Glenbeigh Health Sources — Pricing
764 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 764 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 764 procedures
Procedures with negotiated rates only
These 764 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 |
|---|---|---|---|
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $14,678 – $18,641 · median $15,118 | 6 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $11,656 – $14,803 · median $11,891 | 6 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,326 – $7,634 · median $6,041 | 6 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $14,107 – $17,916 · median $14,531 | 6 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $15,433 – $19,599 · median $15,896 | 6 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $7,931 – $10,429 · median $8,253 | 6 plans |
| 945 | REHABILITATION WITH CC/MCC | $13,330 – $16,929 · median $13,728 | 6 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $9,388 – $11,991 · median $9,489 | 6 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $30,723 – $39,018 · median $31,030 | 5 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $8,987 – $11,413 · median $9,076 | 5 plans |
| 881 | DEPRESSIVE NEUROSES | $8,610 – $10,935 · median $8,696 | 5 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,867 – $11,261 · median $8,956 | 5 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $16,194 – $20,567 · median $16,356 | 5 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $15,267 – $19,389 · median $15,419 | 5 plans |
| 885 | PSYCHOSES | $12,210 – $15,507 · median $12,332 | 5 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $213,631 – $224,312 · median $213,631 | 3 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $97,356 – $102,224 · median $97,356 | 3 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $168,401 – $176,821 · median $168,401 | 3 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $116,580 – $122,409 · median $116,580 | 3 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $82,530 – $86,656 · median $82,530 | 3 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $39,376 – $41,344 · median $39,376 | 3 plans |
| 007 | LUNG TRANSPLANT | $97,530 – $102,407 · median $97,530 | 3 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $42,701 – $44,836 · median $42,701 | 3 plans |
| 010 | PANCREAS TRANSPLANT | $39,193 – $41,153 · median $39,193 | 3 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $41,876 – $43,969 · median $41,876 | 3 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $32,863 – $34,506 · median $32,863 | 3 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $22,537 – $23,664 · median $22,537 | 3 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $91,225 – $95,787 · median $91,225 | 3 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $49,865 – $52,359 · median $49,865 | 3 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $49,865 – $52,359 · median $49,865 | 3 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $289,903 – $304,398 · median $289,903 | 3 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $64,084 – $67,288 · median $64,084 | 3 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $67,676 – $71,060 · median $67,676 | 3 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $49,587 – $52,066 · median $49,587 | 3 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $32,220 – $33,831 · median $32,220 | 3 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $45,887 – $48,182 · median $45,887 | 3 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $31,171 – $32,730 · median $31,171 | 3 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $36,081 – $37,885 · median $36,081 | 3 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $24,630 – $25,861 · median $24,630 | 3 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $20,558 – $21,586 · median $20,558 | 3 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $48,684 – $51,118 · median $48,684 | 3 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $28,349 – $29,766 · median $28,349 | 3 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $19,667 – $20,650 · median $19,667 | 3 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $33,737 – $35,424 · median $33,737 | 3 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $18,373 – $19,292 · median $18,373 | 3 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $14,218 – $14,929 · median $14,218 | 3 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $32,053 – $33,656 · median $32,053 | 3 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $19,514 – $20,490 · median $19,514 | 3 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $15,668 – $16,452 · median $15,668 | 3 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $27,937 – $29,334 · median $27,937 | 3 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $14,038 – $14,740 · median $14,038 | 3 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $10,446 – $10,968 · median $10,446 | 3 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $31,654 – $33,237 · median $31,654 | 3 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $18,975 – $19,924 · median $18,975 | 3 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $15,133 – $15,889 · median $15,133 | 3 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $16,735 – $17,572 · median $16,735 | 3 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $9,215 – $9,676 · median $9,215 | 3 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $13,048 – $13,701 · median $13,048 | 3 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $9,915 – $10,411 · median $9,915 | 3 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $20,254 – $21,266 · median $20,254 | 3 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $12,185 – $12,794 · median $12,185 | 3 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $15,040 – $15,792 · median $15,040 | 3 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $10,807 – $11,348 · median $10,807 | 3 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $8,539 – $8,966 · median $8,539 | 3 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $23,454 – $24,626 · median $23,454 | 3 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $16,165 – $16,974 · median $16,165 | 3 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $13,152 – $13,810 · median $13,152 | 3 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $17,193 – $18,053 · median $17,193 | 3 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $9,470 – $9,944 · median $9,470 | 3 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,896 – $7,241 · median $6,896 | 3 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $12,605 – $13,236 · median $12,605 | 3 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $8,332 – $8,749 · median $8,332 | 3 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $7,766 – $8,155 · median $7,766 | 3 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $15,522 – $16,298 · median $15,522 | 3 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $9,826 – $10,317 · median $9,826 | 3 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $7,643 – $8,026 · median $7,643 | 3 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $13,358 – $14,025 · median $13,358 | 3 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $9,547 – $10,024 · median $9,547 | 3 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $16,495 – $17,320 · median $16,495 | 3 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $8,735 – $9,172 · median $8,735 | 3 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $13,341 – $14,008 · median $13,341 | 3 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $9,474 – $9,948 · median $9,474 | 3 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $7,313 – $7,679 · median $7,313 | 3 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $18,803 – $19,743 · median $18,803 | 3 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $8,634 – $9,065 · median $8,634 | 3 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $19,348 – $20,315 · median $19,348 | 3 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $12,132 – $12,738 · median $12,132 | 3 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,713 – $9,149 · median $8,713 | 3 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $19,305 – $20,270 · median $19,305 | 3 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $11,824 – $12,415 · median $11,824 | 3 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $8,451 – $8,874 · median $8,451 | 3 plans |
| 088 | CONCUSSION WITH MCC | $13,520 – $14,196 · median $13,520 | 3 plans |
| 089 | CONCUSSION WITH CC | $10,515 – $11,041 · median $10,515 | 3 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $8,832 – $9,273 · median $8,832 | 3 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $15,519 – $16,295 · median $15,519 | 3 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $9,546 – $10,024 · median $9,546 | 3 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,576 – $7,955 · median $7,576 | 3 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $29,871 – $31,365 · median $29,871 | 3 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $20,177 – $21,186 · median $20,177 | 3 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $18,576 – $19,505 · median $18,576 | 3 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $29,982 – $31,482 · median $29,982 | 3 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $18,379 – $19,298 · median $18,379 | 3 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $11,848 – $12,441 · median $11,848 | 3 plans |
| 100 | SEIZURES WITH MCC | $17,033 – $17,884 · median $17,033 | 3 plans |
| 101 | SEIZURES WITHOUT MCC | $8,634 – $9,066 · median $8,634 | 3 plans |
| 102 | HEADACHES WITH MCC | $10,959 – $11,507 · median $10,959 | 3 plans |
| 103 | HEADACHES WITHOUT MCC | $8,108 – $8,514 · median $8,108 | 3 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $21,140 – $22,197 · median $21,140 | 3 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $11,156 – $11,714 · median $11,156 | 3 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $13,760 – $14,448 · median $13,760 | 3 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $15,845 – $16,637 · median $15,845 | 3 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $10,895 – $11,440 · median $10,895 | 3 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $11,543 – $12,120 · median $11,543 | 3 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,342 – $7,709 · median $7,342 | 3 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $7,808 – $8,198 · median $7,808 | 3 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $11,862 – $12,455 · median $11,862 | 3 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $7,757 – $8,145 · median $7,757 | 3 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $22,274 – $23,388 · median $22,274 | 3 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $9,689 – $10,173 · median $9,689 | 3 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $13,293 – $13,957 · median $13,293 | 3 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $8,291 – $8,705 · median $8,291 | 3 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,811 – $11,352 · median $10,811 | 3 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $31,088 – $32,642 · median $31,088 | 3 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $17,731 – $18,617 · median $17,731 | 3 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $13,608 – $14,288 · median $13,608 | 3 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $27,546 – $28,923 · median $27,546 | 3 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $15,060 – $15,813 · median $15,060 | 3 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $11,073 – $11,626 · median $11,073 | 3 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $18,038 – $18,940 · median $18,038 | 3 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $11,188 – $11,747 · median $11,188 | 3 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $8,479 – $8,903 · median $8,479 | 3 plans |
| 149 | DYSEQUILIBRIUM | $7,344 – $7,711 · median $7,344 | 3 plans |
| 150 | EPISTAXIS WITH MCC | $11,804 – $12,394 · median $11,804 | 3 plans |
| 151 | EPISTAXIS WITHOUT MCC | $7,547 – $7,924 · median $7,547 | 3 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $10,815 – $11,356 · median $10,815 | 3 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $7,266 – $7,629 · median $7,266 | 3 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $13,555 – $14,233 · median $13,555 | 3 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $8,924 – $9,370 · median $8,924 | 3 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,645 – $6,978 · median $6,645 | 3 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $14,876 – $15,620 · median $14,876 | 3 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $8,861 – $9,304 · median $8,861 | 3 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,800 – $7,140 · median $6,800 | 3 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $38,410 – $40,331 · median $38,410 | 3 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $21,478 – $22,552 · median $21,478 | 3 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $16,202 – $17,012 · median $16,202 | 3 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $33,277 – $34,941 · median $33,277 | 3 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $15,759 – $16,547 · median $15,759 | 3 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,126 – $12,733 · median $12,126 | 3 plans |
| 173 | Inpatient MS-DRG | $25,584 – $26,863 · median $25,584 | 3 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $12,496 – $13,121 · median $12,496 | 3 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $7,899 – $8,294 · median $7,899 | 3 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $14,793 – $15,533 · median $14,793 | 3 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $9,238 – $9,700 · median $9,238 | 3 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $7,489 – $7,864 · median $7,489 | 3 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $15,120 – $15,876 · median $15,120 | 3 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $10,133 – $10,640 · median $10,133 | 3 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $7,767 – $8,155 · median $7,767 | 3 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $13,839 – $14,531 · median $13,839 | 3 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $9,748 – $10,236 · median $9,748 | 3 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $7,430 – $7,801 · median $7,430 | 3 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $13,664 – $14,347 · median $13,664 | 3 plans |
| 187 | PLEURAL EFFUSION WITH CC | $9,313 – $9,779 · median $9,313 | 3 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $7,358 – $7,726 · median $7,358 | 3 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $11,158 – $11,716 · median $11,158 | 3 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $10,140 – $10,647 · median $10,140 | 3 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $8,160 – $8,568 · median $8,160 | 3 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $6,538 – $6,865 · median $6,538 | 3 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $11,898 – $12,493 · median $11,898 | 3 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $7,950 – $8,348 · median $7,950 | 3 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $6,411 – $6,732 · median $6,411 | 3 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $16,351 – $17,168 · median $16,351 | 3 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $9,322 – $9,789 · median $9,322 | 3 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $7,606 – $7,986 · median $7,606 | 3 plans |
| 199 | PNEUMOTHORAX WITH MCC | $15,401 – $16,171 · median $15,401 | 3 plans |
| 200 | PNEUMOTHORAX WITH CC | $9,945 – $10,442 · median $9,945 | 3 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $7,041 – $7,394 · median $7,041 | 3 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $9,009 – $9,460 · median $9,009 | 3 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $6,954 – $7,301 · median $6,954 | 3 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $7,956 – $8,354 · median $7,956 | 3 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $15,685 – $16,469 · median $15,685 | 3 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $8,665 – $9,098 · median $8,665 | 3 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $55,587 – $58,367 · median $55,587 | 3 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $22,679 – $23,813 · median $22,679 | 3 plans |
| 212 | Inpatient MS-DRG | $85,823 – $90,114 · median $85,823 | 3 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $81,471 – $85,545 · median $81,471 | 3 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $77,483 – $81,357 · median $77,483 | 3 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $51,339 – $53,906 · median $51,339 | 3 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $46,106 – $48,411 · median $46,106 | 3 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $61,874 – $64,968 · median $61,874 | 3 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $42,567 – $44,695 · median $42,567 | 3 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $37,902 – $39,797 · median $37,902 | 3 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $40,955 – $43,003 · median $40,955 | 3 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $26,403 – $27,723 · median $26,403 | 3 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $65,037 – $68,289 · median $65,037 | 3 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $48,077 – $50,481 · median $48,077 | 3 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $62,566 – $65,695 · median $62,566 | 3 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $42,201 – $44,311 · median $42,201 | 3 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $47,545 – $49,922 · median $47,545 | 3 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $33,147 – $34,805 · median $33,147 | 3 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $39,140 – $41,097 · median $39,140 | 3 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $23,504 – $24,679 · median $23,504 | 3 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $12,426 – $13,047 · median $12,426 | 3 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $28,559 – $29,987 · median $28,559 | 3 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $19,342 – $20,310 · median $19,342 | 3 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $15,835 – $16,627 · median $15,835 | 3 plans |
| 245 | AICD GENERATOR PROCEDURES | $36,984 – $38,833 · median $36,984 | 3 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $19,915 – $20,911 · median $19,915 | 3 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $13,936 – $14,633 · median $13,936 | 3 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $27,767 – $29,155 · median $27,767 | 3 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $21,483 – $22,557 · median $21,483 | 3 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $15,096 – $15,851 · median $15,096 | 3 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $23,020 – $24,171 · median $23,020 | 3 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $14,349 – $15,067 · median $14,349 | 3 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $9,272 – $9,735 · median $9,272 | 3 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $22,716 – $23,852 · median $22,716 | 3 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $16,125 – $16,932 · median $16,125 | 3 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $27,464 – $28,838 · median $27,464 | 3 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $16,244 – $17,057 · median $16,244 | 3 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $14,393 – $15,113 · median $14,393 | 3 plans |
| 263 | VEIN LIGATION AND STRIPPING | $23,629 – $24,810 · median $23,629 | 3 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $27,079 – $28,433 · median $27,079 | 3 plans |
| 265 | AICD LEAD PROCEDURES | $29,178 – $30,637 · median $29,178 | 3 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $50,406 – $52,926 · median $50,406 | 3 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $39,715 – $41,700 · median $39,715 | 3 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $55,170 – $57,929 · median $55,170 | 3 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $34,066 – $35,769 · median $34,066 | 3 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $41,098 – $43,153 · median $41,098 | 3 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $28,568 – $29,996 · median $28,568 | 3 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $20,610 – $21,640 · median $20,610 | 3 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $32,018 – $33,619 · median $32,018 | 3 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $26,882 – $28,226 · median $26,882 | 3 plans |
| 275 | Inpatient MS-DRG | $56,588 – $59,417 · median $56,588 | 3 plans |
| 276 | Inpatient MS-DRG | $50,125 – $52,631 · median $50,125 | 3 plans |
| 277 | Inpatient MS-DRG | $38,949 – $40,896 · median $38,949 | 3 plans |
| 278 | Inpatient MS-DRG | $36,428 – $38,250 · median $36,428 | 3 plans |
| 279 | Inpatient MS-DRG | $26,567 – $27,896 · median $26,567 | 3 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $13,933 – $14,629 · median $13,933 | 3 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $8,661 – $9,094 · median $8,661 | 3 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $7,135 – $7,492 · median $7,135 | 3 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $16,946 – $17,793 · median $16,946 | 3 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $7,304 – $7,670 · median $7,304 | 3 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,340 – $5,607 · median $5,340 | 3 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $18,388 – $19,307 · median $18,388 | 3 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $9,981 – $10,480 · median $9,981 | 3 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $21,811 – $22,902 · median $21,811 | 3 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $13,081 – $13,735 · median $13,081 | 3 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $10,008 – $10,509 · median $10,008 | 3 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $11,564 – $12,142 · median $11,564 | 3 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $8,219 – $8,630 · median $8,219 | 3 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,910 – $6,205 · median $5,910 | 3 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $10,075 – $10,579 · median $10,075 | 3 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $7,754 – $8,141 · median $7,754 | 3 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $14,064 – $14,767 · median $14,064 | 3 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $7,218 – $7,578 · median $7,218 | 3 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,956 – $5,204 · median $4,956 | 3 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $13,852 – $14,545 · median $13,852 | 3 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $9,866 – $10,360 · median $9,866 | 3 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $7,070 – $7,424 · median $7,070 | 3 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $10,290 – $10,804 · median $10,290 | 3 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $6,666 – $6,999 · median $6,666 | 3 plans |
| 304 | HYPERTENSION WITH MCC | $10,508 – $11,034 · median $10,508 | 3 plans |
| 305 | HYPERTENSION WITHOUT MCC | $7,412 – $7,783 · median $7,412 | 3 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $13,544 – $14,221 · median $13,544 | 3 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $8,893 – $9,337 · median $8,893 | 3 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $10,925 – $11,471 · median $10,925 | 3 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $7,344 – $7,711 · median $7,344 | 3 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,843 – $6,135 · median $5,843 | 3 plans |
| 311 | ANGINA PECTORIS | $6,979 – $7,328 · median $6,979 | 3 plans |
| 312 | SYNCOPE AND COLLAPSE | $8,274 – $8,687 · median $8,274 | 3 plans |
| 313 | CHEST PAIN | $7,178 – $7,537 · median $7,178 | 3 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $17,901 – $18,796 · median $17,901 | 3 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $9,086 – $9,540 · median $9,086 | 3 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,937 – $7,283 · median $6,937 | 3 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $35,657 – $37,440 · median $35,657 | 3 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $18,939 – $19,886 · median $18,939 | 3 plans |
| 321 | Inpatient MS-DRG | $24,016 – $25,217 · median $24,016 | 3 plans |
| 322 | Inpatient MS-DRG | $15,787 – $16,577 · median $15,787 | 3 plans |
| 323 | Inpatient MS-DRG | $33,921 – $35,617 · median $33,921 | 3 plans |
| 324 | Inpatient MS-DRG | $24,751 – $25,989 · median $24,751 | 3 plans |
| 325 | Inpatient MS-DRG | $22,213 – $23,323 · median $22,213 | 3 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $41,271 – $43,334 · median $41,271 | 3 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $21,063 – $22,116 · median $21,063 | 3 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $14,017 – $14,718 · median $14,017 | 3 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $36,870 – $38,713 · median $36,870 | 3 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $20,082 – $21,086 · median $20,082 | 3 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $14,602 – $15,332 · median $14,602 | 3 plans |
| 332 | RECTAL RESECTION WITH MCC | $30,119 – $31,625 · median $30,119 | 3 plans |
| 333 | RECTAL RESECTION WITH CC | $17,792 – $18,681 · median $17,792 | 3 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $14,078 – $14,782 · median $14,078 | 3 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $29,498 – $30,973 · median $29,498 | 3 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $17,994 – $18,893 · median $17,994 | 3 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $13,228 – $13,889 · median $13,228 | 3 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $22,965 – $24,113 · median $22,965 | 3 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,574 – $14,252 · median $13,574 | 3 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,595 – $12,174 · median $11,595 | 3 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $21,468 – $22,541 · median $21,468 | 3 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $11,701 – $12,286 · median $11,701 | 3 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $9,153 – $9,610 · median $9,153 | 3 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $20,301 – $21,316 · median $20,301 | 3 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $12,908 – $13,554 · median $12,908 | 3 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $10,195 – $10,705 · median $10,195 | 3 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $24,405 – $25,625 · median $24,405 | 3 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $14,961 – $15,709 · median $14,961 | 3 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $12,180 – $12,789 · median $12,180 | 3 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $35,006 – $36,757 · median $35,006 | 3 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $18,710 – $19,646 · median $18,710 | 3 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,542 – $12,119 · median $11,542 | 3 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $14,446 – $15,168 · median $14,446 | 3 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $9,250 – $9,713 · median $9,250 | 3 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $7,336 – $7,703 · median $7,336 | 3 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $15,195 – $15,954 · median $15,195 | 3 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $9,673 – $10,157 · median $9,673 | 3 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $7,123 – $7,479 · median $7,123 | 3 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $17,944 – $18,842 · median $17,944 | 3 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $10,894 – $11,439 · median $10,894 | 3 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $8,492 – $8,917 · median $8,492 | 3 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $15,528 – $16,305 · median $15,528 | 3 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $9,215 – $9,676 · median $9,215 | 3 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $6,471 – $6,794 · median $6,471 | 3 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $16,766 – $17,605 · median $16,766 | 3 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $9,913 – $10,409 · median $9,913 | 3 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $7,441 – $7,813 · median $7,441 | 3 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $12,459 – $13,082 · median $12,459 | 3 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $8,369 – $8,787 · median $8,369 | 3 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $13,779 – $14,468 · median $13,779 | 3 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $9,120 – $9,576 · median $9,120 | 3 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,869 – $7,213 · median $6,869 | 3 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $12,892 – $13,536 · median $12,892 | 3 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $7,748 – $8,136 · median $7,748 | 3 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,890 – $6,185 · median $5,890 | 3 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $11,500 – $12,075 · median $11,500 | 3 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $7,664 – $8,047 · median $7,664 | 3 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $14,192 – $14,902 · median $14,192 | 3 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $8,848 – $9,290 · median $8,848 | 3 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,583 – $6,912 · median $6,583 | 3 plans |
| 397 | Inpatient MS-DRG | $19,100 – $20,055 · median $19,100 | 3 plans |
| 398 | Inpatient MS-DRG | $13,360 – $14,028 · median $13,360 | 3 plans |
| 399 | Inpatient MS-DRG | $10,227 – $10,739 · median $10,227 | 3 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $44,607 – $46,837 · median $44,607 | 3 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $24,116 – $25,322 · median $24,116 | 3 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $18,352 – $19,269 · median $18,352 | 3 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $30,650 – $32,183 · median $30,650 | 3 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $16,835 – $17,677 · median $16,835 | 3 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $13,766 – $14,454 · median $13,766 | 3 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $25,313 – $26,579 · median $25,313 | 3 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $17,687 – $18,571 · median $17,687 | 3 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $13,331 – $13,997 · median $13,331 | 3 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $29,108 – $30,564 · median $29,108 | 3 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $16,980 – $17,829 · median $16,980 | 3 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $11,997 – $12,597 · median $11,997 | 3 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $19,657 – $20,640 · median $19,657 | 3 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $14,310 – $15,026 · median $14,310 | 3 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $11,794 – $12,383 · median $11,794 | 3 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $26,569 – $27,897 · median $26,569 | 3 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $14,896 – $15,641 · median $14,896 | 3 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $12,559 – $13,187 · median $12,559 | 3 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $32,127 – $33,734 · median $32,127 | 3 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $18,200 – $19,110 · median $18,200 | 3 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $14,053 – $14,756 · median $14,053 | 3 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $16,512 – $17,338 · median $16,512 | 3 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,585 – $10,064 · median $9,585 | 3 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,755 – $7,093 · median $6,755 | 3 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $15,290 – $16,055 · median $15,290 | 3 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $10,130 – $10,637 · median $10,130 | 3 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $8,020 – $8,421 · median $8,020 | 3 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $14,577 – $15,306 · median $14,577 | 3 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $8,209 – $8,619 · median $8,209 | 3 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,333 – $6,650 · median $6,333 | 3 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $15,825 – $16,616 · median $15,825 | 3 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $8,962 – $9,410 · median $8,962 | 3 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,109 – $7,464 · median $7,109 | 3 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $14,298 – $15,013 · median $14,298 | 3 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $10,021 – $10,522 · median $10,021 | 3 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $7,788 – $8,178 · median $7,788 | 3 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $70,878 – $74,422 · median $70,878 | 3 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $49,390 – $51,860 · median $49,390 | 3 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $37,565 – $39,443 · median $37,565 | 3 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $67,496 – $70,871 · median $67,496 | 3 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $49,069 – $51,523 · median $49,069 | 3 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $36,981 – $38,830 · median $36,981 | 3 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $53,429 – $56,101 · median $53,429 | 3 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $30,147 – $31,654 · median $30,147 | 3 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $54,887 – $57,631 · median $54,887 | 3 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $23,794 – $24,984 · median $23,794 | 3 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $45,847 – $48,140 · median $45,847 | 3 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $25,008 – $26,258 · median $25,008 | 3 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $16,158 – $16,966 · median $16,158 | 3 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $42,113 – $44,219 · median $42,113 | 3 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $28,804 – $30,244 · median $28,804 | 3 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $22,411 – $23,531 · median $22,411 | 3 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $27,579 – $28,958 · median $27,579 | 3 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $16,244 – $17,056 · median $16,244 | 3 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $40,018 – $42,019 · median $40,018 | 3 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $24,648 – $25,880 · median $24,648 | 3 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $20,775 – $21,814 · median $20,775 | 3 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $35,195 – $36,955 · median $35,195 | 3 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,302 – $19,217 · median $18,302 | 3 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,727 – $11,263 · median $10,727 | 3 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $27,885 – $29,280 · median $27,885 | 3 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $20,173 – $21,182 · median $20,173 | 3 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $16,105 – $16,910 · median $16,105 | 3 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $24,597 – $25,827 · median $24,597 | 3 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $17,756 – $18,644 · median $17,756 | 3 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $13,948 – $14,645 · median $13,948 | 3 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $20,960 – $22,008 · median $20,960 | 3 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $27,298 – $28,663 · median $27,298 | 3 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $17,235 – $18,096 · median $17,235 | 3 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,607 – $14,288 · median $13,607 | 3 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $18,004 – $18,904 · median $18,004 | 3 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,203 – $11,763 · median $11,203 | 3 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $28,614 – $30,045 · median $28,614 | 3 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $20,314 – $21,330 · median $20,314 | 3 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $16,146 – $16,953 · median $16,146 | 3 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $29,546 – $31,024 · median $29,546 | 3 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $17,072 – $17,925 · median $17,072 | 3 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $12,687 – $13,322 · median $12,687 | 3 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $21,952 – $23,050 · median $21,952 | 3 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $11,610 – $12,191 · median $11,610 | 3 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $26,898 – $28,243 · median $26,898 | 3 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $15,101 – $15,856 · median $15,101 | 3 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $12,338 – $12,954 · median $12,338 | 3 plans |
| 503 | FOOT PROCEDURES WITH MCC | $22,507 – $23,633 · median $22,507 | 3 plans |
| 504 | FOOT PROCEDURES WITH CC | $15,033 – $15,785 · median $15,033 | 3 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,866 – $15,609 · median $14,866 | 3 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $12,963 – $13,611 · median $12,963 | 3 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $18,200 – $19,110 · median $18,200 | 3 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $12,739 – $13,376 · median $12,739 | 3 plans |
| 509 | ARTHROSCOPY | $12,208 – $12,818 · median $12,208 | 3 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $22,810 – $23,951 · median $22,810 | 3 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $17,121 – $17,977 · median $17,121 | 3 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $14,147 – $14,854 · median $14,147 | 3 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $14,203 – $14,913 · median $14,203 | 3 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $9,667 – $10,150 · median $9,667 | 3 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $26,261 – $27,574 · median $26,261 | 3 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $17,489 – $18,363 · median $17,489 | 3 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $13,212 – $13,873 · median $13,212 | 3 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $30,099 – $31,604 · median $30,099 | 3 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $16,924 – $17,770 · median $16,924 | 3 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $12,720 – $13,356 · median $12,720 | 3 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $24,952 – $26,199 · median $24,952 | 3 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $18,048 – $18,950 · median $18,048 | 3 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $14,284 – $14,999 · median $14,284 | 3 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $7,855 – $8,247 · median $7,855 | 3 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $11,664 – $12,248 · median $11,664 | 3 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $7,675 – $8,059 · median $7,675 | 3 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $9,084 – $9,538 · median $9,084 | 3 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $7,065 – $7,418 · median $7,065 | 3 plans |
| 539 | OSTEOMYELITIS WITH MCC | $17,047 – $17,900 · median $17,047 | 3 plans |
| 540 | OSTEOMYELITIS WITH CC | $11,676 – $12,260 · median $11,676 | 3 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $8,230 – $8,641 · median $8,230 | 3 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $15,790 – $16,579 · median $15,790 | 3 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $10,052 – $10,555 · median $10,052 | 3 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $7,522 – $7,898 · median $7,522 | 3 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $21,030 – $22,082 · median $21,030 | 3 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $10,902 – $11,447 · median $10,902 | 3 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,959 – $8,357 · median $7,959 | 3 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $16,777 – $17,615 · median $16,777 | 3 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $10,956 – $11,504 · median $10,956 | 3 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $8,900 – $9,345 · median $8,900 | 3 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $14,836 – $15,578 · median $14,836 | 3 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $9,078 – $9,532 · median $9,078 | 3 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $12,093 – $12,698 · median $12,093 | 3 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,947 – $8,344 · median $7,947 | 3 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,465 – $13,088 · median $12,465 | 3 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,967 – $8,366 · median $7,967 | 3 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $13,700 – $14,385 · median $13,700 | 3 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $8,390 – $8,810 · median $8,390 | 3 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $15,999 – $16,799 · median $15,999 | 3 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $10,376 – $10,895 · median $10,376 | 3 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,621 – $8,003 · median $7,621 | 3 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $13,418 – $14,089 · median $13,418 | 3 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $8,525 – $8,951 · median $8,525 | 3 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $13,740 – $14,427 · median $13,740 | 3 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $9,337 – $9,804 · median $9,337 | 3 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $7,389 – $7,758 · median $7,389 | 3 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $24,388 – $25,608 · median $24,388 | 3 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $14,758 – $15,496 · median $14,758 | 3 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $10,435 – $10,956 · median $10,435 | 3 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $50,187 – $52,696 · median $50,187 | 3 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $28,174 – $29,582 · median $28,174 | 3 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $17,530 – $18,406 · median $17,530 | 3 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $45,999 – $48,299 · median $45,999 | 3 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $22,250 – $23,363 · median $22,250 | 3 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,121 – $14,827 · median $14,121 | 3 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $27,676 – $29,059 · median $27,676 | 3 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $15,186 – $15,945 · median $15,186 | 3 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $12,056 – $12,659 · median $12,056 | 3 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $15,145 – $15,902 · median $15,145 | 3 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $13,427 – $14,099 · median $13,427 | 3 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $16,845 – $17,688 · median $16,845 | 3 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,696 – $15,431 · median $14,696 | 3 plans |
| 592 | SKIN ULCERS WITH MCC | $17,875 – $18,769 · median $17,875 | 3 plans |
| 593 | SKIN ULCERS WITH CC | $10,985 – $11,534 · median $10,985 | 3 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,678 – $8,062 · median $7,678 | 3 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $18,539 – $19,466 · median $18,539 | 3 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $9,412 – $9,883 · median $9,412 | 3 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $14,042 – $14,745 · median $14,042 | 3 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $10,898 – $11,443 · median $10,898 | 3 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,781 – $7,120 · median $6,781 | 3 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $9,542 – $10,019 · median $9,542 | 3 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,473 – $6,797 · median $6,473 | 3 plans |
| 602 | CELLULITIS WITH MCC | $13,158 – $13,816 · median $13,158 | 3 plans |
| 603 | CELLULITIS WITHOUT MCC | $8,439 – $8,861 · median $8,439 | 3 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $13,304 – $13,969 · median $13,304 | 3 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $8,628 – $9,060 · median $8,628 | 3 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $13,927 – $14,624 · median $13,927 | 3 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $8,508 – $8,934 · median $8,508 | 3 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $19,145 – $20,102 · median $19,145 | 3 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $13,030 – $13,681 · median $13,030 | 3 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $32,494 – $34,118 · median $32,494 | 3 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $17,048 – $17,901 · median $17,048 | 3 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,606 – $11,136 · median $10,606 | 3 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $21,886 – $22,980 · median $21,886 | 3 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $14,212 – $14,923 · median $14,212 | 3 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $13,391 – $14,061 · median $13,391 | 3 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $31,460 – $33,033 · median $31,460 | 3 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $16,085 – $16,889 · median $16,085 | 3 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,238 – $10,750 · median $10,238 | 3 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $24,380 – $25,599 · median $24,380 | 3 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $13,192 – $13,852 · median $13,192 | 3 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $11,189 – $11,749 · median $11,189 | 3 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $32,938 – $34,585 · median $32,938 | 3 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $19,227 – $20,188 · median $19,227 | 3 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $12,444 – $13,066 · median $12,444 | 3 plans |
| 637 | DIABETES WITH MCC | $12,859 – $13,502 · median $12,859 | 3 plans |
| 638 | DIABETES WITH CC | $8,555 – $8,982 · median $8,555 | 3 plans |
| 639 | DIABETES WITHOUT CC/MCC | $6,387 – $6,706 · median $6,387 | 3 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $11,809 – $12,400 · median $11,809 | 3 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $7,631 – $8,012 · median $7,631 | 3 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $11,716 – $12,302 · median $11,716 | 3 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $14,392 – $15,111 · median $14,392 | 3 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $9,825 – $10,316 · median $9,825 | 3 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $7,470 – $7,844 · median $7,470 | 3 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $36,719 – $38,555 · median $36,719 | 3 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $28,585 – $30,015 · median $28,585 | 3 plans |
| 652 | KIDNEY TRANSPLANT | $25,032 – $26,283 · median $25,032 | 3 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $43,890 – $46,084 · median $43,890 | 3 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $22,942 – $24,089 · median $22,942 | 3 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $18,013 – $18,914 · median $18,013 | 3 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $26,074 – $27,378 · median $26,074 | 3 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $15,950 – $16,748 · median $15,950 | 3 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $13,102 – $13,757 · median $13,102 | 3 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $21,779 – $22,868 · median $21,779 | 3 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $12,050 – $12,652 · median $12,050 | 3 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $9,721 – $10,207 · median $9,721 | 3 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $24,971 – $26,220 · median $24,971 | 3 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $12,935 – $13,582 · median $12,935 | 3 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,824 – $10,315 · median $9,824 | 3 plans |
| 665 | PROSTATECTOMY WITH MCC | $25,695 – $26,979 · median $25,695 | 3 plans |
| 666 | PROSTATECTOMY WITH CC | $14,957 – $15,705 · median $14,957 | 3 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $9,730 – $10,217 · median $9,730 | 3 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $23,572 – $24,751 · median $23,572 | 3 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $13,527 – $14,203 · median $13,527 | 3 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $9,049 – $9,502 · median $9,049 | 3 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $14,914 – $15,660 · median $14,914 | 3 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,853 – $9,295 · median $8,853 | 3 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $30,461 – $31,984 · median $30,461 | 3 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $20,161 – $21,169 · median $20,161 | 3 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $13,933 – $14,629 · median $13,933 | 3 plans |
| 682 | RENAL FAILURE WITH MCC | $13,262 – $13,925 · median $13,262 | 3 plans |
| 683 | RENAL FAILURE WITH CC | $8,565 – $8,994 · median $8,565 | 3 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $6,277 – $6,591 · median $6,277 | 3 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $15,912 – $16,708 · median $15,912 | 3 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $9,697 – $10,181 · median $9,697 | 3 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,627 – $8,008 · median $7,627 | 3 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $10,707 – $11,242 · median $10,707 | 3 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $7,830 – $8,222 · median $7,830 | 3 plans |
| 693 | URINARY STONES WITH MCC | $12,601 – $13,231 · median $12,601 | 3 plans |
| 694 | URINARY STONES WITHOUT MCC | $7,641 – $8,023 · median $7,641 | 3 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $10,876 – $11,420 · median $10,876 | 3 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,932 – $7,278 · median $6,932 | 3 plans |
| 697 | URETHRAL STRICTURE | $10,227 – $10,739 · median $10,227 | 3 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $14,464 – $15,188 · median $14,464 | 3 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $9,505 – $9,980 · median $9,505 | 3 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $7,059 – $7,412 · median $7,059 | 3 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $16,871 – $17,715 · median $16,871 | 3 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $12,931 – $13,577 · median $12,931 | 3 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $18,506 – $19,432 · median $18,506 | 3 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,669 – $12,253 · median $11,669 | 3 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $18,132 – $19,038 · median $18,132 | 3 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $10,817 – $11,358 · median $10,817 | 3 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $12,870 – $13,513 · median $12,870 | 3 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $9,017 – $9,468 · median $9,017 | 3 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $18,794 – $19,733 · median $18,794 | 3 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $12,647 – $13,279 · median $12,647 | 3 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $15,711 – $16,497 · median $15,711 | 3 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,718 – $11,254 · median $10,718 | 3 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $16,190 – $16,999 · median $16,190 | 3 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $10,237 – $10,748 · median $10,237 | 3 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,851 – $8,243 · median $7,851 | 3 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $11,228 – $11,789 · median $11,228 | 3 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $7,236 – $7,597 · median $7,236 | 3 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $14,203 – $14,913 · median $14,203 | 3 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,777 – $8,166 · median $7,777 | 3 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $9,373 – $9,841 · median $9,373 | 3 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,380 – $6,699 · median $6,380 | 3 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $18,528 – $19,455 · median $18,528 | 3 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $11,379 – $11,948 · median $11,379 | 3 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $31,942 – $33,539 · median $31,942 | 3 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $16,964 – $17,813 · median $16,964 | 3 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,196 – $12,806 · median $12,196 | 3 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $29,821 – $31,312 · median $29,821 | 3 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $15,502 – $16,277 · median $15,502 | 3 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,685 – $12,269 · median $11,685 | 3 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $15,462 – $16,235 · median $15,462 | 3 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $10,610 – $11,141 · median $10,610 | 3 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $16,249 – $17,061 · median $16,249 | 3 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $9,623 – $10,104 · median $9,623 | 3 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $14,634 – $15,366 · median $14,634 | 3 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $8,459 – $8,882 · median $8,459 | 3 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $12,511 – $13,137 · median $12,511 | 3 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $21,218 – $22,279 · median $21,218 | 3 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,160 – $12,768 · median $12,160 | 3 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $16,015 – $16,816 · median $16,015 | 3 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,005 – $10,505 · median $10,005 | 3 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,261 – $9,724 · median $9,261 | 3 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,190 – $13,850 · median $13,190 | 3 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,284 – $9,748 · median $9,284 | 3 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,573 – $6,901 · median $6,573 | 3 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $9,306 – $9,771 · median $9,306 | 3 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $6,255 – $6,568 · median $6,255 | 3 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $11,049 – $11,602 · median $11,049 | 3 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $13,599 – $14,279 · median $13,599 | 3 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,766 – $8,155 · median $7,766 | 3 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $7,124 – $7,481 · median $7,124 | 3 plans |
| 779 | ABORTION WITHOUT D&C | $9,257 – $9,720 · median $9,257 | 3 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $15,383 – $16,152 · median $15,383 | 3 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $9,531 – $10,007 · median $9,531 | 3 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $8,295 – $8,710 · median $8,295 | 3 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $15,209 – $15,969 · median $15,209 | 3 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $9,742 – $10,229 · median $9,742 | 3 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $8,207 – $8,617 · median $8,207 | 3 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $15,756 – $16,544 · median $15,756 | 3 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $48,481 – $50,905 · median $48,481 | 3 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $33,589 – $35,269 · median $33,589 | 3 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $20,868 – $21,911 · median $20,868 | 3 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $34,463 – $36,186 · median $34,463 | 3 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $13,177 – $13,836 · median $13,177 | 3 plans |
| 795 | NORMAL NEWBORN | $3,093 – $3,248 · median $3,093 | 3 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $12,617 – $13,248 · median $12,617 | 3 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $9,310 – $9,775 · median $9,310 | 3 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $8,051 – $8,454 · median $8,051 | 3 plans |
| 799 | SPLENECTOMY WITH MCC | $40,297 – $42,312 · median $40,297 | 3 plans |
| 800 | SPLENECTOMY WITH CC | $23,570 – $24,749 · median $23,570 | 3 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $15,523 – $16,300 · median $15,523 | 3 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $28,369 – $29,788 · median $28,369 | 3 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $16,060 – $16,863 · median $16,060 | 3 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,989 – $11,538 · median $10,989 | 3 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $9,406 – $9,876 · median $9,406 | 3 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $7,359 – $7,727 · median $7,359 | 3 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $6,636 – $6,968 · median $6,636 | 3 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $18,658 – $19,590 · median $18,658 | 3 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $10,942 – $11,489 · median $10,942 | 3 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $9,377 – $9,846 · median $9,377 | 3 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $12,501 – $13,126 · median $12,501 | 3 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $8,565 – $8,993 · median $8,565 | 3 plans |
| 813 | COAGULATION DISORDERS | $13,725 – $14,412 · median $13,725 | 3 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $18,172 – $19,081 · median $18,172 | 3 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $9,297 – $9,761 · median $9,297 | 3 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $7,074 – $7,427 · median $7,074 | 3 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $23,563 – $24,741 · median $23,563 | 3 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $12,716 – $13,352 · median $12,716 | 3 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,616 – $9,046 · median $8,616 | 3 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $48,845 – $51,288 · median $48,845 | 3 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $18,986 – $19,936 · median $18,986 | 3 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,211 – $11,772 · median $11,211 | 3 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $36,753 – $38,591 · median $36,753 | 3 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $18,993 – $19,942 · median $18,993 | 3 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,623 – $12,204 · median $11,623 | 3 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $37,738 – $39,625 · median $37,738 | 3 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $19,652 – $20,635 · median $19,652 | 3 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $14,355 – $15,072 · median $14,355 | 3 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $26,201 – $27,511 · median $26,201 | 3 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,891 – $14,586 · median $13,891 | 3 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,931 – $10,428 · median $9,931 | 3 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $7,289 – $7,653 · median $7,289 | 3 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $5,521 – $5,797 · median $5,521 | 3 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $45,341 – $47,608 · median $45,341 | 3 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $19,013 – $19,964 · median $19,013 | 3 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,566 – $13,194 · median $12,566 | 3 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $39,431 – $41,403 · median $39,431 | 3 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $17,183 – $18,042 · median $17,183 | 3 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,715 – $12,300 · median $11,715 | 3 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $25,977 – $27,276 · median $25,977 | 3 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $13,831 – $14,523 · median $13,831 | 3 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $9,862 – $10,355 · median $9,862 | 3 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $16,078 – $16,882 · median $16,078 | 3 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $10,572 – $11,101 · median $10,572 | 3 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $8,284 – $8,699 · median $8,284 | 3 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $20,645 – $21,677 · median $20,645 | 3 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $11,006 – $11,556 · median $11,006 | 3 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,060 – $8,463 · median $8,060 | 3 plans |
| 849 | RADIOTHERAPY | $22,582 – $23,711 · median $22,582 | 3 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $40,647 – $42,679 · median $40,647 | 3 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $17,469 – $18,342 · median $17,469 | 3 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $14,835 – $15,577 · median $14,835 | 3 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $36,178 – $37,987 · median $36,178 | 3 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $18,232 – $19,143 · median $18,232 | 3 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,560 – $12,138 · median $11,560 | 3 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $15,933 – $16,729 · median $15,933 | 3 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $9,385 – $9,854 · median $9,385 | 3 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $8,425 – $8,846 · median $8,425 | 3 plans |
| 865 | VIRAL ILLNESS WITH MCC | $14,351 – $15,068 · median $14,351 | 3 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $8,698 – $9,133 · median $8,698 | 3 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $17,892 – $18,787 · median $17,892 | 3 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $10,011 – $10,512 · median $10,011 | 3 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,921 – $7,267 · median $6,921 | 3 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $56,033 – $58,834 · median $56,033 | 3 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $17,033 – $17,885 · median $17,033 | 3 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $9,576 – $10,055 · median $9,576 | 3 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $35,391 – $37,160 · median $35,391 | 3 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $16,267 – $17,080 · median $16,267 | 3 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $11,232 – $11,794 · median $11,232 | 3 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $27,003 – $28,353 · median $27,003 | 3 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $13,911 – $14,606 · median $13,911 | 3 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $16,243 – $17,055 · median $16,243 | 3 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $30,629 – $32,160 · median $30,629 | 3 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $17,202 – $18,062 · median $17,202 | 3 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $12,131 – $12,737 · median $12,131 | 3 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $13,213 – $13,873 · median $13,213 | 3 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $8,619 – $9,050 · median $8,619 | 3 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $15,401 – $16,171 · median $15,401 | 3 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,671 – $7,005 · median $6,671 | 3 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $14,006 – $14,707 · median $14,006 | 3 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $8,253 – $8,666 · median $8,253 | 3 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $15,797 – $16,587 · median $15,797 | 3 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $9,607 – $10,087 · median $9,607 | 3 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,976 – $7,325 · median $6,976 | 3 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $15,173 – $15,931 · median $15,173 | 3 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $9,431 – $9,903 · median $9,431 | 3 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $207,839 – $218,231 · median $207,839 | 3 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $55,679 – $58,463 · median $55,679 | 3 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $26,684 – $28,018 · median $26,684 | 3 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $25,248 – $26,510 · median $25,248 | 3 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $17,894 – $18,788 · median $17,894 | 3 plans |
| 935 | NON-EXTENSIVE BURNS | $17,491 – $18,366 · median $17,491 | 3 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $26,682 – $28,017 · median $26,682 | 3 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $18,474 – $19,397 · median $18,474 | 3 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $16,042 – $16,844 · median $16,042 | 3 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $11,311 – $11,877 · median $11,311 | 3 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $7,784 – $8,173 · median $7,784 | 3 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,912 – $10,407 · median $9,912 | 3 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $6,513 – $6,839 · median $6,513 | 3 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $6,133 – $6,439 · median $6,133 | 3 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $49,186 – $51,645 · median $49,186 | 3 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $31,871 – $33,465 · median $31,871 | 3 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $58,127 – $61,034 · median $58,127 | 3 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $33,175 – $34,834 · median $33,175 | 3 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $21,337 – $22,404 · median $21,337 | 3 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $22,917 – $24,063 · median $22,917 | 3 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $13,264 – $13,927 · median $13,264 | 3 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $8,997 – $9,447 · median $8,997 | 3 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $55,310 – $58,076 · median $55,310 | 3 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $23,272 – $24,436 · median $23,272 | 3 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $24,344 – $25,561 · median $24,344 | 3 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $12,186 – $12,795 · median $12,186 | 3 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $8,131 – $8,538 · median $8,131 | 3 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $12,599 – $13,229 · median $12,599 | 3 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $38,620 – $40,551 · median $38,620 | 3 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $20,974 – $22,022 · median $20,974 | 3 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $14,314 – $15,030 · median $14,314 | 3 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $27,946 – $29,343 · median $27,946 | 3 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $14,798 – $15,538 · median $14,798 | 3 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,971 – $10,469 · median $9,971 | 3 plans |
No procedures match that keyword.