Penn State Health Milton S. Hershey Medical Center — 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 |
|---|---|---|---|
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $55,756 – $149,704 · median $58,290 | 24 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $43,433 – $115,721 · median $45,407 | 24 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $30,154 – $79,100 · median $31,525 | 24 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $26,582 – $69,249 · median $27,790 | 24 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $61,272 – $164,916 · median $64,057 | 24 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $35,427 – $93,642 · median $37,037 | 24 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $23,320 – $60,254 · median $24,380 | 24 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $18,022 – $45,643 · median $18,842 | 24 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $39,996 – $124,940 · median $41,814 | 24 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $25,264 – $65,614 · median $26,413 | 24 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $20,808 – $53,326 · median $21,754 | 24 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $34,238 – $90,362 · median $35,794 | 24 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $17,621 – $48,561 · median $18,422 | 24 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $13,171 – $32,342 · median $13,770 | 24 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $18,667 – $47,422 · median $19,516 | 24 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $19,499 – $60,638 · median $20,386 | 24 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $11,218 – $31,705 · median $11,727 | 24 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $24,593 – $63,764 · median $25,711 | 24 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $14,367 – $35,562 · median $15,020 | 24 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $18,486 – $52,417 · median $19,326 | 24 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $13,822 – $34,060 · median $14,451 | 24 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $10,626 – $25,247 · median $11,109 | 24 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $28,913 – $75,677 · median $30,227 | 24 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $18,961 – $54,902 · median $19,823 | 24 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $15,444 – $51,461 · median $16,146 | 24 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $16,090 – $45,534 · median $16,821 | 24 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $10,075 – $24,217 · median $10,533 | 24 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $9,422 – $21,925 · median $9,850 | 24 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $18,041 – $49,644 · median $18,861 | 24 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $11,683 – $28,162 · median $12,214 | 24 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $8,998 – $21,094 · median $9,407 | 24 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $17,439 – $44,035 · median $18,232 | 24 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $11,731 – $28,293 · median $12,264 | 24 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $20,556 – $52,632 · median $21,491 | 24 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $9,685 – $22,650 · median $10,125 | 24 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $19,486 – $66,469 · median $20,372 | 24 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $10,386 – $24,582 · median $10,858 | 24 plans |
| 088 | CONCUSSION WITH MCC | $14,926 – $41,009 · median $15,604 | 24 plans |
| 089 | CONCUSSION WITH CC | $12,406 – $30,154 · median $12,970 | 24 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $9,665 – $22,595 · median $10,104 | 24 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $36,500 – $96,600 · median $38,159 | 24 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $27,142 – $70,794 · median $28,376 | 24 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $27,142 – $70,794 · median $28,376 | 24 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $37,420 – $99,137 · median $39,121 | 24 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $24,313 – $62,990 · median $25,418 | 24 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $15,032 – $37,395 · median $15,715 | 24 plans |
| 102 | HEADACHES WITH MCC | $12,628 – $30,766 · median $13,202 | 24 plans |
| 103 | HEADACHES WITHOUT MCC | $9,795 – $22,955 · median $10,241 | 24 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $24,872 – $74,435 · median $26,003 | 24 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $14,938 – $40,213 · median $15,617 | 24 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $16,748 – $48,497 · median $17,510 | 24 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $19,468 – $57,547 · median $20,352 | 24 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $12,270 – $35,051 · median $12,827 | 24 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $13,050 – $33,808 · median $13,643 | 24 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $9,293 – $21,569 · median $9,715 | 24 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $9,420 – $22,783 · median $9,848 | 24 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $14,640 – $42,857 · median $15,306 | 24 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $9,114 – $21,075 · median $9,528 | 24 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $23,070 – $78,513 · median $24,118 | 24 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $11,577 – $34,605 · median $12,103 | 24 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $16,333 – $40,985 · median $17,076 | 24 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $10,292 – $24,324 · median $10,760 | 24 plans |
| 139 | SALIVARY GLAND PROCEDURES | $13,771 – $39,894 · median $14,396 | 24 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $43,924 – $127,457 · median $45,920 | 24 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $23,180 – $59,867 · median $24,234 | 24 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $17,361 – $50,122 · median $18,150 | 24 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $38,761 – $102,837 · median $40,523 | 24 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $18,719 – $47,565 · median $19,570 | 24 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $13,438 – $33,001 · median $14,049 | 24 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $22,546 – $67,425 · median $23,571 | 24 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $14,127 – $38,715 · median $14,769 | 24 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $9,405 – $26,543 · median $9,833 | 24 plans |
| 149 | DYSEQUILIBRIUM | $8,952 – $20,630 · median $9,359 | 24 plans |
| 150 | EPISTAXIS WITH MCC | $14,724 – $42,889 · median $15,393 | 24 plans |
| 151 | EPISTAXIS WITHOUT MCC | $8,777 – $20,147 · median $9,176 | 24 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $17,033 – $48,848 · median $17,807 | 24 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $10,594 – $25,156 · median $11,075 | 24 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $8,350 – $18,969 · median $8,730 | 24 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $18,559 – $47,123 · median $19,402 | 24 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $10,527 – $24,972 · median $11,005 | 24 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $8,523 – $19,447 · median $8,911 | 24 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $19,421 – $49,500 · median $20,304 | 24 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $15,071 – $37,505 · median $15,756 | 24 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $15,143 – $37,703 · median $15,831 | 24 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $9,484 – $22,096 · median $9,915 | 24 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $17,025 – $42,893 · median $17,799 | 24 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $11,186 – $26,915 · median $11,694 | 24 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $8,986 – $20,723 · median $9,395 | 24 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $19,049 – $48,473 · median $19,914 | 24 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $12,131 – $29,397 · median $12,683 | 24 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $8,974 – $25,141 · median $9,382 | 24 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $16,699 – $41,993 · median $17,458 | 24 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $12,063 – $29,207 · median $12,611 | 24 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $9,300 – $21,588 · median $9,722 | 24 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $16,983 – $42,778 · median $17,755 | 24 plans |
| 187 | PLEURAL EFFUSION WITH CC | $11,316 – $27,149 · median $11,830 | 24 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $8,610 – $19,686 · median $9,001 | 24 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $12,497 – $30,404 · median $13,065 | 24 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $9,862 – $23,139 · median $10,310 | 24 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $7,861 – $17,622 · median $8,219 | 24 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $14,554 – $36,078 · median $15,215 | 24 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $9,493 – $22,120 · median $9,924 | 24 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $7,727 – $17,251 · median $8,078 | 24 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $20,255 – $51,800 · median $21,176 | 24 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $10,918 – $26,161 · median $11,414 | 24 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $8,600 – $20,106 · median $8,991 | 24 plans |
| 199 | PNEUMOTHORAX WITH MCC | $19,030 – $48,421 · median $19,895 | 24 plans |
| 200 | PNEUMOTHORAX WITH CC | $12,413 – $30,174 · median $12,977 | 24 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $8,589 – $19,628 · median $8,979 | 24 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $9,508 – $22,162 · median $9,940 | 24 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $19,695 – $50,257 · median $20,591 | 24 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $10,838 – $25,831 · median $11,331 | 24 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $109,701 – $344,198 · median $114,687 | 24 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $100,573 – $273,300 · median $105,144 | 24 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $98,839 – $268,518 · median $103,332 | 24 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $66,915 – $180,479 · median $69,957 | 24 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $66,915 – $180,479 · median $69,957 | 24 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $77,893 – $210,754 · median $81,434 | 24 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $54,549 – $146,375 · median $57,028 | 24 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $51,636 – $138,343 · median $53,983 | 24 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $85,374 – $231,384 · median $89,254 | 24 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $61,812 – $166,406 · median $64,622 | 24 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $77,564 – $209,845 · median $81,089 | 24 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $55,841 – $149,940 · median $58,380 | 24 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $50,457 – $135,091 · median $52,750 | 24 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $29,842 – $78,241 · median $31,199 | 24 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $15,251 – $47,350 · median $15,944 | 24 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $33,249 – $87,636 · median $34,761 | 24 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $22,680 – $62,103 · median $23,711 | 24 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $19,462 – $54,297 · median $20,346 | 24 plans |
| 245 | AICD GENERATOR PROCEDURES | $46,881 – $153,426 · median $49,012 | 24 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $23,194 – $59,905 · median $24,248 | 24 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $16,346 – $47,127 · median $17,089 | 24 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $36,190 – $95,747 · median $37,835 | 24 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $27,305 – $71,244 · median $28,547 | 24 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $19,205 – $48,904 · median $20,078 | 24 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $28,319 – $74,038 · median $29,606 | 24 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $18,371 – $46,604 · median $19,206 | 24 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $12,342 – $29,979 · median $12,903 | 24 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $32,745 – $90,558 · median $34,233 | 24 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $21,597 – $60,733 · median $22,579 | 24 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $33,847 – $92,215 · median $35,385 | 24 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $20,288 – $51,890 · median $21,210 | 24 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $17,694 – $44,738 · median $18,498 | 24 plans |
| 263 | VEIN LIGATION AND STRIPPING | $31,902 – $85,587 · median $33,352 | 24 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $34,720 – $91,693 · median $36,299 | 24 plans |
| 265 | AICD LEAD PROCEDURES | $37,483 – $110,665 · median $39,187 | 24 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $62,467 – $168,212 · median $65,306 | 24 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $48,855 – $130,674 · median $51,076 | 24 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $69,927 – $188,785 · median $73,105 | 24 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $43,505 – $115,918 · median $45,482 | 24 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $36,867 – $97,613 · median $38,543 | 24 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $26,881 – $70,075 · median $28,103 | 24 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $42,532 – $116,846 · median $44,466 | 24 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $34,234 – $90,351 · median $35,790 | 24 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $72,440 – $197,303 · median $75,733 | 24 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $61,255 – $170,028 · median $64,039 | 24 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $47,439 – $131,217 · median $49,596 | 24 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $56,872 – $152,781 · median $59,457 | 24 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $37,366 – $102,029 · median $39,064 | 24 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $10,619 – $25,227 · median $11,102 | 24 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $8,669 – $21,731 · median $9,063 | 24 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $21,186 – $54,369 · median $22,149 | 24 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $8,361 – $23,516 · median $8,741 | 24 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $7,432 – $16,601 · median $7,770 | 24 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $12,122 – $29,372 · median $12,673 | 24 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $28,406 – $74,280 · median $29,697 | 24 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $18,460 – $46,851 · median $19,299 | 24 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $10,725 – $32,151 · median $11,212 | 24 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $14,249 – $35,238 · median $14,897 | 24 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $9,922 – $23,303 · median $10,373 | 24 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $7,105 – $16,474 · median $7,428 | 24 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $17,017 – $47,382 · median $17,791 | 24 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $7,782 – $22,305 · median $8,136 | 24 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $6,001 – $14,626 · median $6,274 | 24 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $17,722 – $44,814 · median $18,527 | 24 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $12,096 – $29,301 · median $12,646 | 24 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $8,635 – $19,754 · median $9,027 | 24 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $13,381 – $36,580 · median $13,990 | 24 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $8,172 – $18,478 · median $8,543 | 24 plans |
| 304 | HYPERTENSION WITH MCC | $13,316 – $32,663 · median $13,921 | 24 plans |
| 305 | HYPERTENSION WITHOUT MCC | $8,987 – $20,726 · median $9,396 | 24 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $17,155 – $46,108 · median $17,935 | 24 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $10,561 – $28,423 · median $11,041 | 24 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $13,455 – $33,047 · median $14,067 | 24 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $8,794 – $20,193 · median $9,194 | 24 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $7,106 – $15,538 · median $7,429 | 24 plans |
| 311 | ANGINA PECTORIS | $8,458 – $19,266 · median $8,842 | 24 plans |
| 312 | SYNCOPE AND COLLAPSE | $10,147 – $23,924 · median $10,608 | 24 plans |
| 313 | CHEST PAIN | $8,638 – $19,763 · median $9,030 | 24 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $22,226 – $57,235 · median $23,236 | 24 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $11,059 – $26,441 · median $11,562 | 24 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,261 – $21,062 · median $8,636 | 24 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $45,891 – $138,323 · median $47,976 | 24 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $25,411 – $74,148 · median $26,566 | 24 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $28,552 – $78,609 · median $29,849 | 24 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $19,019 – $58,312 · median $19,883 | 24 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $44,542 – $124,398 · median $46,567 | 24 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $32,833 – $96,357 · median $34,326 | 24 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $33,425 – $88,119 · median $34,944 | 24 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $51,111 – $136,894 · median $53,434 | 24 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $25,799 – $67,088 · median $26,971 | 24 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $17,419 – $43,980 · median $18,211 | 24 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $47,220 – $126,165 · median $49,367 | 24 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $25,331 – $65,798 · median $26,482 | 24 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $18,221 – $46,192 · median $19,050 | 24 plans |
| 332 | RECTAL RESECTION WITH MCC | $37,508 – $119,778 · median $39,213 | 24 plans |
| 333 | RECTAL RESECTION WITH CC | $24,783 – $66,947 · median $25,910 | 24 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $17,774 – $44,957 · median $18,581 | 24 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $37,013 – $98,014 · median $38,695 | 24 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $22,459 – $57,880 · median $23,480 | 24 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $16,749 – $42,133 · median $17,511 | 24 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $27,178 – $86,830 · median $28,413 | 24 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $16,448 – $41,301 · median $17,195 | 24 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,278 – $32,559 · median $13,881 | 24 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $24,320 – $79,342 · median $25,425 | 24 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $14,498 – $35,924 · median $15,157 | 24 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $10,137 – $23,896 · median $10,597 | 24 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $26,273 – $76,697 · median $27,468 | 24 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $16,645 – $45,725 · median $17,402 | 24 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $13,095 – $32,054 · median $13,690 | 24 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $30,355 – $79,654 · median $31,735 | 24 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $18,216 – $46,179 · median $19,045 | 24 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $14,858 – $36,918 · median $15,534 | 24 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $17,316 – $43,694 · median $18,103 | 24 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $11,427 – $27,453 · median $11,946 | 24 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $8,447 – $21,923 · median $8,831 | 24 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $22,758 – $58,703 · median $23,792 | 24 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $13,511 – $33,201 · median $14,125 | 24 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $10,671 – $25,370 · median $11,156 | 24 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $19,666 – $50,175 · median $20,560 | 24 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $11,233 – $26,918 · median $11,743 | 24 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $7,746 – $17,303 · median $8,098 | 24 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $21,001 – $53,858 · median $21,956 | 24 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $12,256 – $29,740 · median $12,813 | 24 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $9,440 – $21,975 · median $9,869 | 24 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $15,214 – $42,794 · median $15,905 | 24 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $9,979 – $23,463 · median $10,433 | 24 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $17,220 – $43,431 · median $18,003 | 24 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $11,189 – $26,797 · median $11,697 | 24 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $8,253 – $18,700 · median $8,628 | 24 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $16,170 – $40,535 · median $16,905 | 24 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $9,333 – $21,678 · median $9,757 | 24 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $6,886 – $14,932 · median $7,199 | 24 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $14,095 – $34,812 · median $14,736 | 24 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $9,231 – $21,398 · median $9,651 | 24 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $41,487 – $110,355 · median $43,373 | 24 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $30,337 – $79,605 · median $31,716 | 24 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $23,563 – $60,924 · median $24,634 | 24 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $36,960 – $108,402 · median $38,640 | 24 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $23,142 – $59,763 · median $24,194 | 24 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $17,274 – $46,872 · median $18,059 | 24 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $34,349 – $100,818 · median $35,910 | 24 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $22,398 – $69,145 · median $23,416 | 24 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $17,999 – $51,206 · median $18,817 | 24 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $36,930 – $98,843 · median $38,609 | 24 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $22,041 – $56,727 · median $23,043 | 24 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $15,041 – $37,420 · median $15,724 | 24 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $25,223 – $65,502 · median $26,370 | 24 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $18,308 – $46,431 · median $19,140 | 24 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $15,065 – $37,488 · median $15,750 | 24 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $35,382 – $106,490 · median $36,991 | 24 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $18,765 – $53,532 · median $19,618 | 24 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $15,401 – $45,375 · median $16,101 | 24 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $42,806 – $113,992 · median $44,752 | 24 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $23,248 – $67,712 · median $24,304 | 24 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $16,404 – $49,167 · median $17,150 | 24 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $111,165 – $302,510 · median $115,341 | 24 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $73,318 – $198,136 · median $76,650 | 24 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $57,427 – $154,313 · median $60,037 | 24 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $91,143 – $265,748 · median $95,286 | 24 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $58,871 – $158,295 · median $61,547 | 24 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $21,061 – $54,023 · median $22,018 | 24 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $11,984 – $28,991 · median $12,529 | 24 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,563 – $21,477 · median $8,952 | 24 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $19,752 – $50,414 · median $20,650 | 24 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $12,729 – $31,046 · median $13,308 | 24 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $9,965 – $25,300 · median $10,417 | 24 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $9,844 – $23,089 · median $10,292 | 24 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,656 – $17,056 · median $8,004 | 24 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $19,334 – $49,261 · median $20,213 | 24 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $11,079 – $26,496 · median $11,583 | 24 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,436 – $20,457 · median $8,819 | 24 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $43,680 – $116,401 · median $45,665 | 24 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $33,624 – $88,668 · median $35,152 | 24 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $56,442 – $203,549 · median $59,007 | 24 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $27,946 – $73,012 · median $29,217 | 24 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $58,198 – $156,440 · median $60,844 | 24 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $32,472 – $85,492 · median $33,948 | 24 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $19,623 – $50,057 · median $20,515 | 24 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $53,281 – $142,878 · median $55,702 | 24 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $36,572 – $96,798 · median $38,234 | 24 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $28,822 – $75,427 · median $30,132 | 24 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $31,661 – $83,255 · median $33,100 | 24 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $20,670 – $52,944 · median $21,609 | 24 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $30,794 – $80,865 · median $32,194 | 24 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $25,770 – $67,009 · median $26,941 | 24 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $44,199 – $117,832 · median $46,208 | 24 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $24,122 – $62,463 · median $25,218 | 24 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,218 – $37,568 · median $13,819 | 24 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $35,855 – $94,822 · median $37,485 | 24 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $25,948 – $67,500 · median $27,127 | 24 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $19,973 – $51,023 · median $20,881 | 24 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $30,458 – $81,222 · median $31,842 | 24 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $22,318 – $57,490 · median $23,333 | 24 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $17,705 – $44,768 · median $18,510 | 24 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $29,060 – $76,083 · median $30,381 | 24 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $33,591 – $104,610 · median $35,118 | 24 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $22,284 – $57,397 · median $23,297 | 24 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $17,060 – $42,989 · median $17,835 | 24 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $19,077 – $59,013 · median $19,945 | 24 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,587 – $34,987 · median $13,159 | 24 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $38,015 – $100,778 · median $39,743 | 24 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $26,713 – $69,611 · median $27,928 | 24 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $21,442 – $55,074 · median $22,417 | 24 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $37,558 – $113,947 · median $39,265 | 24 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $19,426 – $49,513 · median $20,309 | 24 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $13,498 – $33,744 · median $14,111 | 24 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $31,498 – $82,805 · median $32,929 | 24 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $21,525 – $55,302 · median $22,286 | 24 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $32,971 – $86,867 · median $34,469 | 24 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $18,870 – $47,982 · median $19,728 | 24 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $14,867 – $36,942 · median $15,543 | 24 plans |
| 503 | FOOT PROCEDURES WITH MCC | $29,251 – $76,857 · median $30,581 | 24 plans |
| 504 | FOOT PROCEDURES WITH CC | $20,076 – $51,306 · median $20,988 | 24 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $19,315 – $49,209 · median $20,193 | 24 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $14,900 – $46,362 · median $15,577 | 24 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $19,451 – $64,206 · median $20,335 | 24 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $16,544 – $44,737 · median $17,296 | 24 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $31,534 – $88,838 · median $32,968 | 24 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $22,168 – $57,075 · median $23,175 | 24 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $17,948 – $45,437 · median $18,764 | 24 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $17,141 – $43,211 · median $17,920 | 24 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $11,647 – $28,060 · median $12,176 | 24 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $33,191 – $87,474 · median $34,699 | 24 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $22,155 – $57,040 · median $23,162 | 24 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $16,766 – $42,179 · median $17,528 | 24 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $38,669 – $102,581 · median $40,426 | 24 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $21,380 – $54,901 · median $22,351 | 24 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $16,340 – $41,005 · median $17,083 | 24 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $30,039 – $85,141 · median $31,404 | 24 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $22,549 – $58,127 · median $23,574 | 24 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $17,075 – $48,689 · median $17,851 | 24 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $9,495 – $22,592 · median $9,926 | 24 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $14,231 – $36,739 · median $14,878 | 24 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $9,510 – $22,167 · median $9,942 | 24 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $10,970 – $30,398 · median $11,468 | 24 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $8,641 – $22,305 · median $9,034 | 24 plans |
| 539 | OSTEOMYELITIS WITH MCC | $21,076 – $54,064 · median $22,034 | 24 plans |
| 540 | OSTEOMYELITIS WITH CC | $14,374 – $35,581 · median $15,027 | 24 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $9,309 – $21,613 · median $9,732 | 24 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $19,054 – $48,487 · median $19,920 | 24 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $11,703 – $30,430 · median $12,235 | 24 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $8,982 – $24,472 · median $9,390 | 24 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $26,172 – $76,124 · median $27,361 | 24 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $12,951 – $31,659 · median $13,540 | 24 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,794 – $26,001 · median $10,240 | 24 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $20,690 – $60,893 · median $21,630 | 24 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $13,487 – $33,135 · median $14,100 | 24 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $10,172 – $24,504 · median $10,634 | 24 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $18,154 – $46,006 · median $18,979 | 24 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $11,039 – $26,386 · median $11,541 | 24 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $14,374 – $42,093 · median $15,027 | 24 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $9,734 – $22,785 · median $10,176 | 24 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,627 – $43,495 · median $15,292 | 24 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $9,739 – $22,798 · median $10,181 | 24 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $16,271 – $40,812 · median $17,010 | 24 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $10,327 – $24,517 · median $10,728 | 24 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $20,033 – $51,188 · median $20,943 | 24 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $12,680 – $30,909 · median $13,256 | 24 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $9,473 – $22,065 · median $9,903 | 24 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $15,653 – $39,108 · median $16,364 | 24 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $10,385 – $24,580 · median $10,857 | 24 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $16,835 – $45,725 · median $17,600 | 24 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $11,170 – $26,745 · median $11,678 | 24 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $8,929 – $20,616 · median $9,335 | 24 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $30,744 – $80,727 · median $32,142 | 24 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $18,287 – $46,373 · median $19,118 | 24 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $12,881 – $31,464 · median $13,466 | 24 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $66,677 – $186,597 · median $69,708 | 24 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $36,022 – $103,718 · median $37,660 | 24 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $19,357 – $59,937 · median $20,237 | 24 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $50,253 – $174,393 · median $52,537 | 24 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $27,854 – $74,244 · median $29,120 | 24 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $17,460 – $51,811 · median $18,254 | 24 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $33,704 – $88,890 · median $35,236 | 24 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $18,670 – $47,430 · median $19,519 | 24 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $15,835 – $39,610 · median $16,555 | 24 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $20,647 – $66,979 · median $21,585 | 24 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $18,634 – $60,478 · median $19,482 | 24 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $22,778 – $72,969 · median $23,813 | 24 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $20,672 – $63,633 · median $21,611 | 24 plans |
| 592 | SKIN ULCERS WITH MCC | $20,734 – $53,120 · median $21,676 | 24 plans |
| 593 | SKIN ULCERS WITH CC | $13,279 – $32,562 · median $13,882 | 24 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $10,099 – $23,792 · median $10,456 | 24 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $22,579 – $67,712 · median $23,605 | 24 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $12,246 – $29,712 · median $12,802 | 24 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $18,064 – $52,608 · median $18,885 | 24 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $12,731 – $31,052 · median $13,310 | 24 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $9,129 – $23,452 · median $9,544 | 24 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $11,839 – $28,590 · median $12,377 | 24 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,493 – $16,606 · median $7,834 | 24 plans |
| 602 | CELLULITIS WITH MCC | $15,618 – $39,012 · median $16,328 | 24 plans |
| 603 | CELLULITIS WITHOUT MCC | $10,140 – $23,904 · median $10,601 | 24 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $16,123 – $46,649 · median $16,856 | 24 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $10,589 – $25,142 · median $11,070 | 24 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $16,532 – $45,407 · median $17,284 | 24 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $10,493 – $24,879 · median $10,970 | 24 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $23,286 – $60,161 · median $24,345 | 24 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $15,399 – $43,654 · median $16,099 | 24 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $36,181 – $95,722 · median $37,826 | 24 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $20,087 – $51,336 · median $21,000 | 24 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $15,588 – $38,930 · median $16,261 | 24 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $30,210 – $79,253 · median $31,583 | 24 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $17,399 – $43,925 · median $18,190 | 24 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $16,485 – $41,403 · median $17,234 | 24 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $36,896 – $97,693 · median $38,573 | 24 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $19,326 – $49,239 · median $20,205 | 24 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $13,932 – $34,362 · median $14,565 | 24 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $31,530 – $91,896 · median $32,964 | 24 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $16,395 – $42,029 · median $17,140 | 24 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $14,692 – $36,459 · median $15,360 | 24 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $38,564 – $102,293 · median $40,317 | 24 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $23,157 – $59,804 · median $24,210 | 24 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $15,998 – $40,060 · median $16,725 | 24 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $15,626 – $39,034 · median $16,336 | 24 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $17,855 – $45,182 · median $18,667 | 24 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $11,673 – $28,134 · median $12,204 | 24 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $9,119 – $21,088 · median $9,533 | 24 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $53,191 – $174,552 · median $55,609 | 24 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $29,333 – $76,835 · median $30,666 | 24 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $22,538 – $58,096 · median $23,562 | 24 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $33,160 – $87,389 · median $34,667 | 24 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $19,686 – $50,230 · median $20,580 | 24 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $16,917 – $42,594 · median $17,686 | 24 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $26,761 – $69,743 · median $27,977 | 24 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $14,626 – $36,278 · median $15,291 | 24 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $11,777 – $28,420 · median $12,312 | 24 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $31,943 – $96,612 · median $33,394 | 24 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $16,602 – $48,242 · median $17,357 | 24 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $11,891 – $35,083 · median $12,432 | 24 plans |
| 665 | PROSTATECTOMY WITH MCC | $32,537 – $100,755 · median $34,016 | 24 plans |
| 666 | PROSTATECTOMY WITH CC | $18,882 – $54,360 · median $19,741 | 24 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $12,482 – $32,565 · median $13,049 | 24 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $30,534 – $80,148 · median $31,922 | 24 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $16,919 – $42,599 · median $17,688 | 24 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $11,199 – $26,825 · median $11,708 | 24 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $19,337 – $55,699 · median $20,216 | 24 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $12,216 – $32,852 · median $12,771 | 24 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $43,290 – $115,326 · median $45,258 | 24 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $24,748 – $64,190 · median $25,872 | 24 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $17,808 – $47,478 · median $18,618 | 24 plans |
| 682 | RENAL FAILURE WITH MCC | $16,212 – $40,650 · median $16,949 | 24 plans |
| 683 | RENAL FAILURE WITH CC | $10,188 – $24,039 · median $10,652 | 24 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $7,446 – $16,477 · median $7,785 | 24 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $19,424 – $49,508 · median $20,307 | 24 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $11,900 – $28,760 · median $12,441 | 24 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $9,337 – $21,692 · median $9,762 | 24 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $13,020 – $31,848 · median $13,612 | 24 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $9,529 – $22,219 · median $9,962 | 24 plans |
| 693 | URINARY STONES WITH MCC | $14,853 – $44,960 · median $15,529 | 24 plans |
| 694 | URINARY STONES WITHOUT MCC | $9,252 – $21,456 · median $9,672 | 24 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $12,856 – $36,994 · median $13,440 | 24 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $8,329 – $18,912 · median $8,708 | 24 plans |
| 697 | URETHRAL STRICTURE | $12,199 – $33,139 · median $12,753 | 24 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $17,938 – $45,410 · median $18,753 | 24 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $11,574 – $27,860 · median $12,100 | 24 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $8,338 – $19,947 · median $8,717 | 24 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $21,381 – $54,904 · median $22,352 | 24 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $16,741 – $42,985 · median $17,502 | 24 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $24,633 – $72,013 · median $25,753 | 24 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $15,418 – $45,598 · median $16,119 | 24 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $22,212 – $65,545 · median $23,221 | 24 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $12,417 – $36,453 · median $12,981 | 24 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $16,435 – $41,265 · median $17,182 | 24 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $11,996 – $29,024 · median $12,541 | 24 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $23,739 – $70,006 · median $24,818 | 24 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $16,112 – $44,005 · median $16,845 | 24 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $20,288 – $51,890 · median $21,210 | 24 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $14,839 – $36,865 · median $15,514 | 24 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $19,483 – $56,591 · median $20,369 | 24 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $12,845 – $35,688 · median $13,429 | 24 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,998 – $23,962 · median $8,361 | 24 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $13,119 – $40,021 · median $13,715 | 24 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $8,658 – $23,739 · median $9,051 | 24 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $16,231 – $48,147 · median $16,969 | 24 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $9,546 – $22,266 · median $9,979 | 24 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $12,009 – $33,330 · median $12,555 | 24 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,160 – $19,692 · median $8,531 | 24 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $22,671 – $58,464 · median $23,702 | 24 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $14,863 – $37,887 · median $15,539 | 24 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $37,048 – $128,445 · median $38,732 | 24 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $21,981 – $56,559 · median $22,980 | 24 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $16,088 – $40,307 · median $16,819 | 24 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $37,131 – $120,829 · median $38,819 | 24 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $19,482 – $49,670 · median $20,368 | 24 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $15,666 – $39,144 · median $16,378 | 24 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $19,733 – $50,362 · median $20,630 | 24 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $13,820 – $34,055 · median $14,448 | 24 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $21,866 – $56,244 · median $22,739 | 24 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $12,793 – $31,222 · median $13,375 | 24 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $18,761 – $47,680 · median $19,614 | 24 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $10,028 – $23,597 · median $10,484 | 24 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $15,279 – $42,953 · median $15,974 | 24 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $27,027 – $70,475 · median $28,255 | 24 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $16,160 – $43,463 · median $16,895 | 24 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $19,802 – $50,551 · median $20,702 | 24 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $12,298 – $29,858 · median $12,857 | 24 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $11,031 – $26,364 · median $11,533 | 24 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $15,723 – $46,299 · median $16,438 | 24 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $11,216 – $26,872 · median $11,725 | 24 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,076 – $18,214 · median $8,444 | 24 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $11,499 – $27,654 · median $12,022 | 24 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $7,150 – $15,659 · median $7,475 | 24 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $11,732 – $29,413 · median $12,566 | 24 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $18,290 – $46,382 · median $19,121 | 24 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $11,451 – $27,522 · median $11,972 | 24 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $7,673 – $17,970 · median $8,270 | 24 plans |
| 779 | ABORTION WITHOUT D&C | $8,186 – $23,599 · median $10,143 | 24 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $18,535 – $67,388 · median $26,586 | 24 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $12,023 – $29,098 · median $12,569 | 24 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $11,005 – $26,290 · median $11,505 | 24 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $17,889 – $45,275 · median $18,521 | 24 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $12,587 – $30,654 · median $13,159 | 24 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $11,015 – $26,317 · median $11,515 | 24 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $13,087 – $37,281 · median $13,682 | 24 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $11,429 – $27,459 · median $11,948 | 24 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $10,998 – $26,270 · median $11,498 | 24 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $46,547 – $124,309 · median $48,663 | 24 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $29,433 – $77,112 · median $30,771 | 24 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $20,471 – $52,395 · median $21,401 | 24 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $41,125 – $113,755 · median $42,994 | 24 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $19,973 – $51,023 · median $20,881 | 24 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $14,968 – $37,219 · median $15,648 | 24 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $11,442 – $29,622 · median $12,563 | 24 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $8,976 – $20,696 · median $9,384 | 24 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $8,182 – $18,505 · median $8,554 | 24 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $23,447 – $60,602 · median $24,512 | 24 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $14,071 – $34,746 · median $14,711 | 24 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $11,888 – $28,727 · median $12,429 | 24 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $15,449 – $38,545 · median $16,151 | 24 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $10,610 – $25,203 · median $11,093 | 24 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $22,639 – $58,374 · median $23,668 | 24 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $11,564 – $27,832 · median $12,090 | 24 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $7,762 – $17,908 · median $8,115 | 24 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $24,180 – $62,625 · median $25,279 | 24 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $13,009 – $31,818 · median $13,600 | 24 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,030 – $23,603 · median $10,486 | 24 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $59,844 – $160,977 · median $62,564 | 24 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $23,752 – $66,309 · median $24,832 | 24 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,455 – $37,823 · median $14,067 | 24 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $47,104 – $125,844 · median $49,245 | 24 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $24,021 – $63,856 · median $25,113 | 24 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $14,902 – $38,843 · median $15,580 | 24 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $48,029 – $153,936 · median $50,213 | 24 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $24,475 – $66,787 · median $25,587 | 24 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $18,429 – $46,766 · median $19,267 | 24 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $32,923 – $86,736 · median $34,419 | 24 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $16,451 – $43,495 · median $17,199 | 24 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $13,440 – $33,006 · median $13,917 | 24 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $8,654 – $19,806 · median $9,018 | 24 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $6,424 – $14,353 · median $6,912 | 24 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $49,288 – $131,868 · median $51,529 | 24 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $22,247 – $57,295 · median $23,259 | 24 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $15,843 – $39,632 · median $16,563 | 24 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $21,326 – $56,463 · median $22,295 | 24 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $13,588 – $33,415 · median $14,206 | 24 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $9,948 – $27,180 · median $10,400 | 24 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $27,275 – $71,159 · median $28,514 | 24 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $14,492 – $35,907 · median $15,151 | 24 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,926 – $23,314 · median $10,377 | 24 plans |
| 849 | RADIOTHERAPY | $28,439 – $81,572 · median $29,732 | 24 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $16,373 – $41,095 · median $17,117 | 24 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $22,786 – $58,780 · median $23,822 | 24 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $15,335 – $38,232 · median $16,032 | 24 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $19,623 – $50,057 · median $20,515 | 24 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $11,404 – $27,390 · median $11,922 | 24 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $10,307 – $24,366 · median $10,775 | 24 plans |
| 865 | VIRAL ILLNESS WITH MCC | $16,384 – $41,125 · median $17,129 | 24 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $22,305 – $57,454 · median $23,319 | 24 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $11,734 – $28,302 · median $12,268 | 24 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $8,734 – $20,029 · median $9,131 | 24 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $39,939 – $114,871 · median $41,754 | 24 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $11,028 – $26,356 · median $11,530 | 24 plans |
| 881 | DEPRESSIVE NEUROSES | $8,164 – $25,826 · median $11,165 | 24 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,985 – $29,474 · median $12,466 | 24 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $21,042 – $53,971 · median $21,999 | 24 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $13,963 – $44,161 · median $18,015 | 24 plans |
| 885 | PSYCHOSES | $11,978 – $38,339 · median $15,840 | 24 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $22,127 – $56,963 · median $22,909 | 24 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $12,130 – $32,884 · median $12,682 | 24 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $7,606 – $16,933 · median $7,881 | 24 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $15,561 – $47,605 · median $16,268 | 24 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $18,841 – $47,900 · median $19,697 | 24 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $10,258 – $24,231 · median $10,724 | 24 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $43,240 – $115,188 · median $45,206 | 24 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $20,527 – $52,549 · median $21,460 | 24 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $13,113 – $32,103 · median $13,709 | 24 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $38,030 – $100,819 · median $39,758 | 24 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $16,236 – $51,206 · median $16,974 | 24 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $21,022 – $53,916 · median $21,978 | 24 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $39,684 – $105,381 · median $41,488 | 24 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $21,330 – $54,764 · median $22,299 | 24 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $14,537 – $36,031 · median $15,198 | 24 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $17,741 – $49,294 · median $18,547 | 24 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $10,285 – $24,305 · median $10,753 | 24 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $18,209 – $46,157 · median $19,036 | 24 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $8,103 – $18,289 · median $8,472 | 24 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $19,693 – $50,252 · median $20,589 | 24 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $11,448 – $27,511 · median $11,968 | 24 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $8,323 – $18,895 · median $8,702 | 24 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $18,883 – $48,018 · median $19,742 | 24 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $11,601 – $27,934 · median $12,128 | 24 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $213,971 – $691,327 · median $223,697 | 24 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $52,528 – $196,876 · median $75,055 | 24 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $25,517 – $88,405 · median $34,544 | 24 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $40,230 – $106,888 · median $41,767 | 24 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $23,474 – $64,334 · median $24,541 | 24 plans |
| 935 | NON-EXTENSIVE BURNS | $19,495 – $56,543 · median $22,641 | 24 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $37,586 – $102,571 · median $39,294 | 24 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $24,731 – $64,143 · median $25,855 | 24 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $21,653 – $55,656 · median $22,637 | 24 plans |
| 945 | REHABILITATION WITH CC/MCC | $16,885 – $47,956 · median $17,652 | 24 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $12,886 – $34,286 · median $13,471 | 24 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $14,106 – $34,842 · median $14,747 | 24 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $9,439 – $21,972 · median $9,868 | 24 plans |
| 949 | AFTERCARE WITH CC/MCC | $13,313 – $33,266 · median $13,918 | 24 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $7,719 – $20,807 · median $8,070 | 24 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $7,006 – $15,261 · median $7,324 | 24 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $68,466 – $190,612 · median $71,578 | 24 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $38,924 – $151,610 · median $40,694 | 24 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $77,312 – $209,151 · median $80,826 | 24 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $43,412 – $115,663 · median $45,386 | 24 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $30,774 – $82,751 · median $32,173 | 24 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $28,681 – $76,697 · median $29,985 | 24 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $16,726 – $42,067 · median $17,486 | 24 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $10,832 – $25,815 · median $11,325 | 24 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $62,396 – $210,527 · median $65,233 | 24 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $27,721 – $90,271 · median $28,982 | 24 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $30,196 – $81,859 · median $31,568 | 24 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $14,361 – $42,953 · median $15,013 | 24 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $10,456 – $29,028 · median $10,931 | 24 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $14,388 – $43,909 · median $15,042 | 24 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $48,169 – $128,781 · median $50,358 | 24 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $25,941 – $67,481 · median $27,120 | 24 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $18,531 – $47,046 · median $19,373 | 24 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,830 – $45,114 · median $18,641 | 24 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,407 – $32,916 · median $14,017 | 24 plans |
| 795 | NORMAL NEWBORN | $3,146 – $5,404 · median $3,530 | 23 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $280,391 – $769,200 · median $290,304 | 22 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $114,256 – $478,017 · median $118,295 | 22 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $104,091 – $283,003 · median $107,771 | 22 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $47,623 – $228,445 · median $49,307 | 22 plans |
| 007 | LUNG TRANSPLANT | $130,364 – $391,134 · median $134,973 | 22 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $57,254 – $168,955 · median $59,278 | 22 plans |
| 010 | PANCREAS TRANSPLANT | $72,891 – $196,959 · median $75,468 | 22 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $121,085 – $329,867 · median $125,365 | 22 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $60,489 – $177,570 · median $62,628 | 22 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $55,539 – $177,570 · median $57,502 | 22 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $431,266 – $1,185,281 · median $446,513 | 22 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $72,482 – $195,831 · median $75,044 | 22 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $31,096 – $84,727 · median $32,195 | 22 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $48,264 – $145,205 · median $49,971 | 22 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $38,355 – $112,258 · median $39,711 | 22 plans |
| 652 | KIDNEY TRANSPLANT | $33,615 – $130,420 · median $34,803 | 22 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $46,066 – $122,981 · median $47,462 | 21 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $22,681 – $58,492 · median $23,369 | 21 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $39,902 – $105,982 · median $41,111 | 21 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $23,355 – $60,350 · median $24,063 | 21 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $16,669 – $41,910 · median $17,174 | 21 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $11,620 – $27,986 · median $11,972 | 21 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $8,283 – $21,954 · median $8,534 | 21 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $24,220 – $62,735 · median $24,954 | 21 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $15,364 – $38,312 · median $15,830 | 21 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $10,985 – $26,235 · median $11,318 | 21 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $24,084 – $62,359 · median $24,814 | 21 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $14,437 – $35,757 · median $14,875 | 21 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $10,576 – $25,107 · median $10,896 | 21 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $9,397 – $21,891 · median $9,682 | 21 plans |
| 101 | SEIZURES WITHOUT MCC | $10,455 – $24,775 · median $10,772 | 21 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $8,788 – $20,262 · median $9,086 | 21 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $20,524 – $52,541 · median $21,145 | 21 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $38,673 – $102,592 · median $39,845 | 21 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $13,768 – $33,909 · median $14,185 | 21 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $8,140 – $18,390 · median $8,387 | 21 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $114,127 – $310,678 · median $117,585 | 21 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $32,818 – $87,149 · median $33,813 | 21 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $43,162 – $114,974 · median $44,470 | 21 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $17,437 – $44,029 · median $17,966 | 21 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $23,495 – $60,737 · median $24,207 | 21 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $25,580 – $66,485 · median $26,355 | 21 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $45,193 – $120,574 · median $46,562 | 21 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $24,617 – $63,830 · median $25,363 | 21 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $15,385 – $38,370 · median $15,851 | 21 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $35,696 – $94,383 · median $36,777 | 21 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $25,501 – $66,268 · median $26,274 | 21 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $19,119 – $48,668 · median $19,699 | 21 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $11,634 – $28,024 · median $11,986 | 21 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $8,711 – $19,966 · median $8,975 | 21 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $17,389 – $43,898 · median $17,916 | 21 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $10,785 – $25,683 · median $11,111 | 21 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,931 – $17,814 · median $8,171 | 21 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $12,865 – $31,420 · median $13,255 | 21 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $55,919 – $150,154 · median $57,614 | 21 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $17,697 – $44,746 · median $18,233 | 21 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $18,102 – $45,863 · median $18,651 | 21 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $12,364 – $30,039 · median $12,739 | 21 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $9,706 – $22,708 · median $10,000 | 21 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $43,001 – $142,784 · median $44,304 | 21 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $49,531 – $132,538 · median $51,032 | 21 plans |
| 639 | DIABETES WITHOUT CC/MCC | $7,654 – $17,051 · median $7,886 | 21 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $9,217 – $21,360 · median $9,496 | 21 plans |
| 813 | COAGULATION DISORDERS | $16,653 – $43,622 · median $17,158 | 21 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $13,609 – $51,174 · median $14,022 | 21 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $11,528 – $34,158 · median $11,877 | 21 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $10,127 – $23,869 · median $10,434 | 21 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $11,657 – $28,088 · median $12,010 | 21 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $10,002 – $23,526 · median $10,305 | 21 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $5,063 – $31,386 · median $16,406 | 20 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $58,272 – $156,643 · median $59,743 | 18 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $50,713 – $163,241 · median $51,993 | 18 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $67,973 – $180,731 · median $69,690 | 18 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $56,112 – $216,964 · median $57,529 | 18 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $22,231 – $82,974 · median $22,793 | 18 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $68,022 – $183,531 · median $69,396 | 17 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $87,659 – $237,686 · median $89,430 | 17 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $53,986 – $142,719 · median $55,077 | 16 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $25,308 – $65,735 · median $25,819 | 16 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $16,536 – $41,545 · median $16,870 | 16 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $54,517 – $144,160 · median $55,618 | 16 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $212,724 – $268,591 · median $217,022 | 15 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $139,333 – $175,926 · median $142,148 | 15 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $79,789 – $100,744 · median $81,401 | 15 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $54,160 – $68,384 · median $55,255 | 15 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $33,096 – $41,788 · median $33,765 | 15 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $58,505 – $73,870 · median $59,687 | 15 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $40,406 – $51,018 · median $41,223 | 15 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $46,725 – $58,996 · median $47,669 | 15 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $32,417 – $40,931 · median $33,072 | 15 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $21,487 – $27,130 · median $21,921 | 15 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $11,527 – $14,554 · median $11,760 | 15 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $18,951 – $23,928 · median $19,334 | 15 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $11,654 – $14,714 · median $11,889 | 15 plans |
| 100 | SEIZURES WITH MCC | $20,748 – $26,198 · median $21,168 | 15 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $13,238 – $16,715 · median $13,505 | 15 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $46,079 – $58,180 · median $47,010 | 15 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $26,593 – $33,577 · median $27,130 | 15 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $11,138 – $14,063 · median $11,363 | 15 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $65,516 – $82,722 · median $66,839 | 15 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $28,829 – $36,401 · median $29,412 | 15 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $59,881 – $75,608 · median $61,091 | 15 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $85,110 – $107,462 · median $86,829 | 15 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $60,822 – $76,795 · median $62,051 | 15 plans |
| 637 | DIABETES WITH MCC | $15,771 – $19,913 · median $16,090 | 15 plans |
| 638 | DIABETES WITH CC | $10,392 – $13,121 · median $10,601 | 15 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $14,765 – $18,642 · median $15,063 | 15 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $19,409 – $24,506 · median $19,801 | 15 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $60,627 – $76,549 · median $61,852 | 15 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $41,871 – $52,867 · median $42,716 | 15 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $25,848 – $32,637 · median $26,371 | 15 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $42,971 – $54,257 · median $43,839 | 15 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $33,668 – $42,511 · median $34,349 | 15 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $17,709 – $22,360 · median $18,067 | 15 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $50,625 – $63,921 · median $51,648 | 15 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $21,359 – $26,968 · median $21,790 | 15 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $46,744 – $59,021 · median $47,689 | 15 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $70,264 – $88,717 · median $71,684 | 15 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $20,805 – $26,269 · median $21,226 | 15 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $17,082 – $21,568 · median $17,427 | 15 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $35,594 – $44,942 · median $36,313 | 15 plans |
No procedures match that keyword.