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 $7,988 | 37 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $30,644 – $79,674 · median $35,553 | 37 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $13,770 – $49,777 · median $22,212 | 37 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $6,630 – $33,244 · median $14,835 | 37 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $4,386 – $52,219 · median $23,302 | 37 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $20,614 – $52,584 · median $23,684 | 37 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $7,956 – $61,665 · median $27,517 | 37 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,138 – $33,003 · median $14,727 | 37 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $8,364 – $24,649 · median $10,999 | 37 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,292 – $34,782 · median $9,527 | 37 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,224 – $31,110 · median $6,002 | 37 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,881 – $15,249 · median $5,608 | 37 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $16,052 – $44,513 · median $18,443 | 37 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,461 – $25,296 · median $8,572 | 37 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,409 – $28,968 · median $6,214 | 37 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,490 – $35,606 · median $14,350 | 37 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,808 – $24,684 · median $8,971 | 37 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,654 – $17,340 · median $6,496 | 37 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $10,841 – $27,656 · median $12,456 | 37 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,218 – $15,861 · median $7,078 | 37 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,550 – $25,433 · median $9,823 | 37 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,373 – $13,705 · median $6,173 | 37 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,618 – $24,534 · median $10,948 | 37 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $4,742 – $14,738 · median $6,576 | 37 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,303 – $24,684 · median $7,241 | 37 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $8,568 – $43,737 · median $19,517 | 37 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $181,266 – $462,394 · median $206,335 | 36 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $73,297 – $236,556 · median $83,824 | 36 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $137,290 – $350,216 · median $156,277 | 36 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $89,595 – $228,548 · median $101,985 | 36 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $66,691 – $197,819 · median $76,269 | 36 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $29,993 – $89,715 · median $34,301 | 36 plans |
| 007 | LUNG TRANSPLANT | $83,765 – $228,712 · median $95,795 | 36 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $36,252 – $100,652 · median $41,458 | 36 plans |
| 010 | PANCREAS TRANSPLANT | $46,414 – $118,399 · median $53,080 | 36 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $35,279 – $89,993 · median $40,345 | 36 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $27,270 – $69,564 · median $31,187 | 36 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $18,640 – $47,550 · median $21,218 | 36 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $77,735 – $198,295 · median $88,899 | 36 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $31,013 – $97,840 · median $43,251 | 36 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $25,820 – $89,633 · median $39,623 | 36 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $279,318 – $712,516 · median $319,433 | 36 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $46,149 – $141,028 · median $52,776 | 36 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $50,898 – $143,133 · median $58,207 | 36 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $34,242 – $108,235 · median $39,159 | 36 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $20,552 – $76,150 · median $23,504 | 36 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $37,065 – $94,550 · median $42,388 | 36 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $25,303 – $64,546 · median $28,937 | 36 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $29,409 – $75,021 · median $33,477 | 36 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $20,111 – $51,302 · median $22,892 | 36 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $16,319 – $41,628 · median $18,662 | 36 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $38,863 – $99,137 · median $44,238 | 36 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $22,067 – $56,291 · median $25,119 | 36 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $14,021 – $36,221 · median $16,163 | 36 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $28,217 – $73,928 · median $32,989 | 36 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $13,784 – $35,162 · median $15,690 | 36 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $10,756 – $27,438 · median $12,301 | 36 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $25,037 – $73,057 · median $28,632 | 36 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $15,462 – $39,443 · median $17,683 | 36 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $12,567 – $32,056 · median $14,304 | 36 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $21,294 – $54,320 · median $24,352 | 36 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $10,495 – $28,396 · median $12,003 | 36 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,603 – $19,396 · median $8,695 | 36 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $24,975 – $63,710 · median $28,429 | 36 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $14,222 – $36,279 · median $16,264 | 36 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $11,175 – $28,507 · median $12,721 | 36 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $11,716 – $35,457 · median $13,399 | 36 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,334 – $18,539 · median $7,243 | 36 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $8,931 – $25,194 · median $11,242 | 36 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,595 – $16,823 · median $7,542 | 36 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $15,026 – $38,331 · median $17,184 | 36 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,380 – $21,377 · median $9,584 | 36 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $11,058 – $30,650 · median $12,646 | 36 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,026 – $20,475 · median $9,137 | 36 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,950 – $15,177 · median $6,804 | 36 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $17,834 – $45,492 · median $20,395 | 36 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $11,366 – $32,103 · median $12,998 | 36 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $9,080 – $30,091 · median $10,384 | 36 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $13,008 – $33,182 · median $14,807 | 36 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,535 – $16,670 · median $7,473 | 36 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,427 – $12,838 · median $5,063 | 36 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,500 – $26,626 · median $10,864 | 36 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,591 – $14,263 · median $6,394 | 36 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,167 – $13,180 · median $5,909 | 36 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $10,768 – $29,029 · median $12,315 | 36 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $6,636 – $16,929 · median $7,590 | 36 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,891 – $12,477 · median $5,594 | 36 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $10,377 – $26,471 · median $11,867 | 36 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,667 – $17,008 · median $7,625 | 36 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $11,707 – $31,639 · median $14,118 | 36 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,338 – $13,616 · median $6,104 | 36 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $11,708 – $38,867 · median $13,389 | 36 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,793 – $14,777 · median $6,625 | 36 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $14,784 – $37,712 · median $16,907 | 36 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $9,028 – $23,031 · median $10,325 | 36 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,182 – $15,771 · median $7,037 | 36 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $14,431 – $37,486 · median $16,728 | 36 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,426 – $21,495 · median $9,592 | 36 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,869 – $15,093 · median $6,735 | 36 plans |
| 088 | CONCUSSION WITH MCC | $8,744 – $23,980 · median $10,000 | 36 plans |
| 089 | CONCUSSION WITH CC | $7,106 – $18,127 · median $8,089 | 36 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,325 – $13,583 · median $6,061 | 36 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $11,360 – $28,977 · median $12,938 | 36 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,617 – $16,880 · median $7,567 | 36 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,151 – $13,139 · median $5,890 | 36 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $22,764 – $58,070 · median $26,034 | 36 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $16,683 – $42,557 · median $19,079 | 36 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $16,683 – $42,557 · median $19,079 | 36 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $23,362 – $59,595 · median $26,717 | 36 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $14,844 – $37,866 · median $16,919 | 36 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,812 – $22,480 · median $10,031 | 36 plans |
| 100 | SEIZURES WITH MCC | $12,528 – $31,957 · median $14,260 | 36 plans |
| 101 | SEIZURES WITHOUT MCC | $5,582 – $14,893 · median $6,646 | 36 plans |
| 102 | HEADACHES WITH MCC | $7,250 – $18,495 · median $8,292 | 36 plans |
| 103 | HEADACHES WITHOUT MCC | $5,409 – $13,799 · median $6,186 | 36 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $15,208 – $43,525 · median $17,392 | 36 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,752 – $23,514 · median $10,008 | 36 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,928 – $28,358 · median $11,354 | 36 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $11,695 – $33,650 · median $13,375 | 36 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,525 – $19,769 · median $8,605 | 36 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,083 – $12,966 · median $5,813 | 36 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,166 – $13,322 · median $5,907 | 36 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,558 – $25,060 · median $9,787 | 36 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,966 – $12,669 · median $5,680 | 36 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $14,036 – $45,910 · median $16,052 | 36 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,567 – $20,235 · median $7,510 | 36 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $8,091 – $24,638 · median $10,891 | 36 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,732 – $14,622 · median $6,525 | 36 plans |
| 139 | SALIVARY GLAND PROCEDURES | $7,993 – $23,328 · median $9,141 | 36 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $27,589 – $74,529 · median $31,551 | 36 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $14,108 – $35,988 · median $16,134 | 36 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $10,326 – $29,309 · median $11,809 | 36 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $24,234 – $61,819 · median $27,586 | 36 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $11,209 – $28,593 · median $12,759 | 36 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,777 – $19,838 · median $8,894 | 36 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $13,696 – $39,426 · median $15,663 | 36 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $8,224 – $22,638 · median $9,406 | 36 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,156 – $15,521 · median $5,896 | 36 plans |
| 149 | DYSEQUILIBRIUM | $4,862 – $12,401 · median $5,560 | 36 plans |
| 150 | EPISTAXIS WITH MCC | $8,613 – $25,079 · median $9,849 | 36 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,748 – $12,111 · median $5,430 | 36 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,647 – $19,506 · median $8,704 | 36 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,035 – $12,180 · median $5,384 | 36 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $10,113 – $28,563 · median $11,566 | 36 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $5,928 – $15,122 · median $6,748 | 36 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,470 – $11,403 · median $5,088 | 36 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $11,105 – $28,327 · median $12,700 | 36 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,885 – $15,012 · median $6,699 | 36 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,583 – $11,690 · median $5,217 | 36 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $28,989 – $73,950 · median $33,153 | 36 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $16,326 – $41,646 · median $18,671 | 36 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $12,382 – $31,584 · median $14,160 | 36 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $24,176 – $61,672 · median $27,520 | 36 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $11,665 – $29,756 · median $13,340 | 36 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,838 – $22,546 · median $10,108 | 36 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $19,252 – $49,543 · median $22,017 | 36 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,885 – $22,664 · median $10,114 | 36 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,207 – $13,283 · median $5,955 | 36 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $10,108 – $25,785 · median $11,506 | 36 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,313 – $16,104 · median $7,220 | 36 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,884 – $12,458 · median $5,585 | 36 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $11,423 – $29,139 · median $13,063 | 36 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,928 – $17,672 · median $7,922 | 36 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,876 – $14,701 · median $5,576 | 36 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $9,896 – $25,243 · median $11,264 | 36 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,883 – $17,558 · median $7,835 | 36 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,087 – $12,977 · median $5,818 | 36 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $10,081 – $25,715 · median $11,475 | 36 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,398 – $16,320 · median $7,317 | 36 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,639 – $11,834 · median $5,305 | 36 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,991 – $20,384 · median $9,096 | 36 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,165 – $18,277 · median $8,156 | 36 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,453 – $13,910 · median $6,236 | 36 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,153 – $10,593 · median $4,749 | 36 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,502 – $21,688 · median $9,678 | 36 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,213 – $13,297 · median $5,961 | 36 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,065 – $10,370 · median $4,649 | 36 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $12,207 – $31,139 · median $13,960 | 36 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,139 – $15,660 · median $7,021 | 36 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,633 – $11,817 · median $5,298 | 36 plans |
| 199 | PNEUMOTHORAX WITH MCC | $10,734 – $29,108 · median $12,989 | 36 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,111 – $18,138 · median $8,094 | 36 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,455 – $11,799 · median $5,265 | 36 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,282 – $16,025 · median $7,151 | 36 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,250 – $11,055 · median $4,933 | 36 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,222 – $13,322 · median $5,973 | 36 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $11,533 – $30,212 · median $13,481 | 36 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,087 – $15,528 · median $6,929 | 36 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $41,621 – $106,173 · median $47,599 | 36 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $17,779 – $45,354 · median $20,238 | 36 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $70,337 – $201,266 · median $80,438 | 36 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $54,795 – $164,291 · median $72,769 | 36 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $63,278 – $161,416 · median $72,029 | 36 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $42,531 – $108,492 · median $48,413 | 36 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $41,849 – $108,492 · median $48,413 | 36 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $48,537 – $126,692 · median $56,534 | 36 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $34,494 – $87,991 · median $39,264 | 36 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $30,306 – $83,163 · median $37,110 | 36 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $32,001 – $95,453 · median $36,597 | 36 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $20,372 – $51,967 · median $23,298 | 36 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $54,527 – $139,093 · median $62,358 | 36 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $39,215 – $100,033 · median $44,846 | 36 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $49,451 – $126,146 · median $56,290 | 36 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $35,334 – $90,135 · median $40,221 | 36 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $37,960 – $96,832 · median $43,209 | 36 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $27,094 – $69,115 · median $30,841 | 36 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $31,835 – $81,208 · median $36,238 | 36 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $18,438 – $47,033 · median $20,988 | 36 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $8,955 – $27,688 · median $10,241 | 36 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $20,652 – $52,681 · median $23,618 | 36 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $13,783 – $36,314 · median $15,763 | 36 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $11,691 – $31,749 · median $13,370 | 36 plans |
| 245 | AICD GENERATOR PROCEDURES | $29,511 – $89,715 · median $33,749 | 36 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $14,117 – $36,011 · median $16,144 | 36 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $9,667 – $27,557 · median $11,055 | 36 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $22,563 – $57,557 · median $25,804 | 36 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $16,789 – $42,827 · median $19,200 | 36 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $11,525 – $29,398 · median $13,180 | 36 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $17,448 – $44,507 · median $19,860 | 36 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,211 – $28,015 · median $12,501 | 36 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,065 – $18,021 · median $8,042 | 36 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $20,324 – $52,953 · median $23,243 | 36 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $13,079 – $35,513 · median $14,958 | 36 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $21,040 – $53,922 · median $24,062 | 36 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $12,228 – $31,193 · median $13,984 | 36 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $10,543 – $26,893 · median $12,057 | 36 plans |
| 263 | VEIN LIGATION AND STRIPPING | $19,776 – $50,447 · median $22,616 | 36 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $18,876 – $55,120 · median $24,596 | 36 plans |
| 265 | AICD LEAD PROCEDURES | $23,403 – $64,710 · median $26,765 | 36 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $39,640 – $101,119 · median $45,333 | 36 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $30,794 – $78,553 · median $35,217 | 36 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $44,488 – $113,485 · median $50,877 | 36 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $27,317 – $69,683 · median $31,095 | 36 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $34,129 – $87,059 · median $38,848 | 36 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $23,003 – $58,679 · median $26,307 | 36 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $16,513 – $42,125 · median $18,885 | 36 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $26,685 – $68,325 · median $30,517 | 36 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $21,292 – $54,313 · median $24,349 | 36 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $46,121 – $117,652 · median $52,745 | 36 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $38,852 – $99,422 · median $44,432 | 36 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $29,874 – $76,728 · median $34,164 | 36 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $36,004 – $91,842 · median $41,174 | 36 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $23,327 – $59,661 · median $26,677 | 36 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $10,376 – $26,468 · median $11,811 | 36 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,945 – $15,165 · median $6,799 | 36 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,677 – $12,707 · median $5,349 | 36 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $12,812 – $32,683 · median $14,652 | 36 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,477 – $13,751 · median $5,120 | 36 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,874 – $9,882 · median $4,430 | 36 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $14,313 – $36,511 · median $16,292 | 36 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,922 – $17,657 · median $7,916 | 36 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $17,504 – $44,652 · median $20,018 | 36 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $10,662 – $28,164 · median $12,568 | 36 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,014 – $18,800 · median $6,877 | 36 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,304 – $21,183 · median $9,452 | 36 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,492 – $14,009 · median $6,251 | 36 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,661 – $9,633 · median $4,187 | 36 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $10,103 – $27,706 · median $11,554 | 36 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,101 – $13,043 · median $4,690 | 36 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,944 – $8,552 · median $3,366 | 36 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $9,013 – $26,940 · median $11,951 | 36 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,905 – $17,614 · median $7,860 | 36 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,655 – $11,875 · median $5,323 | 36 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,740 – $21,390 · median $8,852 | 36 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,354 – $11,108 · median $4,980 | 36 plans |
| 304 | HYPERTENSION WITH MCC | $7,697 – $19,635 · median $8,762 | 36 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,884 – $12,459 · median $5,586 | 36 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $10,193 – $26,961 · median $11,657 | 36 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,907 – $16,620 · median $6,755 | 36 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,788 – $19,866 · median $8,865 | 36 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,759 – $12,139 · median $5,417 | 36 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,662 – $9,341 · median $4,168 | 36 plans |
| 311 | ANGINA PECTORIS | $4,540 – $11,581 · median $5,168 | 36 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,638 – $14,381 · median $6,447 | 36 plans |
| 313 | CHEST PAIN | $4,657 – $11,880 · median $5,301 | 36 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $13,488 – $34,406 · median $15,353 | 36 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,231 – $15,894 · median $7,126 | 36 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,412 – $12,316 · median $5,046 | 36 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $43,250 – $115,260 · median $49,462 | 36 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $28,867 – $80,883 · median $33,013 | 36 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $15,558 – $43,357 · median $17,793 | 36 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $17,599 – $45,966 · median $20,126 | 36 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $11,404 – $34,097 · median $13,041 | 36 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $27,991 – $72,741 · median $32,011 | 36 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $20,382 – $56,344 · median $23,309 | 36 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $20,766 – $52,972 · median $23,748 | 36 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $32,260 – $82,292 · median $36,893 | 36 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $15,810 – $40,329 · median $18,080 | 36 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $10,364 – $26,438 · median $11,853 | 36 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $29,497 – $75,842 · median $33,843 | 36 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $15,506 – $39,554 · median $17,733 | 36 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,885 – $27,768 · median $12,449 | 36 plans |
| 332 | RECTAL RESECTION WITH MCC | $23,420 – $70,039 · median $26,783 | 36 plans |
| 333 | RECTAL RESECTION WITH CC | $15,150 – $39,147 · median $17,326 | 36 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,594 – $27,025 · median $12,116 | 36 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $23,034 – $58,920 · median $26,292 | 36 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $13,640 – $34,794 · median $15,526 | 36 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,929 – $25,328 · median $11,355 | 36 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $16,706 – $50,773 · median $19,106 | 36 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,733 – $24,828 · median $11,131 | 36 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,673 – $19,572 · median $8,775 | 36 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $14,849 – $46,394 · median $16,981 | 36 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,466 – $21,595 · median $9,681 | 36 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,631 – $14,365 · median $6,440 | 36 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $16,118 – $44,848 · median $18,433 | 36 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,861 – $26,737 · median $11,277 | 36 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,554 – $19,269 · median $8,638 | 36 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $18,771 – $47,883 · median $21,467 | 36 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,882 – $27,760 · median $12,445 | 36 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,700 – $22,193 · median $9,949 | 36 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $28,414 – $72,481 · median $32,343 | 36 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $14,513 – $38,371 · median $17,122 | 36 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,042 – $23,065 · median $10,341 | 36 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,297 – $26,266 · median $11,776 | 36 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,470 – $16,503 · median $7,399 | 36 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,533 – $12,819 · median $5,184 | 36 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $11,469 – $29,256 · median $13,055 | 36 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,604 – $16,847 · median $7,517 | 36 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,705 – $12,002 · median $5,381 | 36 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $13,834 – $35,289 · median $15,747 | 36 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,824 – $19,958 · median $8,948 | 36 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,979 – $15,251 · median $6,837 | 36 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $11,824 – $30,162 · median $13,522 | 36 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,343 – $16,182 · median $7,254 | 36 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,078 – $10,402 · median $4,663 | 36 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $12,692 – $32,376 · median $14,447 | 36 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,008 – $17,878 · median $7,978 | 36 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,178 – $13,210 · median $5,922 | 36 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $8,931 – $25,023 · median $10,213 | 36 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,529 – $14,104 · median $6,323 | 36 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $10,235 – $26,108 · median $11,650 | 36 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,315 – $16,109 · median $7,222 | 36 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,407 – $11,241 · median $5,040 | 36 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,371 – $24,367 · median $10,873 | 36 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,109 – $13,032 · median $5,815 | 36 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,519 – $8,976 · median $4,024 | 36 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $8,204 – $20,927 · median $9,338 | 36 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,043 – $12,863 · median $5,740 | 36 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $10,345 – $26,388 · median $11,830 | 36 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,052 – $15,439 · median $6,889 | 36 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,198 – $10,709 · median $4,801 | 36 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $14,236 – $39,516 · median $17,633 | 36 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $9,790 – $24,974 · median $11,196 | 36 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,404 – $18,888 · median $8,468 | 36 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $26,006 – $66,338 · median $29,602 | 36 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $35,385 – $90,263 · median $40,466 | 36 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $18,759 – $47,853 · median $21,453 | 36 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $14,357 – $36,623 · median $16,419 | 36 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $23,063 – $63,387 · median $26,376 | 36 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $14,083 – $35,925 · median $16,106 | 36 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $10,270 – $27,408 · median $11,745 | 36 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $21,367 – $58,953 · median $24,435 | 36 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $13,600 – $40,432 · median $15,553 | 36 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,741 – $29,942 · median $12,283 | 36 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $23,044 – $58,783 · median $26,353 | 36 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $13,368 – $34,101 · median $15,288 | 36 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,818 – $22,494 · median $10,085 | 36 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $15,436 – $39,376 · median $17,571 | 36 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,942 – $27,911 · median $12,513 | 36 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,834 – $22,536 · median $10,103 | 36 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $22,038 – $62,269 · median $25,203 | 36 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $11,239 – $31,302 · median $12,853 | 36 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,052 – $26,532 · median $10,352 | 36 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $26,863 – $68,525 · median $30,721 | 36 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $14,152 – $39,594 · median $16,184 | 36 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,704 – $28,750 · median $11,098 | 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 – $181,850 · median $80,389 | 36 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $41,234 – $119,107 · median $53,149 | 36 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $36,267 – $92,763 · median $41,394 | 36 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $58,277 – $155,394 · median $66,646 | 36 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $37,303 – $95,157 · median $42,462 | 36 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $12,731 – $32,475 · median $14,559 | 36 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,832 – $17,427 · median $7,813 | 36 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,609 – $12,558 · median $5,271 | 36 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,880 – $30,306 · median $13,523 | 36 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,316 – $18,663 · median $8,367 | 36 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,519 – $14,794 · median $6,312 | 36 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,545 – $26,898 · median $12,059 | 36 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,441 – $13,880 · median $6,223 | 36 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,019 – $10,253 · median $4,597 | 36 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $11,609 – $29,613 · median $13,276 | 36 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,244 – $15,927 · median $7,141 | 36 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,526 – $11,962 · median $5,176 | 36 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $10,808 – $27,570 · median $12,303 | 36 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,079 – $18,058 · median $8,096 | 36 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,351 – $13,650 · median $6,120 | 36 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $43,218 – $110,246 · median $49,195 | 36 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $27,244 – $69,973 · median $31,224 | 36 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $34,473 – $87,938 · median $39,241 | 36 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $20,895 – $53,302 · median $23,785 | 36 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $54,355 – $138,656 · median $62,162 | 36 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $38,571 – $98,391 · median $44,110 | 36 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $26,989 – $83,491 · median $30,866 | 36 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $35,724 – $119,023 · median $40,855 | 36 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $17,206 – $43,890 · median $19,585 | 36 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $36,866 – $94,042 · median $41,964 | 36 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $20,147 – $51,393 · median $22,933 | 36 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,796 – $30,091 · median $13,490 | 36 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $33,010 – $85,889 · median $38,326 | 36 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $21,805 – $58,189 · median $25,966 | 36 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $17,708 – $45,342 · median $20,233 | 36 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $19,620 – $50,048 · median $22,437 | 36 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $12,352 – $31,827 · median $14,202 | 36 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $19,056 – $48,611 · median $21,692 | 36 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $15,791 – $40,281 · median $17,975 | 36 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $27,768 – $70,833 · median $31,608 | 36 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $14,720 – $37,549 · median $16,756 | 36 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,634 – $21,968 · median $8,730 | 36 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $22,345 – $57,001 · median $25,436 | 36 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $15,907 – $40,577 · median $18,107 | 36 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,024 – $30,672 · median $13,687 | 36 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $18,838 – $48,053 · median $21,543 | 36 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $13,548 – $34,559 · median $15,493 | 36 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $10,550 – $26,912 · median $12,065 | 36 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $15,127 – $45,736 · median $20,218 | 36 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $20,874 – $61,170 · median $23,872 | 36 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $13,526 – $34,503 · median $15,396 | 36 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,131 – $25,842 · median $11,532 | 36 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $11,442 – $34,507 · median $13,085 | 36 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,224 – $20,458 · median $8,261 | 36 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $23,749 – $60,581 · median $27,033 | 36 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $16,404 – $41,846 · median $18,760 | 36 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $12,979 – $33,107 · median $14,773 | 36 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $23,452 – $66,629 · median $26,820 | 36 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $11,668 – $29,764 · median $13,344 | 36 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $7,816 – $19,937 · median $8,938 | 36 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $11,307 – $28,844 · median $12,931 | 36 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,706 – $22,207 · median $9,927 | 36 plans |
| 503 | FOOT PROCEDURES WITH MCC | $18,054 – $46,053 · median $20,646 | 36 plans |
| 504 | FOOT PROCEDURES WITH CC | $12,090 – $30,842 · median $13,763 | 36 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $11,596 – $29,581 · median $13,200 | 36 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $8,727 – $27,110 · median $9,980 | 36 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $11,684 – $37,544 · median $13,362 | 36 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,796 – $26,160 · median $11,202 | 36 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $19,537 – $51,947 · median $22,343 | 36 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $13,450 – $34,310 · median $15,310 | 36 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $10,708 – $27,314 · median $12,188 | 36 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,556 – $25,976 · median $11,591 | 36 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,613 – $16,868 · median $7,527 | 36 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $13,442 – $34,289 · median $15,372 | 36 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,940 – $25,356 · median $11,314 | 36 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $18,565 – $49,786 · median $21,232 | 36 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $13,698 – $34,942 · median $15,665 | 36 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $10,140 – $28,470 · median $11,597 | 36 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,214 – $13,301 · median $5,963 | 36 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,173 – $17,775 · median $7,059 | 36 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,659 – $13,043 · median $5,328 | 36 plans |
| 539 | OSTEOMYELITIS WITH MCC | $12,024 – $32,500 · median $14,503 | 36 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,081 – $21,389 · median $9,544 | 36 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,093 – $12,992 · median $5,797 | 36 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,426 – $29,147 · median $13,067 | 36 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,649 – $17,794 · median $7,604 | 36 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,385 – $24,613 · median $9,589 | 36 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,369 – $13,697 · median $6,140 | 36 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,063 – $30,771 · median $13,795 | 36 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,284 – $18,581 · median $8,330 | 36 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,200 – $13,264 · median $5,947 | 36 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $9,216 – $23,509 · median $10,540 | 36 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $5,792 – $14,776 · median $6,593 | 36 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,984 – $26,737 · median $11,418 | 36 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,847 – $12,363 · median $5,543 | 36 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $19,024 – $48,528 · median $21,655 | 36 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,334 – $27,877 · median $12,439 | 36 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,415 – $18,914 · median $8,479 | 36 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $42,376 – $109,111 · median $48,462 | 36 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $22,454 – $60,648 · median $25,679 | 36 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,623 – $35,047 · median $13,293 | 36 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $31,702 – $101,975 · median $36,255 | 36 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,391 – $30,296 · median $11,883 | 36 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $18,763 – $53,435 · median $23,844 | 36 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $11,177 – $28,512 · median $12,782 | 36 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $9,334 – $23,811 · median $10,675 | 36 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $12,462 – $39,165 · median $14,251 | 36 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $11,154 – $35,364 · median $12,756 | 36 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $13,847 – $42,668 · median $15,835 | 36 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $12,478 – $37,209 · median $14,270 | 36 plans |
| 592 | SKIN ULCERS WITH MCC | $11,471 – $31,932 · median $14,249 | 36 plans |
| 593 | SKIN ULCERS WITH CC | $7,006 – $19,574 · median $8,735 | 36 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $4,763 – $14,302 · median $6,330 | 36 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $13,717 – $39,594 · median $15,687 | 36 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,432 – $17,861 · median $7,970 | 36 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $10,783 – $30,762 · median $12,332 | 36 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,318 – $18,666 · median $8,368 | 36 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,977 – $13,713 · median $5,691 | 36 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,524 – $17,186 · median $7,669 | 36 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,636 – $9,983 · median $4,455 | 36 plans |
| 602 | CELLULITIS WITH MCC | $9,193 – $23,451 · median $10,514 | 36 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,039 – $14,370 · median $6,412 | 36 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,522 – $27,278 · median $10,889 | 36 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,925 – $15,114 · median $6,744 | 36 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $9,788 – $26,551 · median $11,193 | 36 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,377 – $14,956 · median $6,674 | 36 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $14,177 – $36,165 · median $16,213 | 36 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $9,051 – $25,526 · median $10,351 | 36 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $22,557 – $57,542 · median $25,677 | 36 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,871 – $30,860 · median $13,771 | 36 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,487 – $23,402 · median $10,345 | 36 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $18,676 – $47,642 · median $21,359 | 36 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $10,351 – $26,405 · median $11,838 | 36 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,757 – $24,889 · median $11,106 | 36 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $20,576 – $58,727 · median $26,206 | 36 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,603 – $29,599 · median $13,208 | 36 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,098 – $20,656 · median $9,218 | 36 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $19,535 – $53,736 · median $22,340 | 36 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,699 – $24,740 · median $11,091 | 36 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,592 – $21,917 · median $9,780 | 36 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $23,383 – $61,492 · median $27,440 | 36 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $13,530 – $35,950 · median $16,042 | 36 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,788 – $24,082 · median $10,746 | 36 plans |
| 637 | DIABETES WITH MCC | $9,085 – $23,706 · median $10,578 | 36 plans |
| 638 | DIABETES WITH CC | $5,613 – $14,787 · median $6,599 | 36 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,018 – $10,250 · median $4,574 | 36 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,639 – $22,037 · median $9,864 | 36 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,034 – $12,840 · median $5,730 | 36 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $7,897 – $23,465 · median $10,440 | 36 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,647 – $27,161 · median $12,120 | 36 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,630 – $16,913 · median $7,547 | 36 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,752 – $12,677 · median $5,657 | 36 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $30,410 – $84,907 · median $34,777 | 36 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $23,970 – $65,642 · median $27,413 | 36 plans |
| 652 | KIDNEY TRANSPLANT | $20,889 – $76,262 · median $23,889 | 36 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $33,612 – $102,068 · median $38,439 | 36 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $18,107 – $46,188 · median $20,707 | 36 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,691 – $34,924 · median $15,657 | 36 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $20,594 – $52,533 · median $23,551 | 36 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,837 – $30,195 · median $13,537 | 36 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $10,037 – $25,605 · median $11,479 | 36 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $16,285 – $41,925 · median $18,708 | 36 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,549 – $21,808 · median $9,731 | 36 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,697 – $17,084 · median $7,623 | 36 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $19,803 – $56,493 · median $22,647 | 36 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,833 – $28,209 · median $11,245 | 36 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,772 – $20,514 · median $7,744 | 36 plans |
| 665 | PROSTATECTOMY WITH MCC | $20,189 – $58,915 · median $23,088 | 36 plans |
| 666 | PROSTATECTOMY WITH CC | $11,315 – $31,787 · median $12,940 | 36 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,155 – $19,042 · median $8,183 | 36 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $18,887 – $48,180 · median $21,600 | 36 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $10,039 – $25,608 · median $11,427 | 36 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,321 – $16,125 · median $7,229 | 36 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $11,611 – $32,569 · median $13,278 | 36 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,982 – $19,210 · median $7,985 | 36 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $24,847 – $69,326 · median $30,936 | 36 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $15,127 – $38,587 · median $17,219 | 36 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $10,617 – $27,762 · median $12,142 | 36 plans |
| 682 | RENAL FAILURE WITH MCC | $9,105 – $24,437 · median $10,904 | 36 plans |
| 683 | RENAL FAILURE WITH CC | $5,213 – $14,451 · median $6,448 | 36 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,882 – $9,905 · median $4,420 | 36 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $11,667 – $29,761 · median $13,342 | 36 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,777 – $17,289 · median $7,751 | 36 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,112 – $13,040 · median $5,846 | 36 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,505 – $19,145 · median $8,583 | 36 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,111 – $13,357 · median $5,960 | 36 plans |
| 693 | URINARY STONES WITH MCC | $8,697 – $26,290 · median $9,946 | 36 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,844 – $12,898 · median $5,756 | 36 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,398 – $21,632 · median $8,461 | 36 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,457 – $11,369 · median $5,073 | 36 plans |
| 697 | URETHRAL STRICTURE | $6,972 – $19,378 · median $7,973 | 36 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,701 – $27,298 · median $12,238 | 36 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,565 – $16,748 · median $7,473 | 36 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,462 – $11,664 · median $5,103 | 36 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $12,938 – $33,005 · median $14,797 | 36 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,924 – $25,314 · median $11,349 | 36 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $15,052 – $42,109 · median $17,214 | 36 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,063 – $26,663 · median $10,365 | 36 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $13,479 – $38,327 · median $15,414 | 36 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,113 – $21,315 · median $8,135 | 36 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,724 – $24,806 · median $11,121 | 36 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,840 – $17,447 · median $7,822 | 36 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $14,471 – $40,935 · median $16,550 | 36 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $9,515 – $25,731 · median $10,881 | 36 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,748 – $31,193 · median $13,919 | 36 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,886 – $22,161 · median $9,889 | 36 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $11,706 – $33,091 · median $13,387 | 36 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,391 – $20,868 · median $8,453 | 36 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,241 – $14,012 · median $4,850 | 36 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,569 – $23,402 · median $8,656 | 36 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,670 – $13,881 · median $5,341 | 36 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,592 – $28,153 · median $10,969 | 36 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,247 – $13,385 · median $5,973 | 36 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,848 – $19,489 · median $7,831 | 36 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,347 – $11,515 · median $4,971 | 36 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $13,777 – $35,145 · median $15,683 | 36 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,703 – $22,201 · median $9,953 | 36 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $23,121 – $75,107 · median $26,441 | 36 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $13,329 – $34,000 · median $15,243 | 36 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,499 – $24,230 · median $10,863 | 36 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $23,175 – $70,654 · median $26,503 | 36 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $11,705 – $29,858 · median $13,386 | 36 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,224 – $23,531 · median $10,549 | 36 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $11,868 – $30,274 · median $13,509 | 36 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $8,025 – $20,472 · median $9,135 | 36 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $10,437 – $33,810 · median $14,946 | 36 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,965 – $18,769 · median $8,375 | 36 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,601 – $28,662 · median $12,790 | 36 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,561 – $14,185 · median $6,359 | 36 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,973 – $25,116 · median $10,262 | 36 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $16,608 – $42,365 · median $18,905 | 36 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,546 – $25,414 · median $10,917 | 36 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,913 – $30,388 · median $13,560 | 36 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,036 – $17,949 · median $8,009 | 36 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,213 – $15,848 · median $7,072 | 36 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,262 – $27,073 · median $10,592 | 36 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,332 – $16,154 · median $7,208 | 36 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,292 – $10,949 · median $4,909 | 36 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,125 – $16,624 · median $7,418 | 36 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,690 – $9,413 · median $4,220 | 36 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,387 – $17,681 · median $7,816 | 36 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,928 – $27,882 · median $12,442 | 36 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $5,715 – $16,545 · median $7,383 | 36 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,523 – $10,803 · median $4,775 | 36 plans |
| 779 | ABORTION WITHOUT D&C | $3,759 – $13,881 · median $6,116 | 36 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $8,511 – $40,509 · median $17,739 | 36 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,857 – $17,492 · median $7,805 | 36 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,195 – $15,804 · median $7,052 | 36 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $8,358 – $27,217 · median $12,031 | 36 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,224 – $18,427 · median $8,223 | 36 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,202 – $15,820 · median $7,059 | 36 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $11,657 – $29,736 · median $13,269 | 36 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $38,444 – $121,576 · median $43,965 | 36 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $19,695 – $66,974 · median $29,606 | 36 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $6,545 – $40,412 · median $17,696 | 36 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $8,501 – $68,798 · median $30,126 | 36 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,325 – $24,352 · median $10,664 | 36 plans |
| 795 | NORMAL NEWBORN | $1,292 – $3,297 · median $1,478 | 36 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $7,548 – $21,800 · median $8,633 | 36 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,471 – $16,507 · median $7,400 | 36 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,191 – $15,792 · median $7,047 | 36 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $29,294 – $74,727 · median $33,345 | 36 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $18,172 – $46,355 · median $20,782 | 36 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $12,347 – $31,497 · median $14,121 | 36 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $25,770 – $66,517 · median $29,471 | 36 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $12,024 – $30,672 · median $13,751 | 36 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,771 – $22,374 · median $10,031 | 36 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,254 – $17,807 · median $7,872 | 36 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,783 – $12,441 · median $5,552 | 36 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,076 – $11,124 · median $4,964 | 36 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $14,281 – $36,430 · median $16,332 | 36 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $8,188 – $20,887 · median $9,321 | 36 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,770 – $17,269 · median $7,706 | 36 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $9,083 – $23,171 · median $10,388 | 36 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,939 – $15,150 · median $6,792 | 36 plans |
| 813 | COAGULATION DISORDERS | $9,866 – $25,508 · median $11,283 | 36 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $13,756 – $35,091 · median $15,659 | 36 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,559 – $16,731 · median $7,501 | 36 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,088 – $10,471 · median $4,675 | 36 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $12,178 – $37,646 · median $16,642 | 36 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $7,498 – $19,127 · median $8,535 | 36 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,479 – $14,188 · median $6,331 | 36 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $37,935 – $96,769 · median $43,383 | 36 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $14,480 – $38,774 · median $16,559 | 36 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,788 – $22,117 · median $8,906 | 36 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $29,656 – $75,649 · median $33,915 | 36 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $14,655 – $37,382 · median $16,759 | 36 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,728 – $22,713 · median $9,982 | 36 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $30,257 – $90,013 · median $34,603 | 36 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $14,949 – $39,053 · median $17,096 | 36 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,021 – $28,113 · median $12,603 | 36 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $16,469 – $52,140 · median $23,049 | 36 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,735 – $25,433 · median $11,133 | 36 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $6,360 – $19,841 · median $8,771 | 36 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,148 – $11,906 · median $5,313 | 36 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,950 – $8,628 · median $3,850 | 36 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $35,510 – $126,867 · median $40,610 | 36 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $13,492 – $48,519 · median $15,429 | 36 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $7,888 – $29,924 · median $9,021 | 36 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $31,075 – $79,271 · median $35,373 | 36 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $10,734 – $34,442 · median $15,226 | 36 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,675 – $23,824 · median $10,631 | 36 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $20,924 – $58,338 · median $23,929 | 36 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $10,552 – $29,309 · median $12,068 | 36 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,536 – $19,974 · median $7,474 | 36 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $12,903 – $33,016 · median $14,756 | 36 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,874 – $20,087 · median $9,005 | 36 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,508 – $15,893 · median $6,299 | 36 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $15,588 – $42,776 · median $19,088 | 36 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $7,610 – $21,585 · median $9,632 | 36 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,875 – $14,015 · median $6,254 | 36 plans |
| 849 | RADIOTHERAPY | $17,526 – $47,699 · median $20,043 | 36 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $56,012 – $171,622 · median $64,056 | 36 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $31,944 – $81,487 · median $36,362 | 36 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $12,924 – $32,969 · median $14,712 | 36 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,684 – $24,704 · median $11,075 | 36 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $28,114 – $75,054 · median $33,491 | 36 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,192 – $35,335 · median $15,767 | 36 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,010 – $22,983 · median $10,256 | 36 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $10,222 – $30,091 · median $13,428 | 36 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,455 – $16,465 · median $7,347 | 36 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,742 – $14,647 · median $6,536 | 36 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,691 – $24,722 · median $11,032 | 36 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,490 – $14,348 · median $6,403 | 36 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $13,539 – $34,538 · median $15,484 | 36 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,669 – $17,013 · median $7,627 | 36 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,720 – $12,040 · median $5,398 | 36 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $44,707 – $114,045 · median $51,128 | 36 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $12,565 – $32,051 · median $14,331 | 36 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,619 – $16,884 · median $7,534 | 36 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $24,999 – $67,170 · median $28,590 | 36 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,022 – $15,843 · median $7,070 | 36 plans |
| 881 | DEPRESSIVE NEUROSES | $3,749 – $15,525 · median $6,798 | 36 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $3,667 – $17,718 · median $7,758 | 36 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $10,303 – $32,444 · median $14,342 | 36 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $6,412 – $26,547 · median $11,625 | 36 plans |
| 885 | PSYCHOSES | $5,500 – $23,047 · median $10,092 | 36 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $12,608 – $34,242 · median $15,280 | 36 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $6,927 – $19,229 · median $7,922 | 36 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,493 – $10,179 · median $4,542 | 36 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $9,156 – $27,837 · median $10,472 | 36 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $11,288 – $28,794 · median $12,849 | 36 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $5,090 – $14,566 · median $6,500 | 36 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $27,145 – $69,244 · median $31,043 | 36 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $12,219 – $31,589 · median $14,096 | 36 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,565 – $19,298 · median $8,612 | 36 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $23,759 – $60,606 · median $27,171 | 36 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $9,595 – $29,942 · median $10,973 | 36 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $12,706 – $32,411 · median $14,463 | 36 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $24,834 – $63,348 · median $28,268 | 36 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,905 – $32,921 · median $14,690 | 36 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,491 – $21,660 · median $9,710 | 36 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $10,573 – $28,824 · median $12,092 | 36 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,728 – $14,611 · median $6,520 | 36 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $10,713 – $27,746 · median $12,381 | 36 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,310 – $10,994 · median $4,906 | 36 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $10,145 – $25,879 · median $11,548 | 36 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,049 – $14,142 · median $6,311 | 36 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $11,358 – $30,208 · median $13,480 | 36 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,483 – $16,538 · median $7,380 | 36 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,453 – $11,359 · median $5,069 | 36 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $11,316 – $28,865 · median $12,941 | 36 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $5,684 – $16,792 · median $7,493 | 36 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $138,101 – $404,247 · median $157,934 | 36 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $24,120 – $118,350 · median $51,824 | 36 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $11,717 – $53,143 · median $23,271 | 36 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $25,189 – $64,254 · median $28,806 | 36 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $14,299 – $37,619 · median $16,352 | 36 plans |
| 935 | NON-EXTENSIVE BURNS | $8,952 – $33,990 · median $14,884 | 36 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $23,470 – $59,977 · median $26,841 | 36 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $15,116 – $38,559 · median $17,287 | 36 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $11,758 – $33,457 · median $14,930 | 36 plans |
| 945 | REHABILITATION WITH CC/MCC | $10,017 – $28,042 · median $11,455 | 36 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,418 – $20,048 · median $8,483 | 36 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,211 – $20,945 · median $9,346 | 36 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,178 – $13,208 · median $5,921 | 36 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,695 – $19,630 · median $8,800 | 36 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,060 – $12,167 · median $4,643 | 36 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,441 – $9,174 · median $4,094 | 36 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $43,539 – $111,459 · median $49,791 | 36 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $24,340 – $88,653 · median $27,836 | 36 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $49,288 – $125,728 · median $56,366 | 36 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $27,257 – $69,529 · median $31,171 | 36 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $19,043 – $48,578 · median $21,778 | 36 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $17,683 – $45,108 · median $20,223 | 36 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,913 – $25,288 · median $11,284 | 36 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,083 – $15,518 · median $6,957 | 36 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $39,594 – $123,104 · median $45,281 | 36 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $17,059 – $52,785 · median $19,509 | 36 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $18,667 – $47,866 · median $21,348 | 36 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,376 – $25,116 · median $9,579 | 36 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,839 – $16,974 · median $6,677 | 36 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $8,394 – $25,675 · median $9,599 | 36 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $30,348 – $77,415 · median $34,706 | 36 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,902 – $40,565 · median $18,186 | 36 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,087 – $28,281 · median $12,620 | 36 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $22,176 – $56,569 · median $25,361 | 36 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,631 – $27,119 · median $12,158 | 36 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,757 – $19,787 · median $8,871 | 36 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $73,213 – $186,760 · median $82,559 | 32 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $36,914 – $94,164 · median $41,626 | 32 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $15,667 – $39,966 · median $17,668 | 32 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $22,242 – $56,737 · median $25,081 | 32 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $15,616 – $39,836 · median $17,610 | 32 plans |
No procedures match that keyword.