Penn State Health Lancaster Medical Center — Pricing
756 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 756 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 756 procedures
Procedures with negotiated rates only
These 756 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 |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $137,482 – $421,881 · median $143,037 | 23 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $90,643 – $278,149 · median $94,305 | 23 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $34,614 – $109,405 · median $36,013 | 23 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $26,325 – $89,222 · median $27,388 | 23 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $17,000 – $53,390 · median $17,686 | 23 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $51,711 – $202,552 · median $53,801 | 23 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $35,457 – $152,133 · median $36,890 | 23 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $22,647 – $113,304 · median $23,562 | 23 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $36,598 – $113,994 · median $38,076 | 23 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $24,388 – $80,681 · median $25,373 | 23 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $28,689 – $88,037 · median $29,849 | 23 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $19,621 – $60,209 · median $20,413 | 23 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $15,831 – $48,579 · median $16,470 | 23 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $38,999 – $119,675 · median $40,575 | 23 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $21,533 – $66,077 · median $22,403 | 23 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $14,276 – $43,807 · median $14,853 | 23 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $26,882 – $82,492 · median $27,968 | 23 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $13,700 – $42,039 · median $14,253 | 23 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $10,235 – $33,286 · median $10,649 | 23 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $24,946 – $104,260 · median $25,954 | 23 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $14,593 – $49,040 · median $15,182 | 23 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,759 – $36,085 · median $12,234 | 23 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $21,303 – $70,682 · median $22,164 | 23 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $10,336 – $39,519 · median $10,754 | 23 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,301 – $27,106 · median $7,596 | 23 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $24,198 – $74,254 · median $25,175 | 23 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $14,486 – $46,573 · median $15,071 | 23 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $11,275 – $34,598 · median $11,730 | 23 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $12,910 – $49,517 · median $13,432 | 23 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,911 – $27,026 · median $6,150 | 23 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,617 – $29,510 · median $10,005 | 23 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,999 – $21,476 · median $7,281 | 23 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $16,064 – $49,293 · median $16,713 | 23 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,560 – $28,936 · median $8,906 | 23 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $11,841 – $41,455 · median $12,320 | 23 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,849 – $24,087 · median $8,166 | 23 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,725 – $20,290 · median $5,956 | 23 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $17,342 – $63,336 · median $18,043 | 23 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $11,424 – $45,831 · median $11,886 | 23 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $9,012 – $43,311 · median $9,376 | 23 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $12,761 – $39,157 · median $13,276 | 23 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,523 – $23,313 · median $6,787 | 23 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,415 – $18,354 · median $4,594 | 23 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,333 – $37,662 · median $9,710 | 23 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,655 – $19,414 · median $5,883 | 23 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,133 – $18,513 · median $5,340 | 23 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $11,154 – $38,962 · median $11,605 | 23 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $6,761 – $22,518 · median $7,034 | 23 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,812 – $16,895 · median $5,007 | 23 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $9,915 – $31,323 · median $10,315 | 23 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,687 – $20,820 · median $6,957 | 23 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $11,049 – $33,905 · median $11,495 | 23 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,882 – $18,049 · median $6,119 | 23 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $9,919 – $40,606 · median $10,320 | 23 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $6,401 – $26,416 · median $6,660 | 23 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,277 – $19,547 · median $4,450 | 23 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $12,752 – $56,175 · median $13,267 | 23 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,804 – $18,460 · median $6,039 | 23 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $14,884 – $48,271 · median $15,485 | 23 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,919 – $29,228 · median $9,280 | 23 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,133 – $18,821 · median $6,381 | 23 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $14,536 – $44,606 · median $15,124 | 23 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,414 – $25,819 · median $8,754 | 23 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,671 – $17,402 · median $5,900 | 23 plans |
| 088 | CONCUSSION WITH MCC | $9,050 – $36,734 · median $9,415 | 23 plans |
| 089 | CONCUSSION WITH CC | $6,877 – $21,104 · median $7,155 | 23 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,500 – $16,876 · median $5,722 | 23 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $11,694 – $35,884 · median $12,166 | 23 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,791 – $23,685 · median $7,066 | 23 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,063 – $18,062 · median $5,268 | 23 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $23,406 – $71,825 · median $24,352 | 23 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $15,378 – $59,357 · median $15,999 | 23 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $15,378 – $53,151 · median $15,999 | 23 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $22,995 – $87,657 · median $23,924 | 23 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $13,916 – $44,505 · median $14,478 | 23 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,938 – $27,427 · median $9,299 | 23 plans |
| 100 | SEIZURES WITH MCC | $12,736 – $39,081 · median $13,250 | 23 plans |
| 101 | SEIZURES WITHOUT MCC | $5,913 – $18,144 · median $6,152 | 23 plans |
| 102 | HEADACHES WITH MCC | $7,438 – $24,719 · median $7,739 | 23 plans |
| 103 | HEADACHES WITHOUT MCC | $5,454 – $17,001 · median $5,674 | 23 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $14,476 – $62,646 · median $15,061 | 23 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,583 – $34,187 · median $7,889 | 23 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,821 – $40,288 · median $10,218 | 23 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $10,704 – $49,093 · median $11,136 | 23 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,919 – $29,360 · median $7,199 | 23 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,462 – $31,747 · median $7,763 | 23 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,351 – $18,194 · median $4,527 | 23 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,152 – $18,937 · median $5,361 | 23 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,364 – $36,018 · median $8,702 | 23 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,297 – $16,254 · median $5,511 | 23 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $15,467 – $65,802 · median $16,092 | 23 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,275 – $29,758 · median $6,529 | 23 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $8,972 – $27,531 · median $9,334 | 23 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,219 – $16,205 · median $5,429 | 23 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,808 – $32,145 · median $9,164 | 23 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $27,130 – $104,048 · median $28,226 | 23 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,782 – $47,740 · median $14,339 | 23 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $10,087 – $41,004 · median $10,494 | 23 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $21,181 – $64,998 · median $22,037 | 23 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $11,269 – $34,581 · median $11,724 | 23 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,600 – $23,323 · median $7,907 | 23 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $14,716 – $54,530 · median $15,311 | 23 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $7,985 – $31,960 · median $8,308 | 23 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,136 – $22,385 · median $5,344 | 23 plans |
| 149 | DYSEQUILIBRIUM | $4,795 – $15,277 · median $4,989 | 23 plans |
| 150 | EPISTAXIS WITH MCC | $8,867 – $35,381 · median $9,225 | 23 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,863 – $15,224 · median $5,059 | 23 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,280 – $22,339 · median $7,574 | 23 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,565 – $14,010 · median $4,750 | 23 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $10,433 – $39,837 · median $10,854 | 23 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $5,989 – $18,378 · median $6,231 | 23 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,313 – $13,236 · median $4,488 | 23 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $10,504 – $36,760 · median $10,929 | 23 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,034 – $18,516 · median $6,278 | 23 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,231 – $13,792 · median $4,402 | 23 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $29,568 – $90,732 · median $30,762 | 23 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $16,146 – $51,480 · median $16,799 | 23 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,957 – $38,405 · median $12,441 | 23 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $24,699 – $75,793 · median $25,697 | 23 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $11,721 – $36,389 · median $12,195 | 23 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,685 – $27,636 · median $9,036 | 23 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $19,685 – $70,338 · median $20,480 | 23 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $9,039 – $27,738 · median $9,404 | 23 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,225 – $16,258 · median $5,436 | 23 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $10,370 – $31,821 · median $10,789 | 23 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,364 – $19,928 · median $6,621 | 23 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,938 – $15,152 · median $5,137 | 23 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $11,212 – $35,620 · median $11,665 | 23 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,122 – $24,029 · median $7,410 | 23 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,372 – $20,475 · median $5,590 | 23 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $10,182 – $31,246 · median $10,594 | 23 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,852 – $21,026 · median $7,129 | 23 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,989 – $15,516 · median $5,190 | 23 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $10,136 – $31,102 · median $10,545 | 23 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,441 – $20,528 · median $6,701 | 23 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,710 – $15,489 · median $4,900 | 23 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,938 – $24,358 · median $8,259 | 23 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,204 – $22,106 · median $7,495 | 23 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,511 – $17,266 · median $5,734 | 23 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,152 – $13,765 · median $4,319 | 23 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,453 – $25,939 · median $8,794 | 23 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,260 – $16,142 · median $5,473 | 23 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,995 – $12,258 · median $4,156 | 23 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $12,086 – $39,359 · median $12,575 | 23 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,351 – $23,525 · median $6,607 | 23 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,493 – $18,407 · median $4,675 | 23 plans |
| 199 | PNEUMOTHORAX WITH MCC | $11,324 – $34,750 · median $11,782 | 23 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,105 – $21,801 · median $7,392 | 23 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,344 – $13,329 · median $4,519 | 23 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,201 – $19,029 · median $6,452 | 23 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,469 – $13,713 · median $4,649 | 23 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,202 – $15,965 · median $5,413 | 23 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $12,110 – $37,161 · median $12,599 | 23 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,811 – $17,831 · median $6,045 | 23 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $41,486 – $151,099 · median $43,163 | 23 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $17,216 – $52,831 · median $17,912 | 23 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $69,883 – $285,674 · median $72,707 | 23 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $67,965 – $208,559 · median $70,711 | 23 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $61,911 – $189,982 · median $64,412 | 23 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $41,427 – $127,124 · median $43,101 | 23 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $38,164 – $117,112 · median $39,706 | 23 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $49,635 – $152,313 · median $51,641 | 23 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $33,978 – $104,266 · median $35,351 | 23 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $29,461 – $90,405 · median $30,651 | 23 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $31,967 – $128,634 · median $33,259 | 23 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $19,927 – $72,406 · median $20,732 | 23 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $54,359 – $175,526 · median $56,556 | 23 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $39,187 – $122,640 · median $40,770 | 23 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $50,141 – $153,866 · median $52,167 | 23 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $34,129 – $104,728 · median $35,508 | 23 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $37,747 – $115,830 · median $39,272 | 23 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $26,379 – $80,947 · median $27,445 | 23 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $32,311 – $99,151 · median $33,617 | 23 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $18,682 – $57,327 · median $19,436 | 23 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,686 – $39,200 · median $10,077 | 23 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $21,759 – $71,399 · median $22,639 | 23 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $14,452 – $51,613 · median $15,035 | 23 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $11,577 – $45,486 · median $12,045 | 23 plans |
| 245 | AICD GENERATOR PROCEDURES | $31,348 – $127,069 · median $32,615 | 23 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $14,835 – $48,297 · median $15,435 | 23 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $10,024 – $39,519 · median $10,429 | 23 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $22,006 – $79,567 · median $22,895 | 23 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $16,377 – $55,538 · median $17,039 | 23 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $11,222 – $38,484 · median $11,676 | 23 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $16,785 – $51,506 · median $17,463 | 23 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,865 – $33,340 · median $11,304 | 23 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $5,721 – $19,186 · median $5,953 | 23 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $17,997 – $75,695 · median $18,724 | 23 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $11,275 – $51,851 · median $11,731 | 23 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $21,850 – $72,221 · median $22,733 | 23 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $12,173 – $40,288 · median $12,665 | 23 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,737 – $34,851 · median $10,130 | 23 plans |
| 263 | VEIN LIGATION AND STRIPPING | $17,205 – $71,266 · median $17,901 | 23 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $22,421 – $68,801 · median $23,327 | 23 plans |
| 265 | AICD LEAD PROCEDURES | $22,883 – $91,264 · median $23,808 | 23 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $38,430 – $118,290 · median $39,983 | 23 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $30,180 – $107,973 · median $31,400 | 23 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $42,772 – $145,980 · median $44,500 | 23 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $26,691 – $81,903 · median $27,769 | 23 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $32,928 – $101,043 · median $34,258 | 23 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $22,096 – $76,226 · median $22,988 | 23 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $16,051 – $56,917 · median $16,700 | 23 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $25,084 – $94,500 · median $26,098 | 23 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $20,021 – $68,348 · median $20,830 | 23 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $45,334 – $166,163 · median $47,166 | 23 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $39,737 – $137,015 · median $41,342 | 23 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $29,842 – $109,299 · median $31,047 | 23 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $32,096 – $118,290 · median $33,393 | 23 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $20,556 – $84,898 · median $21,386 | 23 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $10,529 – $32,311 · median $10,955 | 23 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,913 – $19,839 · median $6,152 | 23 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,651 – $18,088 · median $4,839 | 23 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $12,544 – $42,595 · median $13,051 | 23 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,753 – $19,547 · median $4,946 | 23 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,601 – $13,447 · median $3,747 | 23 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $14,198 – $43,569 · median $14,772 | 23 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,990 – $22,571 · median $7,273 | 23 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $17,522 – $53,770 · median $18,230 | 23 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $10,114 – $31,037 · median $10,523 | 23 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,280 – $27,026 · median $6,534 | 23 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,370 – $25,685 · median $8,708 | 23 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,525 – $16,953 · median $5,748 | 23 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,520 – $13,686 · median $3,662 | 23 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $7,878 – $30,554 · median $8,196 | 23 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,066 – $22,332 · median $5,271 | 23 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $10,510 – $40,473 · median $10,935 | 23 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,519 – $18,539 · median $4,701 | 23 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,833 – $12,333 · median $2,948 | 23 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $10,377 – $31,842 · median $10,796 | 23 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,868 – $21,075 · median $7,145 | 23 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,576 – $14,043 · median $4,761 | 23 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,462 – $30,315 · median $7,764 | 23 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,313 – $13,236 · median $4,488 | 23 plans |
| 304 | HYPERTENSION WITH MCC | $7,536 – $23,126 · median $7,841 | 23 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,816 – $15,197 · median $5,010 | 23 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,606 – $40,367 · median $9,994 | 23 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,943 – $24,454 · median $6,183 | 23 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,736 – $23,738 · median $8,048 | 23 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,743 – $14,553 · median $4,934 | 23 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,589 – $11,014 · median $3,734 | 23 plans |
| 311 | ANGINA PECTORIS | $4,480 – $13,746 · median $4,661 | 23 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,589 – $17,293 · median $5,815 | 23 plans |
| 313 | CHEST PAIN | $4,576 – $14,043 · median $4,761 | 23 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $13,815 – $42,392 · median $14,373 | 23 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,173 – $19,812 · median $6,422 | 23 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,379 – $17,876 · median $4,556 | 23 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $28,179 – $114,683 · median $29,318 | 23 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $14,849 – $61,824 · median $15,449 | 23 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $18,262 – $64,635 · median $19,000 | 23 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $11,606 – $48,191 · median $12,075 | 23 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $27,324 – $109,803 · median $28,428 | 23 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $20,496 – $79,727 · median $21,324 | 23 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $18,360 – $70,125 · median $19,102 | 23 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $32,581 – $99,980 · median $33,898 | 23 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $15,576 – $52,117 · median $16,205 | 23 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $10,222 – $32,331 · median $10,635 | 23 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $29,457 – $90,392 · median $30,647 | 23 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $15,163 – $46,945 · median $15,776 | 23 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,591 – $34,957 · median $11,019 | 23 plans |
| 332 | RECTAL RESECTION WITH MCC | $22,251 – $102,271 · median $23,150 | 23 plans |
| 333 | RECTAL RESECTION WITH CC | $13,634 – $55,512 · median $14,184 | 23 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,640 – $33,233 · median $11,070 | 23 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $23,244 – $71,327 · median $24,183 | 23 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $13,550 – $41,581 · median $14,098 | 23 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,848 – $30,262 · median $10,245 | 23 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $17,285 – $72,539 · median $17,983 | 23 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,550 – $30,209 · median $9,936 | 23 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,988 – $25,647 · median $8,311 | 23 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $15,183 – $67,128 · median $15,796 | 23 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,076 – $26,973 · median $8,402 | 23 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,651 – $20,104 · median $5,879 | 23 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $15,516 – $63,707 · median $16,143 | 23 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,651 – $37,423 · median $10,041 | 23 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,073 – $22,783 · median $7,359 | 23 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $18,815 – $57,736 · median $19,575 | 23 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,912 – $33,486 · median $11,353 | 23 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,552 – $27,026 · median $8,898 | 23 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $27,364 – $83,970 · median $28,470 | 23 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $14,446 – $44,331 · median $15,030 | 23 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,693 – $27,849 · median $9,044 | 23 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,713 – $33,392 · median $11,146 | 23 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,528 – $21,642 · median $6,792 | 23 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,478 – $19,468 · median $4,659 | 23 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $11,213 – $34,409 · median $11,666 | 23 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,603 – $20,262 · median $6,870 | 23 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,653 – $14,280 · median $4,841 | 23 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $13,544 – $41,563 · median $14,092 | 23 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,882 – $24,187 · median $8,200 | 23 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,664 – $19,547 · median $5,893 | 23 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $11,664 – $35,791 · median $12,135 | 23 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,324 – $20,396 · median $6,580 | 23 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,084 – $14,614 · median $4,249 | 23 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $12,344 – $37,880 · median $12,843 | 23 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,986 – $21,439 · median $7,269 | 23 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,807 – $15,675 · median $5,001 | 23 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $8,110 – $36,309 · median $8,437 | 23 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,578 – $17,118 · median $5,804 | 23 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $10,423 – $31,984 · median $10,844 | 23 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,367 – $19,537 · median $6,624 | 23 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,300 – $14,163 · median $4,474 | 23 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,429 – $28,935 · median $9,810 | 23 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,142 – $15,780 · median $5,350 | 23 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,510 – $10,772 · median $3,652 | 23 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $8,240 – $25,285 · median $8,573 | 23 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,006 – $15,360 · median $5,208 | 23 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $10,623 – $32,598 · median $11,052 | 23 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,038 – $18,529 · median $6,282 | 23 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,082 – $14,561 · median $4,247 | 23 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $15,895 – $48,775 · median $16,537 | 23 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $9,707 – $32,702 · median $10,099 | 23 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,209 – $23,366 · median $7,500 | 23 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $34,825 – $114,524 · median $36,232 | 23 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $18,016 – $60,073 · median $18,744 | 23 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $13,701 – $44,876 · median $14,255 | 23 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $22,461 – $89,354 · median $23,368 | 23 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $13,449 – $43,762 · median $13,992 | 23 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,950 – $38,298 · median $10,352 | 23 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $17,554 – $87,683 · median $18,263 | 23 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $13,674 – $57,899 · median $14,227 | 23 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,665 – $42,144 · median $11,096 | 23 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $22,477 – $78,719 · median $23,385 | 23 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $12,689 – $39,094 · median $13,202 | 23 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,790 – $30,527 · median $9,145 | 23 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $15,245 – $46,781 · median $15,861 | 23 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,638 – $33,339 · median $11,068 | 23 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,452 – $27,928 · median $8,794 | 23 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $22,641 – $86,994 · median $23,556 | 23 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,505 – $44,929 · median $10,929 | 23 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,426 – $37,370 · median $9,807 | 23 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $26,092 – $95,057 · median $27,146 | 23 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $14,647 – $54,955 · median $15,239 | 23 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,916 – $40,898 · median $10,317 | 23 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $12,567 – $38,565 · median $13,075 | 23 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,863 – $21,059 · median $7,140 | 23 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,468 – $15,224 · median $4,649 | 23 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,705 – $35,917 · median $12,178 | 23 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,234 – $22,385 · median $7,526 | 23 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,037 – $21,138 · median $5,241 | 23 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,672 – $37,742 · median $11,104 | 23 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,518 – $17,107 · median $5,741 | 23 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,946 – $12,439 · median $4,105 | 23 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $12,127 – $39,572 · median $12,617 | 23 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,198 – $20,343 · median $6,449 | 23 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,508 – $16,948 · median $4,690 | 23 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $10,805 – $33,157 · median $11,242 | 23 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,957 – $22,040 · median $7,238 | 23 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,115 – $18,645 · median $5,321 | 23 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $54,329 – $176,375 · median $56,524 | 23 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $36,818 – $130,729 · median $38,305 | 23 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $27,700 – $114,365 · median $28,819 | 23 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $39,366 – $171,627 · median $40,957 | 23 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $18,371 – $56,374 · median $19,113 | 23 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $34,647 – $106,319 · median $36,047 | 23 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,915 – $58,043 · median $19,679 | 23 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,137 – $36,999 · median $11,587 | 23 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $32,681 – $100,287 · median $34,002 | 23 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $21,972 – $67,425 · median $22,860 | 23 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $16,828 – $51,640 · median $17,508 | 23 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $20,968 – $64,344 · median $21,816 | 23 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $12,095 – $37,116 · median $12,584 | 23 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $31,159 – $95,616 · median $32,418 | 23 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $18,585 – $57,031 · median $19,336 | 23 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $15,187 – $46,602 · median $15,800 | 23 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $28,769 – $88,281 · median $29,931 | 23 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,839 – $42,466 · median $14,398 | 23 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,461 – $31,403 · median $7,763 | 23 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $22,061 – $67,697 · median $22,952 | 23 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $15,002 – $46,035 · median $15,608 | 23 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $11,392 – $34,957 · median $11,852 | 23 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $18,866 – $66,280 · median $19,629 | 23 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $13,310 – $46,600 · median $13,848 | 23 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $10,177 – $33,790 · median $10,588 | 23 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $16,346 – $50,161 · median $17,007 | 23 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $20,652 – $87,577 · median $21,486 | 23 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $13,605 – $41,750 · median $14,155 | 23 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,137 – $31,106 · median $10,546 | 23 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $12,608 – $47,767 · median $13,117 | 23 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,944 – $28,591 · median $8,265 | 23 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $22,781 – $69,905 · median $23,701 | 23 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $15,402 – $48,854 · median $16,025 | 23 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $12,095 – $37,114 · median $12,583 | 23 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $22,584 – $95,348 · median $23,497 | 23 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,657 – $38,839 · median $13,168 | 23 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,613 – $28,167 · median $8,961 | 23 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $16,197 – $68,242 · median $16,851 | 23 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $7,446 – $33,737 · median $7,747 | 23 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $20,327 – $62,376 · median $21,148 | 23 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $11,449 – $35,132 · median $11,911 | 23 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,963 – $27,504 · median $9,325 | 23 plans |
| 503 | FOOT PROCEDURES WITH MCC | $16,978 – $69,807 · median $17,664 | 23 plans |
| 504 | FOOT PROCEDURES WITH CC | $11,258 – $34,547 · median $11,713 | 23 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $11,258 – $34,547 · median $11,713 | 23 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,617 – $38,192 · median $10,005 | 23 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $12,433 – $54,106 · median $12,936 | 23 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $8,279 – $38,219 · median $8,614 | 23 plans |
| 509 | ARTHROSCOPY | $11,269 – $39,147 · median $11,724 | 23 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $18,334 – $73,335 · median $19,075 | 23 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $12,581 – $38,935 · median $13,089 | 23 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $10,314 – $31,650 · median $10,731 | 23 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,658 – $29,638 · median $10,049 | 23 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,541 – $20,071 · median $6,805 | 23 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $19,837 – $65,882 · median $20,639 | 23 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $12,905 – $44,107 · median $13,426 | 23 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,576 – $29,384 · median $9,962 | 23 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $22,991 – $70,551 · median $23,920 | 23 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,650 – $38,817 · median $13,161 | 23 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $9,194 – $28,213 · median $9,565 | 23 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $18,698 – $71,956 · median $19,453 | 23 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $13,523 – $43,338 · median $14,070 | 23 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,782 – $40,553 · median $10,177 | 23 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,222 – $21,138 · median $5,433 | 23 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,531 – $33,949 · median $8,876 | 23 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,202 – $16,258 · median $5,412 | 23 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,895 – $25,594 · median $6,134 | 23 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,308 – $18,804 · median $4,482 | 23 plans |
| 539 | OSTEOMYELITIS WITH MCC | $12,974 – $39,811 · median $13,498 | 23 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,302 – $25,474 · median $8,637 | 23 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,612 – $17,222 · median $5,839 | 23 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,964 – $40,792 · median $12,448 | 23 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,806 – $25,090 · median $7,081 | 23 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,848 – $20,475 · median $5,044 | 23 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $16,210 – $64,344 · median $16,865 | 23 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,427 – $25,435 · median $7,727 | 23 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,787 – $20,794 · median $4,980 | 23 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,923 – $49,756 · median $13,446 | 23 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,731 – $23,722 · median $8,043 | 23 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,530 – $19,574 · median $5,754 | 23 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $10,946 – $33,590 · median $11,389 | 23 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,183 – $18,972 · median $6,432 | 23 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,378 – $35,169 · median $8,716 | 23 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,354 – $16,429 · median $5,570 | 23 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,638 – $36,362 · median $8,987 | 23 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,238 – $17,929 · median $5,449 | 23 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,941 – $30,506 · median $10,343 | 23 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,541 – $17,004 · median $5,765 | 23 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,908 – $38,405 · median $12,389 | 23 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,305 – $22,415 · median $7,600 | 23 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,245 – $18,327 · median $5,457 | 23 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $9,388 – $29,095 · median $9,768 | 23 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $5,734 – $17,594 · median $5,965 | 23 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $10,066 – $37,158 · median $10,473 | 23 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,541 – $20,073 · median $6,806 | 23 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,799 – $17,293 · median $4,993 | 23 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $19,310 – $59,256 · median $20,090 | 23 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,740 – $32,959 · median $11,174 | 23 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,328 – $22,488 · median $7,624 | 23 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $39,504 – $152,637 · median $41,100 | 23 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $22,227 – $84,474 · median $23,125 | 23 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,809 – $48,854 · median $13,326 | 23 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $34,610 – $145,847 · median $36,009 | 23 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $17,082 – $60,949 · median $17,772 | 23 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,844 – $42,542 · median $11,282 | 23 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $20,909 – $64,161 · median $21,754 | 23 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $11,374 – $34,983 · median $11,833 | 23 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $9,232 – $28,331 · median $9,605 | 23 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $11,234 – $53,231 · median $11,688 | 23 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $10,538 – $47,343 · median $10,964 | 23 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $13,134 – $61,957 · median $13,665 | 23 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $12,734 – $53,416 · median $13,249 | 23 plans |
| 592 | SKIN ULCERS WITH MCC | $13,191 – $40,478 · median $13,724 | 23 plans |
| 593 | SKIN ULCERS WITH CC | $7,844 – $24,069 · median $8,160 | 23 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,444 – $16,707 · median $5,664 | 23 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $13,568 – $56,440 · median $14,116 | 23 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,935 – $21,281 · median $7,215 | 23 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $11,269 – $42,834 · median $11,724 | 23 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $6,921 – $22,093 · median $7,201 | 23 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,484 – $18,460 · median $5,706 | 23 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,137 – $18,831 · median $6,384 | 23 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,846 – $11,801 · median $4,001 | 23 plans |
| 602 | CELLULITIS WITH MCC | $9,425 – $28,921 · median $9,806 | 23 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,650 – $17,339 · median $5,879 | 23 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,531 – $38,617 · median $9,916 | 23 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,925 – $18,183 · median $6,165 | 23 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $10,330 – $36,150 · median $10,747 | 23 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,544 – $17,012 · median $5,768 | 23 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $14,620 – $49,199 · median $15,210 | 23 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $9,193 – $36,972 · median $9,564 | 23 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $24,794 – $76,083 · median $25,795 | 23 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,391 – $38,024 · median $12,892 | 23 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,987 – $24,510 · median $8,310 | 23 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $17,490 – $53,671 · median $18,197 | 23 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $10,245 – $33,790 · median $10,659 | 23 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,377 – $28,776 · median $9,756 | 23 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $24,005 – $73,661 · median $24,974 | 23 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,270 – $37,653 · median $12,766 | 23 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,435 – $21,855 · median $6,695 | 23 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $18,392 – $76,650 · median $19,135 | 23 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,682 – $34,347 · median $10,073 | 23 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,127 – $25,515 · median $8,455 | 23 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $25,311 – $77,671 · median $26,334 | 23 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $14,428 – $44,274 · median $15,011 | 23 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,989 – $27,585 · median $9,352 | 23 plans |
| 637 | DIABETES WITH MCC | $9,342 – $28,667 · median $9,719 | 23 plans |
| 638 | DIABETES WITH CC | $5,884 – $18,055 · median $6,121 | 23 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,020 – $12,335 · median $4,182 | 23 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,519 – $26,142 · median $8,863 | 23 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,013 – $15,382 · median $5,215 | 23 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $7,962 – $24,431 · median $8,283 | 23 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,631 – $32,624 · median $11,061 | 23 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,629 – $20,342 · median $6,897 | 23 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,995 – $15,329 · median $5,197 | 23 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $35,761 – $144,441 · median $37,205 | 23 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $18,104 – $57,899 · median $18,835 | 23 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,326 – $47,820 · median $13,864 | 23 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $20,900 – $64,134 · median $21,744 | 23 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,727 – $37,688 · median $12,201 | 23 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,648 – $31,880 · median $10,038 | 23 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $16,578 – $50,872 · median $17,248 | 23 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,596 – $26,378 · median $8,943 | 23 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,586 – $20,209 · median $6,852 | 23 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $20,012 – $79,647 · median $20,821 | 23 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,798 – $40,022 · median $10,194 | 23 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,927 – $29,387 · median $7,207 | 23 plans |
| 665 | PROSTATECTOMY WITH MCC | $22,026 – $81,451 · median $22,916 | 23 plans |
| 666 | PROSTATECTOMY WITH CC | $10,567 – $45,778 · median $10,994 | 23 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,593 – $27,053 · median $6,860 | 23 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $18,708 – $62,752 · median $19,464 | 23 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $9,927 – $30,463 · median $10,328 | 23 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,131 – $20,104 · median $6,378 | 23 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $11,057 – $46,573 · median $11,504 | 23 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,020 – $26,788 · median $7,304 | 23 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $26,876 – $82,472 · median $27,962 | 23 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $14,808 – $45,441 · median $15,406 | 23 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $10,041 – $38,855 · median $10,447 | 23 plans |
| 682 | RENAL FAILURE WITH MCC | $9,635 – $29,565 · median $10,024 | 23 plans |
| 683 | RENAL FAILURE WITH CC | $5,702 – $17,498 · median $5,933 | 23 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,896 – $11,957 · median $4,054 | 23 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $12,097 – $37,662 · median $12,585 | 23 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,753 – $20,722 · median $7,026 | 23 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,646 – $15,436 · median $4,833 | 23 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,507 – $25,037 · median $7,811 | 23 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,149 – $15,799 · median $5,357 | 23 plans |
| 693 | URINARY STONES WITH MCC | $9,432 – $36,893 · median $9,814 | 23 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,013 – $15,382 · median $5,215 | 23 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,235 – $31,084 · median $7,527 | 23 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,438 – $13,618 · median $4,617 | 23 plans |
| 697 | URETHRAL STRICTURE | $6,426 – $27,902 · median $6,686 | 23 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,783 – $33,089 · median $11,218 | 23 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,543 – $20,077 · median $6,807 | 23 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,453 – $16,762 · median $4,633 | 23 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $12,449 – $38,537 · median $12,952 | 23 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,510 – $35,036 · median $9,894 | 23 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $14,415 – $60,047 · median $14,997 | 23 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,631 – $37,317 · median $10,020 | 23 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $12,256 – $55,830 · median $12,752 | 23 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,861 – $31,005 · median $7,139 | 23 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,276 – $29,413 · median $9,651 | 23 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,028 – $21,165 · median $6,272 | 23 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $14,487 – $57,713 · median $15,072 | 23 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $9,105 – $36,283 · median $9,473 | 23 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,903 – $36,526 · median $12,384 | 23 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,903 – $24,250 · median $8,222 | 23 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $11,091 – $47,528 · median $11,539 | 23 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,203 – $29,679 · median $7,494 | 23 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,674 – $20,157 · median $4,863 | 23 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,099 – $33,233 · median $8,427 | 23 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,775 – $19,759 · median $4,968 | 23 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,426 – $40,447 · median $9,807 | 23 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,242 – $16,085 · median $5,453 | 23 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,062 – $27,265 · median $7,348 | 23 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,893 – $16,470 · median $4,051 | 23 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $13,489 – $41,394 · median $14,034 | 23 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $7,787 – $31,800 · median $8,102 | 23 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $25,259 – $107,734 · median $26,280 | 23 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $12,820 – $40,022 · median $13,338 | 23 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,731 – $29,860 · median $10,124 | 23 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $25,537 – $98,902 · median $26,569 | 23 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $11,664 – $39,386 · median $12,136 | 23 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,812 – $27,636 · median $9,168 | 23 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $11,718 – $35,959 · median $12,192 | 23 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,690 – $23,596 · median $8,000 | 23 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $12,535 – $38,464 · median $13,041 | 23 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,574 – $20,173 · median $6,840 | 23 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,742 – $32,965 · median $11,176 | 23 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,128 – $19,574 · median $6,375 | 23 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,739 – $35,620 · median $9,092 | 23 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $16,606 – $50,957 · median $17,277 | 23 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,272 – $36,813 · median $8,606 | 23 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,606 – $35,616 · median $12,075 | 23 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,121 – $21,852 · median $7,409 | 23 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,126 – $18,799 · median $6,374 | 23 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,079 – $38,855 · median $9,446 | 23 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,539 – $20,065 · median $6,803 | 23 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,106 – $13,235 · median $4,271 | 23 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,323 – $19,402 · median $6,578 | 23 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,066 – $12,478 · median $4,231 | 23 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $7,033 – $21,581 · median $7,317 | 23 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $8,914 – $29,573 · median $9,274 | 23 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,902 – $21,181 · median $7,181 | 23 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,577 – $14,045 · median $4,762 | 23 plans |
| 779 | ABORTION WITHOUT D&C | $5,997 – $18,402 · median $6,239 | 23 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $11,817 – $36,262 · median $12,294 | 23 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,947 – $21,319 · median $7,228 | 23 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,603 – $17,195 · median $5,830 | 23 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $10,366 – $31,809 · median $10,785 | 23 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,811 – $20,902 · median $7,087 | 23 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $5,804 – $17,809 · median $6,038 | 23 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $8,189 – $30,077 · median $8,520 | 23 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,211 – $20,581 · median $6,462 | 23 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,211 – $19,059 · median $6,462 | 23 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $30,502 – $93,598 · median $31,734 | 23 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $18,692 – $60,975 · median $19,447 | 23 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $10,531 – $42,330 · median $10,957 | 23 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $22,996 – $94,553 · median $23,925 | 23 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $11,419 – $39,121 · median $11,880 | 23 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,092 – $27,822 · median $7,379 | 23 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $6,402 – $19,646 · median $6,661 | 23 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,642 – $14,244 · median $4,829 | 23 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,088 – $12,545 · median $4,253 | 23 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $14,692 – $45,085 · median $15,286 | 23 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,945 – $24,380 · median $8,266 | 23 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,106 – $19,521 · median $6,352 | 23 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $9,025 – $27,695 · median $9,390 | 23 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,920 – $18,672 · median $6,160 | 23 plans |
| 813 | COAGULATION DISORDERS | $9,930 – $35,328 · median $10,332 | 23 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $13,410 – $41,151 · median $13,952 | 23 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,518 – $20,002 · median $6,782 | 23 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,230 – $15,250 · median $4,401 | 23 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $16,262 – $49,903 · median $16,920 | 23 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,262 – $25,354 · median $8,596 | 23 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,238 – $16,490 · median $5,449 | 23 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $37,350 – $120,492 · median $38,859 | 23 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $14,321 – $54,345 · median $14,899 | 23 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,337 – $31,137 · median $7,633 | 23 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $30,019 – $92,116 · median $31,231 | 23 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $14,109 – $52,780 · median $14,679 | 23 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,895 – $32,225 · median $8,214 | 23 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $30,634 – $128,608 · median $31,872 | 23 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $15,139 – $56,387 · median $15,750 | 23 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,282 – $36,548 · median $10,698 | 23 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $19,782 – $60,705 · median $20,582 | 23 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,382 – $35,328 · median $9,761 | 23 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $7,384 – $22,657 · median $7,682 | 23 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,795 – $14,713 · median $4,988 | 23 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,334 – $10,232 · median $3,469 | 23 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $35,457 – $186,718 · median $36,890 | 23 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $13,702 – $71,186 · median $14,255 | 23 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $8,151 – $44,372 · median $8,481 | 23 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $32,121 – $98,567 · median $33,419 | 23 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $13,011 – $39,925 · median $13,536 | 23 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,791 – $26,976 · median $9,146 | 23 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $20,457 – $85,959 · median $21,284 | 23 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $10,059 – $43,444 · median $10,465 | 23 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,748 – $29,732 · median $7,020 | 23 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $12,145 – $45,619 · median $12,636 | 23 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,667 – $27,822 · median $7,977 | 23 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,368 – $22,756 · median $5,585 | 23 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $16,382 – $50,272 · median $17,044 | 23 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $8,151 – $25,014 · median $8,481 | 23 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,253 – $17,004 · median $5,465 | 23 plans |
| 849 | RADIOTHERAPY | $17,135 – $66,916 · median $17,827 | 23 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $32,083 – $98,451 · median $33,379 | 23 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $12,818 – $39,333 · median $13,336 | 23 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,428 – $32,000 · median $10,849 | 23 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $28,942 – $88,811 · median $30,111 | 23 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,977 – $42,892 · median $14,542 | 23 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,265 – $25,362 · median $8,599 | 23 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $11,795 – $36,195 · median $12,272 | 23 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,414 – $19,683 · median $6,673 | 23 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,761 – $17,677 · median $5,993 | 23 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,468 – $29,053 · median $9,850 | 23 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,676 – $17,417 · median $5,905 | 23 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $13,755 – $42,675 · median $14,311 | 23 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,736 – $20,671 · median $7,008 | 23 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,616 – $16,258 · median $4,803 | 23 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $44,625 – $137,015 · median $46,428 | 23 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $12,587 – $38,624 · median $13,095 | 23 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,614 – $20,295 · median $6,881 | 23 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $25,208 – $92,749 · median $26,227 | 23 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,149 – $18,870 · median $6,398 | 23 plans |
| 881 | DEPRESSIVE NEUROSES | $5,864 – $17,994 · median $6,101 | 23 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $6,171 – $18,937 · median $6,420 | 23 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $11,893 – $36,494 · median $12,373 | 23 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $10,714 – $32,878 · median $11,147 | 23 plans |
| 885 | PSYCHOSES | $9,042 – $27,748 · median $9,408 | 23 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $11,524 – $35,364 · median $11,990 | 23 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,630 – $27,159 · median $7,938 | 23 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,004 – $12,285 · median $4,165 | 23 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $9,288 – $40,022 · median $9,663 | 23 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $11,424 – $35,055 · median $11,885 | 23 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $5,659 – $17,366 · median $5,888 | 23 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $28,421 – $88,267 · median $29,570 | 23 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $12,173 – $37,354 · median $12,665 | 23 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,820 – $23,998 · median $8,136 | 23 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $24,769 – $78,745 · median $25,769 | 23 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,573 – $42,250 · median $11,000 | 23 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $14,001 – $42,963 · median $14,566 | 23 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $25,555 – $78,419 · median $26,588 | 23 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,940 – $39,707 · median $13,462 | 23 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,136 – $25,939 · median $8,465 | 23 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $10,381 – $40,394 · median $10,801 | 23 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,879 – $18,039 · median $6,116 | 23 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $11,148 – $34,211 · median $11,599 | 23 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,260 – $13,073 · median $4,432 | 23 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $10,519 – $32,277 · median $10,944 | 23 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,675 – $17,413 · median $5,904 | 23 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $11,698 – $35,898 · median $12,171 | 23 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,517 – $19,998 · median $6,780 | 23 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,412 – $13,537 · median $4,590 | 23 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $10,837 – $37,238 · median $11,275 | 23 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,543 – $20,077 · median $6,807 | 23 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $152,180 – $557,503 · median $158,328 | 23 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $42,845 – $131,474 · median $44,576 | 23 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $20,402 – $62,606 · median $21,226 | 23 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $27,757 – $85,175 · median $28,878 | 23 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $13,765 – $52,408 · median $14,321 | 23 plans |
| 935 | NON-EXTENSIVE BURNS | $14,090 – $43,236 · median $14,659 | 23 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $20,361 – $85,774 · median $21,184 | 23 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $13,544 – $43,683 · median $14,092 | 23 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $12,537 – $38,470 · median $13,043 | 23 plans |
| 945 | REHABILITATION WITH CC/MCC | $9,792 – $39,731 · median $10,188 | 23 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,162 – $28,193 · median $7,452 | 23 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,251 – $25,319 · median $8,584 | 23 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,097 – $15,887 · median $5,303 | 23 plans |
| 949 | AFTERCARE WITH CC/MCC | $6,922 – $27,371 · median $7,201 | 23 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,760 – $17,903 · median $3,912 | 23 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,637 – $11,161 · median $3,784 | 23 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $43,803 – $151,894 · median $45,573 | 23 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $24,520 – $125,690 · median $25,511 | 23 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $47,882 – $151,921 · median $49,817 | 23 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $26,364 – $88,055 · median $27,429 | 23 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $16,960 – $68,455 · median $17,646 | 23 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $17,427 – $63,309 · median $18,132 | 23 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,623 – $29,529 · median $10,012 | 23 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,854 – $20,131 · median $6,091 | 23 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $40,570 – $177,727 · median $42,209 | 23 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $17,021 – $76,730 · median $17,708 | 23 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $19,156 – $73,547 · median $19,930 | 23 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,118 – $35,116 · median $9,487 | 23 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,434 – $23,340 · median $6,694 | 23 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,250 – $35,965 · median $9,623 | 23 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $30,496 – $104,658 · median $31,728 | 23 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,706 – $50,631 · median $16,340 | 23 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,701 – $32,839 · median $11,134 | 23 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $22,470 – $68,951 · median $23,377 | 23 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,008 – $33,779 · median $11,453 | 23 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,412 – $24,109 · median $7,712 | 23 plans |
| 795 | NORMAL NEWBORN | $1,282 – $3,978 · median $1,327 | 22 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $39,685 – $121,779 · median $40,888 | 20 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $25,096 – $77,012 · median $25,857 | 20 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $67,199 – $206,208 · median $69,235 | 20 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $45,563 – $139,817 · median $46,944 | 20 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $35,308 – $108,348 · median $36,378 | 20 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $53,504 – $164,185 · median $55,126 | 20 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $35,093 – $107,687 · median $36,156 | 20 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $43,010 – $131,982 · median $44,313 | 20 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $26,195 – $80,384 · median $26,989 | 20 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $33,037 – $111,244 · median $34,039 | 20 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $19,796 – $64,988 · median $20,396 | 20 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $59,093 – $181,336 · median $60,884 | 20 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $11,564 – $29,599 · median $11,914 | 19 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $38,135 – $165,368 · median $39,291 | 19 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $26,044 – $63,959 · median $26,833 | 19 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $13,134 – $38,591 · median $15,873 | 19 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $17,165 – $65,699 · median $27,024 | 19 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $4,562 – $23,254 · median $9,565 | 19 plans |
No procedures match that keyword.