Salem Regional Medical Center — 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 |
|---|---|---|---|
| 001 | Heart Transplant Or Implant Of Heart Assist System With Mcc | $190,404 – $284,583 · median $249,160 | 12 plans |
| 002 | Heart Transplant Or Implant Of Heart Assist System Without Mcc | $76,992 – $115,074 · median $100,751 | 12 plans |
| 003 | Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major | $144,211 – $215,542 · median $188,713 | 12 plans |
| 004 | Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R. | $94,111 – $140,661 · median $123,153 | 12 plans |
| 005 | Liver Transplant With Mcc Or Intestinal Transplant | $70,053 – $104,703 · median $91,671 | 12 plans |
| 006 | Liver Transplant Without Mcc | $31,505 – $47,089 · median $41,228 | 12 plans |
| 007 | Lung Transplant | $87,988 – $131,509 · median $115,140 | 12 plans |
| 008 | Simultaneous Pancreas And Kidney Transplant | $38,079 – $56,915 · median $49,831 | 12 plans |
| 010 | Pancreas Transplant | $48,754 – $72,869 · median $63,799 | 12 plans |
| 011 | Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc | $37,057 – $55,386 · median $48,492 | 12 plans |
| 012 | Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc | $28,645 – $42,813 · median $37,484 | 12 plans |
| 013 | Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc | $19,580 – $29,265 · median $25,622 | 12 plans |
| 014 | Allogeneic Bone Marrow Transplant | $81,654 – $122,042 · median $106,851 | 12 plans |
| 016 | Autologous Bone Marrow Transplant With Cc/Mcc | $40,288 – $60,216 · median $52,721 | 12 plans |
| 017 | Autologous Bone Marrow Transplant Without Cc/Mcc | $36,909 – $55,165 · median $48,299 | 12 plans |
| 018 | Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies | $293,398 – $438,521 · median $383,938 | 12 plans |
| 019 | Simultaneous Pancreas And Kidney Transplant With Hemodialysis | $48,475 – $72,452 · median $63,434 | 12 plans |
| 020 | Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc | $53,463 – $79,908 · median $69,962 | 12 plans |
| 021 | Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc | $35,968 – $53,759 · median $47,067 | 12 plans |
| 022 | Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/Mcc | $21,588 – $32,267 · median $28,250 | 12 plans |
| 023 | Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Antineopla | $38,934 – $58,191 · median $50,948 | 12 plans |
| 024 | Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without Mcc | $26,579 – $39,725 · median $34,781 | 12 plans |
| 025 | Craniotomy And Endovascular Intracranial Procedures With Mcc | $30,892 – $46,172 · median $40,425 | 12 plans |
| 026 | Craniotomy And Endovascular Intracranial Procedures With Cc | $21,125 – $31,574 · median $27,644 | 12 plans |
| 027 | Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc | $17,141 – $25,620 · median $22,431 | 12 plans |
| 028 | Spinal Procedures With Mcc | $40,822 – $61,014 · median $53,420 | 12 plans |
| 029 | Spinal Procedures With Cc Or Spinal Neurostimulators | $23,180 – $34,645 · median $30,333 | 12 plans |
| 030 | Spinal Procedures Without Cc/Mcc | $14,915 – $22,292 · median $19,518 | 12 plans |
| 031 | Ventricular Shunt Procedures With Mcc | $30,442 – $45,499 · median $39,836 | 12 plans |
| 032 | Ventricular Shunt Procedures With Cc | $14,479 – $21,640 · median $18,947 | 12 plans |
| 033 | Ventricular Shunt Procedures Without Cc/Mcc | $11,298 – $16,887 · median $14,785 | 12 plans |
| 034 | Carotid Artery Stent Procedures With Mcc | $26,299 – $39,307 · median $34,414 | 12 plans |
| 035 | Carotid Artery Stent Procedures With Cc | $16,242 – $24,276 · median $21,254 | 12 plans |
| 036 | Carotid Artery Stent Procedures Without Cc/Mcc | $13,200 – $19,729 · median $17,273 | 12 plans |
| 037 | Extracranial Procedures With Mcc | $22,368 – $33,431 · median $29,270 | 12 plans |
| 038 | Extracranial Procedures With Cc | $11,024 – $16,478 · median $14,427 | 12 plans |
| 039 | Extracranial Procedures Without Cc/Mcc | $7,987 – $11,937 · median $10,451 | 12 plans |
| 040 | Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc | $26,234 – $39,210 · median $34,330 | 12 plans |
| 041 | Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator | $14,939 – $22,328 · median $19,549 | 12 plans |
| 042 | Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc | $11,739 – $17,545 · median $15,361 | 12 plans |
| 052 | Spinal Disorders And Injuries With Cc/Mcc | $12,307 – $18,394 · median $16,104 | 12 plans |
| 053 | Spinal Disorders And Injuries Without Cc/Mcc | $6,653 – $9,944 · median $8,706 | 12 plans |
| 054 | Nervous System Neoplasms With Mcc | $10,374 – $15,506 · median $13,576 | 12 plans |
| 055 | Nervous System Neoplasms Without Mcc | $6,928 – $10,354 · median $9,065 | 12 plans |
| 056 | Degenerative Nervous System Disorders With Mcc | $15,784 – $23,591 · median $20,655 | 12 plans |
| 057 | Degenerative Nervous System Disorders Without Mcc | $8,803 – $13,157 · median $11,519 | 12 plans |
| 058 | Multiple Sclerosis And Cerebellar Ataxia With Mcc | $11,615 – $17,360 · median $15,199 | 12 plans |
| 059 | Multiple Sclerosis And Cerebellar Ataxia With Cc | $8,431 – $12,601 · median $11,033 | 12 plans |
| 060 | Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc | $6,249 – $9,341 · median $8,178 | 12 plans |
| 061 | Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Mcc | $18,733 – $27,998 · median $24,513 | 12 plans |
| 062 | Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc | $11,939 – $17,844 · median $15,623 | 12 plans |
| 063 | Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/Mcc | $9,538 – $14,256 · median $12,481 | 12 plans |
| 064 | Intracranial Hemorrhage Or Cerebral Infarction With Mcc | $13,663 – $20,422 · median $17,880 | 12 plans |
| 065 | Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours | $6,864 – $10,260 · median $8,983 | 12 plans |
| 066 | Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc | $4,650 – $6,950 · median $6,085 | 12 plans |
| 067 | Precerebral Occlusion Without Infarction With Mcc | $9,979 – $14,915 · median $13,058 | 12 plans |
| 068 | Precerebral Occlusion Without Infarction Without Mcc | $5,873 – $8,778 · median $7,685 | 12 plans |
| 069 | Transient Ischemia Without Thrombolytic | $5,427 – $8,112 · median $7,102 | 12 plans |
| 070 | Other Cerebrovascular Disorders With Mcc | $11,311 – $16,906 · median $14,802 | 12 plans |
| 071 | Other Cerebrovascular Disorders With Cc | $6,971 – $10,419 · median $9,122 | 12 plans |
| 072 | Other Cerebrovascular Disorders Without Cc/Mcc | $5,138 – $7,679 · median $6,723 | 12 plans |
| 073 | Cranial And Peripheral Nerve Disorders With Mcc | $10,900 – $16,292 · median $14,264 | 12 plans |
| 074 | Cranial And Peripheral Nerve Disorders Without Mcc | $7,004 – $10,468 · median $9,165 | 12 plans |
| 075 | Viral Meningitis With Cc/Mcc | $13,028 – $19,472 · median $17,048 | 12 plans |
| 076 | Viral Meningitis Without Cc/Mcc | $5,607 – $8,380 · median $7,337 | 12 plans |
| 080 | Nontraumatic Stupor And Coma With Mcc | $12,298 – $18,381 · median $16,093 | 12 plans |
| 081 | Nontraumatic Stupor And Coma Without Mcc | $6,085 – $9,095 · median $7,963 | 12 plans |
| 082 | Traumatic Stupor And Coma >1 Hour With Mcc | $15,529 – $23,210 · median $20,321 | 12 plans |
| 083 | Traumatic Stupor And Coma >1 Hour With Cc | $9,484 – $14,174 · median $12,410 | 12 plans |
| 084 | Traumatic Stupor And Coma >1 Hour Without Cc/Mcc | $6,494 – $9,706 · median $8,498 | 12 plans |
| 085 | Traumatic Stupor And Coma <1 Hour With Mcc | $15,436 – $23,071 · median $20,199 | 12 plans |
| 086 | Traumatic Stupor And Coma <1 Hour With Cc | $8,851 – $13,229 · median $11,582 | 12 plans |
| 087 | Traumatic Stupor And Coma <1 Hour Without Cc/Mcc | $6,215 – $9,289 · median $8,133 | 12 plans |
| 088 | Concussion With Mcc | $9,185 – $13,728 · median $12,019 | 12 plans |
| 089 | Concussion With Cc | $7,464 – $11,156 · median $9,768 | 12 plans |
| 090 | Concussion Without Cc/Mcc | $5,593 – $8,360 · median $7,319 | 12 plans |
| 091 | Other Disorders Of Nervous System With Mcc | $11,932 – $17,834 · median $15,614 | 12 plans |
| 092 | Other Disorders Of Nervous System With Cc | $6,951 – $10,389 · median $9,095 | 12 plans |
| 093 | Other Disorders Of Nervous System Without Cc/Mcc | $5,410 – $8,086 · median $7,080 | 12 plans |
| 094 | Bacterial And Tuberculous Infections Of Nervous System With Mcc | $23,912 – $35,740 · median $31,291 | 12 plans |
| 095 | Bacterial And Tuberculous Infections Of Nervous System With Cc | $17,524 – $26,192 · median $22,932 | 12 plans |
| 096 | Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc | $17,524 – $26,192 · median $22,932 | 12 plans |
| 097 | Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Mcc | $24,540 – $36,678 · median $32,113 | 12 plans |
| 098 | Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc | $15,592 – $23,305 · median $20,404 | 12 plans |
| 099 | Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc | $9,257 – $13,835 · median $12,113 | 12 plans |
| 100 | Seizures With Mcc | $13,159 – $19,668 · median $17,220 | 12 plans |
| 101 | Seizures Without Mcc | $6,133 – $9,166 · median $8,025 | 12 plans |
| 102 | Headaches With Mcc | $7,616 – $11,383 · median $9,966 | 12 plans |
| 103 | Headaches Without Mcc | $5,682 – $8,493 · median $7,436 | 12 plans |
| 113 | Orbital Procedures With Cc/Mcc | $15,974 – $23,875 · median $20,904 | 12 plans |
| 114 | Orbital Procedures Without Cc/Mcc | $9,193 – $13,740 · median $12,030 | 12 plans |
| 115 | Extraocular Procedures Except Orbit | $10,429 – $15,587 · median $13,647 | 12 plans |
| 116 | Intraocular Procedures With Cc/Mcc | $12,285 – $18,361 · median $16,076 | 12 plans |
| 117 | Intraocular Procedures Without Cc/Mcc | $7,371 – $11,017 · median $9,646 | 12 plans |
| 121 | Acute Major Eye Infections With Cc/Mcc | $7,904 – $11,813 · median $10,343 | 12 plans |
| 122 | Acute Major Eye Infections Without Cc/Mcc | $5,339 – $7,980 · median $6,987 | 12 plans |
| 123 | Neurological Eye Disorders | $5,426 – $8,110 · median $7,100 | 12 plans |
| 124 | Other Disorders Of The Eye With Mcc Or Thrombolytic Agent | $8,990 – $13,436 · median $11,764 | 12 plans |
| 125 | Other Disorders Of The Eye Without Mcc | $5,217 – $7,797 · median $6,827 | 12 plans |
| 135 | Sinus And Mastoid Procedures With Cc/Mcc | $14,744 – $22,036 · median $19,293 | 12 plans |
| 136 | Sinus And Mastoid Procedures Without Cc/Mcc | $6,898 – $10,310 · median $9,027 | 12 plans |
| 137 | Mouth Procedures With Cc/Mcc | $10,145 – $15,163 · median $13,276 | 12 plans |
| 138 | Mouth Procedures Without Cc/Mcc | $6,021 – $8,999 · median $7,879 | 12 plans |
| 139 | Salivary Gland Procedures | $8,396 – $12,549 · median $10,987 | 12 plans |
| 140 | Major Head And Neck Procedures With Mcc | $28,980 – $43,314 · median $37,923 | 12 plans |
| 141 | Major Head And Neck Procedures With Cc | $14,819 – $22,149 · median $19,392 | 12 plans |
| 142 | Major Head And Neck Procedures Without Cc/Mcc | $10,846 – $16,211 · median $14,194 | 12 plans |
| 143 | Other Ear, Nose, Mouth And Throat O.R. Procedures With Mcc | $25,456 – $38,047 · median $33,311 | 12 plans |
| 144 | Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc | $11,774 – $17,598 · median $15,407 | 12 plans |
| 145 | Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/Mcc | $8,169 – $12,209 · median $10,690 | 12 plans |
| 146 | Ear, Nose, Mouth And Throat Malignancy With Mcc | $14,386 – $21,502 · median $18,826 | 12 plans |
| 147 | Ear, Nose, Mouth And Throat Malignancy With Cc | $8,639 – $12,912 · median $11,305 | 12 plans |
| 148 | Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc | $5,416 – $8,095 · median $7,087 | 12 plans |
| 149 | Dysequilibrium | $5,107 – $7,633 · median $6,682 | 12 plans |
| 150 | Epistaxis With Mcc | $9,047 – $13,521 · median $11,838 | 12 plans |
| 151 | Epistaxis Without Mcc | $4,987 – $7,454 · median $6,526 | 12 plans |
| 152 | Otitis Media And Uri With Mcc | $8,032 – $12,005 · median $10,511 | 12 plans |
| 153 | Otitis Media And Uri Without Mcc | $5,016 – $7,496 · median $6,563 | 12 plans |
| 154 | Other Ear, Nose, Mouth And Throat Diagnoses With Mcc | $10,623 – $15,877 · median $13,901 | 12 plans |
| 155 | Other Ear, Nose, Mouth And Throat Diagnoses With Cc | $6,227 – $9,307 · median $8,149 | 12 plans |
| 156 | Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc | $4,696 – $7,018 · median $6,145 | 12 plans |
| 157 | Dental And Oral Diseases With Mcc | $11,665 – $17,434 · median $15,264 | 12 plans |
| 158 | Dental And Oral Diseases With Cc | $6,181 – $9,239 · median $8,089 | 12 plans |
| 159 | Dental And Oral Diseases Without Cc/Mcc | $4,814 – $7,195 · median $6,299 | 12 plans |
| 163 | Major Chest Procedures With Mcc | $30,451 – $45,513 · median $39,848 | 12 plans |
| 164 | Major Chest Procedures With Cc | $17,149 – $25,631 · median $22,441 | 12 plans |
| 165 | Major Chest Procedures Without Cc/Mcc | $13,006 – $19,439 · median $17,019 | 12 plans |
| 166 | Other Respiratory System O.R. Procedures With Mcc | $25,395 – $37,956 · median $33,232 | 12 plans |
| 167 | Other Respiratory System O.R. Procedures With Cc | $12,253 – $18,314 · median $16,034 | 12 plans |
| 168 | Other Respiratory System O.R. Procedures Without Cc/Mcc | $9,284 – $13,876 · median $12,149 | 12 plans |
| 173 | Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism | $20,223 – $30,225 · median $26,463 | 12 plans |
| 175 | Pulmonary Embolism With Mcc Or Acute Cor Pulmonale | $9,333 – $13,949 · median $12,213 | 12 plans |
| 176 | Pulmonary Embolism Without Mcc | $5,469 – $8,175 · median $7,157 | 12 plans |
| 177 | Respiratory Infections And Inflammations With Mcc | $10,618 – $15,869 · median $13,894 | 12 plans |
| 178 | Respiratory Infections And Inflammations With Cc | $6,631 – $9,911 · median $8,678 | 12 plans |
| 179 | Respiratory Infections And Inflammations Without Cc/Mcc | $5,130 – $7,667 · median $6,713 | 12 plans |
| 180 | Respiratory Neoplasms With Mcc | $11,999 – $17,934 · median $15,702 | 12 plans |
| 181 | Respiratory Neoplasms With Cc | $7,277 – $10,876 · median $9,522 | 12 plans |
| 182 | Respiratory Neoplasms Without Cc/Mcc | $5,122 – $7,655 · median $6,702 | 12 plans |
| 183 | Major Chest Trauma With Mcc | $10,395 – $15,536 · median $13,602 | 12 plans |
| 184 | Major Chest Trauma With Cc | $7,230 – $10,806 · median $9,461 | 12 plans |
| 185 | Major Chest Trauma Without Cc/Mcc | $5,344 – $7,987 · median $6,993 | 12 plans |
| 186 | Pleural Effusion With Mcc | $10,589 – $15,827 · median $13,857 | 12 plans |
| 187 | Pleural Effusion With Cc | $6,720 – $10,044 · median $8,794 | 12 plans |
| 188 | Pleural Effusion Without Cc/Mcc | $4,873 – $7,283 · median $6,377 | 12 plans |
| 189 | Pulmonary Edema And Respiratory Failure | $8,394 – $12,545 · median $10,984 | 12 plans |
| 190 | Chronic Obstructive Pulmonary Disease With Mcc | $7,526 – $11,249 · median $9,849 | 12 plans |
| 191 | Chronic Obstructive Pulmonary Disease With Cc | $5,728 – $8,561 · median $7,495 | 12 plans |
| 192 | Chronic Obstructive Pulmonary Disease Without Cc/Mcc | $4,362 – $6,520 · median $5,708 | 12 plans |
| 193 | Simple Pneumonia And Pleurisy With Mcc | $8,930 – $13,348 · median $11,686 | 12 plans |
| 194 | Simple Pneumonia And Pleurisy With Cc | $5,476 – $8,184 · median $7,165 | 12 plans |
| 195 | Simple Pneumonia And Pleurisy Without Cc/Mcc | $4,270 – $6,382 · median $5,588 | 12 plans |
| 196 | Interstitial Lung Disease With Mcc | $12,822 – $19,165 · median $16,779 | 12 plans |
| 197 | Interstitial Lung Disease With Cc | $6,449 – $9,638 · median $8,438 | 12 plans |
| 198 | Interstitial Lung Disease Without Cc/Mcc | $4,866 – $7,273 · median $6,368 | 12 plans |
| 199 | Pneumothorax With Mcc | $11,986 – $17,914 · median $15,685 | 12 plans |
| 200 | Pneumothorax With Cc | $7,469 – $11,163 · median $9,774 | 12 plans |
| 201 | Pneumothorax Without Cc/Mcc | $4,859 – $7,262 · median $6,358 | 12 plans |
| 202 | Bronchitis And Asthma With Cc/Mcc | $6,599 – $9,863 · median $8,635 | 12 plans |
| 203 | Bronchitis And Asthma Without Cc/Mcc | $4,552 – $6,804 · median $5,957 | 12 plans |
| 204 | Respiratory Signs And Symptoms | $5,486 – $8,199 · median $7,179 | 12 plans |
| 205 | Other Respiratory System Diagnoses With Mcc | $12,440 – $18,594 · median $16,279 | 12 plans |
| 206 | Other Respiratory System Diagnoses Without Mcc | $6,394 – $9,557 · median $8,367 | 12 plans |
| 207 | Respiratory System Diagnosis With Ventilator Support >96 Hours | $43,719 – $65,344 · median $57,211 | 12 plans |
| 208 | Respiratory System Diagnosis With Ventilator Support <=96 Hours | $18,676 – $27,913 · median $24,439 | 12 plans |
| 209 | Complex Aortic Arch Procedures | $76,904 – $114,942 · median $100,635 | 12 plans |
| 212 | Concomitant Aortic And Mitral Valve Procedures | $73,882 – $110,426 · median $96,682 | 12 plans |
| 213 | Endovascular Abdominal Aorta With Iliac Branch Procedures | $38,775 – $57,954 · median $50,740 | 12 plans |
| 215 | Other Heart Assist System Implant | $67,651 – $101,113 · median $88,528 | 12 plans |
| 216 | Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc | $66,468 – $99,344 · median $86,979 | 12 plans |
| 217 | Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc | $44,675 – $66,772 · median $58,461 | 12 plans |
| 218 | Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/Mcc | $44,675 – $66,772 · median $58,461 | 12 plans |
| 219 | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc | $52,169 – $77,973 · median $68,268 | 12 plans |
| 220 | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc | $36,233 – $54,155 · median $47,414 | 12 plans |
| 221 | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/M | $34,245 – $51,183 · median $44,812 | 12 plans |
| 228 | Other Cardiothoracic Procedures With Mcc | $33,614 – $50,241 · median $43,987 | 12 plans |
| 229 | Other Cardiothoracic Procedures Without Mcc | $21,399 – $31,983 · median $28,002 | 12 plans |
| 231 | Coronary Bypass With Ptca With Mcc | $57,276 – $85,606 · median $74,950 | 12 plans |
| 232 | Coronary Bypass With Ptca Without Mcc | $41,191 – $61,566 · median $53,903 | 12 plans |
| 233 | Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc | $51,944 – $77,637 · median $67,973 | 12 plans |
| 234 | Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc | $37,115 – $55,474 · median $48,569 | 12 plans |
| 235 | Coronary Bypass Without Cardiac Catheterization With Mcc | $39,873 – $59,596 · median $52,178 | 12 plans |
| 236 | Coronary Bypass Without Cardiac Catheterization Without Mcc | $28,460 – $42,537 · median $37,243 | 12 plans |
| 239 | Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc | $33,440 – $49,980 · median $43,759 | 12 plans |
| 240 | Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc | $19,367 – $28,947 · median $25,344 | 12 plans |
| 241 | Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/Mcc | $9,406 – $14,059 · median $12,309 | 12 plans |
| 242 | Permanent Cardiac Pacemaker Implant With Mcc | $21,693 – $32,423 · median $28,387 | 12 plans |
| 243 | Permanent Cardiac Pacemaker Implant With Cc | $14,478 – $21,639 · median $18,946 | 12 plans |
| 244 | Permanent Cardiac Pacemaker Implant Without Cc/Mcc | $12,281 – $18,355 · median $16,070 | 12 plans |
| 245 | Aicd Generator Procedures | $30,998 – $46,331 · median $40,564 | 12 plans |
| 250 | Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc | $14,829 – $22,163 · median $19,405 | 12 plans |
| 251 | Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc | $10,154 – $15,177 · median $13,288 | 12 plans |
| 252 | Other Vascular Procedures With Mcc | $23,701 – $35,424 · median $31,014 | 12 plans |
| 253 | Other Vascular Procedures With Cc | $17,635 – $26,358 · median $23,077 | 12 plans |
| 254 | Other Vascular Procedures Without Cc/Mcc | $12,105 – $18,093 · median $15,841 | 12 plans |
| 255 | Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc | $18,327 – $27,392 · median $23,983 | 12 plans |
| 256 | Upper Limb And Toe Amputation For Circulatory System Disorders With Cc | $11,536 – $17,242 · median $15,096 | 12 plans |
| 257 | Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc | $7,421 – $11,091 · median $9,711 | 12 plans |
| 258 | Cardiac Pacemaker Device Replacement With Mcc | $21,348 – $31,908 · median $27,936 | 12 plans |
| 259 | Cardiac Pacemaker Device Replacement Without Mcc | $13,739 – $20,534 · median $17,978 | 12 plans |
| 260 | Cardiac Pacemaker Revision Except Device Replacement With Mcc | $22,101 – $33,032 · median $28,921 | 12 plans |
| 261 | Cardiac Pacemaker Revision Except Device Replacement With Cc | $12,845 – $19,198 · median $16,808 | 12 plans |
| 262 | Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc | $11,074 – $16,552 · median $14,491 | 12 plans |
| 263 | Vein Ligation And Stripping | $20,773 – $31,048 · median $27,183 | 12 plans |
| 264 | Other Circulatory System O.R. Procedures | $22,697 – $33,924 · median $29,701 | 12 plans |
| 265 | Aicd Lead Procedures | $24,583 – $36,743 · median $32,169 | 12 plans |
| 266 | Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc | $41,638 – $62,234 · median $54,488 | 12 plans |
| 267 | Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc | $32,346 – $48,346 · median $42,328 | 12 plans |
| 268 | Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc | $46,731 – $69,845 · median $61,151 | 12 plans |
| 269 | Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc | $28,694 – $42,887 · median $37,548 | 12 plans |
| 270 | Other Major Cardiovascular Procedures With Mcc | $35,849 – $53,581 · median $46,912 | 12 plans |
| 271 | Other Major Cardiovascular Procedures With Cc | $24,163 – $36,114 · median $31,619 | 12 plans |
| 272 | Other Major Cardiovascular Procedures Without Cc/Mcc | $17,346 – $25,926 · median $22,699 | 12 plans |
| 273 | Percutaneous And Other Intracardiac Procedures With Mcc | $28,030 – $41,894 · median $36,680 | 12 plans |
| 274 | Percutaneous And Other Intracardiac Procedures Without Mcc | $22,365 – $33,427 · median $29,267 | 12 plans |
| 275 | Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc | $48,446 – $72,409 · median $63,396 | 12 plans |
| 276 | Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator | $40,811 – $60,997 · median $53,405 | 12 plans |
| 277 | Cardiac Defibrillator Implant Without Mcc | $31,380 – $46,901 · median $41,063 | 12 plans |
| 278 | Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With Mcc | $37,819 – $56,525 · median $49,489 | 12 plans |
| 279 | Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without Mcc | $24,503 – $36,623 · median $32,065 | 12 plans |
| 280 | Acute Myocardial Infarction, Discharged Alive With Mcc | $10,899 – $16,290 · median $14,262 | 12 plans |
| 281 | Acute Myocardial Infarction, Discharged Alive With Cc | $6,245 – $9,333 · median $8,172 | 12 plans |
| 282 | Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc | $4,913 – $7,343 · median $6,429 | 12 plans |
| 283 | Acute Myocardial Infarction, Expired With Mcc | $13,458 – $20,115 · median $17,611 | 12 plans |
| 284 | Acute Myocardial Infarction, Expired With Cc | $4,703 – $7,029 · median $6,154 | 12 plans |
| 285 | Acute Myocardial Infarction, Expired Without Cc/Mcc | $4,069 – $6,082 · median $5,325 | 12 plans |
| 286 | Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc | $15,034 – $22,471 · median $19,674 | 12 plans |
| 287 | Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc | $7,271 – $10,867 · median $9,514 | 12 plans |
| 288 | Acute And Subacute Endocarditis With Mcc | $18,387 – $27,481 · median $24,061 | 12 plans |
| 289 | Acute And Subacute Endocarditis With Cc | $11,597 – $17,334 · median $15,176 | 12 plans |
| 290 | Acute And Subacute Endocarditis Without Cc/Mcc | $6,317 – $9,441 · median $8,266 | 12 plans |
| 291 | Heart Failure And Shock With Mcc | $8,723 – $13,037 · median $11,414 | 12 plans |
| 292 | Heart Failure And Shock With Cc | $5,768 – $8,622 · median $7,548 | 12 plans |
| 293 | Heart Failure And Shock Without Cc/Mcc | $3,846 – $5,748 · median $5,032 | 12 plans |
| 296 | Cardiac Arrest, Unexplained With Mcc | $10,612 – $15,861 · median $13,887 | 12 plans |
| 297 | Cardiac Arrest, Unexplained With Cc | $4,308 – $6,438 · median $5,637 | 12 plans |
| 298 | Cardiac Arrest, Unexplained Without Cc/Mcc | $3,092 – $4,622 · median $4,046 | 12 plans |
| 299 | Peripheral Vascular Disorders With Mcc | $11,093 – $16,580 · median $14,516 | 12 plans |
| 300 | Peripheral Vascular Disorders With Cc | $7,253 – $10,840 · median $9,491 | 12 plans |
| 301 | Peripheral Vascular Disorders Without Cc/Mcc | $4,890 – $7,309 · median $6,399 | 12 plans |
| 302 | Atherosclerosis With Mcc | $8,130 – $12,151 · median $10,639 | 12 plans |
| 303 | Atherosclerosis Without Mcc | $4,574 – $6,836 · median $5,985 | 12 plans |
| 304 | Hypertension With Mcc | $8,085 – $12,084 · median $10,580 | 12 plans |
| 305 | Hypertension Without Mcc | $5,130 – $7,668 · median $6,714 | 12 plans |
| 306 | Cardiac Congenital And Valvular Disorders With Mcc | $10,707 – $16,002 · median $14,010 | 12 plans |
| 307 | Cardiac Congenital And Valvular Disorders Without Mcc | $6,205 – $9,274 · median $8,119 | 12 plans |
| 308 | Cardiac Arrhythmia And Conduction Disorders With Mcc | $8,180 – $12,227 · median $10,705 | 12 plans |
| 309 | Cardiac Arrhythmia And Conduction Disorders With Cc | $4,999 – $7,471 · median $6,541 | 12 plans |
| 310 | Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc | $3,846 – $5,749 · median $5,033 | 12 plans |
| 311 | Angina Pectoris | $4,769 – $7,128 · median $6,241 | 12 plans |
| 312 | Syncope And Collapse | $5,922 – $8,851 · median $7,749 | 12 plans |
| 313 | Chest Pain | $4,892 – $7,312 · median $6,402 | 12 plans |
| 314 | Other Circulatory System Diagnoses With Mcc | $14,168 – $21,175 · median $18,540 | 12 plans |
| 315 | Other Circulatory System Diagnoses With Cc | $6,545 – $9,782 · median $8,565 | 12 plans |
| 316 | Other Circulatory System Diagnoses Without Cc/Mcc | $4,634 – $6,927 · median $6,065 | 12 plans |
| 317 | Concomitant Left Atrial Appendage Closure And Cardiac Ablation | $45,430 – $67,901 · median $59,450 | 12 plans |
| 318 | Percutaneous Coronary Atherectomy Without Intraluminal Device | $16,457 – $24,597 · median $21,536 | 12 plans |
| 319 | Other Endovascular Cardiac Valve Procedures With Mcc | $30,322 – $45,321 · median $39,680 | 12 plans |
| 320 | Other Endovascular Cardiac Valve Procedures Without Mcc | $16,342 – $24,426 · median $21,386 | 12 plans |
| 321 | Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/Intraluminal | $18,486 – $27,630 · median $24,191 | 12 plans |
| 322 | Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc | $11,978 – $17,903 · median $15,675 | 12 plans |
| 323 | Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc | $29,402 – $43,945 · median $38,475 | 12 plans |
| 324 | Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc | $21,409 – $31,998 · median $28,016 | 12 plans |
| 325 | Coronary Intravascular Lithotripsy Without Intraluminal Device | $21,813 – $32,602 · median $28,544 | 12 plans |
| 326 | Stomach, Esophageal And Duodenal Procedures With Mcc | $33,886 – $50,647 · median $44,343 | 12 plans |
| 327 | Stomach, Esophageal And Duodenal Procedures With Cc | $16,607 – $24,821 · median $21,731 | 12 plans |
| 328 | Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc | $10,887 – $16,271 · median $14,246 | 12 plans |
| 329 | Major Small And Large Bowel Procedures With Mcc | $31,230 – $46,677 · median $40,867 | 12 plans |
| 330 | Major Small And Large Bowel Procedures With Cc | $16,287 – $24,344 · median $21,314 | 12 plans |
| 331 | Major Small And Large Bowel Procedures Without Cc/Mcc | $11,434 – $17,090 · median $14,963 | 12 plans |
| 332 | Rectal Resection With Mcc | $24,600 – $36,768 · median $32,192 | 12 plans |
| 333 | Rectal Resection With Cc | $15,914 – $23,785 · median $20,825 | 12 plans |
| 334 | Rectal Resection Without Cc/Mcc | $11,128 – $16,633 · median $14,563 | 12 plans |
| 335 | Peritoneal Adhesiolysis With Mcc | $24,262 – $36,262 · median $31,749 | 12 plans |
| 336 | Peritoneal Adhesiolysis With Cc | $14,327 – $21,414 · median $18,748 | 12 plans |
| 337 | Peritoneal Adhesiolysis Without Cc/Mcc | $10,429 – $15,588 · median $13,648 | 12 plans |
| 344 | Minor Small And Large Bowel Procedures With Mcc | $17,548 – $26,228 · median $22,964 | 12 plans |
| 345 | Minor Small And Large Bowel Procedures With Cc | $10,223 – $15,280 · median $13,378 | 12 plans |
| 346 | Minor Small And Large Bowel Procedures Without Cc/Mcc | $8,059 – $12,046 · median $10,547 | 12 plans |
| 347 | Anal And Stomal Procedures With Mcc | $15,597 – $23,312 · median $20,410 | 12 plans |
| 348 | Anal And Stomal Procedures With Cc | $8,892 – $13,291 · median $11,637 | 12 plans |
| 349 | Anal And Stomal Procedures Without Cc/Mcc | $5,915 – $8,841 · median $7,741 | 12 plans |
| 350 | Inguinal And Femoral Hernia Procedures With Mcc | $16,931 – $25,305 · median $22,155 | 12 plans |
| 351 | Inguinal And Femoral Hernia Procedures With Cc | $10,358 – $15,481 · median $13,554 | 12 plans |
| 352 | Inguinal And Femoral Hernia Procedures Without Cc/Mcc | $7,934 – $11,859 · median $10,383 | 12 plans |
| 353 | Hernia Procedures Except Inguinal And Femoral With Mcc | $19,717 – $29,470 · median $25,802 | 12 plans |
| 354 | Hernia Procedures Except Inguinal And Femoral With Cc | $11,431 – $17,085 · median $14,958 | 12 plans |
| 355 | Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc | $9,138 – $13,658 · median $11,958 | 12 plans |
| 356 | Other Digestive System O.R. Procedures With Mcc | $29,846 – $44,609 · median $39,056 | 12 plans |
| 357 | Other Digestive System O.R. Procedures With Cc | $15,800 – $23,615 · median $20,676 | 12 plans |
| 358 | Other Digestive System O.R. Procedures Without Cc/Mcc | $9,498 – $14,196 · median $12,429 | 12 plans |
| 359 | Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc | $23,363 – $34,919 · median $30,573 | 12 plans |
| 360 | Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc | $16,404 – $24,517 · median $21,466 | 12 plans |
| 368 | Major Esophageal Disorders With Mcc | $10,816 – $16,166 · median $14,154 | 12 plans |
| 369 | Major Esophageal Disorders With Cc | $6,796 – $10,157 · median $8,893 | 12 plans |
| 370 | Major Esophageal Disorders Without Cc/Mcc | $4,761 – $7,117 · median $6,231 | 12 plans |
| 371 | Major Gastrointestinal Disorders And Peritoneal Infections With Mcc | $12,047 – $18,006 · median $15,765 | 12 plans |
| 372 | Major Gastrointestinal Disorders And Peritoneal Infections With Cc | $6,937 – $10,368 · median $9,078 | 12 plans |
| 373 | Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc | $4,942 – $7,387 · median $6,467 | 12 plans |
| 374 | Digestive Malignancy With Mcc | $14,531 – $21,719 · median $19,015 | 12 plans |
| 375 | Digestive Malignancy With Cc | $8,218 – $12,283 · median $10,755 | 12 plans |
| 376 | Digestive Malignancy Without Cc/Mcc | $6,280 – $9,386 · median $8,218 | 12 plans |
| 377 | Gastrointestinal Hemorrhage With Mcc | $12,420 – $18,563 · median $16,253 | 12 plans |
| 378 | Gastrointestinal Hemorrhage With Cc | $6,663 – $9,959 · median $8,719 | 12 plans |
| 379 | Gastrointestinal Hemorrhage Without Cc/Mcc | $4,283 – $6,402 · median $5,605 | 12 plans |
| 380 | Complicated Peptic Ulcer With Mcc | $13,332 – $19,926 · median $17,446 | 12 plans |
| 381 | Complicated Peptic Ulcer With Cc | $7,362 – $11,003 · median $9,633 | 12 plans |
| 382 | Complicated Peptic Ulcer Without Cc/Mcc | $5,440 – $8,130 · median $7,118 | 12 plans |
| 383 | Uncomplicated Peptic Ulcer With Mcc | $9,381 – $14,021 · median $12,276 | 12 plans |
| 384 | Uncomplicated Peptic Ulcer Without Mcc | $5,808 – $8,680 · median $7,600 | 12 plans |
| 385 | Inflammatory Bowel Disease With Mcc | $10,751 – $16,068 · median $14,068 | 12 plans |
| 386 | Inflammatory Bowel Disease With Cc | $6,633 – $9,914 · median $8,680 | 12 plans |
| 387 | Inflammatory Bowel Disease Without Cc/Mcc | $4,629 – $6,919 · median $6,057 | 12 plans |
| 388 | Gastrointestinal Obstruction With Mcc | $10,034 – $14,997 · median $13,130 | 12 plans |
| 389 | Gastrointestinal Obstruction With Cc | $5,366 – $8,020 · median $7,022 | 12 plans |
| 390 | Gastrointestinal Obstruction Without Cc/Mcc | $3,696 – $5,524 · median $4,837 | 12 plans |
| 391 | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc | $8,617 – $12,880 · median $11,276 | 12 plans |
| 392 | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc | $5,297 – $7,917 · median $6,931 | 12 plans |
| 393 | Other Digestive System Diagnoses With Mcc | $10,866 – $16,241 · median $14,219 | 12 plans |
| 394 | Other Digestive System Diagnoses With Cc | $6,357 – $9,502 · median $8,319 | 12 plans |
| 395 | Other Digestive System Diagnoses Without Cc/Mcc | $4,410 – $6,591 · median $5,770 | 12 plans |
| 397 | Appendix Procedures With Mcc | $16,272 – $24,320 · median $21,293 | 12 plans |
| 398 | Appendix Procedures With Cc | $10,284 – $15,371 · median $13,457 | 12 plans |
| 399 | Appendix Procedures Without Cc/Mcc | $7,777 – $11,624 · median $10,178 | 12 plans |
| 402 | Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical | $27,317 – $40,828 · median $35,746 | 12 plans |
| 405 | Pancreas, Liver And Shunt Procedures With Mcc | $37,168 – $55,553 · median $48,638 | 12 plans |
| 406 | Pancreas, Liver And Shunt Procedures With Cc | $19,705 – $29,452 · median $25,786 | 12 plans |
| 407 | Pancreas, Liver And Shunt Procedures Without Cc/Mcc | $15,081 – $22,540 · median $19,734 | 12 plans |
| 408 | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Mcc | $24,226 – $36,209 · median $31,702 | 12 plans |
| 409 | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc | $14,793 – $22,110 · median $19,358 | 12 plans |
| 410 | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/Mcc | $10,787 – $16,123 · median $14,116 | 12 plans |
| 411 | Cholecystectomy With C.D.E. With Mcc | $22,444 – $33,545 · median $29,370 | 12 plans |
| 412 | Cholecystectomy With C.D.E. With Cc | $14,285 – $21,351 · median $18,693 | 12 plans |
| 413 | Cholecystectomy With C.D.E. Without Cc/Mcc | $11,282 – $16,862 · median $14,764 | 12 plans |
| 414 | Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc | $24,205 – $36,178 · median $31,675 | 12 plans |
| 415 | Cholecystectomy Except By Laparoscope Without C.D.E. With Cc | $14,042 – $20,987 · median $18,375 | 12 plans |
| 416 | Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/Mcc | $9,263 – $13,844 · median $12,121 | 12 plans |
| 417 | Laparoscopic Cholecystectomy Without C.D.E. With Mcc | $16,214 – $24,234 · median $21,217 | 12 plans |
| 418 | Laparoscopic Cholecystectomy Without C.D.E. With Cc | $11,493 – $17,178 · median $15,040 | 12 plans |
| 419 | Laparoscopic Cholecystectomy Without C.D.E. Without Cc/Mcc | $9,280 – $13,870 · median $12,143 | 12 plans |
| 420 | Hepatobiliary Diagnostic Procedures With Mcc | $23,149 – $34,599 · median $30,293 | 12 plans |
| 421 | Hepatobiliary Diagnostic Procedures With Cc | $11,805 – $17,644 · median $15,448 | 12 plans |
| 422 | Hepatobiliary Diagnostic Procedures Without Cc/Mcc | $9,509 – $14,212 · median $12,443 | 12 plans |
| 423 | Other Hepatobiliary Or Pancreas O.R. Procedures With Mcc | $28,217 – $42,174 · median $36,924 | 12 plans |
| 424 | Other Hepatobiliary Or Pancreas O.R. Procedures With Cc | $14,865 – $22,218 · median $19,453 | 12 plans |
| 425 | Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc | $10,194 – $15,236 · median $13,339 | 12 plans |
| 426 | Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or Custom-Made | $74,882 – $111,920 · median $97,989 | 12 plans |
| 427 | Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc | $49,046 – $73,305 · median $64,181 | 12 plans |
| 428 | Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/Mcc | $38,198 – $57,091 · median $49,985 | 12 plans |
| 429 | Combined Anterior And Posterior Cervical Spinal Fusion With Mcc | $61,214 – $91,492 · median $80,104 | 12 plans |
| 430 | Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc | $39,184 – $58,565 · median $51,275 | 12 plans |
| 432 | Cirrhosis And Alcoholic Hepatitis With Mcc | $13,373 – $19,987 · median $17,499 | 12 plans |
| 433 | Cirrhosis And Alcoholic Hepatitis With Cc | $7,176 – $10,726 · median $9,391 | 12 plans |
| 434 | Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc | $4,841 – $7,235 · median $6,335 | 12 plans |
| 435 | Malignancy Of Hepatobiliary System Or Pancreas With Mcc | $12,479 – $18,652 · median $16,330 | 12 plans |
| 436 | Malignancy Of Hepatobiliary System Or Pancreas With Cc | $7,685 – $11,486 · median $10,057 | 12 plans |
| 437 | Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc | $5,798 – $8,665 · median $7,587 | 12 plans |
| 438 | Disorders Of Pancreas Except Malignancy With Mcc | $11,076 – $16,555 · median $14,494 | 12 plans |
| 439 | Disorders Of Pancreas Except Malignancy With Cc | $5,715 – $8,542 · median $7,479 | 12 plans |
| 440 | Disorders Of Pancreas Except Malignancy Without Cc/Mcc | $4,222 – $6,310 · median $5,525 | 12 plans |
| 441 | Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc | $12,194 – $18,225 · median $15,957 | 12 plans |
| 442 | Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc | $6,559 – $9,803 · median $8,582 | 12 plans |
| 443 | Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/Mcc | $4,754 – $7,105 · median $6,221 | 12 plans |
| 444 | Disorders Of The Biliary Tract With Mcc | $11,353 – $16,968 · median $14,856 | 12 plans |
| 445 | Disorders Of The Biliary Tract With Cc | $7,436 – $11,114 · median $9,730 | 12 plans |
| 446 | Disorders Of The Biliary Tract Without Cc/Mcc | $5,621 – $8,401 · median $7,356 | 12 plans |
| 447 | Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody | $45,397 – $67,852 · median $59,406 | 12 plans |
| 448 | Multiple Level Spinal Fusion Except Cervical Without Mcc | $28,813 – $43,065 · median $37,705 | 12 plans |
| 450 | Single Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody F | $36,211 – $54,122 · median $47,385 | 12 plans |
| 451 | Single Level Spinal Fusion Except Cervical Without Mcc | $21,948 – $32,805 · median $28,721 | 12 plans |
| 456 | Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With | $57,095 – $85,337 · median $74,715 | 12 plans |
| 457 | Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With | $40,515 – $60,555 · median $53,018 | 12 plans |
| 458 | Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With | $28,350 – $42,373 · median $37,099 | 12 plans |
| 461 | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc | $37,525 – $56,086 · median $49,105 | 12 plans |
| 462 | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc | $18,073 – $27,012 · median $23,650 | 12 plans |
| 463 | Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit | $38,724 – $57,878 · median $50,674 | 12 plans |
| 464 | Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit | $21,162 – $31,630 · median $27,693 | 12 plans |
| 465 | Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit | $12,391 – $18,520 · median $16,215 | 12 plans |
| 466 | Revision Of Hip Or Knee Replacement With Mcc | $35,367 – $52,861 · median $46,281 | 12 plans |
| 467 | Revision Of Hip Or Knee Replacement With Cc | $23,961 – $35,813 · median $31,355 | 12 plans |
| 468 | Revision Of Hip Or Knee Replacement Without Cc/Mcc | $18,671 – $27,906 · median $24,432 | 12 plans |
| 469 | Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Repl | $20,609 – $30,802 · median $26,968 | 12 plans |
| 470 | Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc | $13,106 – $19,588 · median $17,150 | 12 plans |
| 471 | Cervical Spinal Fusion With Mcc | $32,808 – $49,035 · median $42,932 | 12 plans |
| 472 | Cervical Spinal Fusion With Cc | $20,017 – $29,918 · median $26,194 | 12 plans |
| 473 | Cervical Spinal Fusion Without Cc/Mcc | $16,587 – $24,791 · median $21,706 | 12 plans |
| 474 | Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc | $29,167 – $43,594 · median $38,168 | 12 plans |
| 475 | Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc | $15,462 – $23,110 · median $20,233 | 12 plans |
| 476 | Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc | $8,019 – $11,985 · median $10,493 | 12 plans |
| 477 | Biopsies Of Musculoskeletal System And Connective Tissue With Mcc | $23,472 – $35,081 · median $30,715 | 12 plans |
| 478 | Biopsies Of Musculoskeletal System And Connective Tissue With Cc | $16,709 – $24,973 · median $21,865 | 12 plans |
| 479 | Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc | $12,630 – $18,877 · median $16,527 | 12 plans |
| 480 | Hip And Femur Procedures Except Major Joint With Mcc | $19,787 – $29,574 · median $25,893 | 12 plans |
| 481 | Hip And Femur Procedures Except Major Joint With Cc | $14,231 – $21,270 · median $18,622 | 12 plans |
| 482 | Hip And Femur Procedures Except Major Joint Without Cc/Mcc | $11,082 – $16,563 · median $14,501 | 12 plans |
| 483 | Major Joint Or Limb Reattachment Procedures Of Upper Extremities | $18,833 – $28,149 · median $24,645 | 12 plans |
| 485 | Knee Procedures With Principal Diagnosis Of Infection With Mcc | $21,926 – $32,771 · median $28,692 | 12 plans |
| 486 | Knee Procedures With Principal Diagnosis Of Infection With Cc | $14,208 – $21,235 · median $18,592 | 12 plans |
| 487 | Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc | $10,641 – $15,905 · median $13,925 | 12 plans |
| 488 | Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc | $12,018 – $17,963 · median $15,727 | 12 plans |
| 489 | Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc | $7,588 – $11,341 · median $9,929 | 12 plans |
| 492 | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc | $24,946 – $37,285 · median $32,644 | 12 plans |
| 493 | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc | $17,231 – $25,754 · median $22,548 | 12 plans |
| 494 | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc | $13,633 – $20,376 · median $17,840 | 12 plans |
| 495 | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Mcc | $24,634 – $36,819 · median $32,236 | 12 plans |
| 496 | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc | $12,256 – $18,319 · median $16,038 | 12 plans |
| 497 | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc | $8,210 – $12,270 · median $10,743 | 12 plans |
| 498 | Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/Mcc | $20,497 – $30,636 · median $26,822 | 12 plans |
| 499 | Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/Mcc | $13,689 – $20,460 · median $17,914 | 12 plans |
| 500 | Soft Tissue Procedures With Mcc | $21,503 – $32,139 · median $28,138 | 12 plans |
| 501 | Soft Tissue Procedures With Cc | $11,877 – $17,752 · median $15,542 | 12 plans |
| 502 | Soft Tissue Procedures Without Cc/Mcc | $9,144 – $13,668 · median $11,966 | 12 plans |
| 503 | Foot Procedures With Mcc | $18,964 – $28,344 · median $24,816 | 12 plans |
| 504 | Foot Procedures With Cc | $12,700 – $18,982 · median $16,619 | 12 plans |
| 505 | Foot Procedures Without Cc/Mcc | $12,181 – $18,206 · median $15,940 | 12 plans |
| 506 | Major Thumb Or Joint Procedures | $9,167 – $13,701 · median $11,996 | 12 plans |
| 507 | Major Shoulder Or Elbow Joint Procedures With Cc/Mcc | $12,273 – $18,344 · median $16,061 | 12 plans |
| 508 | Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc | $10,289 – $15,379 · median $13,465 | 12 plans |
| 510 | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc | $20,522 – $30,673 · median $26,855 | 12 plans |
| 511 | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc | $14,128 – $21,116 · median $18,488 | 12 plans |
| 512 | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc | $11,247 – $16,811 · median $14,718 | 12 plans |
| 513 | Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc | $10,696 – $15,987 · median $13,997 | 12 plans |
| 514 | Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc | $6,946 – $10,381 · median $9,089 | 12 plans |
| 515 | Other Musculoskeletal System And Connective Tissue O.R. Procedures With Mcc | $21,653 – $32,363 · median $28,335 | 12 plans |
| 516 | Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc | $14,119 – $21,103 · median $18,476 | 12 plans |
| 517 | Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/Mcc | $10,441 – $15,605 · median $13,663 | 12 plans |
| 518 | Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurostimulator | $25,392 – $37,952 · median $33,228 | 12 plans |
| 519 | Back And Neck Procedures Except Spinal Fusion With Cc | $13,590 – $20,312 · median $17,784 | 12 plans |
| 520 | Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc | $10,150 – $15,171 · median $13,282 | 12 plans |
| 521 | Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc | $19,501 – $29,147 · median $25,519 | 12 plans |
| 522 | Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc | $14,388 – $21,505 · median $18,828 | 12 plans |
| 533 | Fractures Of Femur With Mcc | $10,651 – $15,920 · median $13,938 | 12 plans |
| 534 | Fractures Of Femur Without Mcc | $5,477 – $8,186 · median $7,167 | 12 plans |
| 535 | Fractures Of Hip And Pelvis With Mcc | $8,710 – $13,019 · median $11,398 | 12 plans |
| 536 | Fractures Of Hip And Pelvis Without Mcc | $5,487 – $8,201 · median $7,180 | 12 plans |
| 537 | Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/Mcc | $6,484 – $9,691 · median $8,485 | 12 plans |
| 538 | Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/Mcc | $4,894 – $7,315 · median $6,404 | 12 plans |
| 539 | Osteomyelitis With Mcc | $13,383 – $20,002 · median $17,513 | 12 plans |
| 540 | Osteomyelitis With Cc | $8,807 – $13,164 · median $11,525 | 12 plans |
| 541 | Osteomyelitis Without Cc/Mcc | $5,350 – $7,996 · median $7,001 | 12 plans |
| 542 | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Mcc | $12,002 – $17,939 · median $15,706 | 12 plans |
| 543 | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc | $6,985 – $10,439 · median $9,140 | 12 plans |
| 544 | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/Mcc | $5,127 – $7,663 · median $6,709 | 12 plans |
| 545 | Connective Tissue Disorders With Mcc | $16,861 – $25,202 · median $22,065 | 12 plans |
| 546 | Connective Tissue Disorders With Cc | $7,837 – $11,713 · median $10,255 | 12 plans |
| 547 | Connective Tissue Disorders Without Cc/Mcc | $5,681 – $8,492 · median $7,435 | 12 plans |
| 548 | Septic Arthritis With Mcc | $13,119 – $19,608 · median $17,168 | 12 plans |
| 549 | Septic Arthritis With Cc | $8,202 – $12,259 · median $10,733 | 12 plans |
| 550 | Septic Arthritis Without Cc/Mcc | $5,939 – $8,876 · median $7,772 | 12 plans |
| 551 | Medical Back Problems With Mcc | $11,388 – $17,021 · median $14,902 | 12 plans |
| 552 | Medical Back Problems Without Mcc | $6,531 – $9,762 · median $8,547 | 12 plans |
| 553 | Bone Diseases And Arthropathies With Mcc | $8,807 – $13,164 · median $11,525 | 12 plans |
| 554 | Bone Diseases And Arthropathies Without Mcc | $5,640 – $8,430 · median $7,380 | 12 plans |
| 555 | Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc | $8,981 – $13,423 · median $11,752 | 12 plans |
| 556 | Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc | $5,643 – $8,435 · median $7,385 | 12 plans |
| 557 | Tendonitis, Myositis And Bursitis With Mcc | $10,102 – $15,099 · median $13,220 | 12 plans |
| 558 | Tendonitis, Myositis And Bursitis Without Mcc | $6,069 – $9,070 · median $7,941 | 12 plans |
| 559 | Aftercare, Musculoskeletal System And Connective Tissue With Mcc | $12,671 – $18,938 · median $16,581 | 12 plans |
| 560 | Aftercare, Musculoskeletal System And Connective Tissue With Cc | $7,651 – $11,436 · median $10,012 | 12 plans |
| 561 | Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc | $5,462 – $8,164 · median $7,147 | 12 plans |
| 562 | Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With Mcc | $9,681 – $14,469 · median $12,668 | 12 plans |
| 563 | Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc | $6,084 – $9,094 · median $7,962 | 12 plans |
| 564 | Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc | $10,488 – $15,675 · median $13,724 | 12 plans |
| 565 | Other Musculoskeletal System And Connective Tissue Diagnoses With Cc | $6,620 – $9,895 · median $8,663 | 12 plans |
| 566 | Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc | $5,091 – $7,609 · median $6,662 | 12 plans |
| 570 | Skin Debridement With Mcc | $19,983 – $29,867 · median $26,149 | 12 plans |
| 571 | Skin Debridement With Cc | $11,479 – $17,157 · median $15,021 | 12 plans |
| 572 | Skin Debridement Without Cc/Mcc | $7,788 – $11,641 · median $10,192 | 12 plans |
| 573 | Skin Graft For Skin Ulcer Or Cellulitis With Mcc | $44,512 – $66,529 · median $58,249 | 12 plans |
| 574 | Skin Graft For Skin Ulcer Or Cellulitis With Cc | $23,586 – $35,252 · median $30,864 | 12 plans |
| 575 | Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc | $12,209 – $18,249 · median $15,977 | 12 plans |
| 576 | Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc | $33,300 – $49,772 · median $43,577 | 12 plans |
| 577 | Skin Graft Except For Skin Ulcer Or Cellulitis With Cc | $18,010 – $26,918 · median $23,567 | 12 plans |
| 578 | Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc | $10,914 – $16,313 · median $14,283 | 12 plans |
| 579 | Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc | $22,003 – $32,887 · median $28,794 | 12 plans |
| 580 | Other Skin, Subcutaneous Tissue And Breast Procedures With Cc | $11,741 – $17,548 · median $15,364 | 12 plans |
| 581 | Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc | $9,805 – $14,655 · median $12,831 | 12 plans |
| 582 | Mastectomy For Malignancy With Cc/Mcc | $13,090 – $19,565 · median $17,129 | 12 plans |
| 583 | Mastectomy For Malignancy Without Cc/Mcc | $11,716 – $17,511 · median $15,332 | 12 plans |
| 584 | Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc | $14,545 – $21,739 · median $19,033 | 12 plans |
| 585 | Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc | $13,107 – $19,590 · median $17,152 | 12 plans |
| 592 | Skin Ulcers With Mcc | $13,149 – $19,653 · median $17,207 | 12 plans |
| 593 | Skin Ulcers With Cc | $8,060 – $12,047 · median $10,547 | 12 plans |
| 594 | Skin Ulcers Without Cc/Mcc | $5,889 – $8,802 · median $7,707 | 12 plans |
| 595 | Major Skin Disorders With Mcc | $14,409 – $21,536 · median $18,855 | 12 plans |
| 596 | Major Skin Disorders Without Mcc | $7,355 – $10,993 · median $9,625 | 12 plans |
| 597 | Malignant Breast Disorders With Mcc | $11,327 – $16,929 · median $14,822 | 12 plans |
| 598 | Malignant Breast Disorders With Cc | $7,686 – $11,488 · median $10,058 | 12 plans |
| 599 | Malignant Breast Disorders Without Cc/Mcc | $5,228 – $7,813 · median $6,841 | 12 plans |
| 600 | Non-Malignant Breast Disorders With Cc/Mcc | $7,077 – $10,577 · median $9,261 | 12 plans |
| 601 | Non-Malignant Breast Disorders Without Cc/Mcc | $4,111 – $6,144 · median $5,379 | 12 plans |
| 602 | Cellulitis With Mcc | $9,657 – $14,433 · median $12,637 | 12 plans |
| 603 | Cellulitis Without Mcc | $5,917 – $8,844 · median $7,743 | 12 plans |
| 604 | Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc | $10,002 – $14,949 · median $13,088 | 12 plans |
| 605 | Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc | $6,224 – $9,302 · median $8,144 | 12 plans |
| 606 | Minor Skin Disorders With Mcc | $10,281 – $15,367 · median $13,454 | 12 plans |
| 607 | Minor Skin Disorders Without Mcc | $6,158 – $9,204 · median $8,059 | 12 plans |
| 614 | Adrenal And Pituitary Procedures With Cc/Mcc | $14,892 – $22,258 · median $19,487 | 12 plans |
| 615 | Adrenal And Pituitary Procedures Without Cc/Mcc | $9,507 – $14,210 · median $12,441 | 12 plans |
| 616 | Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Mcc | $23,695 – $35,415 · median $31,006 | 12 plans |
| 617 | Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc | $12,707 – $18,993 · median $16,629 | 12 plans |
| 618 | Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc | $9,636 – $14,403 · median $12,610 | 12 plans |
| 619 | O.R. Procedures For Obesity With Mcc | $19,618 – $29,322 · median $25,672 | 12 plans |
| 620 | O.R. Procedures For Obesity With Cc | $10,873 – $16,251 · median $14,228 | 12 plans |
| 621 | O.R. Procedures For Obesity Without Cc/Mcc | $10,249 – $15,318 · median $13,411 | 12 plans |
| 622 | Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Mcc | $24,182 – $36,144 · median $31,645 | 12 plans |
| 623 | Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc | $12,188 – $18,217 · median $15,950 | 12 plans |
| 624 | Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc | $8,506 – $12,713 · median $11,131 | 12 plans |
| 625 | Thyroid, Parathyroid And Thyroglossal Procedures With Mcc | $20,520 – $30,669 · median $26,852 | 12 plans |
| 626 | Thyroid, Parathyroid And Thyroglossal Procedures With Cc | $10,187 – $15,226 · median $13,331 | 12 plans |
| 627 | Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc | $9,025 – $13,489 · median $11,810 | 12 plans |
| 628 | Other Endocrine, Nutritional And Metabolic O.R. Procedures With Mcc | $25,321 – $37,846 · median $33,135 | 12 plans |
| 629 | Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc | $14,803 – $22,126 · median $19,372 | 12 plans |
| 630 | Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/Mcc | $9,916 – $14,821 · median $12,976 | 12 plans |
| 637 | Diabetes With Mcc | $9,761 – $14,590 · median $12,774 | 12 plans |
| 638 | Diabetes With Cc | $6,089 – $9,101 · median $7,968 | 12 plans |
| 639 | Diabetes Without Cc/Mcc | $4,221 – $6,308 · median $5,523 | 12 plans |
| 640 | Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc | $9,075 – $13,563 · median $11,875 | 12 plans |
| 641 | Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc | $5,287 – $7,903 · median $6,919 | 12 plans |
| 642 | Inborn And Other Disorders Of Metabolism | $9,662 – $14,441 · median $12,644 | 12 plans |
| 643 | Endocrine Disorders With Mcc | $11,184 – $16,716 · median $14,635 | 12 plans |
| 644 | Endocrine Disorders With Cc | $6,964 – $10,409 · median $9,113 | 12 plans |
| 645 | Endocrine Disorders Without Cc/Mcc | $5,220 – $7,802 · median $6,831 | 12 plans |
| 650 | Kidney Transplant With Hemodialysis With Mcc | $31,943 – $47,743 · median $41,800 | 12 plans |
| 651 | Kidney Transplant With Hemodialysis Without Mcc | $25,178 – $37,632 · median $32,948 | 12 plans |
| 652 | Kidney Transplant | $21,942 – $32,796 · median $28,713 | 12 plans |
| 653 | Major Bladder Procedures With Mcc | $35,306 – $52,769 · median $46,201 | 12 plans |
| 654 | Major Bladder Procedures With Cc | $19,019 – $28,427 · median $24,889 | 12 plans |
| 655 | Major Bladder Procedures Without Cc/Mcc | $14,381 – $21,494 · median $18,819 | 12 plans |
| 656 | Kidney And Ureter Procedures For Neoplasm With Mcc | $21,632 – $32,331 · median $28,307 | 12 plans |
| 657 | Kidney And Ureter Procedures For Neoplasm With Cc | $12,434 – $18,584 · median $16,271 | 12 plans |
| 658 | Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc | $10,543 – $15,759 · median $13,797 | 12 plans |
| 659 | Kidney And Ureter Procedures For Non-Neoplasm With Mcc | $17,264 – $25,803 · median $22,591 | 12 plans |
| 660 | Kidney And Ureter Procedures For Non-Neoplasm With Cc | $8,980 – $13,422 · median $11,751 | 12 plans |
| 661 | Kidney And Ureter Procedures For Non-Neoplasm Without Cc/Mcc | $7,035 – $10,514 · median $9,206 | 12 plans |
| 662 | Minor Bladder Procedures With Mcc | $20,801 – $31,090 · median $27,220 | 12 plans |
| 663 | Minor Bladder Procedures With Cc | $10,329 – $15,438 · median $13,516 | 12 plans |
| 664 | Minor Bladder Procedures Without Cc/Mcc | $7,113 – $10,631 · median $9,308 | 12 plans |
| 665 | Prostatectomy With Mcc | $21,206 – $31,696 · median $27,751 | 12 plans |
| 666 | Prostatectomy With Cc | $11,885 – $17,764 · median $15,553 | 12 plans |
| 667 | Prostatectomy Without Cc/Mcc | $7,516 – $11,233 · median $9,835 | 12 plans |
| 668 | Transurethral Procedures With Mcc | $19,839 – $29,653 · median $25,962 | 12 plans |
| 669 | Transurethral Procedures With Cc | $10,545 – $15,761 · median $13,799 | 12 plans |
| 670 | Transurethral Procedures Without Cc/Mcc | $6,640 – $9,924 · median $8,689 | 12 plans |
| 671 | Urethral Procedures With Cc/Mcc | $12,196 – $18,228 · median $15,959 | 12 plans |
| 672 | Urethral Procedures Without Cc/Mcc | $7,334 – $10,962 · median $9,598 | 12 plans |
| 673 | Other Kidney And Urinary Tract Procedures With Mcc | $28,547 – $42,667 · median $37,356 | 12 plans |
| 674 | Other Kidney And Urinary Tract Procedures With Cc | $15,889 – $23,748 · median $20,792 | 12 plans |
| 675 | Other Kidney And Urinary Tract Procedures Without Cc/Mcc | $11,152 – $16,668 · median $14,594 | 12 plans |
| 682 | Renal Failure With Mcc | $10,062 – $15,040 · median $13,168 | 12 plans |
| 683 | Renal Failure With Cc | $5,950 – $8,894 · median $7,787 | 12 plans |
| 684 | Renal Failure Without Cc/Mcc | $4,079 – $6,096 · median $5,337 | 12 plans |
| 686 | Kidney And Urinary Tract Neoplasms With Mcc | $12,255 – $18,317 · median $16,037 | 12 plans |
| 687 | Kidney And Urinary Tract Neoplasms With Cc | $7,119 – $10,640 · median $9,316 | 12 plans |
| 688 | Kidney And Urinary Tract Neoplasms Without Cc/Mcc | $5,370 – $8,026 · median $7,027 | 12 plans |
| 689 | Kidney And Urinary Tract Infections With Mcc | $7,883 – $11,783 · median $10,316 | 12 plans |
| 690 | Kidney And Urinary Tract Infections Without Mcc | $5,500 – $8,220 · median $7,197 | 12 plans |
| 693 | Urinary Stones With Mcc | $9,135 – $13,653 · median $11,954 | 12 plans |
| 694 | Urinary Stones Without Mcc | $5,311 – $7,938 · median $6,950 | 12 plans |
| 695 | Kidney And Urinary Tract Signs And Symptoms With Mcc | $7,771 – $11,615 · median $10,170 | 12 plans |
| 696 | Kidney And Urinary Tract Signs And Symptoms Without Mcc | $4,681 – $6,997 · median $6,126 | 12 plans |
| 697 | Urethral Stricture | $7,323 – $10,945 · median $9,583 | 12 plans |
| 698 | Other Kidney And Urinary Tract Diagnoses With Mcc | $11,241 – $16,800 · median $14,709 | 12 plans |
| 699 | Other Kidney And Urinary Tract Diagnoses With Cc | $6,896 – $10,307 · median $9,024 | 12 plans |
| 700 | Other Kidney And Urinary Tract Diagnoses Without Cc/Mcc | $4,687 – $7,006 · median $6,134 | 12 plans |
| 707 | Major Male Pelvic Procedures With Cc/Mcc | $13,591 – $20,313 · median $17,785 | 12 plans |
| 708 | Major Male Pelvic Procedures Without Cc/Mcc | $10,424 – $15,580 · median $13,641 | 12 plans |
| 709 | Penis Procedures With Cc/Mcc | $15,811 – $23,632 · median $20,690 | 12 plans |
| 710 | Penis Procedures Without Cc/Mcc | $9,520 – $14,229 · median $12,458 | 12 plans |
| 711 | Testes Procedures With Cc/Mcc | $14,158 – $21,161 · median $18,527 | 12 plans |
| 712 | Testes Procedures Without Cc/Mcc | $7,472 – $11,167 · median $9,777 | 12 plans |
| 713 | Transurethral Prostatectomy With Cc/Mcc | $10,215 – $15,267 · median $13,367 | 12 plans |
| 714 | Transurethral Prostatectomy Without Cc/Mcc | $7,184 – $10,738 · median $9,401 | 12 plans |
| 715 | Other Male Reproductive System O.R. Procedures For Malignancy With Cc/Mcc | $15,201 – $22,720 · median $19,892 | 12 plans |
| 716 | Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/Mcc | $9,994 – $14,938 · median $13,079 | 12 plans |
| 717 | Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/Mcc | $12,845 – $19,198 · median $16,808 | 12 plans |
| 718 | Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/Mcc | $9,125 – $13,639 · median $11,942 | 12 plans |
| 722 | Malignancy, Male Reproductive System With Mcc | $12,296 – $18,378 · median $16,090 | 12 plans |
| 723 | Malignancy, Male Reproductive System With Cc | $7,764 – $11,604 · median $10,160 | 12 plans |
| 724 | Malignancy, Male Reproductive System Without Cc/Mcc | $4,455 – $6,659 · median $5,830 | 12 plans |
| 725 | Benign Prostatic Hypertrophy With Mcc | $7,951 – $11,883 · median $10,404 | 12 plans |
| 726 | Benign Prostatic Hypertrophy Without Mcc | $4,906 – $7,332 · median $6,419 | 12 plans |
| 727 | Inflammation Of The Male Reproductive System With Mcc | $10,075 – $15,059 · median $13,184 | 12 plans |
| 728 | Inflammation Of The Male Reproductive System Without Mcc | $5,512 – $8,238 · median $7,212 | 12 plans |
| 729 | Other Male Reproductive System Diagnoses With Cc/Mcc | $7,193 – $10,751 · median $9,413 | 12 plans |
| 730 | Other Male Reproductive System Diagnoses Without Cc/Mcc | $4,566 – $6,824 · median $5,975 | 12 plans |
| 734 | Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc | $14,472 – $21,630 · median $18,938 | 12 plans |
| 735 | Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc | $9,142 – $13,664 · median $11,963 | 12 plans |
| 736 | Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc | $24,286 – $36,299 · median $31,781 | 12 plans |
| 737 | Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc | $14,000 – $20,925 · median $18,321 | 12 plans |
| 738 | Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc | $9,977 – $14,913 · median $13,056 | 12 plans |
| 739 | Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Mcc | $24,343 – $36,383 · median $31,855 | 12 plans |
| 740 | Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc | $12,295 – $18,376 · median $16,089 | 12 plans |
| 741 | Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/Mcc | $9,689 – $14,482 · median $12,679 | 12 plans |
| 742 | Uterine And Adnexa Procedures For Non-Malignancy With Cc/Mcc | $12,466 – $18,632 · median $16,313 | 12 plans |
| 743 | Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc | $8,430 – $12,599 · median $11,031 | 12 plans |
| 744 | D&C, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc | $13,922 – $20,809 · median $18,219 | 12 plans |
| 745 | D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc | $7,729 – $11,551 · median $10,114 | 12 plans |
| 746 | Vagina, Cervix And Vulva Procedures With Cc/Mcc | $11,802 – $17,640 · median $15,445 | 12 plans |
| 747 | Vagina, Cervix And Vulva Procedures Without Cc/Mcc | $5,841 – $8,730 · median $7,644 | 12 plans |
| 748 | Female Reproductive System Reconstructive Procedures | $9,426 – $14,088 · median $12,334 | 12 plans |
| 749 | Other Female Reproductive System O.R. Procedures With Cc/Mcc | $17,445 – $26,074 · median $22,829 | 12 plans |
| 750 | Other Female Reproductive System O.R. Procedures Without Cc/Mcc | $10,027 – $14,987 · median $13,121 | 12 plans |
| 754 | Malignancy, Female Reproductive System With Mcc | $12,513 – $18,702 · median $16,375 | 12 plans |
| 755 | Malignancy, Female Reproductive System With Cc | $7,391 – $11,047 · median $9,672 | 12 plans |
| 756 | Malignancy, Female Reproductive System Without Cc/Mcc | $6,526 – $9,754 · median $8,540 | 12 plans |
| 757 | Infections, Female Reproductive System With Mcc | $9,729 – $14,541 · median $12,731 | 12 plans |
| 758 | Infections, Female Reproductive System With Cc | $6,652 – $9,942 · median $8,704 | 12 plans |
| 759 | Infections, Female Reproductive System Without Cc/Mcc | $4,509 – $6,739 · median $5,900 | 12 plans |
| 760 | Menstrual And Other Female Reproductive System Disorders With Cc/Mcc | $6,845 – $10,231 · median $8,958 | 12 plans |
| 761 | Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc | $3,876 – $5,793 · median $5,072 | 12 plans |
| 768 | Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C | $7,281 – $10,882 · median $9,528 | 12 plans |
| 769 | Postpartum And Post Abortion Diagnoses With O.R. Procedures | $11,481 – $17,160 · median $15,024 | 12 plans |
| 770 | Abortion With D&C, Aspiration Curettage Or Hysterotomy | $6,813 – $10,182 · median $8,915 | 12 plans |
| 776 | Postpartum And Post Abortion Diagnoses Without O.R. Procedures | $4,448 – $6,648 · median $5,821 | 12 plans |
| 779 | Abortion Without D&C | $5,716 – $8,543 · median $7,480 | 12 plans |
| 783 | Cesarean Section With Sterilization With Mcc | $16,681 – $24,932 · median $21,828 | 12 plans |
| 784 | Cesarean Section With Sterilization With Cc | $7,203 – $10,765 · median $9,425 | 12 plans |
| 785 | Cesarean Section With Sterilization Without Cc/Mcc | $6,508 – $9,726 · median $8,516 | 12 plans |
| 786 | Cesarean Section Without Sterilization With Mcc | $11,207 – $16,751 · median $14,666 | 12 plans |
| 787 | Cesarean Section Without Sterilization With Cc | $7,588 – $11,341 · median $9,929 | 12 plans |
| 788 | Cesarean Section Without Sterilization Without Cc/Mcc | $6,514 – $9,737 · median $8,525 | 12 plans |
| 789 | Neonates, Died Or Transferred To Another Acute Care Facility | $12,245 – $18,301 · median $16,023 | 12 plans |
| 790 | Extreme Immaturity Or Respiratory Distress Syndrome, Neonate | $40,382 – $60,356 · median $52,844 | 12 plans |
| 791 | Prematurity With Major Problems | $27,578 – $41,219 · median $36,089 | 12 plans |
| 792 | Prematurity Without Major Problems | $16,641 – $24,872 · median $21,776 | 12 plans |
| 793 | Full Term Neonate With Major Problems | $28,330 – $42,342 · median $37,072 | 12 plans |
| 794 | Neonate With Other Significant Problems | $10,028 – $14,988 · median $13,122 | 12 plans |
| 795 | Normal Newborn | $1,358 – $2,029 · median $1,776 | 12 plans |
| 796 | Vaginal Delivery With Sterilization And/Or D&C With Mcc | $7,929 – $11,851 · median $10,376 | 12 plans |
| 797 | Vaginal Delivery With Sterilization And/Or D&C With Cc | $6,797 – $10,159 · median $8,895 | 12 plans |
| 798 | Vaginal Delivery With Sterilization And/Or D&C Without Cc/Mcc | $6,503 – $9,719 · median $8,510 | 12 plans |
| 799 | Splenic Procedures With Mcc | $30,771 – $45,991 · median $40,266 | 12 plans |
| 800 | Splenic Procedures With Cc | $19,088 – $28,529 · median $24,978 | 12 plans |
| 801 | Splenic Procedures Without Cc/Mcc | $12,970 – $19,385 · median $16,972 | 12 plans |
| 802 | Other O.R. Procedures Of The Blood And Blood Forming Organs With Mcc | $27,069 – $40,459 · median $35,423 | 12 plans |
| 803 | Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc | $12,630 – $18,877 · median $16,527 | 12 plans |
| 804 | Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc | $9,213 – $13,770 · median $12,056 | 12 plans |
| 805 | Vaginal Delivery Without Sterilization Or D&C With Mcc | $7,332 – $10,959 · median $9,595 | 12 plans |
| 806 | Vaginal Delivery Without Sterilization Or D&C With Cc | $5,123 – $7,657 · median $6,704 | 12 plans |
| 807 | Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc | $4,581 – $6,847 · median $5,994 | 12 plans |
| 808 | Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders | $15,001 – $22,421 · median $19,630 | 12 plans |
| 809 | Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders | $8,601 – $12,855 · median $11,255 | 12 plans |
| 810 | Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders | $7,111 – $10,628 · median $9,305 | 12 plans |
| 811 | Red Blood Cell Disorders With Mcc | $9,541 – $14,261 · median $12,486 | 12 plans |
| 812 | Red Blood Cell Disorders Without Mcc | $6,239 – $9,324 · median $8,164 | 12 plans |
| 813 | Coagulation Disorders | $10,363 – $15,489 · median $13,561 | 12 plans |
| 814 | Reticuloendothelial And Immunity Disorders With Mcc | $14,450 – $21,597 · median $18,908 | 12 plans |
| 815 | Reticuloendothelial And Immunity Disorders With Cc | $6,889 – $10,297 · median $9,015 | 12 plans |
| 816 | Reticuloendothelial And Immunity Disorders Without Cc/Mcc | $4,294 – $6,418 · median $5,619 | 12 plans |
| 817 | Other Antepartum Diagnoses With O.R. Procedures With Mcc | $15,502 – $23,170 · median $20,286 | 12 plans |
| 818 | Other Antepartum Diagnoses With O.R. Procedures With Cc | $7,876 – $11,772 · median $10,306 | 12 plans |
| 819 | Other Antepartum Diagnoses With O.R. Procedures Without Cc/Mcc | $5,842 – $8,732 · median $7,645 | 12 plans |
| 820 | Lymphoma And Leukemia With Major O.R. Procedures With Mcc | $39,847 – $59,557 · median $52,144 | 12 plans |
| 821 | Lymphoma And Leukemia With Major O.R. Procedures With Cc | $15,210 – $22,733 · median $19,903 | 12 plans |
| 822 | Lymphoma And Leukemia With Major O.R. Procedures Without Cc/Mcc | $8,180 – $12,227 · median $10,705 | 12 plans |
| 823 | Lymphoma And Non-Acute Leukemia With Other Procedures With Mcc | $31,151 – $46,559 · median $40,763 | 12 plans |
| 824 | Lymphoma And Non-Acute Leukemia With Other Procedures With Cc | $15,393 – $23,007 · median $20,143 | 12 plans |
| 825 | Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/Mcc | $9,168 – $13,703 · median $11,998 | 12 plans |
| 826 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Mcc | $31,783 – $47,503 · median $41,590 | 12 plans |
| 827 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc | $15,703 – $23,470 · median $20,549 | 12 plans |
| 828 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without C | $11,576 – $17,302 · median $15,148 | 12 plans |
| 829 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/Mcc | $21,470 – $32,090 · median $28,096 | 12 plans |
| 830 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/Mcc | $10,225 – $15,283 · median $13,381 | 12 plans |
| 831 | Other Antepartum Diagnoses Without O.R. Procedures With Mcc | $8,170 – $12,211 · median $10,691 | 12 plans |
| 832 | Other Antepartum Diagnoses Without O.R. Procedures With Cc | $4,903 – $7,328 · median $6,416 | 12 plans |
| 833 | Other Antepartum Diagnoses Without O.R. Procedures Without Cc/Mcc | $3,553 – $5,310 · median $4,649 | 12 plans |
| 834 | Acute Leukemia With Mcc | $37,300 – $55,750 · median $48,811 | 12 plans |
| 835 | Acute Leukemia With Cc | $14,172 – $21,181 · median $18,545 | 12 plans |
| 836 | Acute Leukemia Without Cc/Mcc | $8,286 – $12,384 · median $10,843 | 12 plans |
| 837 | Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With Mc | $32,642 – $48,788 · median $42,715 | 12 plans |
| 838 | Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent | $14,182 – $21,198 · median $18,559 | 12 plans |
| 839 | Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc | $9,810 – $14,663 · median $12,838 | 12 plans |
| 840 | Lymphoma And Non-Acute Leukemia With Mcc | $21,979 – $32,850 · median $28,762 | 12 plans |
| 841 | Lymphoma And Non-Acute Leukemia With Cc | $11,084 – $16,567 · median $14,505 | 12 plans |
| 842 | Lymphoma And Non-Acute Leukemia Without Cc/Mcc | $6,865 – $10,261 · median $8,983 | 12 plans |
| 843 | Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Mcc | $13,553 – $20,257 · median $17,736 | 12 plans |
| 844 | Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc | $8,271 – $12,363 · median $10,824 | 12 plans |
| 845 | Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/Mcc | $5,786 – $8,648 · median $7,572 | 12 plans |
| 846 | Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc | $17,614 – $26,327 · median $23,050 | 12 plans |
| 847 | Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc | $8,888 – $13,285 · median $11,631 | 12 plans |
| 848 | Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc | $5,771 – $8,626 · median $7,552 | 12 plans |
| 849 | Radiotherapy | $18,409 – $27,515 · median $24,090 | 12 plans |
| 850 | Acute Leukemia With Other Procedures | $58,835 – $87,937 · median $76,992 | 12 plans |
| 853 | Infectious And Parasitic Diseases With O.R. Procedures With Mcc | $33,554 – $50,151 · median $43,909 | 12 plans |
| 854 | Infectious And Parasitic Diseases With O.R. Procedures With Cc | $13,576 – $20,291 · median $17,765 | 12 plans |
| 855 | Infectious And Parasitic Diseases With O.R. Procedures Without Cc/Mcc | $10,172 – $15,204 · median $13,312 | 12 plans |
| 856 | Postoperative Or Post-Traumatic Infections With O.R. Procedures With Mcc | $30,905 – $46,192 · median $40,442 | 12 plans |
| 857 | Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc | $14,550 – $21,747 · median $19,040 | 12 plans |
| 858 | Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/Mcc | $9,464 – $14,145 · median $12,384 | 12 plans |
| 862 | Postoperative And Post-Traumatic Infections With Mcc | $12,391 – $18,520 · median $16,215 | 12 plans |
| 863 | Postoperative And Post-Traumatic Infections Without Mcc | $6,780 – $10,134 · median $8,872 | 12 plans |
| 864 | Fever And Inflammatory Conditions | $6,031 – $9,015 · median $7,893 | 12 plans |
| 865 | Viral Illness With Mcc | $10,180 – $15,215 · median $13,321 | 12 plans |
| 866 | Viral Illness Without Mcc | $5,908 – $8,831 · median $7,732 | 12 plans |
| 867 | Other Infectious And Parasitic Diseases Diagnoses With Mcc | $14,222 – $21,256 · median $18,611 | 12 plans |
| 868 | Other Infectious And Parasitic Diseases Diagnoses With Cc | $7,006 – $10,471 · median $9,168 | 12 plans |
| 869 | Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc | $4,958 – $7,410 · median $6,488 | 12 plans |
| 870 | Septicemia Or Severe Sepsis With Mv >96 Hours | $46,961 – $70,189 · median $61,453 | 12 plans |
| 871 | Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc | $13,198 – $19,726 · median $17,271 | 12 plans |
| 872 | Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc | $6,953 – $10,392 · median $9,098 | 12 plans |
| 876 | O.R. Procedures With Principal Diagnosis Of Mental Illness | $26,259 – $39,248 · median $34,363 | 12 plans |
| 880 | Acute Adjustment Reaction And Psychosocial Dysfunction | $6,524 – $9,751 · median $8,537 | 12 plans |
| 881 | Depressive Neuroses | $6,393 – $9,555 · median $8,366 | 12 plans |
| 882 | Neuroses Except Depressive | $7,296 – $10,904 · median $9,547 | 12 plans |
| 883 | Disorders Of Personality And Impulse Control | $13,360 – $19,968 · median $17,482 | 12 plans |
| 884 | Organic Disturbances And Intellectual Disability | $10,931 – $16,338 · median $14,305 | 12 plans |
| 885 | Psychoses | $9,490 – $14,185 · median $12,419 | 12 plans |
| 886 | Behavioral And Developmental Disorders | $14,100 – $21,075 · median $18,451 | 12 plans |
| 887 | Other Mental Disorder Diagnoses | $7,276 – $10,875 · median $9,521 | 12 plans |
| 894 | Alcohol, Drug Abuse Or Dependence, Left Ama | $4,191 – $6,265 · median $5,485 | 12 plans |
| 895 | Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy | $9,618 – $14,375 · median $12,586 | 12 plans |
| 896 | Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc | $11,857 – $17,721 · median $15,516 | 12 plans |
| 897 | Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc | $5,998 – $8,965 · median $7,849 | 12 plans |
| 901 | Wound Debridements For Injuries With Mcc | $28,513 – $42,616 · median $37,312 | 12 plans |
| 902 | Wound Debridements For Injuries With Cc | $13,008 – $19,442 · median $17,022 | 12 plans |
| 903 | Wound Debridements For Injuries Without Cc/Mcc | $7,947 – $11,877 · median $10,399 | 12 plans |
| 904 | Skin Grafts For Injuries With Cc/Mcc | $24,956 – $37,300 · median $32,658 | 12 plans |
| 905 | Skin Grafts For Injuries Without Cc/Mcc | $10,079 – $15,064 · median $13,189 | 12 plans |
| 906 | Hand Procedures For Injuries | $13,346 – $19,947 · median $17,465 | 12 plans |
| 907 | Other O.R. Procedures For Injuries With Mcc | $26,085 – $38,988 · median $34,135 | 12 plans |
| 908 | Other O.R. Procedures For Injuries With Cc | $13,556 – $20,261 · median $17,739 | 12 plans |
| 909 | Other O.R. Procedures For Injuries Without Cc/Mcc | $8,919 – $13,330 · median $11,671 | 12 plans |
| 913 | Traumatic Injury With Mcc | $11,106 – $16,599 · median $14,533 | 12 plans |
| 914 | Traumatic Injury Without Mcc | $6,016 – $8,992 · median $7,873 | 12 plans |
| 915 | Allergic Reactions With Mcc | $11,425 – $17,077 · median $14,951 | 12 plans |
| 916 | Allergic Reactions Without Mcc | $4,527 – $6,766 · median $5,924 | 12 plans |
| 917 | Poisoning And Toxic Effects Of Drugs With Mcc | $10,656 – $15,927 · median $13,945 | 12 plans |
| 918 | Poisoning And Toxic Effects Of Drugs Without Mcc | $5,823 – $8,704 · median $7,620 | 12 plans |
| 919 | Complications Of Treatment With Mcc | $12,439 – $18,592 · median $16,278 | 12 plans |
| 920 | Complications Of Treatment With Cc | $6,810 – $10,178 · median $8,911 | 12 plans |
| 921 | Complications Of Treatment Without Cc/Mcc | $4,677 – $6,991 · median $6,121 | 12 plans |
| 922 | Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc | $11,886 – $17,765 · median $15,554 | 12 plans |
| 923 | Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc | $6,915 – $10,335 · median $9,048 | 12 plans |
| 927 | Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft | $145,062 – $216,814 · median $189,827 | 12 plans |
| 928 | Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc | $48,734 – $72,839 · median $63,772 | 12 plans |
| 929 | Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc | $21,883 – $32,707 · median $28,636 | 12 plans |
| 933 | Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft | $26,458 – $39,546 · median $34,623 | 12 plans |
| 934 | Full Thickness Burn Without Skin Graft Or Inhalation Injury | $15,020 – $22,449 · median $19,654 | 12 plans |
| 935 | Non-Extensive Burns | $13,996 – $20,919 · median $18,315 | 12 plans |
| 939 | O.R. Procedures With Diagnoses Of Other Contact With Health Services With Mcc | $24,653 – $36,847 · median $32,261 | 12 plans |
| 940 | O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc | $15,878 – $23,731 · median $20,777 | 12 plans |
| 941 | O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/Mcc | $13,777 – $20,591 · median $18,028 | 12 plans |
| 945 | Rehabilitation With Cc/Mcc | $10,522 – $15,726 · median $13,769 | 12 plans |
| 946 | Rehabilitation Without Cc/Mcc | $7,792 – $11,646 · median $10,196 | 12 plans |
| 947 | Signs And Symptoms With Mcc | $8,625 – $12,891 · median $11,286 | 12 plans |
| 948 | Signs And Symptoms Without Mcc | $5,439 – $8,129 · median $7,117 | 12 plans |
| 949 | Aftercare With Cc/Mcc | $8,083 – $12,081 · median $10,578 | 12 plans |
| 950 | Aftercare Without Cc/Mcc | $4,265 – $6,374 · median $5,581 | 12 plans |
| 951 | Other Factors Influencing Health Status | $3,778 – $5,646 · median $4,943 | 12 plans |
| 955 | Craniotomy For Multiple Significant Trauma | $45,733 – $68,354 · median $59,846 | 12 plans |
| 956 | Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma | $25,567 – $38,213 · median $33,457 | 12 plans |
| 957 | Other O.R. Procedures For Multiple Significant Trauma With Mcc | $51,772 – $77,380 · median $67,749 | 12 plans |
| 958 | Other O.R. Procedures For Multiple Significant Trauma With Cc | $28,631 – $42,792 · median $37,466 | 12 plans |
| 959 | Other O.R. Procedures For Multiple Significant Trauma Without Cc/Mcc | $20,003 – $29,897 · median $26,176 | 12 plans |
| 963 | Other Multiple Significant Trauma With Mcc | $18,574 – $27,762 · median $24,306 | 12 plans |
| 964 | Other Multiple Significant Trauma With Cc | $10,413 – $15,564 · median $13,626 | 12 plans |
| 965 | Other Multiple Significant Trauma Without Cc/Mcc | $6,390 – $9,551 · median $8,362 | 12 plans |
| 969 | Hiv With Extensive O.R. Procedures With Mcc | $41,590 – $62,162 · median $54,424 | 12 plans |
| 970 | Hiv With Extensive O.R. Procedures Without Mcc | $17,919 – $26,783 · median $23,449 | 12 plans |
| 974 | Hiv With Major Related Condition With Mcc | $19,608 – $29,307 · median $25,659 | 12 plans |
| 975 | Hiv With Major Related Condition With Cc | $8,799 – $13,151 · median $11,514 | 12 plans |
| 976 | Hiv With Major Related Condition Without Cc/Mcc | $6,133 – $9,167 · median $8,026 | 12 plans |
| 977 | Hiv With Or Without Other Related Condition | $8,817 – $13,178 · median $11,538 | 12 plans |
| 981 | Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc | $31,878 – $47,645 · median $41,715 | 12 plans |
| 982 | Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc | $16,704 – $24,966 · median $21,859 | 12 plans |
| 983 | Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc | $11,645 – $17,406 · median $15,239 | 12 plans |
| 987 | Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc | $23,294 – $34,815 · median $30,482 | 12 plans |
| 988 | Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc | $11,167 – $16,691 · median $14,613 | 12 plans |
| 989 | Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc | $8,148 – $12,178 · median $10,662 | 12 plans |
No procedures match that keyword.