Jackson County Memorial Hospital Authority — Pricing
749 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 749 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 749 procedures
Procedures with negotiated rates only
These 749 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 | $396,944 – $595,467 · median $482,044 | 5 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $237,810 – $356,746 · median $288,794 | 5 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $274,907 – $412,396 · median $333,843 | 5 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $172,612 – $258,940 · median $209,618 | 5 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $162,828 – $244,262 · median $197,736 | 5 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $70,219 – $105,338 · median $85,273 | 5 plans |
| 007 | LUNG TRANSPLANT | $152,737 – $229,125 · median $185,482 | 5 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $78,957 – $118,446 · median $95,884 | 5 plans |
| 010 | PANCREAS TRANSPLANT | $68,198 – $102,305 · median $82,818 | 5 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $76,728 – $115,102 · median $93,178 | 5 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $54,961 – $82,449 · median $66,744 | 5 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $37,572 – $56,364 · median $45,627 | 5 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $181,487 – $272,254 · median $220,396 | 5 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $100,515 – $150,786 · median $122,064 | 5 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $70,628 – $105,951 · median $85,769 | 5 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $155,966 – $233,969 · median $189,403 | 5 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $117,551 – $176,342 · median $142,753 | 5 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $89,175 – $133,774 · median $108,293 | 5 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $85,709 – $128,575 · median $104,084 | 5 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $59,762 – $89,651 · median $72,574 | 5 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $67,171 – $100,765 · median $81,572 | 5 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $46,749 – $70,129 · median $56,771 | 5 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $36,913 – $55,374 · median $44,826 | 5 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $86,703 – $130,066 · median $105,291 | 5 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $51,063 – $76,601 · median $62,010 | 5 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $33,275 – $49,917 · median $40,409 | 5 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $63,549 – $95,332 · median $77,174 | 5 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $33,186 – $49,784 · median $40,301 | 5 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $26,504 – $39,760 · median $32,186 | 5 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $62,264 – $93,404 · median $75,613 | 5 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $34,749 – $52,128 · median $42,199 | 5 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $27,509 – $41,266 · median $33,406 | 5 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $49,429 – $74,149 · median $60,025 | 5 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $24,453 – $36,683 · median $29,695 | 5 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $17,371 – $26,059 · median $21,096 | 5 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $59,394 – $89,099 · median $72,127 | 5 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $36,361 – $54,545 · median $44,156 | 5 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $29,800 – $44,704 · median $36,189 | 5 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $23,539 – $35,311 · median $28,585 | 5 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $14,558 – $21,838 · median $17,679 | 5 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $20,511 – $30,770 · median $24,909 | 5 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $15,590 – $23,387 · median $18,933 | 5 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $29,847 – $44,774 · median $36,246 | 5 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $17,705 – $26,560 · median $21,501 | 5 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $25,554 – $38,335 · median $31,033 | 5 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $16,729 – $25,095 · median $20,315 | 5 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $13,177 – $19,767 · median $16,002 | 5 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $43,642 – $65,468 · median $52,998 | 5 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $30,137 – $45,209 · median $36,598 | 5 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $25,220 – $37,834 · median $30,627 | 5 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $27,585 – $41,381 · median $33,499 | 5 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $16,083 – $24,127 · median $19,531 | 5 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $11,645 – $17,470 · median $14,142 | 5 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $22,043 – $33,067 · median $26,769 | 5 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $13,974 – $20,963 · median $16,970 | 5 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $11,731 – $17,598 · median $14,246 | 5 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $25,715 – $38,576 · median $31,228 | 5 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $15,436 – $23,156 · median $18,745 | 5 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $11,858 – $17,788 · median $14,400 | 5 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $21,896 – $32,848 · median $26,591 | 5 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $14,873 – $22,311 · median $18,061 | 5 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $25,741 – $38,615 · median $31,260 | 5 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $14,997 – $22,498 · median $18,213 | 5 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $24,515 – $36,776 · median $29,771 | 5 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $15,492 – $23,240 · median $18,813 | 5 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $11,984 – $17,977 · median $14,553 | 5 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $27,087 – $40,635 · median $32,895 | 5 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $11,791 – $17,687 · median $14,318 | 5 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $33,592 – $50,392 · median $40,793 | 5 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $19,600 – $29,403 · median $23,803 | 5 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $14,040 – $21,061 · median $17,050 | 5 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $31,942 – $47,916 · median $38,789 | 5 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $18,442 – $27,665 · median $22,395 | 5 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $12,978 – $19,468 · median $15,760 | 5 plans |
| 088 | CONCUSSION WITH MCC | $21,903 – $32,857 · median $26,598 | 5 plans |
| 089 | CONCUSSION WITH CC | $15,703 – $23,556 · median $19,069 | 5 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $12,332 – $18,499 · median $14,976 | 5 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $24,021 – $36,034 · median $29,171 | 5 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $14,612 – $21,920 · median $17,745 | 5 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $11,371 – $17,058 · median $13,809 | 5 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $53,238 – $79,863 · median $64,651 | 5 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $36,677 – $55,020 · median $44,540 | 5 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $34,599 – $51,904 · median $42,017 | 5 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $53,097 – $79,653 · median $64,480 | 5 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $29,224 – $43,840 · median $35,490 | 5 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $18,810 – $28,217 · median $22,842 | 5 plans |
| 100 | SEIZURES WITH MCC | $25,702 – $38,557 · median $31,213 | 5 plans |
| 101 | SEIZURES WITHOUT MCC | $12,925 – $19,388 · median $15,695 | 5 plans |
| 102 | HEADACHES WITH MCC | $16,551 – $24,829 · median $20,099 | 5 plans |
| 103 | HEADACHES WITHOUT MCC | $11,694 – $17,542 · median $14,201 | 5 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $34,114 – $51,176 · median $41,428 | 5 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $19,984 – $29,979 · median $24,268 | 5 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $23,313 – $34,972 · median $28,311 | 5 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $23,400 – $35,103 · median $28,417 | 5 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $15,603 – $23,406 · median $18,948 | 5 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $15,384 – $23,078 · median $18,682 | 5 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $11,912 – $17,870 · median $14,466 | 5 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $11,681 – $17,524 · median $14,186 | 5 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $19,480 – $29,223 · median $23,657 | 5 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $12,045 – $18,069 · median $14,627 | 5 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $35,443 – $53,170 · median $43,042 | 5 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $20,259 – $30,391 · median $24,602 | 5 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $21,269 – $31,907 · median $25,829 | 5 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $13,502 – $20,254 · median $16,396 | 5 plans |
| 139 | SALIVARY GLAND PROCEDURES | $17,407 – $26,113 · median $21,139 | 5 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $29,990 – $44,989 · median $36,420 | 5 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $19,505 – $29,260 · median $23,687 | 5 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $12,698 – $19,049 · median $15,421 | 5 plans |
| 149 | DYSEQUILIBRIUM | $10,984 – $16,478 · median $13,339 | 5 plans |
| 150 | EPISTAXIS WITH MCC | $20,633 – $30,952 · median $25,056 | 5 plans |
| 151 | EPISTAXIS WITHOUT MCC | $11,416 – $17,126 · median $13,864 | 5 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $16,395 – $24,595 · median $19,910 | 5 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $11,154 – $16,733 · median $13,545 | 5 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $22,661 – $33,994 · median $27,519 | 5 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $13,999 – $21,001 · median $17,000 | 5 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $10,382 – $15,574 · median $12,608 | 5 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $24,144 – $36,219 · median $29,320 | 5 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $13,859 – $20,790 · median $16,830 | 5 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $10,501 – $15,752 · median $12,752 | 5 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $77,088 – $115,643 · median $93,615 | 5 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $40,205 – $60,313 · median $48,825 | 5 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $28,867 – $43,305 · median $35,056 | 5 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $55,326 – $82,996 · median $67,187 | 5 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $28,852 – $43,281 · median $35,037 | 5 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $20,128 – $30,194 · median $24,443 | 5 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $22,895 – $34,345 · median $27,803 | 5 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $13,963 – $20,947 · median $16,957 | 5 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $28,867 – $43,305 · median $35,056 | 5 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $20,203 – $30,306 · median $24,534 | 5 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $14,506 – $21,761 · median $17,616 | 5 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $26,351 – $39,530 · median $32,001 | 5 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $18,031 – $27,049 · median $21,897 | 5 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $13,177 – $19,767 · median $16,002 | 5 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $23,035 – $34,556 · median $27,974 | 5 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $15,832 – $23,750 · median $19,226 | 5 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $11,837 – $17,758 · median $14,375 | 5 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $23,781 – $35,674 · median $28,879 | 5 plans |
| 187 | PLEURAL EFFUSION WITH CC | $16,484 – $24,728 · median $20,018 | 5 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $12,466 – $18,700 · median $15,138 | 5 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $19,023 – $28,537 · median $23,102 | 5 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $17,978 – $26,970 · median $21,833 | 5 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $14,313 – $21,471 · median $17,381 | 5 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $11,332 – $16,999 · median $13,761 | 5 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $21,418 – $32,129 · median $26,009 | 5 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $14,556 – $21,836 · median $17,677 | 5 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $11,073 – $16,611 · median $13,447 | 5 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $24,901 – $37,354 · median $30,239 | 5 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $16,298 – $24,450 · median $19,793 | 5 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $12,204 – $18,307 · median $14,820 | 5 plans |
| 199 | PNEUMOTHORAX WITH MCC | $28,178 – $42,270 · median $34,219 | 5 plans |
| 200 | PNEUMOTHORAX WITH CC | $16,551 – $24,829 · median $20,099 | 5 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $11,854 – $17,783 · median $14,396 | 5 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $14,444 – $21,667 · median $17,540 | 5 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $11,004 – $16,508 · median $13,364 | 5 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $11,951 – $17,928 · median $14,513 | 5 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $23,288 – $34,935 · median $28,280 | 5 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $13,286 – $19,931 · median $16,135 | 5 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $85,547 – $128,332 · median $103,887 | 5 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $36,933 – $55,404 · median $44,851 | 5 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $200,997 – $301,521 · median $244,088 | 5 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $148,175 – $222,281 · median $179,941 | 5 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $98,001 – $147,014 · median $119,011 | 5 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $88,659 – $133,000 · median $107,666 | 5 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $118,662 – $178,008 · median $144,101 | 5 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $80,178 – $120,278 · median $97,368 | 5 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $71,498 – $107,256 · median $86,826 | 5 plans |
| 222 | Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With MCC | $132,352 – $198,545 · median $160,727 | 5 plans |
| 223 | Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without MCC | $100,482 – $150,736 · median $122,024 | 5 plans |
| 224 | Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With MCC | $114,506 – $171,774 · median $139,055 | 5 plans |
| 225 | Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without MCC | $88,303 – $132,466 · median $107,234 | 5 plans |
| 226 | Cardiac Defibrillator Implant Without Cardiac Catheterization With MCC | $106,024 – $159,050 · median $128,754 | 5 plans |
| 227 | Cardiac Defibrillator Implant Without Cardiac Catheterization Without MCC | $84,306 – $126,469 · median $102,380 | 5 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $102,891 – $154,349 · median $124,949 | 5 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $71,504 – $107,266 · median $86,834 | 5 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $126,536 – $189,820 · median $153,663 | 5 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $91,099 – $136,660 · median $110,629 | 5 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $114,545 – $171,833 · median $139,102 | 5 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $78,873 – $118,319 · median $95,782 | 5 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $90,135 – $135,213 · median $109,458 | 5 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $60,580 – $90,877 · median $73,567 | 5 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $72,462 – $108,702 · median $87,997 | 5 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $41,598 – $62,403 · median $50,516 | 5 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $23,044 – $34,570 · median $27,985 | 5 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $57,798 – $86,705 · median $70,190 | 5 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $40,692 – $61,043 · median $49,416 | 5 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $33,372 – $50,062 · median $40,526 | 5 plans |
| 245 | AICD GENERATOR PROCEDURES | $85,047 – $127,581 · median $103,279 | 5 plans |
| 246 | Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents | $50,074 – $75,118 · median $60,810 | 5 plans |
| 247 | Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without MCC | $32,999 – $49,503 · median $40,074 | 5 plans |
| 248 | Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents | $47,536 – $71,311 · median $57,728 | 5 plans |
| 249 | Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without MCC | $30,521 – $45,785 · median $37,064 | 5 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $39,087 – $58,636 · median $47,467 | 5 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $25,935 – $38,906 · median $31,495 | 5 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $50,435 – $75,658 · median $61,247 | 5 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $39,541 – $59,316 · median $48,018 | 5 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $28,274 – $42,415 · median $34,336 | 5 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $39,234 – $58,856 · median $47,645 | 5 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $27,189 – $40,787 · median $33,018 | 5 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $17,562 – $26,345 · median $21,327 | 5 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $48,064 – $72,102 · median $58,368 | 5 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $32,551 – $48,831 · median $39,530 | 5 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $55,958 – $83,944 · median $67,954 | 5 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $30,230 – $45,350 · median $36,711 | 5 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $25,752 – $38,632 · median $31,273 | 5 plans |
| 263 | VEIN LIGATION AND STRIPPING | $36,451 – $54,681 · median $44,266 | 5 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $50,190 – $75,291 · median $60,950 | 5 plans |
| 265 | AICD LEAD PROCEDURES | $52,063 – $78,101 · median $63,225 | 5 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $120,924 – $181,401 · median $146,848 | 5 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $95,251 – $142,888 · median $115,671 | 5 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $101,805 – $152,721 · median $123,631 | 5 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $64,819 – $97,237 · median $78,715 | 5 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $77,071 – $115,617 · median $93,594 | 5 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $52,777 – $79,173 · median $64,092 | 5 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $38,274 – $57,416 · median $46,480 | 5 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $55,827 – $83,747 · median $67,795 | 5 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $43,182 – $64,778 · median $52,439 | 5 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $25,857 – $38,789 · median $31,400 | 5 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $15,361 – $23,043 · median $18,654 | 5 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $11,833 – $17,750 · median $14,369 | 5 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $27,409 – $41,117 · median $33,285 | 5 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $12,277 – $18,417 · median $14,909 | 5 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $8,630 – $12,947 · median $10,481 | 5 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $34,755 – $52,138 · median $42,207 | 5 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $18,328 – $27,494 · median $22,257 | 5 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $42,241 – $63,367 · median $51,297 | 5 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $26,432 – $39,652 · median $32,099 | 5 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $17,011 – $25,519 · median $20,658 | 5 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $23,021 – $34,535 · median $27,957 | 5 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $14,955 – $22,435 · median $18,162 | 5 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $10,507 – $15,762 · median $12,759 | 5 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $15,930 – $23,897 · median $19,345 | 5 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $12,252 – $18,380 · median $14,879 | 5 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $23,246 – $34,872 · median $28,229 | 5 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $10,246 – $15,371 · median $12,443 | 5 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $7,565 – $11,349 · median $9,187 | 5 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $22,012 – $33,021 · median $26,731 | 5 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $15,885 – $23,830 · median $19,291 | 5 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $11,310 – $16,967 · median $13,735 | 5 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $16,732 – $25,100 · median $20,319 | 5 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $10,341 – $15,514 · median $12,559 | 5 plans |
| 304 | HYPERTENSION WITH MCC | $16,353 – $24,532 · median $19,859 | 5 plans |
| 305 | HYPERTENSION WITHOUT MCC | $10,788 – $16,183 · median $13,100 | 5 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $21,246 – $31,872 · median $25,801 | 5 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $12,906 – $19,360 · median $15,673 | 5 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $18,538 – $27,810 · median $22,513 | 5 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $12,042 – $18,064 · median $14,623 | 5 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $8,774 – $13,162 · median $10,655 | 5 plans |
| 311 | ANGINA PECTORIS | $10,596 – $15,895 · median $12,867 | 5 plans |
| 312 | SYNCOPE AND COLLAPSE | $12,424 – $18,637 · median $15,087 | 5 plans |
| 313 | CHEST PAIN | $10,956 – $16,435 · median $13,305 | 5 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $30,544 – $45,820 · median $37,092 | 5 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $15,065 – $22,599 · median $18,294 | 5 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $11,544 – $17,318 · median $14,019 | 5 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $70,937 – $106,414 · median $86,144 | 5 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $33,008 – $49,517 · median $40,085 | 5 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $23,466 – $35,201 · median $28,496 | 5 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $76,638 – $114,966 · median $93,068 | 5 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $38,510 – $57,770 · median $46,766 | 5 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $26,139 – $39,212 · median $31,743 | 5 plans |
| 332 | RECTAL RESECTION WITH MCC | $59,606 – $89,416 · median $72,384 | 5 plans |
| 333 | RECTAL RESECTION WITH CC | $31,079 – $46,622 · median $37,742 | 5 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $20,229 – $30,346 · median $24,566 | 5 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $63,855 – $95,791 · median $77,545 | 5 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $36,495 – $54,747 · median $44,319 | 5 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $25,241 – $37,864 · median $30,652 | 5 plans |
| 338 | Appendectomy With Complicated Principal Diagnosis With MCC | $43,111 – $64,673 · median $52,354 | 5 plans |
| 339 | Appendectomy With Complicated Principal Diagnosis With CC | $26,596 – $39,898 · median $32,298 | 5 plans |
| 340 | Appendectomy With Complicated Principal Diagnosis Without CC/MCC | $18,714 – $28,074 · median $22,727 | 5 plans |
| 341 | Appendectomy Without Complicated Principal Diagnosis With MCC | $38,808 – $58,217 · median $47,128 | 5 plans |
| 342 | Appendectomy Without Complicated Principal Diagnosis With CC | $23,213 – $34,822 · median $28,189 | 5 plans |
| 343 | Appendectomy Without Complicated Principal Diagnosis Without CC/MCC | $16,467 – $24,702 · median $19,997 | 5 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $42,938 – $64,413 · median $52,144 | 5 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $24,353 – $36,533 · median $29,574 | 5 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $17,169 – $25,755 · median $20,849 | 5 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $41,017 – $61,530 · median $49,810 | 5 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $22,029 – $33,046 · median $26,752 | 5 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $15,829 – $23,745 · median $19,222 | 5 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $38,382 – $57,578 · median $46,611 | 5 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $23,229 – $34,846 · median $28,208 | 5 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $16,181 – $24,274 · median $19,650 | 5 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $46,948 – $70,429 · median $57,014 | 5 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $26,888 – $40,335 · median $32,652 | 5 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $20,599 – $30,901 · median $25,015 | 5 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $59,368 – $89,059 · median $72,095 | 5 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $32,756 – $49,138 · median $39,778 | 5 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $21,970 – $32,957 · median $26,680 | 5 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $28,657 – $42,989 · median $34,800 | 5 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $16,968 – $25,453 · median $20,605 | 5 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $11,652 – $17,479 · median $14,150 | 5 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $26,897 – $40,349 · median $32,664 | 5 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $16,518 – $24,780 · median $20,060 | 5 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $11,889 – $17,835 · median $14,438 | 5 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $31,218 – $46,831 · median $37,911 | 5 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $19,259 – $28,891 · median $23,388 | 5 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $14,664 – $21,997 · median $17,807 | 5 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $26,735 – $40,106 · median $32,467 | 5 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $15,135 – $22,704 · median $18,379 | 5 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $10,054 – $15,083 · median $12,210 | 5 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $29,586 – $44,383 · median $35,929 | 5 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $16,816 – $25,226 · median $20,421 | 5 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $12,528 – $18,794 · median $15,214 | 5 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $20,976 – $31,467 · median $25,473 | 5 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $13,672 – $20,509 · median $16,603 | 5 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $25,788 – $38,686 · median $31,317 | 5 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $15,004 – $22,508 · median $18,220 | 5 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $11,461 – $17,194 · median $13,919 | 5 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $23,770 – $35,658 · median $28,866 | 5 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $13,314 – $19,973 · median $16,169 | 5 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $9,306 – $13,960 · median $11,301 | 5 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $19,264 – $28,898 · median $23,393 | 5 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $11,844 – $17,767 · median $14,383 | 5 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $25,593 – $38,393 · median $31,080 | 5 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $14,710 – $22,068 · median $17,864 | 5 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $10,522 – $15,785 · median $12,778 | 5 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $82,473 – $123,720 · median $100,154 | 5 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $43,609 – $65,419 · median $52,958 | 5 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $31,485 – $47,231 · median $38,234 | 5 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $61,564 – $92,354 · median $74,762 | 5 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $36,351 – $54,531 · median $44,144 | 5 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $26,958 – $40,440 · median $32,737 | 5 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $51,448 – $77,179 · median $62,478 | 5 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $37,034 – $55,556 · median $44,974 | 5 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $26,306 – $39,462 · median $31,946 | 5 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $55,323 – $82,992 · median $67,183 | 5 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $31,524 – $47,289 · median $38,282 | 5 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $21,873 – $32,812 · median $26,562 | 5 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $37,298 – $55,952 · median $45,294 | 5 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $25,989 – $38,987 · median $31,561 | 5 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $20,359 – $30,540 · median $24,723 | 5 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $63,301 – $94,960 · median $76,872 | 5 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $29,384 – $44,079 · median $35,683 | 5 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $24,285 – $36,430 · median $29,491 | 5 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $59,070 – $88,612 · median $71,733 | 5 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $34,868 – $52,306 · median $42,343 | 5 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $25,000 – $37,504 · median $30,360 | 5 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $28,083 – $42,128 · median $34,103 | 5 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $15,932 – $23,900 · median $19,347 | 5 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $9,799 – $14,699 · median $11,899 | 5 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $26,052 – $39,081 · median $31,637 | 5 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $17,710 – $26,567 · median $21,507 | 5 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $14,183 – $21,277 · median $17,224 | 5 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $25,882 – $38,826 · median $31,430 | 5 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $13,634 – $20,453 · median $16,557 | 5 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,953 – $14,931 · median $12,087 | 5 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $28,324 – $42,490 · median $34,397 | 5 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $14,653 – $21,981 · median $17,794 | 5 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $10,586 – $15,881 · median $12,856 | 5 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $24,952 – $37,431 · median $30,302 | 5 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $16,504 – $24,758 · median $20,043 | 5 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $12,347 – $18,523 · median $14,994 | 5 plans |
| 453 | Combined Anterior And Posterior Spinal Fusion With MCC | $151,942 – $227,932 · median $184,516 | 5 plans |
| 454 | Combined Anterior And Posterior Spinal Fusion With CC | $101,337 – $152,019 · median $123,062 | 5 plans |
| 455 | Combined Anterior And Posterior Spinal Fusion Without CC/MCC | $79,210 – $118,825 · median $96,191 | 5 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $143,570 – $215,374 · median $174,350 | 5 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $106,163 – $159,258 · median $128,923 | 5 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $83,694 – $125,552 · median $101,637 | 5 plans |
| 459 | Spinal Fusion Except Cervical With MCC | $94,182 – $141,286 · median $114,374 | 5 plans |
| 460 | Spinal Fusion Except Cervical Without MCC | $62,624 – $93,945 · median $76,050 | 5 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $76,313 – $114,480 · median $92,674 | 5 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $50,912 – $76,374 · median $61,827 | 5 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $78,257 – $117,395 · median $95,034 | 5 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $44,358 – $66,542 · median $53,867 | 5 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $29,348 – $44,025 · median $35,639 | 5 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $78,661 – $118,001 · median $95,525 | 5 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $54,247 – $81,377 · median $65,876 | 5 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $43,940 – $65,915 · median $53,360 | 5 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $49,929 – $74,900 · median $60,633 | 5 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $32,043 – $48,069 · median $38,913 | 5 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $76,722 – $115,093 · median $93,170 | 5 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $44,507 – $66,767 · median $54,049 | 5 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $35,744 – $53,621 · median $43,407 | 5 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $60,255 – $90,390 · median $73,173 | 5 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $33,576 – $50,369 · median $40,775 | 5 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $18,220 – $27,332 · median $22,126 | 5 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $50,431 – $75,654 · median $61,243 | 5 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $34,918 – $52,381 · median $42,404 | 5 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $27,557 – $41,339 · median $33,465 | 5 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $47,104 – $70,663 · median $57,203 | 5 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $31,977 – $47,970 · median $38,833 | 5 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $26,036 – $39,058 · median $31,618 | 5 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $37,852 – $56,782 · median $45,967 | 5 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $50,747 – $76,126 · median $61,626 | 5 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $34,665 – $52,002 · median $42,097 | 5 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $25,885 – $38,831 · median $31,434 | 5 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $31,141 – $46,716 · median $37,818 | 5 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $20,084 – $30,129 · median $24,390 | 5 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $51,486 – $77,235 · median $62,524 | 5 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $34,372 – $51,562 · median $41,741 | 5 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $27,393 – $41,093 · median $33,266 | 5 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $46,983 – $70,480 · median $57,055 | 5 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $30,800 – $46,204 · median $37,403 | 5 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $21,641 – $32,464 · median $26,280 | 5 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $37,888 – $56,836 · median $46,010 | 5 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $19,370 – $29,057 · median $23,522 | 5 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $46,158 – $69,242 · median $56,053 | 5 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $26,350 – $39,528 · median $31,999 | 5 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $19,711 – $29,569 · median $23,937 | 5 plans |
| 503 | FOOT PROCEDURES WITH MCC | $38,800 – $58,205 · median $47,118 | 5 plans |
| 504 | FOOT PROCEDURES WITH CC | $26,893 – $40,342 · median $32,658 | 5 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $23,790 – $35,688 · median $28,890 | 5 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $21,514 – $32,274 · median $26,127 | 5 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $29,279 – $43,922 · median $35,556 | 5 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $23,920 – $35,882 · median $29,048 | 5 plans |
| 509 | ARTHROSCOPY | $28,577 – $42,869 · median $34,704 | 5 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $38,806 – $58,214 · median $47,126 | 5 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $27,858 – $41,791 · median $33,830 | 5 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $23,335 – $35,005 · median $28,337 | 5 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $24,756 – $37,137 · median $30,063 | 5 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $15,897 – $23,848 · median $19,306 | 5 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $45,538 – $68,313 · median $55,301 | 5 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $29,355 – $44,037 · median $35,649 | 5 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $22,400 – $33,603 · median $27,202 | 5 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $45,125 – $67,693 · median $54,799 | 5 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $28,136 – $42,207 · median $34,168 | 5 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $20,224 – $30,339 · median $24,560 | 5 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $22,430 – $33,648 · median $27,239 | 5 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $11,869 – $17,804 · median $14,413 | 5 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $19,604 – $29,408 · median $23,806 | 5 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $11,769 – $17,655 · median $14,292 | 5 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $15,099 – $22,650 · median $18,336 | 5 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $10,554 – $15,832 · median $12,816 | 5 plans |
| 539 | OSTEOMYELITIS WITH MCC | $29,399 – $44,102 · median $35,702 | 5 plans |
| 540 | OSTEOMYELITIS WITH CC | $20,143 – $30,217 · median $24,462 | 5 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $14,742 – $22,114 · median $17,902 | 5 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $28,239 – $42,362 · median $34,293 | 5 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $16,843 – $25,266 · median $20,454 | 5 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $12,101 – $18,153 · median $14,695 | 5 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $36,864 – $55,301 · median $44,768 | 5 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $17,576 – $26,366 · median $21,344 | 5 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,715 – $19,075 · median $15,442 | 5 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $31,795 – $47,697 · median $38,611 | 5 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $18,633 – $27,952 · median $22,628 | 5 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $14,048 – $21,073 · median $17,059 | 5 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $24,228 – $36,346 · median $29,423 | 5 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $13,941 – $20,914 · median $16,930 | 5 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $20,107 – $30,164 · median $24,418 | 5 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $11,723 – $17,587 · median $14,237 | 5 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $19,839 – $29,761 · median $24,092 | 5 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $12,151 – $18,228 · median $14,756 | 5 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $22,511 – $33,769 · median $27,337 | 5 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $13,361 – $20,044 · median $16,226 | 5 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $26,225 – $39,341 · median $31,847 | 5 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $16,802 – $25,205 · median $20,404 | 5 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $11,872 – $17,809 · median $14,417 | 5 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $21,555 – $32,335 · median $26,176 | 5 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $12,845 – $19,269 · median $15,599 | 5 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $22,820 – $34,233 · median $27,712 | 5 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $14,860 – $22,292 · median $18,046 | 5 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $12,118 – $18,179 · median $14,716 | 5 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $40,474 – $60,716 · median $49,151 | 5 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $25,404 – $38,110 · median $30,851 | 5 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $18,337 – $27,508 · median $22,268 | 5 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $63,382 – $95,082 · median $76,971 | 5 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $46,161 – $69,247 · median $56,057 | 5 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $27,170 – $40,759 · median $32,995 | 5 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $70,704 – $106,065 · median $85,862 | 5 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $38,098 – $57,152 · median $46,266 | 5 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $23,229 – $34,846 · median $28,208 | 5 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $41,500 – $62,255 · median $50,397 | 5 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $24,267 – $36,404 · median $29,470 | 5 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $19,092 – $28,640 · median $23,185 | 5 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $23,118 – $34,680 · median $28,074 | 5 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $21,137 – $31,708 · median $25,668 | 5 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $28,947 – $43,424 · median $35,153 | 5 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $24,835 – $37,256 · median $30,159 | 5 plans |
| 592 | SKIN ULCERS WITH MCC | $23,113 – $34,673 · median $28,068 | 5 plans |
| 593 | SKIN ULCERS WITH CC | $16,314 – $24,473 · median $19,811 | 5 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $11,830 – $17,746 · median $14,366 | 5 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $33,052 – $49,582 · median $40,138 | 5 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $15,272 – $22,910 · median $18,546 | 5 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $28,128 – $42,195 · median $34,158 | 5 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $16,961 – $25,444 · median $20,598 | 5 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $13,623 – $20,437 · median $16,544 | 5 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $14,924 – $22,388 · median $18,124 | 5 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $9,814 – $14,723 · median $11,918 | 5 plans |
| 602 | CELLULITIS WITH MCC | $22,561 – $33,844 · median $27,398 | 5 plans |
| 603 | CELLULITIS WITHOUT MCC | $13,263 – $19,896 · median $16,106 | 5 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $21,705 – $32,560 · median $26,358 | 5 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $13,194 – $19,793 · median $16,023 | 5 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $21,561 – $32,344 · median $26,184 | 5 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $12,321 – $18,483 · median $14,962 | 5 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $36,640 – $54,964 · median $44,495 | 5 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $23,005 – $34,511 · median $27,938 | 5 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $63,063 – $94,602 · median $76,583 | 5 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $32,725 – $49,091 · median $39,740 | 5 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $18,382 – $27,576 · median $22,323 | 5 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $48,617 – $72,932 · median $59,040 | 5 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $28,629 – $42,947 · median $34,766 | 5 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $24,685 – $37,031 · median $29,978 | 5 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $56,332 – $84,505 · median $68,409 | 5 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $29,589 – $44,388 · median $35,933 | 5 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $18,548 – $27,824 · median $22,524 | 5 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $41,932 – $62,904 · median $50,922 | 5 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $23,681 – $35,524 · median $28,758 | 5 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $16,543 – $24,817 · median $20,090 | 5 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $55,783 – $83,682 · median $67,742 | 5 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $36,120 – $54,185 · median $43,864 | 5 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $24,908 – $37,366 · median $30,248 | 5 plans |
| 637 | DIABETES WITH MCC | $20,819 – $31,231 · median $25,282 | 5 plans |
| 638 | DIABETES WITH CC | $13,277 – $19,917 · median $16,123 | 5 plans |
| 639 | DIABETES WITHOUT CC/MCC | $9,760 – $14,641 · median $11,852 | 5 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $18,287 – $27,433 · median $22,208 | 5 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $11,638 – $17,458 · median $14,133 | 5 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $19,512 – $29,270 · median $23,695 | 5 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $24,823 – $37,237 · median $30,144 | 5 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $15,634 – $23,453 · median $18,986 | 5 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $11,524 – $17,287 · median $13,994 | 5 plans |
| 652 | KIDNEY TRANSPLANT | $51,781 – $77,678 · median $62,882 | 5 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $86,257 – $129,396 · median $104,749 | 5 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $43,247 – $64,876 · median $52,519 | 5 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $31,970 – $47,959 · median $38,824 | 5 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $50,765 – $76,154 · median $61,649 | 5 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $30,854 – $46,286 · median $37,469 | 5 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $24,380 – $36,573 · median $29,606 | 5 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $53,234 – $79,858 · median $64,647 | 5 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $27,966 – $41,952 · median $33,961 | 5 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $22,679 – $34,022 · median $27,542 | 5 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $47,505 – $71,264 · median $57,690 | 5 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $27,774 – $41,664 · median $33,728 | 5 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $20,070 – $30,107 · median $24,373 | 5 plans |
| 665 | PROSTATECTOMY WITH MCC | $48,717 – $73,082 · median $59,162 | 5 plans |
| 666 | PROSTATECTOMY WITH CC | $27,133 – $40,703 · median $32,950 | 5 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $15,459 – $23,191 · median $18,773 | 5 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $41,101 – $61,656 · median $49,912 | 5 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $21,569 – $32,356 · median $26,193 | 5 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $15,342 – $23,015 · median $18,631 | 5 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $23,934 – $35,903 · median $29,065 | 5 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $15,951 – $23,928 · median $19,370 | 5 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $54,970 – $82,463 · median $66,755 | 5 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $36,133 – $54,204 · median $43,879 | 5 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $25,590 – $38,388 · median $31,076 | 5 plans |
| 682 | RENAL FAILURE WITH MCC | $23,152 – $34,731 · median $28,116 | 5 plans |
| 683 | RENAL FAILURE WITH CC | $14,494 – $21,742 · median $17,601 | 5 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $9,802 – $14,704 · median $11,903 | 5 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $26,946 – $40,422 · median $32,722 | 5 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $17,136 – $25,706 · median $20,810 | 5 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $13,277 – $19,917 · median $16,123 | 5 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $16,835 – $25,255 · median $20,444 | 5 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $12,393 – $18,591 · median $15,049 | 5 plans |
| 693 | URINARY STONES WITH MCC | $22,261 – $33,395 · median $27,034 | 5 plans |
| 694 | URINARY STONES WITHOUT MCC | $12,700 – $19,051 · median $15,423 | 5 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $18,254 – $27,384 · median $22,168 | 5 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $10,859 – $16,290 · median $13,187 | 5 plans |
| 697 | URETHRAL STRICTURE | $16,058 – $24,089 · median $19,501 | 5 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $24,768 – $37,155 · median $30,078 | 5 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $16,323 – $24,487 · median $19,823 | 5 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $12,112 – $18,169 · median $14,708 | 5 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $28,109 – $42,167 · median $34,135 | 5 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $21,597 – $32,398 · median $26,227 | 5 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $35,640 – $53,464 · median $43,281 | 5 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $23,514 – $35,274 · median $28,555 | 5 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $31,505 – $47,261 · median $38,259 | 5 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $14,505 – $21,759 · median $17,614 | 5 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $22,213 – $33,323 · median $26,975 | 5 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $13,750 – $20,626 · median $16,697 | 5 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $33,932 – $50,902 · median $41,206 | 5 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $22,251 – $33,379 · median $27,021 | 5 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $30,092 – $45,141 · median $36,543 | 5 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $19,440 – $29,162 · median $23,607 | 5 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $27,087 – $40,635 · median $32,895 | 5 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $17,501 – $26,254 · median $21,253 | 5 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $11,820 – $17,732 · median $14,354 | 5 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $19,867 – $29,803 · median $24,126 | 5 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $11,502 – $17,254 · median $13,968 | 5 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $22,617 – $33,929 · median $27,466 | 5 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $12,659 – $18,991 · median $15,373 | 5 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $16,465 – $24,700 · median $19,995 | 5 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $9,955 – $14,933 · median $12,089 | 5 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $33,931 – $50,901 · median $41,206 | 5 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $20,405 – $30,611 · median $24,780 | 5 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $61,264 – $91,904 · median $74,398 | 5 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $30,567 – $45,855 · median $37,121 | 5 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $21,737 – $32,609 · median $26,398 | 5 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $55,237 – $82,863 · median $67,079 | 5 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $26,850 – $40,279 · median $32,607 | 5 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $19,722 – $29,586 · median $23,950 | 5 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $25,564 – $38,349 · median $31,044 | 5 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $16,760 – $25,142 · median $20,353 | 5 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $26,507 – $39,764 · median $32,190 | 5 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $16,535 – $24,805 · median $20,080 | 5 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $25,492 – $38,241 · median $30,957 | 5 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $14,384 – $21,579 · median $17,468 | 5 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $19,767 – $29,654 · median $24,005 | 5 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $40,198 – $60,302 · median $48,815 | 5 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $20,274 – $30,414 · median $24,621 | 5 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $27,928 – $41,896 · median $33,916 | 5 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $17,120 – $25,683 · median $20,791 | 5 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,906 – $14,861 · median $12,030 | 5 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $22,859 – $34,291 · median $27,760 | 5 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $15,646 – $23,472 · median $19,001 | 5 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $11,162 – $16,744 · median $13,555 | 5 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $13,392 – $20,090 · median $16,264 | 5 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $10,022 – $15,034 · median $12,170 | 5 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $17,683 – $26,527 · median $21,475 | 5 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $26,889 – $40,338 · median $32,654 | 5 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $12,288 – $18,434 · median $14,923 | 5 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $12,592 – $18,890 · median $15,292 | 5 plans |
| 779 | ABORTION WITHOUT D&C | $10,505 – $15,759 · median $12,757 | 5 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $27,226 – $40,843 · median $33,063 | 5 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $17,191 – $25,788 · median $20,876 | 5 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $13,188 – $19,784 · median $16,015 | 5 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $24,252 – $36,381 · median $29,451 | 5 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $16,863 – $25,297 · median $20,478 | 5 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $14,049 – $21,075 · median $17,061 | 5 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $25,599 – $38,402 · median $31,088 | 5 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $84,418 – $126,638 · median $102,516 | 5 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $57,655 – $86,490 · median $70,015 | 5 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $34,787 – $52,184 · median $42,244 | 5 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $59,224 – $88,844 · median $71,921 | 5 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $20,962 – $31,446 · median $25,456 | 5 plans |
| 795 | NORMAL NEWBORN | $2,837 – $4,256 · median $3,446 | 5 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $22,901 – $34,354 · median $27,811 | 5 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $13,210 – $19,817 · median $16,042 | 5 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $13,210 – $19,817 · median $16,042 | 5 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $76,070 – $114,115 · median $92,378 | 5 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $41,910 – $62,871 · median $50,895 | 5 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $26,560 – $39,844 · median $32,254 | 5 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $50,754 – $76,138 · median $61,635 | 5 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $29,017 – $43,529 · median $35,238 | 5 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $18,696 – $28,046 · median $22,704 | 5 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $15,960 – $23,942 · median $19,381 | 5 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $11,034 – $16,552 · median $13,400 | 5 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $9,577 – $14,367 · median $11,630 | 5 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $33,202 – $49,807 · median $40,320 | 5 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $18,661 – $27,995 · median $22,662 | 5 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $14,671 – $22,009 · median $17,817 | 5 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $20,864 – $31,299 · median $25,337 | 5 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $13,770 – $20,657 · median $16,722 | 5 plans |
| 813 | COAGULATION DISORDERS | $27,000 – $40,504 · median $32,789 | 5 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $27,374 – $41,065 · median $33,243 | 5 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $15,628 – $23,443 · median $18,978 | 5 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $10,951 – $16,428 · median $13,299 | 5 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $39,489 – $59,239 · median $47,955 | 5 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $21,190 – $31,788 · median $25,733 | 5 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $13,087 – $19,632 · median $15,892 | 5 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $84,504 – $126,766 · median $102,620 | 5 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $36,429 – $54,648 · median $44,239 | 5 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $19,343 – $29,017 · median $23,490 | 5 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $67,268 – $100,911 · median $81,689 | 5 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $34,083 – $51,129 · median $41,390 | 5 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $20,059 – $30,091 · median $24,359 | 5 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $81,342 – $122,023 · median $98,781 | 5 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $36,938 – $55,411 · median $44,857 | 5 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $25,278 – $37,920 · median $30,697 | 5 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $48,834 – $73,258 · median $59,304 | 5 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $19,950 – $29,927 · median $24,227 | 5 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $16,036 – $24,057 · median $19,474 | 5 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $11,212 – $16,819 · median $13,616 | 5 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $7,492 – $11,239 · median $9,098 | 5 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $85,694 – $128,552 · median $104,065 | 5 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $32,973 – $49,463 · median $40,041 | 5 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $21,474 – $32,213 · median $26,077 | 5 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $88,966 – $133,461 · median $108,039 | 5 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $36,687 – $55,034 · median $44,552 | 5 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $20,786 – $31,182 · median $25,242 | 5 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $48,031 – $72,053 · median $58,328 | 5 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $25,278 – $37,920 · median $30,697 | 5 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $17,537 – $26,308 · median $21,296 | 5 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $27,905 – $41,861 · median $33,887 | 5 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $18,825 – $28,240 · median $22,861 | 5 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $14,073 – $21,111 · median $17,089 | 5 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $37,129 – $55,699 · median $45,090 | 5 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $19,674 – $29,513 · median $23,892 | 5 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $14,537 – $21,808 · median $17,654 | 5 plans |
| 849 | RADIOTHERAPY | $28,075 – $42,116 · median $34,094 | 5 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $79,985 – $119,988 · median $97,133 | 5 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $37,298 – $55,952 · median $45,294 | 5 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $22,461 – $33,695 · median $27,276 | 5 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $69,431 – $104,156 · median $84,317 | 5 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $31,010 – $46,520 · median $37,659 | 5 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $21,039 – $31,561 · median $25,549 | 5 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $28,586 – $42,883 · median $34,715 | 5 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $15,710 – $23,567 · median $19,078 | 5 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $13,572 – $20,359 · median $16,481 | 5 plans |
| 865 | VIRAL ILLNESS WITH MCC | $23,419 – $35,131 · median $28,440 | 5 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $12,486 – $18,731 · median $15,163 | 5 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $33,027 – $49,544 · median $40,107 | 5 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $16,528 – $24,794 · median $20,071 | 5 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $12,301 – $18,452 · median $14,938 | 5 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $94,986 – $142,491 · median $115,349 | 5 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $28,434 – $42,654 · median $34,529 | 5 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $16,450 – $24,677 · median $19,976 | 5 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $54,740 – $82,116 · median $66,475 | 5 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $12,611 – $18,918 · median $15,315 | 5 plans |
| 881 | DEPRESSIVE NEUROSES | $11,631 – $17,449 · median $14,125 | 5 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $12,152 – $18,230 · median $14,758 | 5 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $18,356 – $27,536 · median $22,291 | 5 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $19,251 – $28,879 · median $23,378 | 5 plans |
| 885 | PSYCHOSES | $18,304 – $27,459 · median $22,228 | 5 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $16,651 – $24,978 · median $20,221 | 5 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $16,752 – $25,131 · median $20,344 | 5 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $8,178 – $12,268 · median $9,931 | 5 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $20,750 – $31,128 · median $25,199 | 5 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $25,514 – $38,274 · median $30,983 | 5 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $12,316 – $18,476 · median $14,957 | 5 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $64,796 – $97,202 · median $78,687 | 5 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $31,165 – $46,751 · median $37,846 | 5 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $19,462 – $29,195 · median $23,634 | 5 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $50,708 – $76,068 · median $61,579 | 5 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $22,803 – $34,207 · median $27,691 | 5 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $27,208 – $40,815 · median $33,041 | 5 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $65,076 – $97,623 · median $79,028 | 5 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $31,592 – $47,392 · median $38,365 | 5 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $21,945 – $32,920 · median $26,650 | 5 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $21,521 – $32,284 · median $26,134 | 5 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $12,949 – $19,426 · median $15,726 | 5 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $25,234 – $37,855 · median $30,644 | 5 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $9,362 – $14,044 · median $11,369 | 5 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $21,868 – $32,805 · median $26,557 | 5 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $11,702 – $17,554 · median $14,210 | 5 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $27,307 – $40,965 · median $33,162 | 5 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $15,587 – $23,383 · median $18,929 | 5 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $11,064 – $16,597 · median $13,436 | 5 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $23,116 – $34,677 · median $28,072 | 5 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $12,737 – $19,108 · median $15,468 | 5 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $264,196 – $396,328 · median $320,836 | 5 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $88,962 – $133,454 · median $108,034 | 5 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $41,098 – $61,652 · median $49,908 | 5 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $50,782 – $76,180 · median $61,669 | 5 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $27,190 – $40,789 · median $33,020 | 5 plans |
| 935 | NON-EXTENSIVE BURNS | $26,328 – $39,495 · median $31,972 | 5 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $54,314 – $81,478 · median $65,958 | 5 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $36,545 – $54,822 · median $44,379 | 5 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $28,983 – $43,478 · median $35,196 | 5 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $18,310 – $27,468 · median $22,236 | 5 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $12,051 – $18,078 · median $14,635 | 5 plans |
| 949 | AFTERCARE WITH CC/MCC | $18,181 – $27,274 · median $22,079 | 5 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $12,547 – $18,822 · median $15,237 | 5 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $12,365 – $18,548 · median $15,015 | 5 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $94,059 – $141,101 · median $114,224 | 5 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $60,935 – $91,411 · median $73,999 | 5 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $113,917 – $170,890 · median $138,339 | 5 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $66,382 – $99,581 · median $80,613 | 5 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $42,030 – $63,051 · median $51,041 | 5 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $41,779 – $62,674 · median $50,736 | 5 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $22,286 – $33,432 · median $27,064 | 5 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $15,495 – $23,245 · median $18,817 | 5 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $84,916 – $127,384 · median $103,120 | 5 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $40,078 – $60,121 · median $48,670 | 5 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $43,258 – $64,892 · median $52,532 | 5 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $21,205 – $31,811 · median $25,752 | 5 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $15,575 – $23,364 · median $18,914 | 5 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $20,271 – $30,409 · median $24,617 | 5 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $67,224 – $100,845 · median $81,636 | 5 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $38,744 – $58,121 · median $47,050 | 5 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $25,668 – $38,505 · median $31,171 | 5 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $50,478 – $75,724 · median $61,300 | 5 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $26,679 – $40,022 · median $32,398 | 5 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $17,245 – $25,870 · median $20,942 | 5 plans |
No procedures match that keyword.