580 – $27,297 · median $18,459 | 13 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,838 – $15,787 · median $10,330 | 13 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $36,503 – $56,574 · median $40,079 | 13 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $18,278 – $28,328 · median $19,806 | 13 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,812 – $20,054 · median $13,452 | 13 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $24,648 – $38,555 · median $25,881 | 13 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,690 – $19,330 · median $12,274 | 13 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,482 – $13,146 · median $9,660 | 13 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,819 – $9,018 · median $6,273 | 13 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,037 – $6,257 · median $4,362 | 13 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $44,165 – $68,448 · median $46,388 | 13 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $17,072 – $27,329 · median $17,926 | 13 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,157 – $17,260 · median $10,664 | 13 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $38,209 – $59,218 · median $42,023 | 13 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $15,789 – $24,471 · median $17,022 | 13 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,279 – $15,930 · median $11,501 | 13 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $24,652 – $38,206 · median $26,764 | 13 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,412 – $19,236 · median $13,160 | 13 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,408 – $13,037 · median $8,828 | 13 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $14,676 – $22,746 · median $15,890 | 13 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,128 – $14,147 · median $10,031 | 13 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,688 – $10,573 · median $7,023 | 13 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $19,278 – $29,878 · median $21,433 | 13 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,565 – $14,824 · median $10,664 | 13 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,545 – $10,223 · median $6,873 | 13 plans |
| 849 | RADIOTHERAPY | $21,230 – $32,902 · median $22,417 | 13 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $39,434 – $61,116 · median $41,974 | 13 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,971 – $24,917 · median $16,769 | 13 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,993 – $20,805 · median $13,643 | 13 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $34,931 – $54,137 · median $37,864 | 13 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $16,846 – $26,109 · median $18,287 | 13 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,123 – $15,690 · median $10,813 | 13 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $14,530 – $22,518 · median $15,431 | 13 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,931 – $12,292 · median $8,392 | 13 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,964 – $10,792 · median $7,537 | 13 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,797 – $20,048 · median $12,387 | 13 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,072 – $11,219 · median $7,426 | 13 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $16,504 – $25,578 · median $17,996 | 13 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,393 – $13,270 · median $8,813 | 13 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,448 – $8,444 · median $6,039 | 13 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $54,939 – $85,146 · median $58,383 | 13 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $15,639 – $24,237 · median $16,467 | 13 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,124 – $12,591 · median $8,653 | 13 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $29,434 – $45,618 · median $32,979 | 13 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,530 – $11,670 · median $8,045 | 13 plans |
| 881 | DEPRESSIVE NEUROSES | $7,150 – $11,082 · median $7,672 | 13 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,409 – $11,483 · median $8,074 | 13 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $14,793 – $22,927 · median $15,559 | 13 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $13,350 – $21,478 · median $14,017 | 13 plans |
| 885 | PSYCHOSES | $10,778 – $16,704 · median $11,830 | 13 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $13,265 – $20,559 · median $15,077 | 13 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,507 – $15,839 · median $9,982 | 13 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE- LEFT AMA | $4,532 – $7,023 · median $5,238 | 13 plans |
| 895 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY | $11,573 – $19,668 · median $12,152 | 13 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC | $14,026 – $21,737 · median $14,945 | 13 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC | $6,749 – $10,460 · median $7,404 | 13 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $34,138 – $52,907 · median $37,183 | 13 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,867 – $23,040 · median $15,926 | 13 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,744 – $15,177 · median $10,231 | 13 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $25,685 – $39,807 · median $32,404 | 13 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $12,492 – $19,361 · median $13,833 | 13 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $14,842 – $23,003 · median $18,317 | 13 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $29,339 – $45,471 · median $33,433 | 13 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $15,808 – $24,500 · median $16,929 | 13 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,137 – $16,581 · median $10,644 | 13 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $11,789 – $18,270 · median $13,582 | 13 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,160 – $11,097 · median $7,691 | 13 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $13,891 – $21,687 · median $14,585 | 13 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,197 – $8,054 · median $5,573 | 13 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $12,588 – $19,510 · median $13,761 | 13 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,791 – $10,525 · median $7,424 | 13 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $14,393 – $22,307 · median $15,305 | 13 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $8,120 – $12,638 · median $8,526 | 13 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,497 – $8,531 · median $5,772 | 13 plans |
| 922 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,503 – $21,331 · median $14,178 | 13 plans |
| 923 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,978 – $12,364 · median $8,560 | 13 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $189,614 – $322,235 · median $199,095 | 13 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $53,384 – $84,593 · median $56,053 | 13 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $25,364 – $39,309 · median $26,692 | 13 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $23,916 – $39,772 · median $36,314 | 13 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $16,506 – $25,581 · median $18,009 | 13 plans |
| 935 | NON-EXTENSIVE BURNS | $16,100 – $24,952 · median $18,433 | 13 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $25,362 – $39,307 · median $26,638 | 13 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,876 – $26,487 · median $17,720 | 13 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $14,640 – $22,690 · median $16,402 | 13 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,907 – $18,454 · median $12,811 | 13 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,988 – $12,380 · median $9,370 | 13 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,873 – $15,301 · median $10,794 | 13 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,318 – $9,792 · median $6,668 | 13 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,462 – $13,115 · median $9,056 | 13 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,685 – $7,807 · median $4,919 | 13 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,532 – $7,213 · median $4,759 | 13 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $48,040 – $74,453 · median $57,307 | 13 plans |
| 956 | LIMB REATTACHMENT- HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $30,552 – $47,411 · median $32,080 | 13 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $57,050 – $88,417 · median $62,644 | 13 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $31,905 – $49,448 · median $34,492 | 13 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $19,976 – $30,959 · median $22,189 | 13 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $21,568 – $33,427 · median $22,800 | 13 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,840 – $18,350 · median $12,590 | 13 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,294 – $11,686 · median $7,659 | 13 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $50,549 – $84,018 · median $53,077 | 13 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $21,208 – $33,981 · median $22,268 | 13 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $23,005 – $35,654 · median $25,062 | 13 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,754 – $16,666 · median $11,929 | 13 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,668 – $10,334 · median $8,418 | 13 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $11,170 – $17,312 · median $12,101 | 13 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $37,392 – $57,951 · median $39,897 | 13 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $19,569 – $30,391 · median $20,547 | 13 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,898 – $19,990 · median $14,000 | 13 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $26,635 – $41,280 · median $29,397 | 13 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,386 – $20,746 · median $14,402 | 13 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,521 – $13,207 · median $9,698 | 13 plans |
| 317 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES W MCC | $49,447 – $56,864 · median $51,920 | 11 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $31,270 – $35,960 · median $32,833 | 11 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $83,729 – $96,288 · median $87,915 | 11 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $56,771 – $65,287 · median $59,610 | 11 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $43,994 – $50,593 · median $46,193 | 11 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $66,666 – $76,665 · median $69,999 | 11 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $43,725 – $50,284 · median $45,911 | 11 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $53,590 – $61,628 · median $56,269 | 11 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $32,639 – $37,535 · median $34,271 | 11 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $41,164 – $47,339 · median $43,222 | 11 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $24,666 – $28,366 · median $25,899 | 11 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $73,630 – $84,674 · median $77,311 | 11 plans |
| 453 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC | $69,899 – $108,331 · median $89,115 | 2 plans |
| 454 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC | $48,245 – $74,772 · median $61,509 | 2 plans |
| 455 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC | $36,329 – $56,303 · median $46,316 | 2 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $52,316 – $81,080 · median $66,698 | 2 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $28,854 – $44,718 · median $36,786 | 2 plans |
No procedures match that keyword.