IHS Latrobe Hospital — Pricing
770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Showing all 770 procedures
Procedures with negotiated rates only
These 770 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,630 – $20,496 · median $8,906 | 37 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $30,644 – $87,060 · median $39,640 | 37 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $13,770 – $54,392 · median $24,766 | 37 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $6,630 – $36,326 · median $16,540 | 37 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $4,386 – $57,060 · median $25,981 | 37 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $21,929 – $57,459 · median $26,162 | 37 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $7,956 – $67,382 · median $30,107 | 37 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,138 – $36,063 · median $16,420 | 37 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $8,364 – $26,935 · median $12,264 | 37 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,822 – $34,782 · median $10,623 | 37 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,557 – $31,110 · median $6,630 | 37 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,193 – $15,249 · median $6,253 | 37 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $17,077 – $44,744 · median $20,373 | 37 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,937 – $25,296 · median $9,557 | 37 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,754 – $28,968 · median $6,929 | 37 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $13,287 – $35,606 · median $15,999 | 37 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,307 – $24,684 · median $9,910 | 37 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,015 – $17,340 · median $7,243 | 37 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $11,533 – $30,220 · median $13,760 | 37 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,473 – $17,332 · median $7,892 | 37 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,095 – $25,433 · median $10,952 | 37 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,715 – $14,975 · median $6,819 | 37 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,894 – $26,808 · median $12,206 | 37 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $4,742 – $16,104 · median $7,333 | 37 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,705 – $24,684 · median $7,999 | 37 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $8,568 – $47,791 · median $21,760 | 37 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $192,836 – $505,261 · median $230,055 | 36 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $77,976 – $236,556 · median $93,460 | 36 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $146,053 – $382,683 · median $174,243 | 36 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $95,313 – $249,736 · median $113,710 | 36 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $70,948 – $197,819 · median $85,037 | 36 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $31,908 – $89,715 · median $38,244 | 36 plans |
| 007 | LUNG TRANSPLANT | $89,112 – $233,488 · median $106,808 | 36 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $38,566 – $101,049 · median $46,225 | 36 plans |
| 010 | PANCREAS TRANSPLANT | $49,377 – $129,375 · median $58,907 | 36 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $37,530 – $98,336 · median $44,774 | 36 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $29,011 – $76,013 · median $34,701 | 36 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $19,830 – $51,958 · median $23,657 | 36 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $82,697 – $216,679 · median $99,115 | 36 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $31,013 – $106,910 · median $48,223 | 36 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $25,820 – $97,943 · median $43,762 | 36 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $297,147 – $778,571 · median $356,155 | 36 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $49,094 – $141,028 · median $58,843 | 36 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $54,146 – $143,133 · median $64,899 | 36 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $36,427 – $108,235 · median $43,661 | 36 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $21,864 – $76,150 · median $26,206 | 36 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $39,431 – $103,315 · median $47,041 | 36 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $26,918 – $70,530 · median $32,114 | 36 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $31,286 – $81,975 · median $37,325 | 36 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $21,395 – $56,058 · median $25,524 | 36 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $17,360 – $45,487 · median $20,711 | 36 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $41,344 – $108,328 · median $49,324 | 36 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $23,476 – $61,510 · median $28,007 | 36 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $14,021 – $39,579 · median $18,021 | 36 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $28,217 – $80,782 · median $36,782 | 36 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $14,664 – $38,421 · median $17,494 | 36 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,443 – $29,982 · median $13,651 | 36 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $26,635 – $73,057 · median $31,924 | 36 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $16,449 – $43,100 · median $19,624 | 36 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,369 – $35,028 · median $15,949 | 36 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $22,653 – $59,355 · median $27,152 | 36 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,165 – $29,255 · median $13,383 | 36 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,089 – $21,194 · median $9,695 | 36 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $26,332 – $69,616 · median $31,698 | 36 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $15,130 – $39,642 · median $18,134 | 36 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $11,889 – $31,150 · median $14,183 | 36 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $12,464 – $35,457 · median $14,939 | 36 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,738 – $18,539 · median $8,076 | 36 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $8,931 – $27,529 · median $12,418 | 36 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,016 – $18,383 · median $8,370 | 36 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $15,986 – $41,885 · median $19,071 | 36 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,915 – $23,359 · median $10,686 | 36 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $11,763 – $30,822 · median $14,099 | 36 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,539 – $22,373 · median $10,187 | 36 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,329 – $16,584 · median $7,586 | 36 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $18,972 – $49,710 · median $22,739 | 36 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $12,092 – $32,103 · median $14,493 | 36 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $9,660 – $30,091 · median $11,578 | 36 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $13,838 – $36,258 · median $16,509 | 36 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,952 – $18,215 · median $8,333 | 36 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,709 – $12,838 · median $5,645 | 36 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,106 – $26,626 · median $12,113 | 36 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,948 – $15,585 · median $7,129 | 36 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,497 – $14,402 · median $6,588 | 36 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $11,456 – $30,016 · median $13,731 | 36 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $7,060 – $18,498 · median $8,462 | 36 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,204 – $13,634 · median $6,237 | 36 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,039 – $28,925 · median $13,170 | 36 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,093 – $18,585 · median $8,462 | 36 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $11,707 – $34,572 · median $15,594 | 36 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,678 – $14,878 · median $6,774 | 36 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $12,455 – $38,867 · median $14,928 | 36 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,163 – $16,147 · median $7,352 | 36 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $15,728 – $41,209 · median $18,763 | 36 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $9,605 – $25,166 · median $11,458 | 36 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,577 – $17,233 · median $7,846 | 36 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $14,431 – $40,962 · median $18,651 | 36 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,962 – $23,487 · median $10,694 | 36 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,869 – $16,492 · median $7,509 | 36 plans |
| 088 | CONCUSSION WITH MCC | $9,302 – $24,372 · median $11,149 | 36 plans |
| 089 | CONCUSSION WITH CC | $7,436 – $19,807 · median $9,019 | 36 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,665 – $14,842 · median $6,758 | 36 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $12,085 – $31,664 · median $14,417 | 36 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,039 – $18,444 · median $8,437 | 36 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,479 – $14,357 · median $6,568 | 36 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $24,217 – $63,454 · median $29,015 | 36 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $17,748 – $46,502 · median $21,272 | 36 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $17,748 – $46,502 · median $21,173 | 36 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $24,853 – $65,120 · median $29,789 | 36 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $15,792 – $41,376 · median $18,839 | 36 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $9,375 – $24,564 · median $11,184 | 36 plans |
| 100 | SEIZURES WITH MCC | $12,587 – $34,920 · median $15,900 | 36 plans |
| 101 | SEIZURES WITHOUT MCC | $5,582 – $16,274 · median $7,384 | 36 plans |
| 102 | HEADACHES WITH MCC | $7,713 – $20,209 · median $9,202 | 36 plans |
| 103 | HEADACHES WITHOUT MCC | $5,755 – $15,078 · median $6,865 | 36 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $16,178 – $43,525 · median $19,391 | 36 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,310 – $24,394 · median $11,159 | 36 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $10,562 – $28,358 · median $12,659 | 36 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $12,442 – $33,650 · median $14,913 | 36 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,005 – $20,974 · median $9,594 | 36 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,407 – $14,168 · median $6,451 | 36 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,495 – $14,398 · median $6,587 | 36 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,104 – $25,060 · median $10,912 | 36 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,283 – $13,843 · median $6,303 | 36 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $14,932 – $45,910 · median $17,897 | 36 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,986 – $20,235 · median $8,374 | 36 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $8,091 – $26,922 · median $12,143 | 36 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,098 – $15,978 · median $7,275 | 36 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,503 – $23,328 · median $10,192 | 36 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $29,350 – $76,902 · median $35,179 | 36 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,008 – $39,324 · median $17,989 | 36 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $10,985 – $29,309 · median $13,166 | 36 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $24,632 – $67,550 · median $30,757 | 36 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $11,924 – $31,244 · median $14,226 | 36 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,273 – $21,677 · median $9,870 | 36 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $14,570 – $39,426 · median $17,463 | 36 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $8,749 – $22,925 · median $10,487 | 36 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,485 – $15,521 · median $6,574 | 36 plans |
| 149 | DYSEQUILIBRIUM | $5,172 – $13,551 · median $6,170 | 36 plans |
| 150 | EPISTAXIS WITH MCC | $9,162 – $25,079 · median $10,982 | 36 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,051 – $13,234 · median $6,026 | 36 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,122 – $21,315 · median $9,705 | 36 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,035 – $13,309 · median $6,003 | 36 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $10,759 – $28,563 · median $12,895 | 36 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $6,145 – $16,524 · median $7,524 | 36 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,756 – $12,460 · median $5,673 | 36 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $11,814 – $30,953 · median $14,159 | 36 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,260 – $16,403 · median $7,469 | 36 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,875 – $12,774 · median $5,816 | 36 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $30,840 – $80,805 · median $36,792 | 36 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $17,368 – $45,507 · median $20,720 | 36 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,172 – $34,512 · median $15,714 | 36 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $25,720 – $67,389 · median $30,684 | 36 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $12,409 – $32,515 · median $14,805 | 36 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,402 – $24,636 · median $11,217 | 36 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $20,481 – $53,663 · median $24,548 | 36 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $9,452 – $24,766 · median $11,276 | 36 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,539 – $14,514 · median $6,608 | 36 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $10,753 – $28,175 · median $12,829 | 36 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,716 – $17,597 · median $8,012 | 36 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,195 – $13,612 · median $6,198 | 36 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $12,152 – $31,840 · median $14,498 | 36 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,370 – $19,310 · median $8,833 | 36 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,187 – $14,701 · median $6,217 | 36 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $10,527 – $27,584 · median $12,559 | 36 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,322 – $19,185 · median $8,735 | 36 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,412 – $14,180 · median $6,457 | 36 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $10,724 – $28,099 · median $12,794 | 36 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,806 – $17,833 · median $8,120 | 36 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,935 – $12,931 · median $5,915 | 36 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $8,501 – $22,274 · median $10,142 | 36 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,477 – $19,971 · median $9,093 | 36 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,801 – $15,199 · median $6,920 | 36 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,418 – $11,575 · median $5,272 | 36 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,818 – $23,698 · median $10,790 | 36 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,546 – $14,530 · median $6,616 | 36 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,325 – $11,332 · median $5,160 | 36 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $12,986 – $34,026 · median $15,492 | 36 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,531 – $17,112 · median $7,828 | 36 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,928 – $12,913 · median $5,907 | 36 plans |
| 199 | PNEUMOTHORAX WITH MCC | $10,734 – $31,806 · median $14,347 | 36 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,323 – $19,820 · median $9,024 | 36 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,455 – $12,893 · median $5,870 | 36 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,678 – $17,510 · median $7,973 | 36 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,250 – $12,080 · median $5,500 | 36 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,556 – $14,557 · median $6,628 | 36 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $11,533 – $33,012 · median $15,031 | 36 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,476 – $16,968 · median $7,726 | 36 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $44,278 – $116,015 · median $53,071 | 36 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $18,914 – $49,558 · median $22,565 | 36 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $74,826 – $201,266 · median $89,685 | 36 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $54,795 – $179,521 · median $80,976 | 36 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $67,317 – $176,381 · median $80,309 | 36 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $45,246 – $118,550 · median $53,978 | 36 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $41,849 – $118,550 · median $53,978 | 36 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $48,537 – $138,437 · median $63,033 | 36 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $36,696 – $96,149 · median $43,778 | 36 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $30,306 – $90,873 · median $40,990 | 36 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $34,044 – $95,453 · median $40,804 | 36 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $21,672 – $56,784 · median $25,976 | 36 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $58,007 – $151,988 · median $69,527 | 36 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $41,718 – $109,307 · median $49,769 | 36 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $50,084 – $137,840 · median $62,761 | 36 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $37,590 – $98,491 · median $44,845 | 36 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $38,274 – $105,809 · median $48,177 | 36 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $28,824 – $75,523 · median $34,387 | 36 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $32,662 – $88,737 · median $40,403 | 36 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $19,615 – $51,394 · median $23,400 | 36 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,526 – $27,688 · median $11,418 | 36 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $21,970 – $57,565 · median $26,333 | 36 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $14,663 – $38,419 · median $17,575 | 36 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $12,438 – $32,589 · median $14,908 | 36 plans |
| 245 | AICD GENERATOR PROCEDURES | $31,394 – $89,715 · median $37,629 | 36 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $15,018 – $39,350 · median $18,000 | 36 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $10,284 – $27,557 · median $12,326 | 36 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $24,003 – $62,893 · median $28,770 | 36 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $17,861 – $46,798 · median $21,398 | 36 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $12,260 – $32,123 · median $14,695 | 36 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $18,561 – $48,633 · median $22,144 | 36 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,211 – $30,613 · median $13,808 | 36 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,497 – $19,692 · median $8,966 | 36 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $21,621 – $56,651 · median $25,915 | 36 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $13,914 – $36,458 · median $16,677 | 36 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $22,383 – $58,647 · median $26,828 | 36 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $13,009 – $34,085 · median $15,592 | 36 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $11,216 – $29,387 · median $13,443 | 36 plans |
| 263 | VEIN LIGATION AND STRIPPING | $21,038 – $55,124 · median $25,216 | 36 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $18,876 – $60,230 · median $27,168 | 36 plans |
| 265 | AICD LEAD PROCEDURES | $24,897 – $65,235 · median $29,842 | 36 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $42,170 – $110,493 · median $50,310 | 36 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $32,760 – $85,836 · median $39,265 | 36 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $47,328 – $124,006 · median $56,462 | 36 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $29,060 – $76,143 · median $34,669 | 36 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $36,307 – $95,130 · median $43,314 | 36 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $24,471 – $64,119 · median $29,331 | 36 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $17,568 – $46,030 · median $21,056 | 36 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $28,388 – $74,381 · median $34,026 | 36 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $22,651 – $59,348 · median $27,022 | 36 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $49,065 – $128,559 · median $58,809 | 36 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $41,332 – $108,297 · median $49,540 | 36 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $31,781 – $83,270 · median $38,092 | 36 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $38,302 – $100,357 · median $45,908 | 36 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $24,816 – $65,022 · median $29,744 | 36 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $11,038 – $28,921 · median $13,168 | 36 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,324 – $16,571 · median $7,580 | 36 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,976 – $13,037 · median $5,964 | 36 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $13,630 – $35,713 · median $16,261 | 36 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,763 – $13,751 · median $5,709 | 36 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,121 – $10,798 · median $4,940 | 36 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $14,390 – $39,896 · median $18,165 | 36 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,364 – $19,294 · median $8,785 | 36 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $18,622 – $48,792 · median $22,216 | 36 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $10,662 – $30,775 · median $14,012 | 36 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,397 – $18,800 · median $7,668 | 36 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,675 – $23,146 · median $10,539 | 36 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,842 – $15,307 · median $6,970 | 36 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,895 – $10,205 · median $4,668 | 36 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $10,748 – $28,161 · median $12,882 | 36 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,363 – $13,043 · median $5,229 | 36 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,132 – $8,552 · median $3,753 | 36 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $9,013 – $29,437 · median $13,278 | 36 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,231 – $19,247 · median $8,763 | 36 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,952 – $12,976 · median $5,908 | 36 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,234 – $21,574 · median $9,869 | 36 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,632 – $12,138 · median $5,526 | 36 plans |
| 304 | HYPERTENSION WITH MCC | $8,189 – $21,455 · median $9,769 | 36 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,196 – $13,614 · median $6,199 | 36 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $10,843 – $28,411 · median $12,997 | 36 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,284 – $16,620 · median $7,532 | 36 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,050 – $21,708 · median $9,884 | 36 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,062 – $13,264 · median $6,040 | 36 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,895 – $10,207 · median $4,647 | 36 plans |
| 311 | ANGINA PECTORIS | $4,830 – $12,655 · median $5,762 | 36 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,998 – $15,715 · median $7,155 | 36 plans |
| 313 | CHEST PAIN | $4,773 – $12,981 · median $5,911 | 36 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $14,349 – $37,595 · median $17,118 | 36 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,629 – $17,368 · median $7,908 | 36 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,694 – $12,316 · median $5,626 | 36 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $46,011 – $120,555 · median $55,148 | 36 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $30,710 – $80,883 · median $36,808 | 36 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $16,551 – $43,367 · median $19,838 | 36 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $18,722 – $49,055 · median $22,440 | 36 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $12,131 – $34,097 · median $14,541 | 36 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $29,777 – $78,022 · median $35,691 | 36 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $21,682 – $56,811 · median $25,988 | 36 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $22,091 – $57,882 · median $26,478 | 36 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $34,319 – $89,921 · median $40,943 | 36 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $16,819 – $44,068 · median $20,136 | 36 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,026 – $28,889 · median $13,154 | 36 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $29,497 – $82,873 · median $37,734 | 36 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $16,495 – $43,221 · median $19,679 | 36 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,580 – $30,342 · median $13,815 | 36 plans |
| 332 | RECTAL RESECTION WITH MCC | $24,915 – $70,039 · median $29,862 | 36 plans |
| 333 | RECTAL RESECTION WITH CC | $16,117 – $42,229 · median $19,318 | 36 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $11,271 – $29,531 · median $13,446 | 36 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $23,034 – $64,382 · median $29,314 | 36 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $14,510 – $38,019 · median $17,311 | 36 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $10,563 – $27,676 · median $12,601 | 36 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $17,773 – $50,773 · median $21,302 | 36 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,354 – $27,129 · median $12,352 | 36 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,162 – $21,387 · median $9,783 | 36 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $15,796 – $46,394 · median $18,933 | 36 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,006 – $23,597 · median $10,744 | 36 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,991 – $15,697 · median $7,180 | 36 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $17,147 – $44,928 · median $20,552 | 36 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $10,490 – $27,486 · median $12,573 | 36 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,036 – $21,055 · median $9,587 | 36 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $19,969 – $52,322 · median $23,823 | 36 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $11,577 – $30,333 · median $13,811 | 36 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,255 – $24,250 · median $11,041 | 36 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $28,586 – $79,201 · median $36,062 | 36 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $14,513 – $41,928 · median $19,091 | 36 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,619 – $25,204 · median $11,476 | 36 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,954 – $28,701 · median $13,068 | 36 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,883 – $18,033 · median $8,228 | 36 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,822 – $12,819 · median $5,780 | 36 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $12,201 – $31,968 · median $14,556 | 36 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,026 – $18,408 · median $8,382 | 36 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,005 – $13,115 · median $5,971 | 36 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $14,717 – $38,560 · median $17,557 | 36 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,323 – $21,809 · median $9,930 | 36 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,360 – $16,665 · median $7,623 | 36 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $12,579 – $32,958 · median $15,007 | 36 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,748 – $17,682 · median $8,051 | 36 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,338 – $11,366 · median $5,199 | 36 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $13,502 – $35,378 · median $16,108 | 36 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,456 – $19,535 · median $8,895 | 36 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,509 – $14,435 · median $6,572 | 36 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,501 – $25,023 · median $11,387 | 36 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,882 – $15,412 · median $7,017 | 36 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $10,887 – $28,528 · median $12,989 | 36 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,718 – $17,602 · median $8,015 | 36 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,688 – $12,284 · median $5,593 | 36 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,371 – $26,626 · median $12,123 | 36 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,264 – $14,240 · median $6,484 | 36 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,743 – $9,808 · median $4,466 | 36 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $8,727 – $22,867 · median $10,412 | 36 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,316 – $14,056 · median $6,400 | 36 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $11,005 – $28,835 · median $13,129 | 36 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,439 – $16,870 · median $7,681 | 36 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,466 – $11,701 · median $5,353 | 36 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $14,236 – $43,179 · median $19,477 | 36 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $10,415 – $27,290 · median $12,484 | 36 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,877 – $20,639 · median $9,397 | 36 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $26,998 – $72,488 · median $33,005 | 36 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $37,643 – $98,631 · median $44,909 | 36 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $19,957 – $52,290 · median $23,808 | 36 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $15,273 – $40,019 · median $18,221 | 36 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $24,535 – $64,287 · median $29,408 | 36 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $14,982 – $39,256 · median $17,958 | 36 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $10,925 – $28,626 · median $13,095 | 36 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $22,730 – $59,557 · median $27,244 | 36 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $14,468 – $40,432 · median $17,341 | 36 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $11,426 – $29,942 · median $13,695 | 36 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $24,515 – $64,232 · median $29,383 | 36 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $14,221 – $37,262 · median $16,966 | 36 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $9,381 – $24,580 · median $11,244 | 36 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $16,049 – $43,026 · median $19,591 | 36 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $11,640 – $30,499 · median $13,887 | 36 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,398 – $24,625 · median $11,212 | 36 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $23,445 – $62,269 · median $28,100 | 36 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $11,956 – $31,327 · median $14,330 | 36 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,630 – $26,532 · median $11,543 | 36 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $28,577 – $74,877 · median $34,252 | 36 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $15,055 – $39,594 · median $18,045 | 36 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $10,324 – $28,750 · median $12,374 | 36 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $52,818 – $198,708 · median $88,785 | 36 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $41,234 – $130,149 · median $58,705 | 36 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $36,267 – $101,363 · median $46,152 | 36 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $61,996 – $162,440 · median $74,308 | 36 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $38,479 – $103,979 · median $47,344 | 36 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $13,543 – $35,486 · median $16,157 | 36 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,268 – $19,043 · median $8,671 | 36 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,903 – $12,846 · median $5,876 | 36 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $12,639 – $33,115 · median $15,078 | 36 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,783 – $20,393 · median $9,285 | 36 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,872 – $15,385 · median $7,038 | 36 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $11,218 – $29,392 · median $13,445 | 36 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,788 – $15,167 · median $6,906 | 36 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,276 – $11,204 · median $5,101 | 36 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $12,350 – $32,358 · median $14,802 | 36 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,642 – $17,404 · median $7,941 | 36 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,815 – $12,615 · median $5,771 | 36 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $11,498 – $30,126 · median $13,717 | 36 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,531 – $19,732 · median $8,984 | 36 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,693 – $14,916 · median $6,823 | 36 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $43,221 – $120,467 · median $54,851 | 36 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $27,244 – $76,460 · median $34,814 | 36 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $36,359 – $96,091 · median $43,752 | 36 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $20,904 – $58,243 · median $26,519 | 36 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $57,825 – $151,510 · median $69,308 | 36 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $41,033 – $107,513 · median $49,181 | 36 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $28,712 – $83,491 · median $34,414 | 36 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $38,005 – $119,023 · median $45,552 | 36 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $18,304 – $47,959 · median $21,837 | 36 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $37,373 – $102,760 · median $46,789 | 36 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $21,433 – $56,157 · median $25,569 | 36 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,549 – $32,881 · median $14,971 | 36 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $33,010 – $93,852 · median $42,732 | 36 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $21,805 – $63,583 · median $28,846 | 36 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $17,708 – $49,546 · median $22,559 | 36 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $20,872 – $54,688 · median $24,900 | 36 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $12,352 – $34,777 · median $15,835 | 36 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $19,675 – $53,117 · median $24,185 | 36 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $15,896 – $44,016 · median $20,041 | 36 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $29,282 – $77,400 · median $35,241 | 36 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $15,659 – $41,030 · median $18,682 | 36 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,121 – $21,968 · median $9,734 | 36 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $23,772 – $62,285 · median $28,360 | 36 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $16,602 – $44,339 · median $20,188 | 36 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,791 – $33,515 · median $15,260 | 36 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $20,040 – $52,508 · median $24,020 | 36 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $14,413 – $37,763 · median $17,275 | 36 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,223 – $29,406 · median $13,389 | 36 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $15,127 – $49,976 · median $22,543 | 36 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $22,206 – $61,170 · median $26,616 | 36 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $14,389 – $37,702 · median $17,166 | 36 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,777 – $28,238 · median $12,857 | 36 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $12,172 – $34,507 · median $14,589 | 36 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,685 – $20,458 · median $9,211 | 36 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $23,802 – $66,198 · median $30,141 | 36 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $17,451 – $45,725 · median $20,819 | 36 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $13,612 – $36,177 · median $16,472 | 36 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $24,949 – $66,629 · median $29,903 | 36 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,413 – $32,524 · median $14,809 | 36 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,314 – $21,785 · median $9,966 | 36 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $12,029 – $31,518 · median $14,351 | 36 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $9,261 – $24,266 · median $11,049 | 36 plans |
| 503 | FOOT PROCEDURES WITH MCC | $19,206 – $50,323 · median $23,020 | 36 plans |
| 504 | FOOT PROCEDURES WITH CC | $12,577 – $33,701 · median $15,345 | 36 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $11,717 – $32,324 · median $14,718 | 36 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,284 – $27,110 · median $11,128 | 36 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $12,430 – $37,544 · median $14,898 | 36 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,421 – $27,304 · median $12,490 | 36 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $20,784 – $54,459 · median $24,912 | 36 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $14,309 – $37,491 · median $17,070 | 36 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $11,133 – $29,846 · median $13,590 | 36 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,556 – $28,384 · median $12,803 | 36 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,035 – $18,432 · median $8,392 | 36 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $14,300 – $37,467 · median $17,060 | 36 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $10,574 – $27,706 · median $12,615 | 36 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $19,750 – $51,749 · median $23,672 | 36 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $14,572 – $38,181 · median $17,385 | 36 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $10,788 – $28,470 · median $12,930 | 36 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,547 – $14,534 · median $6,648 | 36 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,567 – $17,775 · median $7,871 | 36 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,956 – $13,043 · median $5,941 | 36 plans |
| 539 | OSTEOMYELITIS WITH MCC | $12,024 – $35,513 · median $16,019 | 36 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,081 – $23,372 · median $10,642 | 36 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,418 – $14,197 · median $6,464 | 36 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $12,156 – $31,849 · median $14,569 | 36 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,074 – $18,534 · median $8,479 | 36 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,920 – $24,613 · median $10,691 | 36 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,712 – $14,966 · median $6,815 | 36 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,833 – $33,624 · median $15,309 | 36 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,749 – $20,303 · median $9,244 | 36 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,532 – $14,494 · median $6,630 | 36 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $9,804 – $25,689 · median $11,751 | 36 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,162 – $16,146 · median $7,351 | 36 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $10,622 – $27,831 · median $12,731 | 36 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,156 – $13,510 · median $6,180 | 36 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $20,085 – $53,027 · median $24,144 | 36 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,334 – $30,461 · median $13,746 | 36 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,888 – $20,667 · median $9,410 | 36 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $45,081 – $118,120 · median $54,033 | 36 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $23,887 – $62,588 · median $28,631 | 36 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,365 – $35,047 · median $14,821 | 36 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $33,726 – $101,975 · median $40,423 | 36 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,054 – $30,296 · median $13,249 | 36 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $18,763 – $58,389 · median $26,337 | 36 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $11,891 – $31,155 · median $14,186 | 36 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $9,930 – $26,019 · median $11,847 | 36 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,257 – $39,165 · median $15,890 | 36 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $11,866 – $35,364 · median $14,222 | 36 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $14,730 – $42,668 · median $17,656 | 36 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $13,274 – $37,209 · median $15,910 | 36 plans |
| 592 | SKIN ULCERS WITH MCC | $11,471 – $34,893 · median $15,739 | 36 plans |
| 593 | SKIN ULCERS WITH CC | $7,006 – $21,389 · median $9,648 | 36 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $4,763 – $15,628 · median $7,049 | 36 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $14,593 – $39,594 · median $17,491 | 36 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,432 – $19,517 · median $8,803 | 36 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $11,472 – $30,762 · median $13,750 | 36 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,785 – $20,397 · median $9,287 | 36 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,294 – $13,872 · median $6,346 | 36 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,524 – $18,780 · median $8,551 | 36 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,636 – $10,908 · median $4,920 | 36 plans |
| 602 | CELLULITIS WITH MCC | $9,780 – $25,626 · median $11,668 | 36 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,039 – $15,702 · median $7,083 | 36 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,130 – $27,278 · median $12,141 | 36 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,104 – $16,515 · median $7,520 | 36 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $10,413 – $27,282 · median $12,480 | 36 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,377 – $16,342 · median $7,371 | 36 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $15,082 – $39,517 · median $18,077 | 36 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $9,629 – $25,526 · median $11,541 | 36 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,424 – $62,877 · median $28,629 | 36 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,871 – $33,721 · median $15,354 | 36 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,487 – $25,571 · median $11,534 | 36 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $19,869 – $52,059 · median $23,703 | 36 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,012 – $28,853 · median $13,137 | 36 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,380 – $27,196 · median $12,383 | 36 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $20,576 – $64,171 · median $28,945 | 36 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,686 – $32,343 · median $14,727 | 36 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,614 – $22,571 · median $10,277 | 36 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $20,782 – $54,451 · median $24,909 | 36 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $10,318 – $27,034 · median $12,366 | 36 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,140 – $23,949 · median $10,904 | 36 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $23,383 – $67,193 · median $30,594 | 36 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $13,530 – $39,283 · median $17,860 | 36 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,788 – $26,314 · median $11,869 | 36 plans |
| 637 | DIABETES WITH MCC | $9,085 – $25,903 · median $11,794 | 36 plans |
| 638 | DIABETES WITH CC | $5,613 – $16,158 · median $7,357 | 36 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,275 – $11,200 · median $5,100 | 36 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $9,190 – $24,080 · median $10,964 | 36 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,355 – $14,031 · median $6,388 | 36 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $7,897 – $25,640 · median $11,565 | 36 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $11,327 – $29,679 · median $13,513 | 36 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,934 – $18,480 · median $8,414 | 36 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,752 – $13,852 · median $6,286 | 36 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $32,351 – $84,907 · median $38,775 | 36 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $25,500 – $66,814 · median $30,564 | 36 plans |
| 652 | KIDNEY TRANSPLANT | $22,223 – $76,262 · median $26,636 | 36 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $35,757 – $102,068 · median $42,858 | 36 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $19,262 – $50,470 · median $22,980 | 36 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $14,565 – $38,162 · median $17,457 | 36 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $21,908 – $57,403 · median $26,137 | 36 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $12,592 – $32,994 · median $15,023 | 36 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $10,678 – $27,978 · median $12,739 | 36 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $16,285 – $45,812 · median $20,859 | 36 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,033 – $23,830 · median $10,850 | 36 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,125 – $18,668 · median $8,500 | 36 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $21,067 – $56,493 · median $25,250 | 36 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $10,461 – $28,209 · median $12,538 | 36 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,204 – $20,514 · median $8,634 | 36 plans |
| 665 | PROSTATECTOMY WITH MCC | $21,477 – $58,915 · median $25,742 | 36 plans |
| 666 | PROSTATECTOMY WITH CC | $12,037 – $31,787 · median $14,428 | 36 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,612 – $19,944 · median $9,124 | 36 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $20,093 – $52,647 · median $24,083 | 36 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $10,170 – $27,982 · median $12,741 | 36 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,725 – $17,620 · median $8,060 | 36 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $12,352 – $32,569 · median $14,804 | 36 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,428 – $19,463 · median $8,903 | 36 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $24,847 – $75,753 · median $34,170 | 36 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $16,092 – $42,164 · median $19,198 | 36 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,295 – $29,594 · median $13,538 | 36 plans |
| 682 | RENAL FAILURE WITH MCC | $9,105 – $26,702 · median $12,080 | 36 plans |
| 683 | RENAL FAILURE WITH CC | $5,213 – $15,790 · median $7,122 | 36 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,882 – $10,823 · median $4,928 | 36 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $12,412 – $32,520 · median $14,876 | 36 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,210 – $18,891 · median $8,602 | 36 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,438 – $14,249 · median $6,488 | 36 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,984 – $20,920 · median $9,525 | 36 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,111 – $14,595 · median $6,645 | 36 plans |
| 693 | URINARY STONES WITH MCC | $9,252 – $26,290 · median $11,089 | 36 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,844 – $14,094 · median $6,401 | 36 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,871 – $21,632 · median $9,434 | 36 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,741 – $12,422 · median $5,656 | 36 plans |
| 697 | URETHRAL STRICTURE | $7,416 – $19,432 · median $8,889 | 36 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $11,384 – $29,828 · median $13,581 | 36 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,984 – $18,300 · median $8,332 | 36 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,747 – $12,439 · median $5,690 | 36 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $13,764 – $36,065 · median $16,421 | 36 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,557 – $27,661 · median $12,653 | 36 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $16,013 – $42,109 · median $19,193 | 36 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,642 – $26,663 · median $11,557 | 36 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $14,339 – $38,327 · median $17,186 | 36 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,567 – $21,315 · median $9,070 | 36 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,345 – $27,106 · median $12,342 | 36 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,276 – $19,065 · median $8,680 | 36 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $15,395 – $40,935 · median $18,452 | 36 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,122 – $26,522 · median $12,132 | 36 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,748 – $34,085 · median $15,502 | 36 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,886 – $24,216 · median $10,923 | 36 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $12,453 – $33,091 · median $14,926 | 36 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,863 – $20,868 · median $9,425 | 36 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,512 – $14,012 · median $5,408 | 36 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,052 – $23,402 · median $9,651 | 36 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,968 – $13,881 · median $5,955 | 36 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,204 – $28,153 · median $12,230 | 36 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,531 – $14,626 · median $6,659 | 36 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,285 – $19,489 · median $8,732 | 36 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,624 – $12,116 · median $5,542 | 36 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $14,657 – $38,403 · median $17,486 | 36 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,259 – $24,259 · median $11,097 | 36 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $24,597 – $75,107 · median $29,481 | 36 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $14,179 – $37,152 · median $16,916 | 36 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,105 – $26,477 · median $12,055 | 36 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $24,654 – $70,654 · median $29,550 | 36 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $12,452 – $32,626 · median $14,925 | 36 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,813 – $25,712 · median $11,707 | 36 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $12,626 – $33,081 · median $15,062 | 36 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $8,537 – $22,369 · median $10,185 | 36 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $10,437 – $36,945 · median $16,664 | 36 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,965 – $20,509 · median $9,259 | 36 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,601 – $31,319 · median $14,127 | 36 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,916 – $15,500 · median $7,090 | 36 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $9,546 – $25,116 · median $11,442 | 36 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $16,889 – $46,293 · median $21,078 | 36 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,155 – $26,608 · median $12,172 | 36 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,673 – $33,205 · median $15,119 | 36 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,485 – $19,613 · median $8,930 | 36 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,609 – $17,317 · median $7,885 | 36 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,853 – $27,073 · median $11,810 | 36 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,381 – $17,651 · median $8,037 | 36 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,566 – $11,964 · median $5,448 | 36 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,125 – $18,165 · median $8,194 | 36 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,926 – $10,286 · median $4,683 | 36 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,387 – $19,321 · median $8,715 | 36 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,928 – $30,467 · median $13,872 | 36 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $5,715 – $18,078 · median $8,154 | 36 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,523 – $11,804 · median $5,324 | 36 plans |
| 779 | ABORTION WITHOUT D&C | $3,759 – $15,168 · median $6,777 | 36 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $8,511 – $44,265 · median $19,778 | 36 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,295 – $19,113 · median $8,703 | 36 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,217 – $17,269 · median $7,863 | 36 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $8,358 – $29,740 · median $13,415 | 36 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,395 – $20,136 · median $9,168 | 36 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,207 – $17,287 · median $7,871 | 36 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $11,676 – $32,493 · median $14,795 | 36 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $40,898 – $121,576 · median $49,020 | 36 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $19,695 – $73,182 · median $32,699 | 36 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $6,545 – $44,158 · median $19,730 | 36 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $8,501 – $75,176 · median $33,589 | 36 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,325 – $26,610 · median $11,890 | 36 plans |
| 795 | NORMAL NEWBORN | $1,375 – $3,602 · median $1,640 | 36 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $8,030 – $21,800 · median $9,625 | 36 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,884 – $18,037 · median $8,213 | 36 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,586 – $17,256 · median $7,857 | 36 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $30,941 – $81,655 · median $37,179 | 36 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $19,332 – $50,653 · median $23,063 | 36 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $13,135 – $34,417 · median $15,744 | 36 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $27,415 – $71,832 · median $32,859 | 36 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $12,791 – $33,515 · median $15,331 | 36 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,331 – $24,448 · median $11,132 | 36 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,254 – $19,458 · median $8,694 | 36 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,783 – $13,594 · median $6,190 | 36 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,076 – $12,156 · median $5,483 | 36 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $15,193 – $39,808 · median $18,125 | 36 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $8,711 – $22,824 · median $10,392 | 36 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,202 – $18,870 · median $8,592 | 36 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $9,663 – $25,319 · median $11,528 | 36 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,318 – $16,555 · median $7,538 | 36 plans |
| 813 | COAGULATION DISORDERS | $10,496 – $27,501 · median $12,580 | 36 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $13,980 – $38,344 · median $17,459 | 36 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,977 – $18,282 · median $8,324 | 36 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,349 – $11,395 · median $5,212 | 36 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $12,178 – $41,136 · median $18,555 | 36 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $7,977 – $20,900 · median $9,516 | 36 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,479 – $15,504 · median $7,059 | 36 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $40,356 – $105,740 · median $48,371 | 36 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $15,404 – $40,361 · median $18,463 | 36 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,285 – $22,117 · median $9,930 | 36 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $31,549 – $82,662 · median $37,638 | 36 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $15,590 – $40,848 · median $18,686 | 36 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,285 – $24,329 · median $11,129 | 36 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $32,189 – $90,013 · median $38,581 | 36 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $15,904 – $41,670 · median $19,062 | 36 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,724 – $30,719 · median $14,052 | 36 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $16,469 – $56,974 · median $25,699 | 36 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,356 – $27,135 · median $12,413 | 36 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $6,360 – $21,681 · median $9,779 | 36 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,148 – $13,010 · median $5,868 | 36 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,950 – $9,428 · median $4,253 | 36 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $37,777 – $126,867 · median $45,279 | 36 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $14,353 – $48,519 · median $17,203 | 36 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $8,392 – $29,924 · median $10,058 | 36 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $32,303 – $86,620 · median $39,440 | 36 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $10,734 – $37,635 · median $16,976 | 36 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,675 – $26,033 · median $11,743 | 36 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $22,260 – $58,338 · median $26,680 | 36 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,226 – $29,414 · median $13,455 | 36 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,953 – $19,974 · median $8,333 | 36 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $13,726 – $35,966 · median $16,452 | 36 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,377 – $21,949 · median $10,041 | 36 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,860 – $15,893 · median $7,024 | 36 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $15,588 – $46,742 · median $21,084 | 36 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $7,610 – $23,586 · median $10,639 | 36 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,875 – $15,314 · median $6,908 | 36 plans |
| 849 | RADIOTHERAPY | $18,644 – $48,851 · median $22,347 | 36 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $59,587 – $171,622 · median $71,420 | 36 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $33,983 – $89,041 · median $40,542 | 36 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $13,749 – $36,025 · median $16,403 | 36 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,302 – $26,994 · median $12,291 | 36 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $28,114 – $82,012 · median $37,200 | 36 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,192 – $38,611 · median $17,484 | 36 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,371 – $25,114 · median $11,435 | 36 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $10,222 – $32,881 · median $14,831 | 36 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,514 – $17,992 · median $8,192 | 36 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,108 – $16,005 · median $7,287 | 36 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,750 – $27,014 · median $12,300 | 36 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,490 – $15,679 · median $7,139 | 36 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $14,404 – $37,740 · median $17,184 | 36 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,095 – $18,590 · median $8,465 | 36 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,021 – $13,156 · median $6,018 | 36 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $47,561 – $124,617 · median $56,741 | 36 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $13,367 – $35,023 · median $15,946 | 36 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,041 – $18,450 · median $8,401 | 36 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $26,595 – $69,683 · median $31,876 | 36 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,022 – $17,312 · median $7,883 | 36 plans |
| 881 | DEPRESSIVE NEUROSES | $3,749 – $16,964 · median $7,580 | 36 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $3,667 – $19,360 · median $8,650 | 36 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $10,303 – $35,452 · median $15,991 | 36 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $6,412 – $29,008 · median $12,961 | 36 plans |
| 885 | PSYCHOSES | $5,500 – $25,184 · median $11,252 | 36 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $12,608 – $37,417 · median $16,877 | 36 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,369 – $19,308 · median $8,832 | 36 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,493 – $11,123 · median $5,017 | 36 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $9,741 – $27,837 · median $11,675 | 36 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $11,635 – $31,464 · median $14,326 | 36 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $5,090 – $15,917 · median $7,179 | 36 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $28,877 – $75,663 · median $34,451 | 36 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $12,219 – $34,518 · median $15,717 | 36 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,048 – $21,087 · median $9,602 | 36 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $25,275 – $66,225 · median $30,153 | 36 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,207 – $29,942 · median $12,235 | 36 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $13,243 – $35,416 · median $16,125 | 36 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $26,419 – $69,221 · median $31,518 | 36 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $13,729 – $35,973 · median $16,379 | 36 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,033 – $23,668 · median $10,776 | 36 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $11,248 – $29,471 · median $13,482 | 36 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,093 – $15,965 · median $7,269 | 36 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $10,713 – $30,319 · median $13,805 | 36 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,585 – $12,013 · median $5,470 | 36 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $10,160 – $28,278 · median $12,875 | 36 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,049 – $15,453 · median $6,970 | 36 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $11,358 – $33,009 · median $15,001 | 36 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,897 – $18,071 · median $8,228 | 36 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,737 – $12,412 · median $5,651 | 36 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,038 – $31,541 · median $14,428 | 36 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $5,684 – $18,349 · median $8,276 | 36 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $146,916 – $404,247 · median $176,091 | 36 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $24,120 – $129,321 · median $57,782 | 36 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $11,717 – $58,070 · median $25,946 | 36 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $26,797 – $70,211 · median $32,118 | 36 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $15,211 – $39,856 · median $18,232 | 36 plans |
| 935 | NON-EXTENSIVE BURNS | $8,952 – $37,141 · median $16,595 | 36 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $24,968 – $65,421 · median $29,926 | 36 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,081 – $42,134 · median $19,184 | 36 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $11,758 – $36,559 · median $16,490 | 36 plans |
| 945 | REHABILITATION WITH CC/MCC | $10,656 – $28,042 · median $12,772 | 36 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,891 – $20,676 · median $9,458 | 36 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,735 – $22,887 · median $10,421 | 36 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,508 – $14,433 · median $6,572 | 36 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,186 – $21,450 · median $9,812 | 36 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,319 – $12,167 · median $5,177 | 36 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,441 – $10,024 · median $4,550 | 36 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $46,318 – $121,359 · median $55,515 | 36 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $25,894 – $88,653 · median $31,036 | 36 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $52,434 – $137,384 · median $62,554 | 36 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $28,996 – $75,975 · median $34,593 | 36 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $20,259 – $53,081 · median $24,282 | 36 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $18,812 – $49,289 · median $22,547 | 36 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,546 – $27,632 · median $12,581 | 36 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,472 – $16,957 · median $7,732 | 36 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $42,121 – $123,104 · median $50,486 | 36 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $18,148 – $52,785 · median $21,752 | 36 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $19,859 – $52,034 · median $23,803 | 36 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,911 – $25,116 · median $10,681 | 36 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,212 – $16,974 · median $7,445 | 36 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $8,930 – $25,675 · median $10,703 | 36 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $32,285 – $84,592 · median $38,696 | 36 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $16,917 – $44,326 · median $20,195 | 36 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,794 – $30,903 · median $14,071 | 36 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $23,591 – $61,813 · median $28,145 | 36 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,310 – $29,634 · median $13,493 | 36 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,252 – $21,621 · median $9,845 | 36 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $77,886 – $204,074 · median $92,050 | 32 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $39,270 – $102,893 · median $46,412 | 32 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $16,667 – $43,671 · median $19,699 | 32 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $23,661 – $61,997 · median $27,965 | 32 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $16,613 – $43,529 · median $19,634 | 32 plans |
No procedures match that keyword.