Memorial Hospital (Marysville) — Pricing
770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 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 770 procedures
Procedures with negotiated rates only
These 770 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 |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROC EXCEPT STERIL &/OR D&C | $4,232 – $14,683 · median $8,637 | 26 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $6,155 – $31,377 · median $18,457 | 25 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH COMPLICATION | $3,558 – $20,405 · median $8,556 | 25 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT COMPLICATION/COMORBITY | $3,010 – $20,405 · median $7,829 | 25 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMORBITY | $6,078 – $21,657 · median $12,739 | 25 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMPLICATION | $3,652 – $20,405 · median $8,958 | 25 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT COMPLICATION/COMORBITY | $2,970 – $20,405 · median $7,837 | 25 plans |
| 789 | NEONATES; DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $4,749 – $23,499 · median $13,823 | 25 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $4,749 – $73,471 · median $43,218 | 25 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $4,749 – $50,731 · median $29,842 | 25 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $4,749 – $31,306 · median $18,415 | 25 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $4,749 – $52,066 · median $30,627 | 25 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $4,749 – $19,562 · median $11,507 | 25 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,928 – $15,834 · median $9,314 | 25 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $3,460 – $13,824 · median $8,132 | 25 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $2,818 – $13,460 · median $7,824 | 25 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMORBITY | $3,502 – $14,775 · median $8,691 | 25 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMPLICATION | $2,594 – $13,460 · median $6,383 | 25 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY | $2,273 – $13,460 · median $5,816 | 25 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $94,141 – $339,908 · median $199,946 | 22 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $42,536 – $138,490 · median $81,465 | 22 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $74,067 – $257,870 · median $151,688 | 22 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $51,068 – $168,893 · median $99,349 | 22 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $35,956 – $126,166 · median $74,215 | 22 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $16,803 – $57,706 · median $33,945 | 22 plans |
| 007 | LUNG TRANSPLANT | $42,613 – $158,019 · median $92,952 | 22 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $18,279 – $69,381 · median $40,813 | 22 plans |
| 010 | PANCREAS TRANSPLANT | $16,722 – $88,339 · median $51,964 | 22 plans |
| 011 | TRACHEOSTOMY FOR FACE; MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITH COMORBITY | $17,913 – $67,565 · median $39,744 | 22 plans |
| 012 | TRACHEOSTOMY FOR FACE; MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITH COMPLICATION | $13,913 – $52,626 · median $30,956 | 22 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $9,330 – $36,526 · median $21,486 | 22 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $39,815 – $146,769 · median $86,335 | 22 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $21,459 – $73,304 · median $43,120 | 22 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $21,459 – $67,302 · median $39,590 | 22 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $127,992 – $522,826 · median $307,545 | 22 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $27,769 – $87,843 · median $51,673 | 22 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $29,364 – $96,703 · median $56,884 | 22 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $21,335 – $65,631 · median $38,607 | 22 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $12,078 – $40,093 · median $23,584 | 22 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $19,693 – $70,898 · median $41,705 | 22 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $13,162 – $48,956 · median $28,798 | 22 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $15,341 – $56,616 · median $33,304 | 22 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $10,259 – $39,270 · median $23,100 | 22 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,452 – $32,196 · median $18,939 | 22 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $20,935 – $74,253 · median $43,678 | 22 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $11,910 – $42,919 · median $25,247 | 22 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $8,056 – $28,241 · median $16,613 | 22 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $14,301 – $55,817 · median $32,834 | 22 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $7,482 – $27,467 · median $16,157 | 22 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $5,638 – $21,818 · median $12,834 | 22 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $13,553 – $48,459 · median $28,505 | 22 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $7,988 – $30,598 · median $17,999 | 22 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $6,282 – $25,196 · median $14,821 | 22 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $11,727 – $41,477 · median $24,398 | 22 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $5,558 – $21,332 · median $12,548 | 22 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $3,964 – $15,937 · median $9,375 | 22 plans |
| 040 | PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMORBITY | $13,377 – $48,344 · median $28,438 | 22 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $7,749 – $28,284 · median $16,637 | 22 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $6,044 – $22,600 · median $13,294 | 22 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $6,755 – $23,609 · median $13,888 | 22 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $3,418 – $13,568 · median $7,981 | 22 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH COMORBITY | $5,119 – $20,177 · median $11,869 | 22 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $3,728 – $14,056 · median $8,268 | 22 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $8,317 – $29,785 · median $17,520 | 22 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT COMORBITY | $4,736 – $17,386 · median $10,227 | 22 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $6,003 – $22,381 · median $13,165 | 22 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $4,124 – $16,726 · median $9,839 | 22 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $3,118 – $12,851 · median $7,560 | 22 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $9,737 – $35,022 · median $20,601 | 22 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $6,502 – $22,956 · median $13,504 | 22 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $5,165 – $18,692 · median $10,995 | 22 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY | $6,958 – $26,019 · median $15,305 | 22 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS | $3,531 – $13,943 · median $8,202 | 22 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION/COMORBITY | $2,388 – $10,011 · median $5,889 | 22 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $4,922 – $19,475 · median $11,456 | 22 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $3,026 – $12,183 · median $7,166 | 22 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $2,775 – $11,391 · median $6,701 | 22 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMORBITY | $6,217 – $21,841 · median $12,848 | 22 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION | $3,689 – $14,133 · median $8,313 | 22 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $2,720 – $10,877 · median $6,398 | 22 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $5,256 – $21,111 · median $12,418 | 22 plans |
| 074 | CRANIAL & PERIPHERAL NERVE DISORDERS WITHOUT COMORBITY | $3,565 – $14,191 · median $8,348 | 22 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $6,649 – $24,890 · median $14,641 | 22 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $3,205 – $11,710 · median $6,888 | 22 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $7,673 – $23,593 · median $13,878 | 22 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $3,160 – $12,559 · median $7,388 | 22 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $7,915 – $29,332 · median $17,254 | 22 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $4,712 – $18,595 · median $10,938 | 22 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $3,195 – $13,286 · median $7,815 | 22 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $7,896 – $29,167 · median $17,157 | 22 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $4,576 – $17,472 · median $10,278 | 22 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $3,079 – $12,790 · median $7,523 | 22 plans |
| 088 | CONCUSSION WITH MCC | $5,328 – $18,064 · median $10,626 | 22 plans |
| 089 | CONCUSSION WITH CC | $3,995 – $15,009 · median $8,829 | 22 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $3,248 – $11,686 · median $6,874 | 22 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMORBITY | $6,216 – $22,944 · median $13,496 | 22 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION | $3,565 – $14,097 · median $8,292 | 22 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $2,690 – $11,361 · median $6,683 | 22 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $12,585 – $44,220 · median $26,012 | 22 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $8,283 – $32,875 · median $19,338 | 22 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,572 – $32,875 · median $19,338 | 22 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $12,635 – $45,335 · median $26,668 | 22 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $7,485 – $29,444 · median $17,320 | 22 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $4,586 – $18,192 · median $10,701 | 22 plans |
| 100 | SEIZURES WITH COMORBITY | $6,887 – $25,123 · median $14,778 | 22 plans |
| 101 | SEIZURES WITHOUT COMORBITY | $3,160 – $12,644 · median $7,438 | 22 plans |
| 102 | HEADACHES WITH MCC | $4,192 – $15,278 · median $8,987 | 22 plans |
| 103 | HEADACHES WITHOUT COMORBITY | $2,927 – $11,844 · median $6,967 | 22 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $8,710 – $30,123 · median $17,719 | 22 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $4,279 – $18,079 · median $10,635 | 22 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $5,435 – $20,274 · median $11,926 | 22 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $6,360 – $23,570 · median $13,865 | 22 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $4,163 – $14,844 · median $8,732 | 22 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $4,451 – $15,790 · median $9,288 | 22 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $2,586 – $11,235 · median $6,609 | 22 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $2,793 – $11,389 · median $6,699 | 22 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $4,592 – $17,718 · median $10,422 | 22 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT COMORBITY | $2,771 – $11,017 · median $6,481 | 22 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $9,213 – $27,937 · median $16,434 | 22 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $3,262 – $14,004 · median $8,238 | 22 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $5,227 – $19,770 · median $11,630 | 22 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $3,007 – $12,446 · median $7,321 | 22 plans |
| 139 | SALIVARY GLAND PROCEDURES | $4,126 – $16,663 · median $9,802 | 22 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $13,125 – $53,221 · median $31,306 | 22 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $7,197 – $28,071 · median $16,512 | 22 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $5,367 – $21,016 · median $12,362 | 22 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $11,553 – $46,962 · median $27,624 | 22 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $6,012 – $22,663 · median $13,331 | 22 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $4,242 – $16,260 · median $9,565 | 22 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $7,334 – $27,303 · median $16,060 | 22 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $4,293 – $17,095 · median $10,056 | 22 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $3,091 – $11,371 · median $6,689 | 22 plans |
| 149 | DYSEQUILIBRIUM | $2,587 – $10,822 · median $6,366 | 22 plans |
| 150 | EPISTAXIS WITH COMORBITY | $4,567 – $17,819 · median $10,482 | 22 plans |
| 151 | EPISTAXIS WITHOUT MCC | $2,677 – $10,609 · median $6,241 | 22 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $4,128 – $16,018 · median $9,422 | 22 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $2,553 – $10,660 · median $6,271 | 22 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $5,344 – $20,619 · median $12,129 | 22 plans |
| 155 | OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMPLICATION | $3,288 – $12,812 · median $7,536 | 22 plans |
| 156 | OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $2,277 – $10,092 · median $5,936 | 22 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $5,930 – $22,469 · median $13,217 | 22 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $3,260 – $12,731 · median $7,489 | 22 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $2,346 – $10,302 · median $6,060 | 22 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $16,375 – $55,833 · median $32,843 | 22 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $8,860 – $32,209 · median $18,946 | 22 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $6,519 – $24,851 · median $14,618 | 22 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $14,097 – $46,854 · median $27,561 | 22 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $6,322 – $23,514 · median $13,832 | 22 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $4,710 – $18,240 · median $10,730 | 22 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $10,683 – $37,668 · median $22,158 | 22 plans |
| 175 | PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE | $4,874 – $18,327 · median $10,781 | 22 plans |
| 176 | PULMONARY EMBOLISM WITHOUT COMORBITY | $2,833 – $11,466 · median $6,745 | 22 plans |
| 177 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY | $5,893 – $20,609 · median $12,123 | 22 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $3,428 – $13,530 · median $7,959 | 22 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $2,652 – $10,863 · median $6,390 | 22 plans |
| 180 | RESPIRATORY NEOPLASMS WITH COMORBITY | $6,039 – $23,062 · median $13,566 | 22 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $3,825 – $14,676 · median $8,633 | 22 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $2,637 – $10,848 · median $6,381 | 22 plans |
| 183 | MAJOR CHEST TRAUMA WITH COMORBITY | $5,470 – $20,213 · median $11,890 | 22 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $3,654 – $14,593 · median $8,584 | 22 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $2,625 – $11,243 · median $6,614 | 22 plans |
| 186 | PLEURAL EFFUSION WITH COMORBITY | $5,392 – $20,558 · median $12,093 | 22 plans |
| 187 | PLEURAL EFFUSION WITH COMPLICATION | $3,461 – $13,688 · median $8,052 | 22 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $2,593 – $10,407 · median $6,122 | 22 plans |
| 189 | PULMONARY EDEMA & RESPIRATORY FAILURE | $4,280 – $16,660 · median $9,800 | 22 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY | $3,828 – $15,119 · median $8,893 | 22 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION | $2,949 – $11,925 · median $7,015 | 22 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $2,230 – $9,499 · median $5,588 | 22 plans |
| 193 | SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY | $4,609 – $17,613 · median $10,361 | 22 plans |
| 194 | SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION | $2,856 – $11,477 · median $6,751 | 22 plans |
| 195 | SIMPLE PNEUMONIA & PLEURISY WITHOUT COMPLICATION/COMORBITY | $2,173 – $9,336 · median $5,492 | 22 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH COMORBITY | $6,585 – $24,525 · median $14,426 | 22 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $3,465 – $13,205 · median $7,768 | 22 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $2,703 – $10,395 · median $6,115 | 22 plans |
| 199 | PNEUMOTHORAX WITH COMORBITY | $6,163 – $23,039 · median $13,553 | 22 plans |
| 200 | PNEUMOTHORAX WITH COMPLICATION | $3,742 – $15,017 · median $8,834 | 22 plans |
| 201 | PNEUMOTHORAX WITHOUT COMPLICATION/COMORBITY | $2,453 – $10,381 · median $6,107 | 22 plans |
| 202 | BRONCHITIS & ASTHMA WITH COMPLICATION/COMORBITY | $3,326 – $13,472 · median $7,925 | 22 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $2,414 – $9,837 · median $5,787 | 22 plans |
| 204 | RESPIRATORY SIGNS & SYMPTOMS | $2,859 – $11,495 · median $6,762 | 22 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH COMORBITY | $6,289 – $23,847 · median $14,027 | 22 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $3,174 – $13,108 · median $7,711 | 22 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $23,998 – $79,398 · median $46,705 | 22 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $9,393 – $34,920 · median $20,541 | 22 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $37,417 – $132,967 · median $78,216 | 22 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $35,486 – $121,901 · median $71,706 | 22 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $33,716 – $119,798 · median $70,470 | 22 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $22,113 – $81,095 · median $47,703 | 22 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $19,790 – $81,095 · median $47,703 | 22 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $26,789 – $94,404 · median $55,532 | 22 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $18,220 – $66,102 · median $38,883 | 22 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $16,149 – $62,571 · median $36,806 | 22 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $17,504 – $61,451 · median $36,148 | 22 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $11,046 – $39,757 · median $23,386 | 22 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $28,192 – $103,473 · median $60,867 | 22 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $20,665 – $74,908 · median $44,064 | 22 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $27,096 – $94,005 · median $55,297 | 22 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $18,058 – $67,669 · median $39,805 | 22 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $20,429 – $72,567 · median $42,687 | 22 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $14,039 – $52,297 · median $30,763 | 22 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $16,699 – $61,141 · median $35,965 | 22 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $9,759 – $36,149 · median $21,264 | 22 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $4,828 – $18,458 · median $10,857 | 22 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $12,003 – $40,279 · median $23,694 | 22 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $7,912 – $27,465 · median $16,156 | 22 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $6,356 – $23,563 · median $13,861 | 22 plans |
| 245 | AICD GENERATOR PROCEDURES | $15,742 – $56,806 · median $33,415 | 22 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $8,167 – $28,088 · median $16,522 | 22 plans |
| 251 | PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITHOUT COMORBITY | $5,513 – $19,786 · median $11,639 | 22 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $11,651 – $43,845 · median $25,791 | 22 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $8,863 – $33,073 · median $19,455 | 22 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $6,028 – $23,252 · median $13,678 | 22 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $9,544 – $34,301 · median $20,177 | 22 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $5,696 – $22,241 · median $13,083 | 22 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $3,443 – $14,932 · median $8,783 | 22 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $9,410 – $39,667 · median $23,334 | 22 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $6,485 – $26,153 · median $15,384 | 22 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $11,517 – $41,003 · median $24,119 | 22 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMPLICATION | $6,537 – $24,565 · median $14,450 | 22 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT COMPLICATION/COMORBITY | $5,716 – $21,420 · median $12,600 | 22 plans |
| 263 | VEIN LIGATION AND STRIPPING | $9,815 – $38,645 · median $22,732 | 22 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $11,346 – $42,062 · median $24,743 | 22 plans |
| 265 | AICD LEAD PROCEDURES | $12,277 – $45,412 · median $26,713 | 22 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $21,699 – $75,702 · median $44,531 | 22 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $16,954 – $59,200 · median $34,823 | 22 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $23,813 – $84,746 · median $49,851 | 22 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $14,447 – $52,713 · median $31,007 | 22 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $17,568 – $65,420 · median $38,482 | 22 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $12,007 – $44,665 · median $26,274 | 22 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $8,475 – $32,559 · median $19,152 | 22 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $13,538 – $51,534 · median $30,314 | 22 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $11,259 – $41,472 · median $24,396 | 22 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $24,442 – $87,793 · median $51,643 | 22 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $21,574 – $74,232 · median $43,666 | 22 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $16,614 – $57,483 · median $33,813 | 22 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $15,495 – $68,918 · median $40,540 | 22 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $11,119 – $45,270 · median $26,629 | 22 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMORBITY | $5,512 – $21,109 · median $12,417 | 22 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMPLICATION | $3,172 – $12,843 · median $7,555 | 22 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITHOUT COMPLICATION/COMORBITY | $2,495 – $10,478 · median $6,163 | 22 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $6,849 – $25,654 · median $15,091 | 22 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $2,570 – $10,105 · median $5,944 | 22 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $1,698 – $8,979 · median $5,282 | 22 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITH COMORBITY | $7,489 – $28,454 · median $16,737 | 22 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITHOUT COMORBITY | $3,757 – $14,665 · median $8,627 | 22 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $9,008 – $34,407 · median $20,240 | 22 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $5,134 – $22,349 · median $13,147 | 22 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $3,562 – $12,971 · median $7,630 | 22 plans |
| 291 | HEART FAILURE & SHOCK WITH COMORBITY | $4,460 – $17,244 · median $10,143 | 22 plans |
| 292 | HEART FAILURE & SHOCK WITH COMPLICATION | $2,975 – $11,997 · median $7,057 | 22 plans |
| 293 | HEART FAILURE & SHOCK WITHOUT COMPLICATION/COMORBITY | $1,951 – $8,582 · median $5,048 | 22 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $5,570 – $20,599 · median $12,117 | 22 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $2,531 – $9,403 · median $5,531 | 22 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $1,525 – $7,244 · median $4,261 | 22 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH COMORBITY | $5,476 – $21,454 · median $12,620 | 22 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION | $3,707 – $14,634 · median $8,608 | 22 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY | $2,466 – $10,437 · median $6,139 | 22 plans |
| 302 | ATHEROSCLEROSIS WITH COMORBITY | $3,895 – $16,192 · median $9,524 | 22 plans |
| 303 | ATHEROSCLEROSIS WITHOUT COMORBITY | $2,286 – $9,876 · median $5,809 | 22 plans |
| 304 | HYPERTENSION WITH COMORBITY | $3,992 – $16,112 · median $9,478 | 22 plans |
| 305 | HYPERTENSION WITHOUT COMORBITY | $2,618 – $10,864 · median $6,391 | 22 plans |
| 306 | CARDIAC CONGENITAL & VALVULAR DISORDERS WITH COMORBITY | $5,339 – $20,767 · median $12,216 | 22 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $3,275 – $12,772 · median $7,513 | 22 plans |
| 308 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY | $4,176 – $16,281 · median $9,577 | 22 plans |
| 309 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION | $2,587 – $10,630 · median $6,253 | 22 plans |
| 310 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATION/COMORBITY | $1,921 – $8,583 · median $5,049 | 22 plans |
| 311 | ANGINA PECTORIS | $2,425 – $10,222 · median $6,013 | 22 plans |
| 312 | SYNCOPE & COLLAPSE | $3,000 – $12,270 · median $7,218 | 22 plans |
| 313 | CHEST PAIN | $2,514 – $10,441 · median $6,141 | 22 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY | $7,273 – $26,914 · median $15,832 | 22 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION | $3,360 – $13,376 · median $7,868 | 22 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,406 – $9,983 · median $5,872 | 22 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $15,153 – $55,605 · median $32,709 | 22 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $7,733 – $30,777 · median $18,104 | 22 plans |
| 321 | CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION | $9,987 – $34,584 · median $20,343 | 22 plans |
| 322 | SHOULDER AND ELBOW JOINT REPLACEMENT | $6,334 – $23,026 · median $13,545 | 22 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $14,382 – $53,970 · median $31,747 | 22 plans |
| 324 | NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT | $10,313 – $39,775 · median $23,397 | 22 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $9,186 – $40,491 · median $23,818 | 22 plans |
| 326 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMORBITY | $17,644 – $61,934 · median $36,432 | 22 plans |
| 327 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMPLICATION | $8,676 – $31,246 · median $18,380 | 22 plans |
| 328 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITHOUT COMPLICATION/COMORBITY | $5,549 – $21,087 · median $12,404 | 22 plans |
| 329 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY | $15,691 – $57,217 · median $33,657 | 22 plans |
| 330 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION | $8,241 – $30,679 · median $18,046 | 22 plans |
| 331 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $5,809 – $22,060 · median $12,976 | 22 plans |
| 332 | RECTAL RESECTION WITH MCC | $12,602 – $45,442 · median $26,731 | 22 plans |
| 333 | RECTAL RESECTION WITH COMPLICATION | $7,224 – $30,015 · median $17,656 | 22 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $5,576 – $21,517 · median $12,657 | 22 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH COMORBITY | $12,420 – $44,841 · median $26,377 | 22 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH COMPLICATION | $7,314 – $27,198 · median $15,999 | 22 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $5,198 – $20,275 · median $11,926 | 22 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $9,520 – $32,918 · median $19,364 | 22 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $5,352 – $19,909 · median $11,711 | 22 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $4,474 – $16,066 · median $9,451 | 22 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $8,856 – $29,453 · median $17,325 | 22 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $4,521 – $17,545 · median $10,321 | 22 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $3,390 – $12,258 · median $7,210 | 22 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $8,338 – $31,821 · median $18,719 | 22 plans |
| 351 | INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMPLICATION | $5,057 – $20,148 · median $11,852 | 22 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $3,853 – $15,844 · median $9,320 | 22 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $10,159 – $36,770 · median $21,629 | 22 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMPLICATION | $5,968 – $22,054 · median $12,973 | 22 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $4,734 – $17,982 · median $10,578 | 22 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMORBITY | $14,864 – $54,759 · median $32,211 | 22 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION | $7,632 – $29,814 · median $17,537 | 22 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $4,451 – $18,621 · median $10,953 | 22 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $5,739 – $20,961 · median $12,330 | 22 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $3,433 – $13,822 · median $8,130 | 22 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT COMPLICATION/COMORBITY | $2,584 – $10,209 · median $6,005 | 22 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMORBITY | $6,072 – $23,148 · median $13,616 | 22 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMPLICATION | $3,621 – $14,073 · median $8,278 | 22 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITHOUT COMPLICATION/COMORBITY | $2,489 – $10,530 · median $6,194 | 22 plans |
| 374 | DIGESTIVE MALIGNANCY WITH COMORBITY | $7,292 – $27,560 · median $16,211 | 22 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $4,163 – $16,348 · median $9,617 | 22 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $3,097 – $12,906 · median $7,592 | 22 plans |
| 377 | G.I. HEMORRHAGE WITH COMORBITY | $6,220 – $23,810 · median $14,006 | 22 plans |
| 378 | G.I. HEMORRHAGE WITH COMPLICATION | $3,418 – $13,586 · median $7,992 | 22 plans |
| 379 | G.I. HEMORRHAGE WITHOUT COMPLICATION/COMORBITY | $2,200 – $9,359 · median $5,506 | 22 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH COMORBITY | $6,769 – $25,430 · median $14,959 | 22 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $3,728 – $14,827 · median $8,722 | 22 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $2,630 – $11,413 · median $6,714 | 22 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH COMORBITY | $4,857 – $18,413 · median $10,831 | 22 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $3,042 – $12,067 · median $7,098 | 22 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $5,443 – $20,846 · median $12,262 | 22 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH COMPLICATION | $3,375 – $13,533 · median $7,961 | 22 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION/COMORBITY | $2,377 – $9,974 · median $5,867 | 22 plans |
| 388 | G.I. OBSTRUCTION WITH COMORBITY | $5,049 – $19,573 · median $11,513 | 22 plans |
| 389 | G.I. OBSTRUCTION WITH COMPLICATION | $2,767 – $11,283 · median $6,637 | 22 plans |
| 390 | G.I. OBSTRUCTION WITHOUT COMPLICATION/COMORBITY | $1,942 – $8,317 · median $4,892 | 22 plans |
| 391 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY | $4,432 – $17,057 · median $10,033 | 22 plans |
| 392 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY | $2,729 – $11,160 · median $6,565 | 22 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMORBITY | $5,626 – $21,051 · median $12,383 | 22 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION | $3,255 – $13,043 · median $7,673 | 22 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $2,249 – $9,584 · median $5,638 | 22 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $7,805 – $30,651 · median $18,030 | 22 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $5,257 – $20,017 · median $11,775 | 22 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $3,867 – $15,565 · median $9,156 | 22 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $19,125 – $67,763 · median $39,861 | 22 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $10,031 – $36,748 · median $21,617 | 22 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $7,473 – $28,536 · median $16,786 | 22 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $12,931 – $44,777 · median $26,340 | 22 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $6,800 – $28,025 · median $16,485 | 22 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $5,438 – $20,911 · median $12,300 | 22 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $10,007 – $41,612 · median $24,478 | 22 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $7,106 – $27,123 · median $15,955 | 22 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $5,244 – $21,789 · median $12,817 | 22 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMORBITY | $12,247 – $44,741 · median $26,318 | 22 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMPLICATION | $6,864 – $26,691 · median $15,700 | 22 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY | $4,652 – $18,203 · median $10,708 | 22 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMORBITY | $8,052 – $30,548 · median $17,970 | 22 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION | $5,679 – $22,165 · median $13,038 | 22 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY | $4,562 – $18,233 · median $10,725 | 22 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $11,120 – $42,865 · median $25,215 | 22 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $5,939 – $22,718 · median $13,364 | 22 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $4,902 – $18,640 · median $10,965 | 22 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $13,586 – $51,865 · median $30,509 | 22 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $7,251 – $28,153 · median $16,561 | 22 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $5,565 – $19,856 · median $11,680 | 22 plans |
| 432 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMORBITY | $6,656 – $25,502 · median $15,001 | 22 plans |
| 433 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMPLICATION | $3,582 – $14,497 · median $8,528 | 22 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,326 – $10,350 · median $6,088 | 22 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $6,114 – $23,915 · median $14,068 | 22 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $3,824 – $15,401 · median $9,059 | 22 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $2,887 – $12,049 · median $7,088 | 22 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMORBITY | $5,797 – $21,424 · median $12,602 | 22 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION | $2,971 – $11,903 · median $7,002 | 22 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $2,139 – $9,251 · median $5,442 | 22 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMORBITY | $6,351 – $23,409 · median $13,770 | 22 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMPLICATION | $3,306 – $13,400 · median $7,883 | 22 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,483 – $10,196 · median $5,997 | 22 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH COMORBITY | $5,674 – $21,915 · median $12,891 | 22 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH COMPLICATION | $3,776 – $14,958 · median $8,799 | 22 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION/COMORBITY | $2,784 – $11,735 · median $6,903 | 22 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $29,284 – $103,154 · median $60,679 | 22 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $21,106 – $73,707 · median $43,357 | 22 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $15,741 – $52,102 · median $30,648 | 22 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $23,687 – $68,397 · median $40,233 | 22 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $9,888 – $33,850 · median $19,912 | 22 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $19,676 – $70,527 · median $41,486 | 22 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $10,427 – $39,337 · median $23,139 | 22 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,499 – $23,759 · median $13,976 | 22 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $18,018 – $64,564 · median $37,979 | 22 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION | $12,111 – $44,307 · median $26,063 | 22 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY | $9,274 – $34,912 · median $20,536 | 22 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $11,568 – $38,353 · median $22,561 | 22 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY | $6,537 – $25,028 · median $14,722 | 22 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $17,089 – $60,019 · median $35,305 | 22 plans |
| 472 | CERVICAL SPINAL FUSION WITH COMPLICATION | $10,267 – $37,302 · median $21,942 | 22 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY | $8,548 – $31,211 · median $18,359 | 22 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $14,948 – $53,554 · median $31,502 | 22 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $7,451 – $29,213 · median $17,184 | 22 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,089 – $15,994 · median $9,408 | 22 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,704 – $43,438 · median $25,552 | 22 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,281 – $31,427 · median $18,486 | 22 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,476 – $24,183 · median $14,225 | 22 plans |
| 480 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMORBITY | $10,244 – $36,894 · median $21,703 | 22 plans |
| 481 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION | $7,208 – $27,026 · median $15,898 | 22 plans |
| 482 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY | $5,518 – $21,433 · median $12,608 | 22 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $8,630 – $35,200 · median $20,706 | 22 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $11,443 – $40,693 · median $23,937 | 22 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $6,977 – $26,985 · median $15,874 | 22 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $5,367 – $20,651 · median $12,148 | 22 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $7,318 – $23,097 · median $13,587 | 22 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $4,300 – $15,229 · median $8,958 | 22 plans |
| 492 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMORBITY | $12,027 – $46,057 · median $27,092 | 22 plans |
| 493 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMPLICATION | $8,344 – $32,355 · median $19,032 | 22 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $6,494 – $25,964 · median $15,273 | 22 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $12,441 – $45,503 · median $26,766 | 22 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $6,905 – $23,520 · median $13,835 | 22 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $4,959 – $16,333 · median $9,607 | 22 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $9,071 – $38,155 · median $22,444 | 22 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $4,481 – $26,064 · median $15,332 | 22 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $11,265 – $39,941 · median $23,495 | 22 plans |
| 501 | SOFT TISSUE PROCEDURES WITH COMPLICATION | $6,030 – $22,846 · median $13,439 | 22 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $4,804 – $17,993 · median $10,584 | 22 plans |
| 503 | FOOT PROCEDURES WITH MCC | $9,317 – $35,432 · median $20,842 | 22 plans |
| 504 | FOOT PROCEDURES WITH CC | $6,000 – $24,308 · median $14,299 | 22 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $5,926 – $23,386 · median $13,756 | 22 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $5,081 – $18,033 · median $10,608 | 22 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $7,406 – $23,550 · median $13,853 | 22 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $4,982 – $20,026 · median $11,780 | 22 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $9,451 – $38,200 · median $22,471 | 22 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $6,926 – $26,844 · median $15,791 | 22 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $5,606 – $21,728 · median $12,781 | 22 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $5,631 – $20,749 · median $12,205 | 22 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $3,618 – $14,088 · median $8,287 | 22 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $10,983 – $40,208 · median $23,652 | 22 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $7,090 – $26,828 · median $15,781 | 22 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $5,192 – $20,295 · median $11,938 | 22 plans |
| 518 | BACK & NECK PROC EXC SPINAL FUSION WITH COMORBITY OR DISC DEVICE/NEUROSTIM | $12,686 – $46,849 · median $27,558 | 22 plans |
| 519 | BACK & NECK PROC EXC SPINAL FUSION WITH COMPLICATION | $6,839 – $25,888 · median $15,228 | 22 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $4,973 – $19,779 · median $11,635 | 22 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $10,402 – $36,386 · median $21,404 | 22 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $7,338 – $27,306 · median $16,062 | 22 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $5,667 – $20,669 · median $12,159 | 22 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $2,814 – $11,479 · median $6,753 | 22 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $4,505 – $17,222 · median $10,131 | 22 plans |
| 536 | FRACTURES OF HIP & PELVIS WITHOUT COMORBITY | $2,734 – $11,498 · median $6,763 | 22 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $3,359 – $13,268 · median $7,805 | 22 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $2,463 – $10,444 · median $6,144 | 22 plans |
| 539 | OSTEOMYELITIS WITH COMORBITY | $6,894 – $25,520 · median $15,012 | 22 plans |
| 540 | OSTEOMYELITIS WITH CC | $4,510 – $17,395 · median $10,232 | 22 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $2,980 – $11,254 · median $6,620 | 22 plans |
| 542 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMORBITY | $6,336 – $23,068 · median $13,570 | 22 plans |
| 543 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMPLICATION | $3,789 – $14,157 · median $8,328 | 22 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $2,666 – $10,858 · median $6,387 | 22 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $8,661 – $31,698 · median $18,646 | 22 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH COMPLICATION | $4,166 – $15,670 · median $9,218 | 22 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $2,826 – $11,843 · median $6,966 | 22 plans |
| 548 | SEPTIC ARTHRITIS WITH COMORBITY | $6,774 – $25,052 · median $14,737 | 22 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $4,190 – $16,319 · median $9,600 | 22 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $3,199 – $12,300 · median $7,235 | 22 plans |
| 551 | MEDICAL BACK PROBLEMS WITH COMORBITY | $5,912 – $21,978 · median $12,928 | 22 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT COMORBITY | $3,357 – $13,352 · median $7,854 | 22 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $4,695 – $17,395 · median $10,232 | 22 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $2,855 – $11,769 · median $6,923 | 22 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $4,860 – $17,702 · median $10,413 | 22 plans |
| 556 | SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITHOUT COMORBITY | $2,864 – $11,775 · median $6,927 | 22 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $5,408 – $19,694 · median $11,585 | 22 plans |
| 558 | TENDONITIS; MYOSITIS & BURSITIS WITHOUT COMORBITY | $3,052 – $12,530 · median $7,371 | 22 plans |
| 559 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY | $6,429 – $24,256 · median $14,268 | 22 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $3,933 – $15,341 · median $9,024 | 22 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $2,710 – $11,453 · median $6,737 | 22 plans |
| 562 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITH COMORBITY | $5,283 – $18,945 · median $11,144 | 22 plans |
| 563 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITHOUT COMORBITY | $3,111 – $12,558 · median $7,387 | 22 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $5,426 – $20,379 · median $11,987 | 22 plans |
| 565 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION | $3,472 – $13,510 · median $7,947 | 22 plans |
| 566 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $2,607 – $10,794 · median $6,349 | 22 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $10,152 – $37,242 · median $21,907 | 22 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $5,878 – $22,139 · median $13,023 | 22 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $3,959 – $15,585 · median $9,167 | 22 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $21,602 – $80,806 · median $47,533 | 22 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $11,832 – $43,641 · median $25,671 | 22 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $7,108 – $23,436 · median $13,786 | 22 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $19,743 – $60,894 · median $35,820 | 22 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $9,203 – $33,738 · median $19,846 | 22 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $5,595 – $21,136 · median $12,433 | 22 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $11,611 – $40,830 · median $24,018 | 22 plans |
| 580 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMPLICATION | $6,068 – $22,604 · median $13,296 | 22 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $4,678 – $19,166 · median $11,274 | 22 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $5,792 – $25,000 · median $14,706 | 22 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $5,287 – $22,560 · median $13,271 | 22 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $6,804 – $27,584 · median $16,226 | 22 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $5,850 – $25,030 · median $14,724 | 22 plans |
| 592 | SKIN ULCERS WITH MCC | $7,261 – $25,105 · median $14,768 | 22 plans |
| 593 | SKIN ULCERS WITH CC | $4,203 – $16,067 · median $9,451 | 22 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $2,735 – $12,212 · median $7,183 | 22 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $7,556 – $27,342 · median $16,084 | 22 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $3,505 – $14,815 · median $8,715 | 22 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $5,560 – $21,869 · median $12,864 | 22 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $4,165 – $15,404 · median $9,061 | 22 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,159 – $11,037 · median $6,492 | 22 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $3,563 – $14,321 · median $8,424 | 22 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT COMPLICATION/COMORBITY | $2,163 – $9,053 · median $5,325 | 22 plans |
| 602 | CELLULITIS WITH COMORBITY | $5,168 – $18,903 · median $11,119 | 22 plans |
| 603 | CELLULITIS WITHOUT COMORBITY | $3,073 – $12,261 · median $7,213 | 22 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $5,233 – $19,516 · median $11,480 | 22 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $3,157 – $12,806 · median $7,533 | 22 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $5,509 – $20,012 · median $11,772 | 22 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $3,104 – $12,690 · median $7,465 | 22 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $7,825 – $28,200 · median $16,588 | 22 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $5,111 – $18,637 · median $10,963 | 22 plans |
| 616 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMORBITY | $13,749 – $43,834 · median $25,785 | 22 plans |
| 617 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMPLICATION | $6,894 – $24,321 · median $14,306 | 22 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $4,035 – $18,867 · median $11,098 | 22 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $8,992 – $36,594 · median $21,526 | 22 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $5,636 – $21,063 · median $12,390 | 22 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $5,271 – $19,954 · median $11,738 | 22 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $13,290 – $44,700 · median $26,294 | 22 plans |
| 623 | SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMPLICATION | $6,467 – $23,399 · median $13,764 | 22 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $3,872 – $16,859 · median $9,917 | 22 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $10,148 – $38,195 · median $22,468 | 22 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $5,183 – $19,845 · median $11,674 | 22 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $4,294 – $17,781 · median $10,459 | 22 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $13,946 – $46,723 · median $27,484 | 22 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $7,861 – $28,043 · median $16,496 | 22 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $4,851 – $19,364 · median $11,390 | 22 plans |
| 637 | DIABETES WITH COMORBITY | $5,035 – $19,089 · median $11,229 | 22 plans |
| 638 | DIABETES WITH COMPLICATION | $3,125 – $12,567 · median $7,392 | 22 plans |
| 639 | DIABETES WITHOUT COMPLICATION/COMORBITY | $2,163 – $9,248 · median $5,440 | 22 plans |
| 640 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY | $4,569 – $17,869 · median $10,511 | 22 plans |
| 641 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY | $2,715 – $11,143 · median $6,555 | 22 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $4,528 – $18,913 · median $11,125 | 22 plans |
| 643 | ENDOCRINE DISORDERS WITH COMORBITY | $5,715 – $21,616 · median $12,715 | 22 plans |
| 644 | ENDOCRINE DISORDERS WITH COMPLICATION | $3,688 – $14,121 · median $8,306 | 22 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT COMPLICATION/COMORBITY | $2,643 – $11,023 · median $6,484 | 22 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $15,624 – $58,483 · median $34,402 | 22 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $12,014 – $46,469 · median $27,335 | 22 plans |
| 652 | KIDNEY TRANSPLANT | $10,437 – $40,722 · median $23,954 | 22 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $18,807 – $64,456 · median $37,915 | 22 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $9,510 – $35,531 · median $20,900 | 22 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,323 – $27,293 · median $16,055 | 22 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $10,900 – $40,170 · median $23,630 | 22 plans |
| 657 | KIDNEY & URETER PROCEDURES FOR NEOPLASM WITH COMPLICATION | $6,407 – $23,835 · median $14,020 | 22 plans |
| 658 | KIDNEY & URETER PROCEDURES FOR NEOPLASM WITHOUT COMPLICATION/COMORBITY | $5,143 – $20,478 · median $12,046 | 22 plans |
| 659 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMORBITY | $8,994 – $32,413 · median $19,066 | 22 plans |
| 660 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION | $4,676 – $17,701 · median $10,412 | 22 plans |
| 661 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION/COMORBITY | $3,642 – $14,246 · median $8,380 | 22 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $10,411 – $38,695 · median $22,762 | 22 plans |
| 663 | MINOR BLADDER PROCEDURES WITH COMPLICATION | $5,069 – $20,096 · median $11,821 | 22 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $3,688 – $14,385 · median $8,462 | 22 plans |
| 665 | PROSTATECTOMY WITH MCC | $10,732 – $39,415 · median $23,185 | 22 plans |
| 666 | PROSTATECTOMY WITH CC | $5,966 – $22,861 · median $13,448 | 22 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $3,646 – $15,101 · median $8,883 | 22 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $9,790 – $36,987 · median $21,757 | 22 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $5,331 – $20,480 · median $12,047 | 22 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $3,344 – $13,545 · median $7,968 | 22 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $5,947 – $23,412 · median $13,772 | 22 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $3,205 – $14,778 · median $8,693 | 22 plans |
| 673 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMORBITY | $12,847 – $52,452 · median $30,854 | 22 plans |
| 674 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMPLICATION | $8,276 – $29,972 · median $17,630 | 22 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $5,512 – $21,559 · median $12,682 | 22 plans |
| 682 | RENAL FAILURE WITH COMORBITY | $5,214 – $19,623 · median $11,543 | 22 plans |
| 683 | RENAL FAILURE WITH COMPLICATION | $3,129 – $12,321 · median $7,247 | 22 plans |
| 684 | RENAL FAILURE WITHOUT COMPLICATION/COMORBITY | $2,114 – $8,996 · median $5,292 | 22 plans |
| 686 | KIDNEY & URINARY TRACT NEOPLASMS WITH COMORBITY | $6,390 – $23,517 · median $13,834 | 22 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $3,631 – $14,396 · median $8,468 | 22 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $2,713 – $11,289 · median $6,640 | 22 plans |
| 689 | KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY | $4,080 – $15,753 · median $9,267 | 22 plans |
| 690 | KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY | $2,803 – $11,520 · median $6,777 | 22 plans |
| 693 | URINARY STONES WITH MCC | $4,920 – $17,976 · median $10,574 | 22 plans |
| 694 | URINARY STONES WITHOUT MCC | $2,719 – $11,185 · median $6,579 | 22 plans |
| 695 | KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITH COMORBITY | $4,155 – $15,554 · median $9,150 | 22 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $2,404 – $10,066 · median $5,921 | 22 plans |
| 697 | URETHRAL STRICTURE | $3,867 – $14,758 · median $8,681 | 22 plans |
| 698 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY | $5,747 – $21,716 · median $12,774 | 22 plans |
| 699 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION | $3,546 – $14,000 · median $8,235 | 22 plans |
| 700 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $2,461 – $10,077 · median $5,928 | 22 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH COMPLICATION/COMORBITY | $6,816 – $25,890 · median $15,229 | 22 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT COMPLICATION/COMORBITY | $5,067 – $20,265 · median $11,921 | 22 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $7,365 – $29,833 · median $17,549 | 22 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $4,288 – $18,660 · median $10,977 | 22 plans |
| 711 | TESTES PROCEDURES WITH COMPLICATION/COMORBITY | $7,375 – $26,897 · median $15,822 | 22 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $4,129 – $15,022 · median $8,837 | 22 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $5,040 – $19,894 · median $11,702 | 22 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $3,330 – $14,512 · median $8,536 | 22 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $7,669 – $28,749 · median $16,911 | 22 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $4,941 – $19,503 · median $11,472 | 22 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY WITH COMPLICATION/COMORBITY | $6,301 – $24,565 · median $14,450 | 22 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,085 – $17,959 · median $10,564 | 22 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $6,513 – $23,590 · median $13,876 | 22 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $3,871 – $15,541 · median $9,142 | 22 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,812 – $9,665 · median $5,685 | 22 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $4,311 – $15,873 · median $9,337 | 22 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $2,539 – $10,465 · median $6,156 | 22 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $5,631 – $19,646 · median $11,557 | 22 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $2,780 – $11,541 · median $6,789 | 22 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $3,488 – $14,528 · median $8,546 | 22 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,159 – $9,861 · median $5,801 | 22 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $7,551 – $27,455 · median $16,150 | 22 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $4,378 – $17,988 · median $10,581 | 22 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $13,504 – $44,885 · median $26,403 | 22 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $6,857 – $26,617 · median $15,657 | 22 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $4,741 – $19,472 · median $11,454 | 22 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $12,563 – $44,985 · median $26,462 | 22 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $6,208 – $23,588 · median $13,876 | 22 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $4,514 – $18,961 · median $11,153 | 22 plans |
| 742 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITH COMPLICATION/COMORBITY | $6,190 – $23,892 · median $14,054 | 22 plans |
| 743 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $4,037 – $16,724 · median $9,837 | 22 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $6,539 – $26,478 · median $15,576 | 22 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $3,599 – $15,478 · median $9,105 | 22 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $5,823 – $22,714 · median $13,361 | 22 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $3,082 – $12,126 · median $7,133 | 22 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $4,881 – $18,493 · median $10,878 | 22 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $8,745 – $32,735 · median $19,256 | 22 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $4,725 – $19,561 · median $11,506 | 22 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $6,436 – $23,976 · median $14,103 | 22 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $3,768 – $14,879 · median $8,752 | 22 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,438 – $13,343 · median $7,849 | 22 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $5,182 – $19,031 · median $11,195 | 22 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $3,448 – $13,566 · median $7,980 | 22 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,245 – $9,760 · median $5,741 | 22 plans |
| 760 | MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH COMPLICATION/COMORBITY | $3,458 – $13,910 · median $8,182 | 22 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $2,104 – $8,637 · median $5,080 | 22 plans |
| 769 | POSTPARTUM & POST ABORTION DIAGNOSES WITH O.R. PROCEDURE | $5,364 – $22,143 · median $13,025 | 22 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $2,775 – $13,852 · median $8,148 | 22 plans |
| 776 | POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE | $2,490 – $9,653 · median $5,678 | 22 plans |
| 779 | ABORTION WITHOUT D&C | $3,436 – $11,904 · median $7,002 | 22 plans |
| 795 | NORMAL NEWBORN | $701 – $4,163 · median $2,449 | 22 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $17,212 – $56,401 · median $33,177 | 22 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $9,789 – $35,653 · median $20,972 | 22 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $6,217 – $24,787 · median $14,580 | 22 plans |
| 802 | OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS WITH COMORBITY | $11,778 – $49,827 · median $29,310 | 22 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $6,455 – $24,183 · median $14,225 | 22 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $4,205 – $18,115 · median $10,656 | 22 plans |
| 808 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMORBITY | $7,608 – $28,395 · median $16,703 | 22 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $4,184 – $17,028 · median $10,016 | 22 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $3,490 – $14,381 · median $8,460 | 22 plans |
| 811 | RED BLOOD CELL DISORDERS WITH COMORBITY | $4,876 – $18,698 · median $10,999 | 22 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT COMORBITY | $3,129 – $12,832 · median $7,548 | 22 plans |
| 813 | COAGULATION DISORDERS | $5,419 – $20,158 · median $11,858 | 22 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $7,393 – $27,415 · median $16,126 | 22 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $3,454 – $13,988 · median $8,228 | 22 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $2,467 – $9,379 · median $5,517 | 22 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $7,834 – $29,284 · median $17,226 | 22 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $4,075 – $15,740 · median $9,259 | 22 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,152 – $12,129 · median $7,134 | 22 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $21,006 – $72,521 · median $42,660 | 22 plans |
| 821 | LYMPHOMA & LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH COMPLICATION | $7,754 – $28,765 · median $16,921 | 22 plans |
| 822 | LYMPHOMA & LEUKEMIA WITH MAJOR O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY | $4,304 – $16,281 · median $9,577 | 22 plans |
| 823 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITH COMORBITY | $15,640 – $57,076 · median $33,574 | 22 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $7,757 – $29,091 · median $17,112 | 22 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $4,486 – $18,035 · median $10,609 | 22 plans |
| 826 | MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITH COMORBITY | $15,247 – $58,198 · median $34,234 | 22 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $8,050 – $29,641 · median $17,436 | 22 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $5,699 – $22,312 · median $13,125 | 22 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $10,956 – $39,883 · median $23,461 | 22 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $5,493 – $19,913 · median $11,713 | 22 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMORBITY | $3,508 – $16,263 · median $9,566 | 22 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMPLICATION | $2,563 – $10,460 · median $6,153 | 22 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY | $1,778 – $8,062 · median $4,742 | 22 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $19,451 – $67,997 · median $39,998 | 22 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $7,766 – $26,921 · median $15,836 | 22 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $4,159 – $16,468 · median $9,687 | 22 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $16,524 – $59,724 · median $35,132 | 22 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $6,783 – $26,941 · median $15,847 | 22 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,527 – $19,176 · median $11,280 | 22 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $10,857 – $40,787 · median $23,992 | 22 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $5,466 – $21,438 · median $12,611 | 22 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $3,705 – $13,945 · median $8,203 | 22 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $6,464 – $25,823 · median $15,190 | 22 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $4,020 – $16,443 · median $9,672 | 22 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $3,005 – $12,029 · median $7,076 | 22 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $8,490 – $33,035 · median $19,433 | 22 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $4,213 – $17,538 · median $10,317 | 22 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $2,639 – $12,002 · median $7,060 | 22 plans |
| 849 | RADIOTHERAPY | $9,350 – $34,447 · median $20,263 | 22 plans |
| 853 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY | $17,368 – $61,345 · median $36,085 | 22 plans |
| 854 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION | $7,081 – $25,863 · median $15,214 | 22 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,912 – $19,819 · median $11,658 | 22 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMORBITY | $15,384 – $56,640 · median $33,318 | 22 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMPLICATION | $7,419 – $27,593 · median $16,231 | 22 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,459 – $18,560 · median $10,918 | 22 plans |
| 862 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITH COMORBITY | $6,399 – $23,759 · median $13,976 | 22 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $3,493 – $13,794 · median $8,114 | 22 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $3,067 – $12,464 · median $7,332 | 22 plans |
| 865 | VIRAL ILLNESS WITH MCC | $5,697 – $19,832 · median $11,666 | 22 plans |
| 866 | VIRAL ILLNESS WITHOUT COMORBITY | $3,188 – $12,246 · median $7,203 | 22 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $7,269 – $27,011 · median $15,889 | 22 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $3,771 – $14,194 · median $8,350 | 22 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $2,399 – $10,558 · median $6,210 | 22 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $24,196 – $85,155 · median $50,091 | 22 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY | $6,888 – $25,192 · median $14,819 | 22 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY | $3,578 – $14,100 · median $8,294 | 22 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $12,963 – $48,389 · median $28,464 | 22 plans |
| 880 | ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION | $3,316 – $13,339 · median $7,846 | 22 plans |
| 881 | DEPRESSIVE NEUROSES | $3,149 – $13,106 · median $7,709 | 22 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $3,263 – $14,710 · median $8,653 | 22 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $6,515 – $25,479 · median $14,988 | 22 plans |
| 884 | ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY | $6,103 – $21,167 · median $12,451 | 22 plans |
| 885 | PSYCHOSES | $4,747 – $18,607 · median $10,945 | 22 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $5,842 – $26,795 · median $15,761 | 22 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $4,501 – $14,675 · median $8,632 | 22 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE; LEFT AMA | $1,996 – $9,196 · median $5,410 | 22 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $5,589 – $18,834 · median $11,079 | 22 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH COMORBITY | $6,177 – $22,810 · median $13,418 | 22 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY | $2,972 – $12,405 · median $7,297 | 22 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH COMORBITY | $15,035 – $52,392 · median $30,819 | 22 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $6,547 – $24,854 · median $14,620 | 22 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $4,313 – $15,866 · median $9,333 | 22 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $11,312 – $46,075 · median $27,103 | 22 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $5,502 – $19,652 · median $11,560 | 22 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $6,537 – $25,455 · median $14,974 | 22 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMORBITY | $12,922 – $48,080 · median $28,282 | 22 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $6,962 – $25,828 · median $15,193 | 22 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $4,712 – $17,592 · median $10,349 | 22 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $5,192 – $21,477 · median $12,633 | 22 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $3,153 – $12,438 · median $7,316 | 22 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $6,163 – $22,044 · median $12,967 | 22 plans |
| 916 | ALLERGIC REACTIONS WITHOUT COMORBITY | $2,289 – $9,793 · median $5,760 | 22 plans |
| 917 | POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY | $5,544 – $20,678 · median $12,163 | 22 plans |
| 918 | POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY | $2,991 – $12,095 · median $7,115 | 22 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH COMORBITY | $6,339 – $23,844 · median $14,026 | 22 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH COMPLICATION | $3,591 – $13,847 · median $8,145 | 22 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $2,424 – $10,059 · median $5,917 | 22 plans |
| 922 | OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITH COMORBITY | $6,062 – $22,862 · median $13,448 | 22 plans |
| 923 | OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITHOUT COMORBITY | $3,514 – $14,033 · median $8,255 | 22 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $91,570 – $259,382 · median $152,578 | 22 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $24,039 – $88,303 · median $51,943 | 22 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $11,171 – $40,617 · median $23,892 | 22 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $10,533 – $48,743 · median $28,672 | 22 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $7,269 – $28,427 · median $16,722 | 22 plans |
| 935 | NON-EXTENSIVE BURNS | $7,091 – $26,610 · median $15,653 | 22 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $11,170 – $45,536 · median $26,786 | 22 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $7,527 – $29,951 · median $17,618 | 22 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $6,448 – $26,220 · median $15,424 | 22 plans |
| 945 | REHABILITATION WITH CC/MCC | $5,244 – $20,439 · median $12,023 | 22 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $3,518 – $15,591 · median $9,171 | 22 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $4,348 – $17,070 · median $10,041 | 22 plans |
| 948 | SIGNS & SYMPTOMS WITHOUT COMORBITY | $2,783 – $11,412 · median $6,713 | 22 plans |
| 949 | AFTERCARE WITH CC/MCC | $3,599 – $16,108 · median $9,475 | 22 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $2,182 – $9,327 · median $5,486 | 22 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $2,050 – $8,462 · median $4,977 | 22 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $21,157 – $82,975 · median $48,809 | 22 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $13,473 – $47,159 · median $27,741 | 22 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $25,126 – $93,699 · median $55,117 | 22 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $14,052 – $52,600 · median $30,941 | 22 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $8,798 – $37,278 · median $21,928 | 22 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $9,499 – $34,740 · median $20,436 | 22 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $5,214 – $20,246 · median $11,909 | 22 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $3,321 – $13,101 · median $7,707 | 22 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $23,875 – $75,616 · median $44,480 | 22 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $8,353 – $33,577 · median $19,751 | 22 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $10,132 – $36,577 · median $21,516 | 22 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $4,736 – $17,379 · median $10,223 | 22 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $2,937 – $12,645 · median $7,438 | 22 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $4,920 – $17,411 · median $10,242 | 22 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $16,468 – $58,367 · median $34,334 | 22 plans |
| 982 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $8,636 – $31,418 · median $18,481 | 22 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $5,681 – $22,435 · median $13,197 | 22 plans |
| 987 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $11,731 – $43,122 · median $25,366 | 22 plans |
| 988 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $5,895 – $21,585 · median $12,697 | 22 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $3,753 – $16,223 · median $9,543 | 22 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $81,372 – $138,333 · median $81,372 | 20 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $41,539 – $70,616 · median $41,539 | 20 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $48,492 – $82,436 · median $48,492 | 20 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $18,224 – $30,980 · median $18,224 | 20 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $25,438 – $43,245 · median $25,438 | 20 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $18,168 – $30,885 · median $18,168 | 20 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $29,569 – $50,267 · median $29,569 | 20 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $79,260 – $134,742 · median $79,260 | 20 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $52,269 – $88,857 · median $52,269 | 20 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $40,936 – $69,591 · median $40,936 | 20 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $64,981 – $110,469 · median $64,981 | 20 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $41,966 – $71,342 · median $41,966 | 20 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $48,457 – $82,377 · median $48,457 | 20 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $31,132 – $52,925 · median $31,132 | 20 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $38,861 – $66,063 · median $38,861 | 20 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $23,960 – $40,733 · median $23,960 | 20 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $62,496 – $106,244 · median $62,496 | 20 plans |
No procedures match that keyword.