Fairfield Medical Center — Pricing
751 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 751 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Procedures published 751
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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 751 procedures
Procedures with negotiated rates only
These 751 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 |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $144,775 – $309,888 · median $150,648 | 21 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $192,451 – $344,122 · median $208,559 | 21 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $37,890 – $79,630 · median $39,401 | 21 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $29,500 – $61,554 · median $30,667 | 21 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $20,457 – $42,074 · median $21,256 | 21 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $68,068 – $114,884 · median $70,810 | 21 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $61,575 – $103,614 · median $64,052 | 21 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $44,147 – $95,704 · median $58,002 | 21 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $42,759 – $83,662 · median $44,468 | 21 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $27,439 – $57,114 · median $28,522 | 21 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $31,741 – $66,382 · median $33,000 | 21 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $21,998 – $45,394 · median $22,860 | 21 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $18,025 – $36,834 · median $18,725 | 21 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $41,646 – $87,721 · median $43,310 | 21 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $24,048 – $49,809 · median $24,993 | 21 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $15,804 – $32,050 · median $16,413 | 21 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $31,292 – $65,415 · median $32,533 | 21 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $15,369 – $31,113 · median $15,960 | 21 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,197 – $24,278 · median $12,658 | 21 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $27,159 – $56,512 · median $28,232 | 21 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,128 – $34,901 · median $17,791 | 21 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,093 – $28,365 · median $14,633 | 21 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $23,238 – $48,065 · median $24,150 | 21 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,923 – $23,690 · median $12,374 | 21 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,893 – $17,162 · median $9,220 | 21 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $27,095 – $56,374 · median $28,165 | 21 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $15,828 – $32,101 · median $16,438 | 21 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,636 – $25,224 · median $13,115 | 21 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $13,202 – $26,445 · median $13,705 | 21 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,563 – $14,296 · median $7,835 | 21 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,275 – $22,293 · median $11,699 | 21 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,837 – $14,886 · median $8,120 | 21 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $16,671 – $33,917 · median $17,315 | 21 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,707 – $18,916 · median $10,067 | 21 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $12,512 – $24,959 · median $12,987 | 21 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,337 – $18,117 · median $9,682 | 21 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,160 – $13,429 · median $7,416 | 21 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $19,612 – $40,254 · median $20,377 | 21 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $12,836 – $25,655 · median $13,323 | 21 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,441 – $20,495 · median $10,831 | 21 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,556 – $29,361 · median $15,114 | 21 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,774 – $14,750 · median $8,055 | 21 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,565 – $9,992 · median $5,756 | 21 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,880 – $21,443 · median $11,288 | 21 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,785 – $12,620 · median $7,026 | 21 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,340 – $11,662 · median $6,563 | 21 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $12,579 – $24,306 · median $13,056 | 21 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $7,880 – $14,980 · median $8,166 | 21 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,052 – $11,041 · median $6,262 | 21 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,799 – $23,423 · median $12,245 | 21 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,913 – $15,050 · median $8,199 | 21 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $13,922 – $27,996 · median $14,454 | 21 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,519 – $12,048 · median $6,749 | 21 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $13,193 – $26,426 · median $13,696 | 21 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,996 – $13,076 · median $7,246 | 21 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $16,417 – $33,370 · median $17,051 | 21 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,386 – $20,379 · median $10,774 | 21 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,404 – $13,955 · median $7,670 | 21 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,324 – $33,170 · median $16,954 | 21 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,755 – $19,019 · median $10,117 | 21 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,126 – $13,355 · median $7,381 | 21 plans |
| 088 | CONCUSSION WITH MCC | $10,088 – $19,736 · median $10,464 | 21 plans |
| 089 | CONCUSSION WITH CC | $8,372 – $16,040 · median $8,678 | 21 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,506 – $12,019 · median $6,735 | 21 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $12,829 – $25,641 · median $13,316 | 21 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,860 – $14,936 · median $8,144 | 21 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,323 – $11,626 · median $6,545 | 21 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $24,778 – $51,383 · median $25,754 | 21 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $18,407 – $37,656 · median $19,122 | 21 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $18,407 – $37,656 · median $19,122 | 21 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $25,405 – $52,732 · median $26,406 | 21 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $16,480 – $33,506 · median $17,116 | 21 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,160 – $19,891 · median $10,539 | 21 plans |
| 100 | SEIZURES WITH MCC | $14,053 – $28,277 · median $14,590 | 21 plans |
| 101 | SEIZURES WITHOUT MCC | $7,044 – $13,178 · median $7,295 | 21 plans |
| 102 | HEADACHES WITH MCC | $8,523 – $16,365 · median $8,835 | 21 plans |
| 103 | HEADACHES WITHOUT MCC | $6,594 – $12,210 · median $6,828 | 21 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $16,861 – $34,326 · median $17,513 | 21 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,096 – $19,754 · median $10,472 | 21 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,329 – $22,410 · median $11,755 | 21 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $13,181 – $26,398 · median $13,682 | 21 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,279 – $15,840 · median $8,581 | 21 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,811 – $16,984 · median $9,134 | 21 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,252 – $11,473 · median $6,471 | 21 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,339 – $11,660 · median $6,562 | 21 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $9,894 – $19,317 · median $10,261 | 21 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,130 – $11,210 · median $6,344 | 21 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $15,633 – $31,682 · median $16,235 | 21 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,808 – $14,823 · median $8,090 | 21 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,046 – $21,801 · median $11,461 | 21 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,933 – $12,939 · median $7,179 | 21 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,301 – $18,041 · median $9,645 | 21 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $29,834 – $62,273 · median $31,015 | 21 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,709 – $31,844 · median $16,314 | 21 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,746 – $23,307 · median $12,189 | 21 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $26,318 – $54,700 · median $27,356 | 21 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,671 – $25,300 · median $13,152 | 21 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,075 – $17,554 · median $9,409 | 21 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $15,277 – $30,914 · median $15,864 | 21 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,544 – $18,564 · median $9,897 | 21 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,329 – $11,638 · median $6,551 | 21 plans |
| 149 | DYSEQUILIBRIUM | $6,020 – $10,973 · median $6,230 | 21 plans |
| 150 | EPISTAXIS WITH MCC | $9,951 – $19,440 · median $10,321 | 21 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,901 – $10,716 · median $6,106 | 21 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,939 – $17,260 · median $9,267 | 21 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,930 – $10,778 · median $6,136 | 21 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,523 – $22,827 · median $11,957 | 21 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,138 – $13,381 · median $7,393 | 21 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,610 – $10,090 · median $5,803 | 21 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,562 – $25,065 · median $13,038 | 21 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,093 – $13,283 · median $7,346 | 21 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,728 – $10,344 · median $5,926 | 21 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $62,270 – $137,863 · median $83,553 | 21 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $18,032 – $36,850 · median $18,732 | 21 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,900 – $27,947 · median $14,431 | 21 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $26,258 – $54,570 · median $27,294 | 21 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,149 – $26,330 · median $13,649 | 21 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,187 – $19,949 · median $10,567 | 21 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $21,098 – $43,455 · median $21,923 | 21 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,236 – $20,055 · median $10,618 | 21 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,382 – $11,753 · median $6,607 | 21 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,517 – $22,815 · median $11,951 | 21 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,541 – $14,250 · median $7,813 | 21 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,043 – $11,023 · median $6,254 | 21 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $12,895 – $25,784 · median $13,385 | 21 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,185 – $15,637 · median $8,483 | 21 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,035 – $11,005 · median $6,246 | 21 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,295 – $22,337 · median $11,720 | 21 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,138 – $15,536 · median $8,434 | 21 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,257 – $11,483 · median $6,476 | 21 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,489 – $22,754 · median $11,922 | 21 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,630 – $14,441 · median $7,905 | 21 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,787 – $10,471 · median $5,987 | 21 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,299 – $18,037 · median $9,643 | 21 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,434 – $16,172 · median $8,742 | 21 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,640 – $12,308 · median $6,875 | 21 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,278 – $9,373 · median $5,457 | 21 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,835 – $19,190 · median $10,200 | 21 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,388 – $11,766 · median $6,613 | 21 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,186 – $9,176 · median $5,362 | 21 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,717 – $27,553 · median $14,240 | 21 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $13,187 – $68,176 · median $41,319 | 21 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,016 – $10,457 · median $6,226 | 21 plans |
| 199 | PNEUMOTHORAX WITH MCC | $12,882 – $25,756 · median $13,372 | 21 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,377 – $16,050 · median $8,683 | 21 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,773 – $10,440 · median $5,973 | 21 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,509 – $14,180 · median $7,779 | 21 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,467 – $9,782 · median $5,654 | 21 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,399 – $11,788 · median $6,624 | 21 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $13,336 – $26,733 · median $13,844 | 21 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,305 – $13,740 · median $7,567 | 21 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $89,404 – $179,290 · median $108,660 | 21 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $19,555 – $40,131 · median $20,317 | 21 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $74,623 – $158,762 · median $77,633 | 21 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $68,408 – $145,372 · median $71,164 | 21 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $67,227 – $142,829 · median $69,935 | 21 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $45,489 – $95,999 · median $47,310 | 21 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $45,489 – $95,999 · median $47,310 | 21 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $52,964 – $112,103 · median $55,090 | 21 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $37,068 – $77,859 · median $38,545 | 21 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $35,085 – $73,587 · median $36,481 | 21 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $34,456 – $72,232 · median $35,827 | 21 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $22,272 – $45,983 · median $23,144 | 21 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $58,058 – $123,077 · median $60,392 | 21 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $42,014 – $88,514 · median $43,693 | 21 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $52,740 – $111,620 · median $54,857 | 21 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $37,949 – $79,755 · median $39,461 | 21 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $40,700 – $85,682 · median $42,325 | 21 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $29,315 – $61,156 · median $30,476 | 21 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $34,282 – $71,857 · median $35,645 | 21 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $20,245 – $41,617 · median $21,035 | 21 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $10,309 – $20,212 · median $10,694 | 21 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $22,565 – $46,615 · median $23,450 | 21 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $15,368 – $31,111 · median $15,959 | 21 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,177 – $26,390 · median $13,678 | 21 plans |
| 245 | AICD GENERATOR PROCEDURES | $31,847 – $66,611 · median $33,111 | 21 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $15,718 – $31,865 · median $16,323 | 21 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $11,055 – $21,820 · median $11,470 | 21 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $24,568 – $50,929 · median $25,534 | 21 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $18,518 – $37,896 · median $19,237 | 21 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,002 – $26,013 · median $13,496 | 21 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $19,208 – $39,382 · median $19,955 | 21 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,434 – $24,789 · median $12,905 | 21 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,329 – $15,946 · median $8,633 | 21 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $22,221 – $45,875 · median $23,092 | 21 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $14,631 – $29,523 · median $15,192 | 21 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $22,972 – $47,491 · median $23,873 | 21 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $13,739 – $27,601 · median $14,264 | 21 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $11,973 – $23,797 · median $12,425 | 21 plans |
| 263 | VEIN LIGATION AND STRIPPING | $21,647 – $44,638 · median $22,495 | 21 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $23,567 – $48,773 · median $24,492 | 21 plans |
| 265 | AICD LEAD PROCEDURES | $25,448 – $52,826 · median $26,451 | 21 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $42,460 – $89,475 · median $44,157 | 21 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $33,192 – $69,508 · median $34,510 | 21 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $95,562 – $173,221 · median $104,982 | 21 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $29,548 – $61,659 · median $30,718 | 21 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $36,685 – $77,034 · median $38,147 | 21 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $25,029 – $51,922 · median $26,014 | 21 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $18,229 – $37,274 · median $18,937 | 21 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $28,886 – $60,232 · median $30,029 | 21 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $23,235 – $48,059 · median $24,148 | 21 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $49,251 – $104,104 · median $51,225 | 21 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $41,635 – $87,696 · median $43,298 | 21 plans |
| 277 | CELLULITIS AGE >17 W CC | $32,227 – $67,430 · median $33,507 | 21 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $38,650 – $81,267 · median $40,192 | 21 plans |
| 279 | CELLULITIS AGE 0-17 | $25,368 – $52,653 · median $26,367 | 21 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $11,798 – $23,420 · median $12,243 | 21 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,156 – $13,419 · median $7,412 | 21 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,827 – $10,557 · median $6,029 | 21 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $14,351 – $28,920 · median $14,901 | 21 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,618 – $10,106 · median $5,811 | 21 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,986 – $8,744 · median $5,153 | 21 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $15,923 – $32,307 · median $16,537 | 21 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,179 – $15,623 · median $8,477 | 21 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $19,267 – $39,511 · median $20,018 | 21 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,495 – $24,921 · median $12,969 | 21 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,227 – $13,574 · median $7,486 | 21 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,627 – $18,743 · median $9,984 | 21 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,681 – $12,395 · median $6,917 | 21 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,763 – $8,264 · median $4,921 | 21 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,512 – $22,804 · median $11,946 | 21 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,223 – $9,256 · median $5,401 | 21 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,011 – $6,695 · median $4,139 | 21 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $11,992 – $23,837 · median $12,445 | 21 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,161 – $15,586 · median $8,458 | 21 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,804 – $10,508 · median $6,005 | 21 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,036 – $17,470 · median $9,369 | 21 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,489 – $9,829 · median $5,677 | 21 plans |
| 304 | HYPERTENSION WITH MCC | $8,992 – $17,374 · median $9,322 | 21 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,044 – $11,024 · median $6,255 | 21 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,606 – $23,007 · median $12,044 | 21 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,116 – $13,333 · median $7,370 | 21 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,086 – $17,578 · median $9,421 | 21 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,913 – $10,741 · median $6,118 | 21 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,763 – $8,265 · median $4,922 | 21 plans |
| 311 | ANGINA PECTORIS | $5,684 – $10,248 · median $5,879 | 21 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,834 – $12,725 · median $7,077 | 21 plans |
| 313 | CHEST PAIN | $5,806 – $10,512 · median $6,007 | 21 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $18,133 – $30,471 · median $18,837 | 21 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,455 – $14,064 · median $7,723 | 21 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,549 – $9,959 · median $5,740 | 21 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $31,173 – $65,158 · median $32,409 | 21 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $17,228 – $35,117 · median $17,895 | 21 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $19,366 – $39,724 · median $20,121 | 21 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $12,875 – $25,740 · median $13,364 | 21 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $30,255 – $63,180 · median $31,453 | 21 plans |
| 324 | URINARY STONES W/O CC | $22,282 – $46,005 · median $23,155 | 21 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $22,684 – $46,872 · median $23,574 | 21 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $64,004 – $107,703 · median $66,487 | 21 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $23,094 – $38,824 · median $24,000 | 21 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,786 – $23,394 · median $12,231 | 21 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $32,078 – $67,109 · median $33,351 | 21 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,173 – $34,999 · median $17,838 | 21 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,332 – $24,570 · median $12,799 | 21 plans |
| 332 | RECTAL RESECTION WITH MCC | $25,465 – $52,862 · median $26,468 | 21 plans |
| 333 | RECTAL RESECTION WITH CC | $23,287 – $39,149 · median $24,201 | 21 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,027 – $23,913 · median $12,482 | 21 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $25,128 – $52,135 · median $26,117 | 21 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $15,218 – $30,787 · median $15,803 | 21 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,330 – $22,411 · median $11,756 | 21 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $18,431 – $37,709 · median $19,147 | 21 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,124 – $21,969 · median $11,542 | 21 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,966 – $17,319 · median $9,296 | 21 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $31,895 – $69,796 · median $42,301 | 21 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,797 – $19,108 · median $10,160 | 21 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,827 – $12,711 · median $7,069 | 21 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $17,815 – $36,382 · median $18,506 | 21 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,259 – $22,258 · median $11,682 | 21 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,841 – $17,050 · median $9,166 | 21 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $20,594 – $42,369 · median $21,399 | 21 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,329 – $24,563 · median $12,796 | 21 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,042 – $19,637 · median $10,416 | 21 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $51,643 – $86,892 · median $53,715 | 21 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $16,687 – $33,952 · median $17,332 | 21 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,401 – $20,409 · median $10,789 | 21 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $11,715 – $23,242 · median $12,157 | 21 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,705 – $14,603 · median $7,984 | 21 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,676 – $10,232 · median $5,872 | 21 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $12,943 – $25,887 · median $13,436 | 21 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,846 – $14,907 · median $8,130 | 21 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,856 – $10,620 · median $6,059 | 21 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $15,421 – $31,225 · median $16,014 | 21 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,124 – $17,660 · median $9,461 | 21 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,191 – $13,495 · median $7,448 | 21 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,315 – $26,689 · median $13,823 | 21 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,573 – $14,318 · median $7,846 | 21 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,199 – $9,204 · median $5,375 | 21 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,225 – $28,648 · median $14,769 | 21 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,270 – $15,819 · median $8,571 | 21 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,353 – $11,689 · median $6,576 | 21 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,284 – $20,158 · median $10,668 | 21 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,720 – $12,480 · median $6,958 | 21 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,650 – $23,102 · median $12,090 | 21 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,543 – $14,254 · median $7,815 | 21 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,544 – $9,947 · median $5,734 | 21 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,935 – $21,561 · median $11,346 | 21 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,279 – $11,531 · median $6,499 | 21 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,613 – $7,942 · median $4,766 | 21 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,522 – $18,517 · median $9,875 | 21 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,210 – $11,382 · median $6,428 | 21 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $11,766 – $23,350 · median $12,210 | 21 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,268 – $13,661 · median $7,529 | 21 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,325 – $9,475 · median $5,506 | 21 plans |
| 397 | COAGULATION DISORDERS | $17,157 – $34,966 · median $17,822 | 21 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $11,185 – $22,099 · median $11,605 | 21 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $13,747 – $23,086 · median $14,272 | 21 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $38,002 – $79,869 · median $39,517 | 21 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $20,582 – $42,343 · median $21,386 | 21 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $15,969 – $32,406 · median $16,585 | 21 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $25,092 – $52,058 · median $26,080 | 21 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $15,683 – $31,789 · median $16,287 | 21 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,687 – $23,180 · median $12,128 | 21 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $23,314 – $48,228 · median $24,229 | 21 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $15,176 – $30,697 · median $15,759 | 21 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,180 – $24,243 · median $12,641 | 21 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $25,071 – $52,014 · median $26,058 | 21 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $14,933 – $30,174 · median $15,507 | 21 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,166 – $19,904 · median $10,545 | 21 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $17,100 – $34,841 · median $17,762 | 21 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,391 – $24,697 · median $12,861 | 21 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,183 – $19,941 · median $10,563 | 21 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $24,017 – $49,744 · median $24,962 | 21 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,702 – $25,368 · median $13,184 | 21 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,411 – $20,433 · median $10,800 | 21 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $29,073 – $60,634 · median $30,223 | 21 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $15,755 – $31,943 · median $16,362 | 21 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,095 – $21,904 · median $11,511 | 21 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $27,346 – $47,629 · median $28,866 | 21 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,085 – $15,421 · median $8,379 | 21 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,755 – $10,403 · median $5,954 | 21 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,374 – $26,816 · median $13,884 | 21 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,592 – $16,514 · median $8,907 | 21 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,710 – $12,458 · median $6,947 | 21 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $11,975 – $23,801 · median $12,428 | 21 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,628 – $12,282 · median $6,862 | 21 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,138 – $9,072 · median $5,312 | 21 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,090 – $26,203 · median $13,588 | 21 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,469 – $14,093 · median $7,737 | 21 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,669 – $10,216 · median $5,864 | 21 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,251 – $24,395 · median $12,715 | 21 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,344 – $15,978 · median $8,648 | 21 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,533 – $12,079 · median $6,764 | 21 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $57,879 – $122,690 · median $60,205 | 21 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $41,340 – $87,061 · median $42,991 | 21 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $29,205 – $60,920 · median $30,361 | 21 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $62,842 – $105,747 · median $65,371 | 21 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $18,954 – $38,836 · median $19,692 | 21 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $39,554 – $83,213 · median $41,132 | 21 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,036 – $45,475 · median $22,899 | 21 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,286 – $26,626 · median $13,792 | 21 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $36,205 – $75,999 · median $37,647 | 21 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $24,827 – $51,488 · median $25,805 | 21 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $19,551 – $40,121 · median $20,312 | 21 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $21,483 – $44,285 · median $22,324 | 21 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $13,999 – $28,162 · median $14,535 | 21 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $65,781 – $110,694 · median $67,096 | 21 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $20,893 – $43,013 · median $21,710 | 21 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $17,472 – $35,643 · median $18,149 | 21 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $30,021 – $62,676 · median $31,210 | 21 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,350 – $33,225 · median $16,981 | 21 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,925 – $17,231 · median $9,253 | 21 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $24,339 – $50,437 · median $25,297 | 21 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,593 – $35,904 · median $18,275 | 21 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,525 – $27,140 · median $14,041 | 21 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $20,664 – $42,520 · median $21,471 | 21 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,122 – $30,580 · median $15,703 | 21 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,980 – $23,813 · median $12,433 | 21 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $19,712 – $40,470 · median $20,481 | 21 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $28,116 – $47,279 · median $29,227 | 21 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,099 – $30,530 · median $15,679 | 21 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,541 – $22,867 · median $11,976 | 21 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $12,915 – $25,826 · median $13,406 | 21 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,495 – $16,305 · median $8,806 | 21 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $25,810 – $53,605 · median $26,827 | 21 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $18,114 – $37,027 · median $18,818 | 21 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $14,525 – $29,295 · median $15,082 | 21 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $25,499 – $52,935 · median $26,504 | 21 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $13,152 – $26,337 · median $13,653 | 21 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,116 – $17,641 · median $9,452 | 21 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $21,372 – $44,045 · median $22,208 | 21 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $14,581 – $29,416 · median $15,140 | 21 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $22,375 – $46,206 · median $23,252 | 21 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $12,774 – $25,522 · median $13,259 | 21 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,048 – $19,650 · median $10,422 | 21 plans |
| 503 | FOOT PROCEDURES WITH MCC | $20,800 – $40,750 · median $21,613 | 21 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,595 – $27,290 · median $14,113 | 21 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,077 – $26,175 · median $13,575 | 21 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,071 – $19,698 · median $10,445 | 21 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $13,169 – $26,373 · median $13,670 | 21 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,190 – $22,110 · median $11,611 | 21 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $21,397 – $44,099 · median $22,235 | 21 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $15,019 – $30,359 · median $15,596 | 21 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,146 – $24,169 · median $12,605 | 21 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,596 – $22,985 · median $12,033 | 21 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,855 – $14,926 · median $8,140 | 21 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $22,525 – $46,529 · median $23,408 | 21 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $15,010 – $30,340 · median $15,587 | 21 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,341 – $22,436 · median $11,768 | 21 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $26,255 – $54,565 · median $27,291 | 21 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $14,483 – $29,203 · median $15,037 | 21 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,051 – $21,811 · median $11,466 | 21 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $20,379 – $41,905 · median $21,174 | 21 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,279 – $30,918 · median $15,866 | 21 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,551 – $22,888 · median $11,987 | 21 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,390 – $11,769 · median $6,614 | 21 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,615 – $18,717 · median $9,971 | 21 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,400 – $11,791 · median $6,625 | 21 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,394 – $13,933 · median $7,660 | 21 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,808 – $10,516 · median $6,009 | 21 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,276 – $28,758 · median $14,822 | 21 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,712 – $18,926 · median $10,072 | 21 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,263 – $11,496 · median $6,483 | 21 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $12,899 – $25,791 · median $13,389 | 21 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,894 – $15,009 · median $8,180 | 21 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,041 – $11,017 · median $6,251 | 21 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $17,746 – $36,233 · median $18,434 | 21 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,744 – $16,840 · median $9,064 | 21 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,594 – $12,209 · median $6,827 | 21 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,013 – $28,191 · median $14,549 | 21 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,108 – $17,625 · median $9,444 | 21 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,851 – $12,762 · median $7,094 | 21 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,286 – $24,471 · median $12,751 | 21 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,442 – $14,035 · median $7,709 | 21 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,712 – $18,926 · median $10,072 | 21 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,552 – $12,119 · median $6,784 | 21 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,885 – $19,298 · median $10,252 | 21 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,556 – $12,127 · median $6,787 | 21 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,004 – $21,709 · median $11,417 | 21 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,980 – $13,041 · median $7,229 | 21 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,566 – $27,228 · median $14,083 | 21 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,559 – $16,441 · median $8,872 | 21 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,375 – $11,737 · median $6,599 | 21 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,583 – $20,802 · median $10,979 | 21 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,996 – $13,074 · median $7,245 | 21 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,388 – $22,537 · median $11,817 | 21 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,530 – $14,226 · median $7,802 | 21 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,005 – $10,940 · median $6,214 | 21 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $40,864 – $175,380 · median $106,284 | 21 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,377 – $24,667 · median $12,846 | 21 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,695 – $16,736 · median $9,014 | 21 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $45,327 – $95,650 · median $47,141 | 21 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $24,453 – $50,682 · median $25,415 | 21 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,105 – $26,236 · median $13,604 | 21 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $34,143 – $71,558 · median $35,501 | 21 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $18,891 – $38,700 · median $19,626 | 21 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,814 – $23,453 · median $12,260 | 21 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $22,875 – $47,282 · median $23,772 | 21 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,638 – $25,229 · median $13,117 | 21 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,707 – $21,069 · median $11,108 | 21 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,984 – $28,128 · median $14,518 | 21 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,613 – $25,176 · median $13,092 | 21 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $15,435 – $31,254 · median $16,029 | 21 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,001 – $28,165 · median $14,536 | 21 plans |
| 592 | SKIN ULCERS WITH MCC | $14,043 – $28,255 · median $14,580 | 21 plans |
| 593 | SKIN ULCERS WITH CC | $8,967 – $17,320 · median $9,296 | 21 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,801 – $12,655 · median $7,043 | 21 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $15,299 – $30,962 · median $15,887 | 21 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,263 – $15,805 · median $8,564 | 21 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,225 – $24,340 · median $12,688 | 21 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $13,901 – $23,346 · median $14,432 | 21 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,141 – $11,233 · median $6,356 | 21 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,986 – $15,207 · median $8,276 | 21 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,027 – $8,833 · median $5,196 | 21 plans |
| 602 | CELLULITIS WITH MCC | $10,559 – $20,751 · median $10,954 | 21 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,829 – $12,715 · median $7,072 | 21 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,903 – $21,493 · median $11,312 | 21 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,135 – $13,374 · median $7,390 | 21 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,182 – $22,093 · median $11,602 | 21 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,070 – $13,233 · median $7,322 | 21 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $15,781 – $32,000 · median $16,389 | 21 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,410 – $20,430 · median $10,799 | 21 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $24,562 – $50,916 · median $25,528 | 21 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,602 – $27,306 · median $14,121 | 21 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,539 – $20,707 · median $10,933 | 21 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $20,495 – $42,156 · median $21,296 | 21 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,772 – $23,364 · median $12,217 | 21 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,149 – $22,023 · median $11,568 | 21 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,048 – $51,964 · median $26,034 | 21 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,084 – $26,191 · median $13,582 | 21 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,411 – $18,278 · median $9,759 | 21 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $21,395 – $44,093 · median $22,232 | 21 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,088 – $21,891 · median $11,505 | 21 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,929 – $19,393 · median $10,298 | 21 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $26,184 – $54,411 · median $27,217 | 21 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $15,693 – $31,810 · median $16,297 | 21 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,818 – $21,309 · median $11,223 | 21 plans |
| 637 | DIABETES WITH MCC | $10,664 – $20,976 · median $11,063 | 21 plans |
| 638 | DIABETES WITH CC | $7,000 – $13,085 · median $7,250 | 21 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,137 – $9,070 · median $5,310 | 21 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $9,978 – $19,500 · median $10,349 | 21 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,201 – $11,362 · median $6,418 | 21 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,565 – $20,763 · median $10,960 | 21 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,083 – $24,033 · median $12,540 | 21 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,873 – $14,965 · median $8,159 | 21 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,134 – $11,217 · median $6,348 | 21 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $72,199 – $128,234 · median $77,718 | 21 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $19,898 – $40,870 · median $20,674 | 21 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $15,271 – $30,902 · median $15,859 | 21 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $22,504 – $46,483 · median $23,386 | 21 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,329 – $26,718 · median $13,837 | 21 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,444 – $22,656 · median $11,875 | 21 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,147 – $37,097 · median $18,852 | 21 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,884 – $19,297 · median $10,251 | 21 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,944 – $15,117 · median $8,232 | 21 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $21,675 – $44,698 · median $22,524 | 21 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,229 – $22,195 · median $11,652 | 21 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,022 – $15,285 · median $8,313 | 21 plans |
| 665 | PROSTATECTOMY WITH MCC | $22,080 – $45,570 · median $22,945 | 21 plans |
| 666 | PROSTATECTOMY WITH CC | $12,782 – $25,540 · median $13,268 | 21 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,424 – $16,151 · median $8,731 | 21 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $20,716 – $42,632 · median $21,526 | 21 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,445 – $22,659 · median $11,876 | 21 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,550 – $14,269 · median $7,822 | 21 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,092 – $26,207 · median $13,590 | 21 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,243 – $15,761 · median $8,543 | 21 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $29,402 – $61,343 · median $30,566 | 21 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $16,776 – $34,144 · median $17,425 | 21 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,051 – $23,964 · median $12,507 | 21 plans |
| 682 | RENAL FAILURE WITH MCC | $10,964 – $21,623 · median $11,375 | 21 plans |
| 683 | RENAL FAILURE WITH CC | $6,862 – $12,787 · median $7,106 | 21 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,995 – $8,764 · median $5,163 | 21 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,151 – $26,334 · median $13,651 | 21 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,028 – $15,298 · median $8,319 | 21 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,283 – $11,538 · median $6,503 | 21 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,790 – $16,940 · median $9,113 | 21 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,413 – $11,819 · median $6,638 | 21 plans |
| 693 | URINARY STONES WITH MCC | $10,039 – $19,630 · median $10,412 | 21 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,224 – $11,413 · median $6,442 | 21 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,678 – $16,699 · median $8,997 | 21 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,596 – $10,059 · median $5,788 | 21 plans |
| 697 | URETHRAL STRICTURE | $8,231 – $15,736 · median $8,531 | 21 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,139 – $24,154 · median $12,598 | 21 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,806 – $14,819 · median $8,088 | 21 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,602 – $10,073 · median $5,795 | 21 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,483 – $29,204 · median $15,038 | 21 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,324 – $22,399 · median $11,750 | 21 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $16,698 – $33,976 · median $17,343 | 21 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,423 – $20,458 · median $10,812 | 21 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $15,049 – $30,423 · median $15,627 | 21 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,380 – $16,056 · median $8,686 | 21 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,116 – $21,950 · median $11,533 | 21 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,093 – $15,438 · median $8,387 | 21 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $16,089 – $32,665 · median $16,710 | 21 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,896 – $21,477 · median $11,305 | 21 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,739 – $27,601 · median $14,264 | 21 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,029 – $19,609 · median $10,402 | 21 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $13,191 – $26,422 · median $13,694 | 21 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,671 – $16,683 · median $8,989 | 21 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,371 – $9,573 · median $5,554 | 21 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,857 – $17,085 · median $9,183 | 21 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,820 – $10,541 · median $6,021 | 21 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,977 – $21,650 · median $11,389 | 21 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,424 – $11,844 · median $6,650 | 21 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,102 – $15,457 · median $8,396 | 21 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,481 – $9,811 · median $5,669 | 21 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $15,362 – $31,098 · median $15,953 | 21 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,045 – $19,644 · median $10,419 | 21 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $25,152 – $52,188 · median $26,142 | 21 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $14,892 – $30,085 · median $15,464 | 21 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,879 – $21,440 · median $11,287 | 21 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $25,208 – $52,309 · median $26,201 | 21 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,191 – $26,420 · median $13,693 | 21 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,592 – $20,821 · median $10,988 | 21 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,362 – $26,788 · median $13,871 | 21 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,335 – $18,114 · median $9,680 | 21 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $14,814 – $29,917 · median $15,382 | 21 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $15,804 – $47,716 · median $28,919 | 21 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,699 – $25,362 · median $13,182 | 21 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,753 – $12,552 · median $6,993 | 21 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,329 – $20,255 · median $10,714 | 21 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $18,328 – $37,487 · median $19,040 | 21 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,929 – $21,547 · median $11,338 | 21 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,408 – $26,889 · median $13,919 | 21 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,299 – $15,882 · median $8,602 | 21 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,436 – $14,023 · median $7,704 | 21 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,631 – $20,906 · median $11,029 | 21 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,562 – $14,293 · median $7,834 | 21 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,424 – $9,689 · median $5,609 | 21 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,755 – $14,710 · median $8,035 | 21 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,793 – $8,329 · median $4,953 | 21 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,379 – $24,671 · median $12,848 | 21 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,722 – $14,639 · median $8,001 | 21 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,364 – $9,559 · median $5,547 | 21 plans |
| 779 | ABORTION WITHOUT D&C | $6,628 – $12,283 · median $6,863 | 21 plans |
| 799 | SPLENECTOMY WITH MCC | $31,620 – $66,122 · median $32,875 | 21 plans |
| 800 | SPLENECTOMY WITH CC | $19,967 – $41,017 · median $20,745 | 21 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $13,864 – $27,870 · median $14,393 | 21 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $28,017 – $58,168 · median $29,125 | 21 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,525 – $27,140 · median $14,041 | 21 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,117 – $19,798 · median $10,493 | 21 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $15,890 – $32,235 · median $16,503 | 21 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,506 – $18,482 · median $9,858 | 21 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,020 – $15,280 · median $8,311 | 21 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,444 – $20,503 · median $10,834 | 21 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,150 – $13,406 · median $7,405 | 21 plans |
| 813 | COAGULATION DISORDERS | $11,264 – $22,269 · median $11,688 | 21 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,340 – $31,050 · median $15,930 | 21 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,799 – $14,804 · median $8,081 | 21 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,210 – $9,227 · median $5,386 | 21 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $16,390 – $33,311 · median $17,022 | 21 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,783 – $16,924 · median $9,105 | 21 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,754 – $12,555 · median $6,994 | 21 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $40,674 – $85,626 · median $42,298 | 21 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $16,098 – $32,684 · median $16,719 | 21 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,086 – $17,578 · median $9,421 | 21 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $31,999 – $66,938 · median $33,269 | 21 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $16,281 – $33,078 · median $16,910 | 21 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,072 – $19,701 · median $10,447 | 21 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $32,629 – $68,296 · median $33,925 | 21 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $16,590 – $33,744 · median $17,231 | 21 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,474 – $24,875 · median $12,947 | 21 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $22,343 – $46,136 · median $23,219 | 21 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,126 – $21,973 · median $11,544 | 21 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,076 – $17,557 · median $9,411 | 21 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,817 – $10,535 · median $6,018 | 21 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,470 – $7,634 · median $4,617 | 21 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $38,133 – $80,153 · median $39,653 | 21 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $15,063 – $30,453 · median $15,641 | 21 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,192 – $17,805 · median $9,531 | 21 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $66,751 – $141,618 · median $85,829 | 21 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $15,073 – $30,476 · median $15,653 | 21 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,712 – $21,081 · median $11,113 | 21 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $22,850 – $47,230 · median $23,747 | 21 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $18,415 – $30,946 · median $19,130 | 21 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,774 – $14,752 · median $8,056 | 21 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $14,446 – $29,124 · median $14,999 | 21 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,177 – $17,774 · median $9,516 | 21 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,698 – $12,433 · median $6,935 | 21 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $18,497 – $37,851 · median $19,215 | 21 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,793 – $19,100 · median $10,156 | 21 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,683 – $12,401 · median $6,920 | 21 plans |
| 849 | RADIOTHERAPY | $35,143 – $59,111 · median $36,492 | 21 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $34,397 – $72,104 · median $35,765 | 21 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $14,468 – $29,172 · median $15,023 | 21 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,074 – $21,859 · median $11,489 | 21 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $31,754 – $66,411 · median $33,014 | 21 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,440 – $31,266 · median $16,034 | 21 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,367 – $20,336 · median $10,754 | 21 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,286 – $26,626 · median $13,792 | 21 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,690 – $14,569 · median $7,967 | 21 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,943 – $12,960 · median $7,190 | 21 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,081 – $21,875 · median $11,497 | 21 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,820 – $12,696 · median $7,062 | 21 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,113 – $30,561 · median $15,694 | 21 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,915 – $15,054 · median $8,202 | 21 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,872 – $10,654 · median $6,076 | 21 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $47,770 – $100,912 · median $49,683 | 21 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,091 – $28,361 · median $14,630 | 21 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,862 – $14,940 · median $8,147 | 21 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $27,120 – $56,428 · median $28,191 | 21 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,434 – $14,019 · median $7,701 | 21 plans |
| 881 | DEPRESSIVE NEUROSES | $7,303 – $13,737 · median $7,565 | 21 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,204 – $15,677 · median $8,503 | 21 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $14,253 – $28,708 · median $14,798 | 21 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $11,831 – $23,490 · median $12,277 | 21 plans |
| 885 | PSYCHOSES | $10,393 – $20,393 · median $10,781 | 21 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $14,991 – $30,299 · median $15,567 | 21 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,184 – $15,635 · median $8,482 | 21 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,108 – $9,007 · median $5,280 | 21 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $19,668 – $49,162 · median $29,795 | 21 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $13,242 – $25,478 · median $13,746 | 21 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,910 – $12,889 · median $7,156 | 21 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $29,368 – $61,270 · median $30,531 | 21 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $13,902 – $27,952 · median $14,433 | 21 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,853 – $17,076 · median $9,179 | 21 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $25,820 – $53,627 · median $26,838 | 21 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,980 – $21,658 · median $11,392 | 21 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $14,239 – $28,679 · median $14,784 | 21 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $26,947 – $56,054 · median $28,010 | 21 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $18,867 – $31,707 · median $19,601 | 21 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,823 – $19,165 · median $10,188 | 21 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,005 – $23,865 · median $12,459 | 21 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,928 – $12,928 · median $7,175 | 21 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,323 – $24,551 · median $12,790 | 21 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,442 – $9,728 · median $5,628 | 21 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $11,556 – $22,899 · median $11,992 | 21 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,735 – $12,514 · median $6,974 | 21 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,334 – $26,730 · median $13,843 | 21 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,719 – $14,634 · median $7,998 | 21 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,592 – $10,051 · median $5,784 | 21 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,783 – $25,541 · median $13,268 | 21 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,824 – $14,858 · median $8,107 | 21 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $145,624 – $311,717 · median $151,532 | 21 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $49,538 – $104,721 · median $51,524 | 21 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $22,755 – $47,024 · median $23,647 | 21 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $27,319 – $56,855 · median $28,398 | 21 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $15,908 – $32,275 · median $16,522 | 21 plans |
| 935 | NON-EXTENSIVE BURNS | $14,888 – $30,076 · median $15,459 | 21 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $25,518 – $52,976 · median $26,523 | 21 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,764 – $34,119 · median $17,413 | 21 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $14,669 – $29,604 · median $15,231 | 21 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,530 – $18,533 · median $9,883 | 21 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,352 – $11,687 · median $6,575 | 21 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,990 – $17,370 · median $9,320 | 21 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,181 – $9,164 · median $5,356 | 21 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,695 – $8,118 · median $4,850 | 21 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $46,545 – $98,274 · median $48,409 | 21 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $26,429 – $54,940 · median $27,472 | 21 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $52,569 – $111,251 · median $54,678 | 21 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $29,485 – $61,523 · median $30,653 | 21 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $20,880 – $42,984 · median $21,696 | 21 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $19,454 – $39,913 · median $20,212 | 21 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,313 – $22,376 · median $11,739 | 21 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,301 – $13,731 · median $7,563 | 21 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $85,049 – $250,512 · median $151,825 | 21 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $36,644 – $68,492 · median $41,510 | 21 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $20,486 – $42,136 · median $21,286 | 21 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,703 – $18,907 · median $10,063 | 21 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,044 – $13,179 · median $7,296 | 21 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,722 – $18,946 · median $10,082 | 21 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $32,724 – $68,500 · median $34,024 | 21 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,589 – $35,894 · median $18,270 | 21 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,543 – $25,024 · median $13,019 | 21 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $24,162 – $50,055 · median $25,112 | 21 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,066 – $23,997 · median $12,522 | 21 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,054 – $17,508 · median $9,387 | 21 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $2,850 – $14,889 · median $8,337 | 20 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $3,250 – $34,111 · median $17,903 | 20 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $3,250 – $14,729 · median $8,257 | 20 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,250 – $13,308 · median $7,550 | 20 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $3,250 – $22,918 · median $12,333 | 20 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $3,250 – $15,517 · median $8,649 | 20 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $3,250 – $13,322 · median $7,557 | 20 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $2,850 – $16,214 · median $8,997 | 20 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $2,850 – $13,900 · median $7,845 | 20 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $2,850 – $13,298 · median $7,545 | 20 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $2,850 – $14,994 · median $8,389 | 20 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $2,850 – $10,476 · median $6,141 | 20 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,850 – $9,367 · median $5,589 | 20 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,422 – $22,610 · median $11,751 | 20 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,699 – $16,743 · median $8,945 | 20 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $13,141 – $25,040 · median $13,403 | 19 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $41,207 – $82,579 · median $42,031 | 19 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $28,435 – $56,396 · median $29,004 | 19 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $17,525 – $34,029 · median $17,876 | 19 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $29,185 – $57,932 · median $29,769 | 19 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $10,929 – $20,506 · median $11,148 | 19 plans |
| 795 | NORMAL NEWBORN | $2,281 – $3,782 · median $2,326 | 19 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $11,406 – $19,146 · median $11,634 | 18 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,690 – $12,888 · median $7,843 | 18 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,445 – $9,109 · median $5,554 | 18 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $9,249 – $15,514 · median $9,434 | 18 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $6,279 – $10,514 · median $6,405 | 18 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $60,983 – $102,616 · median $62,202 | 18 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $42,378 – $71,293 · median $43,226 | 18 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $32,140 – $54,055 · median $32,783 | 18 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $45,875 – $77,181 · median $46,793 | 18 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $25,717 – $43,241 · median $26,231 | 18 plans |
| 509 | ARTHROSCOPY | $12,832 – $21,547 · median $13,089 | 18 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $5,689 – $5,689 · median $5,689 | 1 plans |
| 999 | UNGROUPABLE | $10,883 – $10,883 · median $10,883 | 1 plans |
No procedures match that keyword.