Stillwater Medical Center (Acute Care) — Pricing
776 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 776 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 776 procedures
Procedures with negotiated rates only
These 776 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 | $217,958 – $585,763 · median $381,427 | 6 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $85,267 – $229,156 · median $153,137 | 6 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $165,832 – $445,673 · median $290,205 | 6 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $109,334 – $293,835 · median $191,334 | 6 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $82,402 – $221,456 · median $144,204 | 6 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $37,522 – $100,840 · median $65,663 | 6 plans |
| 007 | LUNG TRANSPLANT | $101,123 – $271,767 · median $176,965 | 6 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $42,102 – $113,148 · median $73,678 | 6 plans |
| 010 | PANCREAS TRANSPLANT | $60,204 – $165,799 · median $107,962 | 6 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $41,752 – $112,208 · median $73,066 | 6 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $31,753 – $85,337 · median $55,568 | 6 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $20,505 – $55,107 · median $35,884 | 6 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $101,378 – $272,453 · median $177,412 | 6 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $46,704 – $125,517 · median $81,732 | 6 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $46,704 – $125,517 · median $81,732 | 6 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $291,811 – $784,242 · median $510,669 | 6 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $61,339 – $164,849 · median $107,344 | 6 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $62,375 – $167,632 · median $109,155 | 6 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $42,769 – $114,941 · median $76,810 | 6 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $27,317 – $73,415 · median $47,805 | 6 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $44,144 – $118,638 · median $77,253 | 6 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $29,416 – $79,057 · median $51,479 | 6 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $34,605 – $93,002 · median $60,559 | 6 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $23,667 – $63,604 · median $41,417 | 6 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $19,095 – $51,318 · median $33,417 | 6 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $47,041 – $126,424 · median $82,323 | 6 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $25,973 – $69,803 · median $45,453 | 6 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,220 – $46,277 · median $30,134 | 6 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $32,426 – $87,144 · median $56,745 | 6 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,525 – $44,410 · median $28,918 | 6 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,346 – $33,179 · median $21,605 | 6 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $30,090 – $80,866 · median $52,657 | 6 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,602 – $47,305 · median $30,803 | 6 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,184 – $38,120 · median $24,822 | 6 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $25,696 – $69,059 · median $44,968 | 6 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,468 – $33,507 · median $21,819 | 6 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,807 – $23,669 · median $15,412 | 6 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $29,187 – $78,441 · median $51,078 | 6 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,473 – $46,960 · median $30,578 | 6 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,600 – $36,549 · median $23,800 | 6 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $15,572 – $41,850 · median $27,251 | 6 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,130 – $19,161 · median $12,477 | 6 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,600 – $31,174 · median $20,299 | 6 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,442 – $22,687 · median $14,773 | 6 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $19,376 – $52,073 · median $33,908 | 6 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,325 – $27,749 · median $18,069 | 6 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $14,283 – $38,386 · median $24,995 | 6 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,468 – $25,445 · median $16,569 | 6 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,905 – $18,558 · median $12,084 | 6 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $20,918 – $56,218 · median $36,607 | 6 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,780 – $37,034 · median $24,115 | 6 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,870 – $29,213 · median $19,022 | 6 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $15,392 – $41,366 · median $26,936 | 6 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,868 – $21,147 · median $13,770 | 6 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,326 – $14,313 · median $9,320 | 6 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,258 – $30,255 · median $19,701 | 6 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,821 – $18,331 · median $11,936 | 6 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,191 – $16,638 · median $10,834 | 6 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $13,454 – $36,159 · median $23,545 | 6 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $8,155 – $21,916 · median $14,271 | 6 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,805 – $15,601 · median $10,158 | 6 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,959 – $32,141 · median $20,929 | 6 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,066 – $21,677 · median $14,115 | 6 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $13,327 – $35,818 · median $23,936 | 6 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,095 – $19,067 · median $12,416 | 6 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $11,965 – $32,155 · median $20,938 | 6 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,721 – $20,751 · median $13,513 | 6 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,159 – $13,864 · median $9,265 | 6 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $15,381 – $41,337 · median $27,624 | 6 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,001 – $18,815 · median $12,252 | 6 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $17,953 – $48,249 · median $31,418 | 6 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,759 – $28,914 · median $18,827 | 6 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,398 – $19,882 · median $12,947 | 6 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,534 – $47,122 · median $30,684 | 6 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,149 – $27,275 · median $17,760 | 6 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,840 – $18,383 · median $11,970 | 6 plans |
| 088 | CONCUSSION WITH MCC | $10,916 – $29,336 · median $19,183 | 6 plans |
| 089 | CONCUSSION WITH CC | $8,296 – $22,294 · median $14,517 | 6 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,634 – $17,828 · median $11,692 | 6 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $14,105 – $37,907 · median $24,684 | 6 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,192 – $22,016 · median $14,336 | 6 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,107 – $16,414 · median $10,688 | 6 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $28,233 – $75,875 · median $49,407 | 6 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $18,549 – $49,850 · median $32,461 | 6 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $18,549 – $49,850 · median $32,461 | 6 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $27,737 – $74,542 · median $48,539 | 6 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $16,785 – $45,111 · median $29,375 | 6 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,781 – $28,974 · median $18,867 | 6 plans |
| 100 | SEIZURES WITH MCC | $15,362 – $41,285 · median $26,883 | 6 plans |
| 101 | SEIZURES WITHOUT MCC | $7,132 – $19,167 · median $12,481 | 6 plans |
| 102 | HEADACHES WITH MCC | $8,972 – $24,112 · median $15,701 | 6 plans |
| 103 | HEADACHES WITHOUT MCC | $6,579 – $17,680 · median $11,513 | 6 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $17,461 – $46,926 · median $31,359 | 6 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,147 – $24,582 · median $16,007 | 6 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,846 – $31,837 · median $20,731 | 6 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $12,911 – $34,699 · median $22,898 | 6 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,346 – $22,430 · median $14,988 | 6 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,001 – $24,189 · median $16,024 | 6 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,248 – $14,105 · median $9,311 | 6 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,215 – $16,703 · median $10,876 | 6 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,089 – $27,115 · median $17,656 | 6 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,389 – $17,171 · median $11,181 | 6 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $18,656 – $50,139 · median $33,170 | 6 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,569 – $20,342 · median $13,246 | 6 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,822 – $29,084 · median $18,938 | 6 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,295 – $16,917 · median $11,016 | 6 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,624 – $28,552 · median $18,592 | 6 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $32,724 – $87,947 · median $57,268 | 6 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $16,624 – $44,678 · median $29,093 | 6 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,167 – $32,698 · median $21,292 | 6 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $25,549 – $68,663 · median $44,711 | 6 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,593 – $36,531 · median $23,787 | 6 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,168 – $24,638 · median $16,043 | 6 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $17,751 – $47,706 · median $31,064 | 6 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,632 – $25,886 · median $16,856 | 6 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,196 – $16,651 · median $11,127 | 6 plans |
| 149 | DYSEQUILIBRIUM | $5,784 – $15,544 · median $10,122 | 6 plans |
| 150 | EPISTAXIS WITH MCC | $10,695 – $28,743 · median $18,716 | 6 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,865 – $15,763 · median $10,264 | 6 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,781 – $23,598 · median $15,366 | 6 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,507 – $14,800 · median $9,637 | 6 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,584 – $33,819 · median $22,022 | 6 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,224 – $19,414 · median $12,642 | 6 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,203 – $13,983 · median $9,105 | 6 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,671 – $34,052 · median $22,173 | 6 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,278 – $19,560 · median $12,737 | 6 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,104 – $13,716 · median $8,932 | 6 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $35,665 – $95,849 · median $62,413 | 6 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $19,476 – $52,341 · median $34,083 | 6 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $14,423 – $38,762 · median $25,240 | 6 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $29,793 – $80,067 · median $52,137 | 6 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,138 – $37,997 · median $24,742 | 6 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,476 – $28,155 · median $18,333 | 6 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $23,744 – $63,812 · median $41,552 | 6 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,903 – $29,302 · median $19,081 | 6 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,302 – $16,938 · median $11,029 | 6 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,508 – $33,615 · median $21,889 | 6 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,677 – $20,631 · median $13,434 | 6 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,956 – $16,006 · median $10,423 | 6 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $13,524 – $36,346 · median $23,667 | 6 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,591 – $23,089 · median $15,035 | 6 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,480 – $17,416 · median $11,341 | 6 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $12,282 – $33,008 · median $21,494 | 6 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,265 – $22,211 · median $14,463 | 6 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,018 – $16,172 · median $10,531 | 6 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $12,226 – $32,856 · median $21,395 | 6 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,769 – $20,878 · median $13,595 | 6 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,681 – $15,268 · median $9,942 | 6 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,575 – $25,732 · median $16,756 | 6 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,689 – $23,353 · median $15,207 | 6 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,647 – $17,865 · median $11,633 | 6 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,008 – $13,459 · median $8,764 | 6 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,196 – $27,402 · median $17,843 | 6 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,345 – $17,052 · median $11,104 | 6 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,818 – $12,949 · median $8,432 | 6 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $14,579 – $39,180 · median $25,513 | 6 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,660 – $20,587 · median $13,406 | 6 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,420 – $14,565 · median $9,733 | 6 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,659 – $36,710 · median $23,904 | 6 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,570 – $23,031 · median $14,997 | 6 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,239 – $14,080 · median $9,169 | 6 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,480 – $20,103 · median $13,090 | 6 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,390 – $14,486 · median $9,433 | 6 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,275 – $16,865 · median $10,982 | 6 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $14,607 – $39,257 · median $25,563 | 6 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,009 – $18,836 · median $12,265 | 6 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $50,041 – $134,486 · median $87,572 | 6 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $20,766 – $55,810 · median $36,341 | 6 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $84,294 – $226,540 · median $147,514 | 6 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $81,980 – $220,320 · median $143,464 | 6 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $74,677 – $200,696 · median $130,686 | 6 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $49,969 – $134,293 · median $87,446 | 6 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $46,034 – $123,716 · median $80,560 | 6 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $59,871 – $160,902 · median $104,774 | 6 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $40,984 – $110,145 · median $71,723 | 6 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $35,536 – $95,504 · median $62,188 | 6 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $38,559 – $103,628 · median $67,479 | 6 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $24,036 – $64,596 · median $42,062 | 6 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $65,569 – $176,216 · median $114,745 | 6 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $47,267 – $127,031 · median $82,718 | 6 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $60,481 – $162,543 · median $105,842 | 6 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $41,166 – $110,634 · median $72,041 | 6 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $45,530 – $122,363 · median $79,678 | 6 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $31,818 – $85,512 · median $55,682 | 6 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $38,974 – $104,743 · median $68,205 | 6 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $22,534 – $60,560 · median $39,434 | 6 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,683 – $31,399 · median $20,446 | 6 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $26,246 – $70,537 · median $45,931 | 6 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $17,432 – $46,847 · median $30,505 | 6 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,964 – $37,529 · median $24,437 | 6 plans |
| 245 | AICD GENERATOR PROCEDURES | $37,813 – $101,622 · median $66,172 | 6 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $17,894 – $48,091 · median $31,315 | 6 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $12,091 – $32,494 · median $21,159 | 6 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $26,543 – $71,336 · median $46,451 | 6 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $19,754 – $53,090 · median $34,570 | 6 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,536 – $36,379 · median $23,689 | 6 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $20,246 – $54,410 · median $35,430 | 6 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,105 – $35,221 · median $22,934 | 6 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,901 – $18,547 · median $12,394 | 6 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $21,708 – $58,341 · median $37,989 | 6 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $13,601 – $36,552 · median $23,801 | 6 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $26,356 – $70,832 · median $46,123 | 6 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,683 – $39,461 · median $25,695 | 6 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $11,744 – $31,563 · median $20,578 | 6 plans |
| 263 | VEIN LIGATION AND STRIPPING | $20,753 – $55,775 · median $36,318 | 6 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $27,044 – $72,681 · median $47,327 | 6 plans |
| 265 | AICD LEAD PROCEDURES | $27,602 – $74,180 · median $48,303 | 6 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $46,355 – $124,579 · median $81,121 | 6 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $36,404 – $97,835 · median $63,706 | 6 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $51,592 – $138,654 · median $90,286 | 6 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $32,194 – $86,522 · median $56,340 | 6 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $39,718 – $106,741 · median $69,506 | 6 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $26,652 – $71,627 · median $46,641 | 6 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $19,361 – $52,034 · median $33,882 | 6 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $30,257 – $81,315 · median $52,949 | 6 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $24,149 – $64,902 · median $42,261 | 6 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $54,682 – $146,959 · median $95,694 | 6 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $47,931 – $128,813 · median $83,878 | 6 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $35,995 – $96,737 · median $62,991 | 6 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $38,714 – $104,044 · median $67,750 | 6 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $24,795 – $66,636 · median $43,391 | 6 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,701 – $34,133 · median $22,226 | 6 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,133 – $19,169 · median $12,482 | 6 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,611 – $15,079 · median $9,819 | 6 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $15,130 – $40,663 · median $26,478 | 6 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,734 – $15,409 · median $10,034 | 6 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,344 – $11,674 · median $7,602 | 6 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $17,126 – $46,026 · median $29,970 | 6 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,432 – $22,660 · median $14,756 | 6 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $21,136 – $56,802 · median $36,987 | 6 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,200 – $32,788 · median $21,350 | 6 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,575 – $20,358 · median $13,257 | 6 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $10,096 – $27,133 · median $17,668 | 6 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,664 – $17,909 · median $11,662 | 6 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,246 – $11,410 · median $7,430 | 6 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $9,502 – $25,536 · median $16,628 | 6 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $6,111 – $16,424 · median $10,695 | 6 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,677 – $34,071 · median $22,186 | 6 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,450 – $14,648 · median $9,538 | 6 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,418 – $9,185 · median $5,981 | 6 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,517 – $33,638 · median $21,904 | 6 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,284 – $22,263 · median $14,497 | 6 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,520 – $14,835 · median $9,660 | 6 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,001 – $24,191 · median $15,752 | 6 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,203 – $13,983 · median $9,105 | 6 plans |
| 304 | HYPERTENSION WITH MCC | $9,090 – $24,430 · median $15,908 | 6 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,809 – $15,611 · median $10,165 | 6 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,586 – $31,139 · median $20,276 | 6 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,168 – $19,265 · median $12,544 | 6 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,331 – $25,077 · median $16,329 | 6 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,720 – $15,374 · median $10,011 | 6 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,329 – $11,635 · median $7,576 | 6 plans |
| 311 | ANGINA PECTORIS | $5,403 – $14,521 · median $9,456 | 6 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,742 – $18,119 · median $11,798 | 6 plans |
| 313 | CHEST PAIN | $5,520 – $14,835 · median $9,660 | 6 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $16,663 – $44,782 · median $29,161 | 6 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,446 – $20,011 · median $13,031 | 6 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,283 – $14,197 · median $9,244 | 6 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $33,990 – $91,349 · median $59,483 | 6 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $17,911 – $48,137 · median $31,345 | 6 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $22,028 – $59,200 · median $38,549 | 6 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $13,999 – $37,623 · median $24,498 | 6 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $32,958 – $88,575 · median $57,677 | 6 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $24,723 – $66,442 · median $43,265 | 6 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $22,146 – $59,518 · median $38,756 | 6 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $39,300 – $105,618 · median $68,775 | 6 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $18,788 – $50,493 · median $32,879 | 6 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,330 – $33,137 · median $21,578 | 6 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $35,531 – $95,489 · median $62,179 | 6 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,290 – $49,153 · median $32,007 | 6 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,775 – $34,333 · median $22,356 | 6 plans |
| 332 | RECTAL RESECTION WITH MCC | $26,840 – $72,132 · median $46,970 | 6 plans |
| 333 | RECTAL RESECTION WITH CC | $16,445 – $44,196 · median $28,779 | 6 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,834 – $34,491 · median $22,459 | 6 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $28,037 – $75,349 · median $49,064 | 6 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $16,344 – $43,926 · median $28,603 | 6 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,878 – $31,923 · median $20,787 | 6 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $20,849 – $56,032 · median $36,486 | 6 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,519 – $30,958 · median $20,159 | 6 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,636 – $25,896 · median $16,863 | 6 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $18,314 – $49,218 · median $32,049 | 6 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,741 – $26,179 · median $17,047 | 6 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,816 – $18,318 · median $12,204 | 6 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $18,715 – $50,297 · median $32,752 | 6 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,641 – $31,286 · median $20,372 | 6 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,532 – $22,929 · median $14,930 | 6 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $22,695 – $60,992 · median $39,716 | 6 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,163 – $35,375 · median $23,035 | 6 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,316 – $27,724 · median $18,053 | 6 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $33,007 – $88,706 · median $57,762 | 6 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,425 – $46,831 · median $30,494 | 6 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,485 – $28,179 · median $18,349 | 6 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,922 – $34,728 · median $22,613 | 6 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,874 – $21,161 · median $13,779 | 6 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,401 – $14,515 · median $9,452 | 6 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,526 – $36,350 · median $23,670 | 6 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,964 – $21,404 · median $13,938 | 6 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,613 – $15,085 · median $9,823 | 6 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $16,337 – $43,907 · median $28,590 | 6 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,507 – $25,551 · median $16,638 | 6 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,832 – $18,362 · median $11,957 | 6 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $14,069 – $37,810 · median $24,620 | 6 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,629 – $20,502 · median $13,350 | 6 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,927 – $13,240 · median $8,622 | 6 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,890 – $40,016 · median $26,057 | 6 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,427 – $22,648 · median $14,748 | 6 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,798 – $15,582 · median $10,146 | 6 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,782 – $26,289 · median $17,487 | 6 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,729 – $18,083 · median $11,775 | 6 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,572 – $33,788 · median $22,001 | 6 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,680 – $20,639 · median $13,439 | 6 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,187 – $13,939 · median $9,077 | 6 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,374 – $30,567 · median $19,904 | 6 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,203 – $16,669 · median $10,854 | 6 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,234 – $11,379 · median $7,410 | 6 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,939 – $26,711 · median $17,393 | 6 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,038 – $16,226 · median $10,566 | 6 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,814 – $34,437 · median $22,424 | 6 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,284 – $19,574 · median $12,746 | 6 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,924 – $13,234 · median $8,617 | 6 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $19,173 – $51,526 · median $33,552 | 6 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,709 – $31,467 · median $20,490 | 6 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,696 – $23,370 · median $15,217 | 6 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $42,006 – $112,890 · median $73,510 | 6 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $21,731 – $58,401 · median $38,029 | 6 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $16,526 – $44,414 · median $28,921 | 6 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $27,092 – $72,810 · median $47,411 | 6 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $16,222 – $43,597 · median $28,389 | 6 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,002 – $32,255 · median $21,003 | 6 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $21,173 – $56,904 · median $37,054 | 6 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $16,494 – $44,327 · median $28,864 | 6 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,864 – $34,572 · median $22,512 | 6 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $27,111 – $72,862 · median $47,445 | 6 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $15,306 – $41,135 · median $26,785 | 6 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,602 – $28,493 · median $18,554 | 6 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $18,389 – $49,420 · median $32,180 | 6 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,832 – $34,487 · median $22,456 | 6 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,195 – $27,400 · median $17,842 | 6 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $27,310 – $73,396 · median $47,793 | 6 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,671 – $34,054 · median $22,175 | 6 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,370 – $30,556 · median $19,897 | 6 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $31,472 – $84,582 · median $55,077 | 6 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,668 – $47,481 · median $30,918 | 6 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,961 – $32,145 · median $20,932 | 6 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $15,159 – $40,740 · median $26,528 | 6 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,278 – $22,247 · median $14,486 | 6 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,389 – $14,484 · median $9,431 | 6 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $14,118 – $37,943 · median $24,707 | 6 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,726 – $23,451 · median $15,270 | 6 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,076 – $16,328 · median $10,632 | 6 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,873 – $34,597 · median $22,528 | 6 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,656 – $17,888 · median $11,648 | 6 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,759 – $12,791 · median $8,329 | 6 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $14,627 – $39,311 · median $25,598 | 6 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,476 – $20,092 · median $13,083 | 6 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,437 – $14,613 · median $9,515 | 6 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $13,033 – $35,027 · median $22,808 | 6 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,392 – $22,552 · median $14,685 | 6 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,169 – $16,580 · median $10,796 | 6 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $65,532 – $176,118 · median $114,681 | 6 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $44,410 – $119,352 · median $77,717 | 6 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $33,411 – $89,793 · median $58,470 | 6 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $47,484 – $127,613 · median $85,279 | 6 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $22,159 – $59,553 · median $38,779 | 6 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $41,791 – $112,314 · median $73,135 | 6 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,815 – $61,317 · median $39,927 | 6 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,433 – $36,102 · median $23,509 | 6 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $39,421 – $105,943 · median $68,986 | 6 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $26,503 – $71,227 · median $46,381 | 6 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $20,298 – $54,552 · median $35,522 | 6 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $25,292 – $67,973 · median $44,261 | 6 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $14,589 – $39,209 · median $25,532 | 6 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $37,584 – $101,008 · median $65,773 | 6 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $22,418 – $60,248 · median $39,231 | 6 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $18,318 – $49,230 · median $32,057 | 6 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $34,701 – $93,260 · median $60,727 | 6 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,693 – $44,861 · median $29,212 | 6 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,000 – $24,187 · median $15,750 | 6 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $26,610 – $71,514 · median $46,568 | 6 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $18,095 – $48,631 · median $31,667 | 6 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,741 – $36,928 · median $24,046 | 6 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $22,757 – $61,158 · median $39,824 | 6 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $16,055 – $43,148 · median $28,096 | 6 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,275 – $32,989 · median $21,481 | 6 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $19,717 – $52,990 · median $34,505 | 6 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $24,910 – $66,946 · median $43,593 | 6 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $16,411 – $44,104 · median $28,719 | 6 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,227 – $32,860 · median $21,398 | 6 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $15,208 – $40,871 · median $26,613 | 6 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,582 – $25,753 · median $16,769 | 6 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $27,478 – $73,848 · median $48,087 | 6 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $18,578 – $49,929 · median $32,512 | 6 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $14,589 – $39,207 · median $25,530 | 6 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $27,241 – $73,211 · median $47,672 | 6 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $15,267 – $41,029 · median $26,716 | 6 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $10,389 – $27,920 · median $18,180 | 6 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $19,537 – $52,506 · median $34,190 | 6 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $8,982 – $24,139 · median $16,132 | 6 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $24,519 – $65,894 · median $42,907 | 6 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,810 – $37,113 · median $24,167 | 6 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,811 – $29,055 · median $18,920 | 6 plans |
| 503 | FOOT PROCEDURES WITH MCC | $20,479 – $55,036 · median $35,838 | 6 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,580 – $36,495 · median $23,764 | 6 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,580 – $36,495 · median $23,764 | 6 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $11,600 – $31,174 · median $20,299 | 6 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,997 – $40,305 · median $26,661 | 6 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,986 – $26,838 · median $17,935 | 6 plans |
| 509 | ARTHROSCOPY | $13,593 – $36,531 · median $23,787 | 6 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $22,115 – $59,435 · median $38,702 | 6 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $15,175 – $40,783 · median $26,557 | 6 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,441 – $33,434 · median $21,771 | 6 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,650 – $31,309 · median $20,387 | 6 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,889 – $21,203 · median $13,806 | 6 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $23,928 – $64,307 · median $41,874 | 6 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $15,566 – $41,834 · median $27,240 | 6 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,550 – $31,041 · median $20,213 | 6 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $27,732 – $74,530 · median $48,531 | 6 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $15,258 – $41,006 · median $26,702 | 6 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,090 – $29,804 · median $19,407 | 6 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $22,553 – $60,612 · median $39,468 | 6 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $16,312 – $43,838 · median $28,546 | 6 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,799 – $31,710 · median $20,649 | 6 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,299 – $16,927 · median $11,022 | 6 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,290 – $27,655 · median $18,008 | 6 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,275 – $16,863 · median $10,980 | 6 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,111 – $19,111 · median $12,444 | 6 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,196 – $13,964 · median $9,093 | 6 plans |
| 539 | OSTEOMYELITIS WITH MCC | $15,649 – $42,056 · median $27,385 | 6 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,013 – $26,911 · median $17,523 | 6 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,770 – $18,194 · median $11,847 | 6 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $14,432 – $38,785 · median $25,255 | 6 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,209 – $22,062 · median $14,366 | 6 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,847 – $15,715 · median $10,233 | 6 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $19,552 – $52,547 · median $34,217 | 6 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,958 – $24,075 · median $15,676 | 6 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,774 – $15,517 · median $10,173 | 6 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $15,588 – $41,894 · median $27,280 | 6 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,325 – $25,060 · median $16,318 | 6 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,671 – $17,927 · median $11,674 | 6 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,204 – $35,485 · median $23,106 | 6 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,458 – $20,042 · median $13,051 | 6 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,105 – $27,158 · median $17,685 | 6 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,458 – $17,356 · median $11,301 | 6 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,420 – $28,003 · median $18,234 | 6 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,318 – $16,979 · median $11,056 | 6 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,991 – $32,226 · median $20,985 | 6 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,684 – $17,963 · median $11,697 | 6 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,364 – $38,602 · median $25,136 | 6 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,811 – $23,679 · median $15,419 | 6 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,326 – $17,002 · median $11,071 | 6 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $11,324 – $30,434 · median $19,817 | 6 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,916 – $18,587 · median $12,103 | 6 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $12,142 – $32,632 · median $21,249 | 6 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,890 – $21,205 · median $13,808 | 6 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,789 – $15,557 · median $10,130 | 6 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $23,292 – $62,597 · median $40,761 | 6 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,955 – $34,817 · median $22,672 | 6 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,840 – $23,756 · median $15,469 | 6 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $47,650 – $128,060 · median $83,388 | 6 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $26,810 – $72,053 · median $46,918 | 6 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $15,450 – $41,522 · median $27,037 | 6 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $41,747 – $112,196 · median $73,058 | 6 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,604 – $55,373 · median $36,057 | 6 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,080 – $35,152 · median $22,890 | 6 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $25,220 – $67,780 · median $44,136 | 6 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,719 – $36,870 · median $24,008 | 6 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,136 – $29,928 · median $19,488 | 6 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,550 – $36,416 · median $23,713 | 6 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,711 – $34,160 · median $22,244 | 6 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $15,842 – $42,576 · median $27,724 | 6 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $15,360 – $41,280 · median $26,880 | 6 plans |
| 592 | SKIN ULCERS WITH MCC | $15,911 – $42,761 · median $27,844 | 6 plans |
| 593 | SKIN ULCERS WITH CC | $9,461 – $25,426 · median $16,557 | 6 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,567 – $17,649 · median $11,492 | 6 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $16,366 – $43,984 · median $28,641 | 6 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,365 – $22,482 · median $14,639 | 6 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $13,593 – $36,531 · median $23,787 | 6 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,348 – $22,436 · median $14,993 | 6 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,615 – $17,778 · median $11,576 | 6 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,402 – $19,893 · median $12,953 | 6 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,639 – $12,467 · median $8,118 | 6 plans |
| 602 | CELLULITIS WITH MCC | $11,368 – $30,552 · median $19,894 | 6 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,815 – $18,316 · median $11,927 | 6 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,496 – $30,895 · median $20,118 | 6 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,147 – $19,208 · median $12,508 | 6 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $12,460 – $33,486 · median $21,805 | 6 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,687 – $17,971 · median $11,702 | 6 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,634 – $47,392 · median $30,860 | 6 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,088 – $29,799 · median $19,404 | 6 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $29,906 – $80,373 · median $52,336 | 6 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,946 – $40,168 · median $26,156 | 6 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,634 – $25,892 · median $16,860 | 6 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $28,955 – $77,815 · median $50,670 | 6 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,801 – $39,777 · median $25,901 | 6 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,762 – $20,860 · median $13,939 | 6 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $22,185 – $59,622 · median $38,823 | 6 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,679 – $31,386 · median $20,437 | 6 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,803 – $26,345 · median $17,155 | 6 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $30,531 – $82,051 · median $53,429 | 6 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $17,403 – $46,770 · median $30,455 | 6 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,843 – $29,140 · median $18,975 | 6 plans |
| 637 | DIABETES WITH MCC | $11,268 – $30,284 · median $19,720 | 6 plans |
| 638 | DIABETES WITH CC | $7,097 – $19,073 · median $12,420 | 6 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,848 – $13,030 · median $8,485 | 6 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,276 – $27,616 · median $17,982 | 6 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,046 – $16,249 · median $10,581 | 6 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $9,603 – $25,809 · median $16,806 | 6 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,824 – $34,464 · median $22,442 | 6 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,996 – $21,490 · median $13,993 | 6 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,025 – $16,193 · median $10,544 | 6 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $35,650 – $95,809 · median $62,387 | 6 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $26,869 – $72,211 · median $47,021 | 6 plans |
| 652 | KIDNEY TRANSPLANT | $23,766 – $63,870 · median $41,590 | 6 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $43,135 – $115,924 · median $75,486 | 6 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $21,837 – $58,686 · median $38,214 | 6 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,074 – $43,198 · median $28,129 | 6 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $25,209 – $67,751 · median $44,117 | 6 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $14,145 – $38,016 · median $24,754 | 6 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,638 – $31,276 · median $20,366 | 6 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $19,997 – $53,741 · median $34,994 | 6 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,369 – $27,865 · median $18,145 | 6 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,944 – $21,348 · median $13,901 | 6 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $24,139 – $64,872 · median $42,243 | 6 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,819 – $31,762 · median $20,683 | 6 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,355 – $22,455 · median $14,622 | 6 plans |
| 665 | PROSTATECTOMY WITH MCC | $26,568 – $71,402 · median $46,494 | 6 plans |
| 666 | PROSTATECTOMY WITH CC | $12,746 – $34,256 · median $22,306 | 6 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,953 – $21,373 · median $13,917 | 6 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $22,566 – $60,645 · median $39,490 | 6 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,974 – $32,180 · median $20,955 | 6 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,395 – $19,874 · median $12,941 | 6 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,338 – $35,845 · median $23,341 | 6 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,468 – $22,758 · median $14,819 | 6 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $32,418 – $87,123 · median $56,731 | 6 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,862 – $48,003 · median $31,258 | 6 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,112 – $32,551 · median $21,196 | 6 plans |
| 682 | RENAL FAILURE WITH MCC | $11,621 – $31,232 · median $20,337 | 6 plans |
| 683 | RENAL FAILURE WITH CC | $6,878 – $18,485 · median $12,037 | 6 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,700 – $12,631 · median $8,225 | 6 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $14,591 – $39,213 · median $25,534 | 6 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,146 – $21,891 · median $14,255 | 6 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,604 – $15,060 · median $9,806 | 6 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,055 – $24,337 · median $15,847 | 6 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,210 – $16,690 · median $10,868 | 6 plans |
| 693 | URINARY STONES WITH MCC | $11,378 – $30,577 · median $19,911 | 6 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,046 – $16,249 · median $10,581 | 6 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,727 – $23,453 · median $15,272 | 6 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,353 – $14,386 · median $9,368 | 6 plans |
| 697 | URETHRAL STRICTURE | $7,752 – $20,833 · median $13,922 | 6 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $13,006 – $34,955 · median $22,761 | 6 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,892 – $21,209 · median $13,810 | 6 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,372 – $14,436 · median $9,400 | 6 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $15,016 – $40,355 · median $26,278 | 6 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,471 – $30,829 · median $20,075 | 6 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $17,387 – $46,729 · median $30,428 | 6 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,617 – $31,222 · median $20,330 | 6 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $14,784 – $39,731 · median $26,551 | 6 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,276 – $22,242 · median $14,863 | 6 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,189 – $30,070 · median $19,580 | 6 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,271 – $19,541 · median $12,724 | 6 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $17,474 – $46,962 · median $30,580 | 6 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,982 – $29,515 · median $19,219 | 6 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $14,357 – $38,585 · median $25,125 | 6 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,532 – $25,617 · median $16,681 | 6 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $13,378 – $35,953 · median $23,448 | 6 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,689 – $23,351 · median $15,205 | 6 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,638 – $15,151 · median $10,124 | 6 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,770 – $26,256 · median $17,097 | 6 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,760 – $15,480 · median $10,080 | 6 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,370 – $30,556 · median $20,274 | 6 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,322 – $16,992 · median $11,064 | 6 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,518 – $22,893 · median $14,907 | 6 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,696 – $12,621 · median $8,218 | 6 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,271 – $43,728 · median $28,474 | 6 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,393 – $25,243 · median $16,437 | 6 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $30,468 – $81,883 · median $53,319 | 6 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $15,463 – $41,557 · median $27,060 | 6 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,737 – $31,544 · median $20,540 | 6 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $30,803 – $82,783 · median $53,905 | 6 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $14,069 – $37,812 · median $24,622 | 6 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,629 – $28,564 · median $18,600 | 6 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $14,134 – $37,986 · median $24,735 | 6 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,275 – $24,927 · median $16,232 | 6 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $15,120 – $40,634 · median $26,459 | 6 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,930 – $21,311 · median $13,877 | 6 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,958 – $34,824 · median $22,676 | 6 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,391 – $19,864 · median $12,934 | 6 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,541 – $28,329 · median $18,447 | 6 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $20,030 – $53,830 · median $35,052 | 6 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,978 – $26,815 · median $17,461 | 6 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,000 – $37,625 · median $24,500 | 6 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,590 – $23,085 · median $15,032 | 6 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,390 – $19,859 · median $12,932 | 6 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,951 – $29,431 · median $19,165 | 6 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,887 – $21,196 · median $13,802 | 6 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,952 – $13,309 · median $8,666 | 6 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,626 – $20,496 · median $13,346 | 6 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,905 – $13,182 · median $8,584 | 6 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $8,483 – $22,798 · median $15,235 | 6 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,752 – $28,895 · median $19,310 | 6 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,326 – $22,376 · median $14,570 | 6 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,521 – $14,837 · median $9,662 | 6 plans |
| 779 | ABORTION WITHOUT D&C | $7,233 – $19,439 · median $12,658 | 6 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $14,254 – $38,307 · median $24,944 | 6 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,380 – $22,521 · median $14,665 | 6 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,759 – $18,165 · median $11,828 | 6 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $12,503 – $33,603 · median $21,881 | 6 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,216 – $22,080 · median $14,378 | 6 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,000 – $18,813 · median $12,251 | 6 plans |
| 795 | NORMAL NEWBORN | $1,546 – $4,155 · median $2,706 | 6 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $9,878 – $26,547 · median $17,740 | 6 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,492 – $20,134 · median $13,110 | 6 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $7,492 – $20,134 · median $13,110 | 6 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $36,791 – $98,877 · median $64,385 | 6 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $22,546 – $60,593 · median $39,456 | 6 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $12,703 – $34,139 · median $22,384 | 6 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $27,738 – $74,546 · median $48,542 | 6 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,773 – $37,015 · median $24,103 | 6 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,555 – $22,991 · median $15,138 | 6 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,722 – $20,754 · median $13,514 | 6 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,599 – $15,047 · median $9,798 | 6 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,931 – $13,253 · median $8,630 | 6 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $17,722 – $47,627 · median $31,013 | 6 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,583 – $25,755 · median $16,771 | 6 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,365 – $19,793 · median $12,888 | 6 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,886 – $29,257 · median $19,051 | 6 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,141 – $19,192 · median $12,497 | 6 plans |
| 813 | COAGULATION DISORDERS | $11,978 – $32,191 · median $20,961 | 6 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $16,176 – $43,472 · median $28,307 | 6 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,862 – $21,130 · median $13,759 | 6 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,102 – $13,712 · median $8,929 | 6 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $19,616 – $52,718 · median $34,328 | 6 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,966 – $26,784 · median $17,441 | 6 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,318 – $16,979 · median $11,346 | 6 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $45,051 – $121,075 · median $78,840 | 6 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,274 – $46,423 · median $30,229 | 6 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,850 – $23,783 · median $15,494 | 6 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $36,209 – $97,311 · median $63,365 | 6 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $17,018 – $45,737 · median $29,782 | 6 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,524 – $25,595 · median $16,666 | 6 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $36,951 – $99,307 · median $64,665 | 6 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $18,260 – $49,074 · median $31,955 | 6 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,403 – $33,333 · median $21,705 | 6 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $23,862 – $64,128 · median $41,758 | 6 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,316 – $30,413 · median $19,804 | 6 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,906 – $23,935 · median $15,586 | 6 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,783 – $15,542 · median $10,121 | 6 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,022 – $10,809 · median $7,039 | 6 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $42,769 – $114,941 · median $74,845 | 6 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $16,527 – $44,416 · median $28,922 | 6 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,832 – $26,424 · median $17,207 | 6 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $38,744 – $104,125 · median $67,803 | 6 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $15,694 – $42,177 · median $27,464 | 6 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,604 – $28,498 · median $18,557 | 6 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $24,676 – $66,316 · median $43,182 | 6 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,133 – $32,607 · median $21,232 | 6 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,139 – $21,874 · median $14,244 | 6 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $14,650 – $39,371 · median $25,637 | 6 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,248 – $24,854 · median $16,184 | 6 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,475 – $17,401 · median $11,331 | 6 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $19,761 – $53,107 · median $34,581 | 6 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,832 – $26,424 · median $17,207 | 6 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,336 – $17,029 · median $11,089 | 6 plans |
| 849 | RADIOTHERAPY | $20,668 – $55,546 · median $36,169 | 6 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $38,699 – $104,003 · median $67,723 | 6 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,461 – $41,551 · median $27,056 | 6 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,578 – $33,805 · median $22,012 | 6 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $34,909 – $93,819 · median $61,092 | 6 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $16,860 – $45,310 · median $29,504 | 6 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,969 – $26,792 · median $17,446 | 6 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $14,227 – $38,236 · median $24,898 | 6 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,737 – $20,793 · median $13,540 | 6 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,948 – $18,674 · median $12,160 | 6 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,420 – $30,692 · median $20,510 | 6 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,846 – $18,400 · median $11,981 | 6 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $16,592 – $44,591 · median $29,036 | 6 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,125 – $21,837 · median $14,219 | 6 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,568 – $14,964 · median $9,744 | 6 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $53,827 – $144,661 · median $94,198 | 6 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $15,182 – $40,802 · median $26,569 | 6 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,978 – $21,440 · median $13,961 | 6 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $30,406 – $81,717 · median $53,211 | 6 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,417 – $19,934 · median $12,980 | 6 plans |
| 881 | DEPRESSIVE NEUROSES | $7,073 – $19,009 · median $12,378 | 6 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,444 – $20,005 · median $13,026 | 6 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $14,345 – $38,552 · median $25,104 | 6 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,924 – $34,732 · median $22,616 | 6 plans |
| 885 | PSYCHOSES | $10,907 – $29,313 · median $19,087 | 6 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $13,901 – $37,358 · median $24,326 | 6 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,203 – $24,734 · median $16,204 | 6 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,829 – $12,978 · median $8,451 | 6 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $11,203 – $30,109 · median $20,121 | 6 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $13,779 – $37,032 · median $24,114 | 6 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,826 – $18,345 · median $11,946 | 6 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $34,282 – $92,133 · median $59,993 | 6 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,683 – $39,461 · median $25,695 | 6 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,433 – $25,351 · median $16,508 | 6 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $29,876 – $80,292 · median $52,283 | 6 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $12,753 – $34,275 · median $22,318 | 6 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $16,888 – $45,385 · median $29,553 | 6 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $30,825 – $82,842 · median $53,943 | 6 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $15,608 – $41,946 · median $27,314 | 6 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,814 – $26,374 · median $17,174 | 6 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,522 – $33,653 · median $21,913 | 6 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,091 – $19,057 · median $12,409 | 6 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $13,447 – $36,140 · median $23,533 | 6 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,139 – $13,810 · median $8,993 | 6 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $12,688 – $34,098 · median $22,203 | 6 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,845 – $18,395 · median $11,978 | 6 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $14,111 – $37,922 · median $24,693 | 6 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,861 – $21,126 · median $13,756 | 6 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,321 – $14,301 · median $9,312 | 6 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,072 – $35,131 · median $22,876 | 6 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,892 – $21,209 · median $13,810 | 6 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $183,560 – $493,318 · median $329,668 | 6 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $51,679 – $138,889 · median $90,439 | 6 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $24,609 – $66,137 · median $43,066 | 6 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $33,480 – $89,978 · median $58,591 | 6 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $16,604 – $44,622 · median $29,056 | 6 plans |
| 935 | NON-EXTENSIVE BURNS | $16,995 – $45,674 · median $29,741 | 6 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $24,560 – $66,004 · median $42,979 | 6 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,337 – $43,907 · median $28,590 | 6 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $15,122 – $40,640 · median $26,463 | 6 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,812 – $31,744 · median $20,670 | 6 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,639 – $23,218 · median $15,119 | 6 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,952 – $26,747 · median $17,416 | 6 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,148 – $16,522 · median $10,758 | 6 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,349 – $22,438 · median $14,611 | 6 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,535 – $12,188 · median $7,936 | 6 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,387 – $11,791 · median $7,678 | 6 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $52,835 – $141,995 · median $92,462 | 6 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $29,577 – $79,487 · median $51,759 | 6 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $57,756 – $155,219 · median $101,073 | 6 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $31,800 – $85,464 · median $55,651 | 6 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $20,458 – $54,980 · median $35,801 | 6 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $21,021 – $56,494 · median $36,787 | 6 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,607 – $31,195 · median $20,313 | 6 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,061 – $18,978 · median $12,358 | 6 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $48,936 – $131,515 · median $85,956 | 6 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $20,530 – $55,176 · median $35,928 | 6 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $23,106 – $62,098 · median $40,436 | 6 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,998 – $29,558 · median $19,247 | 6 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,761 – $20,858 · median $13,582 | 6 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $11,157 – $29,984 · median $19,525 | 6 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $36,784 – $98,858 · median $64,373 | 6 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,944 – $50,913 · median $33,152 | 6 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,908 – $34,690 · median $22,589 | 6 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $27,103 – $72,839 · median $47,430 | 6 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,278 – $35,684 · median $23,236 | 6 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,941 – $24,029 · median $15,647 | 6 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $47,869 – $128,647 · median $99,327 | 5 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $30,272 – $81,355 · median $62,813 | 5 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $81,056 – $217,837 · median $168,191 | 5 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $54,959 – $147,701 · median $114,039 | 5 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $42,589 – $114,458 · median $88,373 | 5 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $64,537 – $173,444 · median $133,915 | 5 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $42,329 – $113,760 · median $87,833 | 5 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $51,879 – $139,425 · median $107,649 | 5 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $31,597 – $84,917 · median $65,564 | 5 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $39,850 – $107,097 · median $82,689 | 5 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $23,879 – $64,174 · median $49,548 | 5 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $21,097 – $56,698 · median $43,776 | 5 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,357 – $33,210 · median $25,641 | 5 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,311 – $30,398 · median $23,470 | 5 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $13,948 – $37,485 · median $28,942 | 5 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $45,999 – $123,623 · median $95,448 | 5 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $31,414 – $84,426 · median $65,185 | 5 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $18,955 – $50,942 · median $39,332 | 5 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $32,270 – $86,726 · median $66,961 | 5 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $11,422 – $30,698 · median $23,702 | 5 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $71,279 – $191,563 · median $147,904 | 5 plans |
| 453 | Combined Anterior And Posterior Spinal Fusion With MCC | $110,830 – $110,830 · median $110,830 | 1 plans |
| 454 | Combined Anterior And Posterior Spinal Fusion With CC | $76,497 – $76,497 · median $76,497 | 1 plans |
| 455 | Combined Anterior And Posterior Spinal Fusion Without CC/MCC | $57,602 – $57,602 · median $57,602 | 1 plans |
| 459 | Spinal Fusion Except Cervical With MCC | $82,950 – $82,950 · median $82,950 | 1 plans |
| 460 | Spinal Fusion Except Cervical Without MCC | $45,749 – $45,749 · median $45,749 | 1 plans |
No procedures match that keyword.