UPMC Cole — 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 |
|---|---|---|---|
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $32,767 – $90,997 · median $45,253 | 5 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $16,259 – $27,180 · median $22,768 | 5 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $34,669 – $55,348 · median $41,783 | 5 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $19,039 – $30,247 · median $23,488 | 5 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,051 – $19,829 · median $14,682 | 5 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $31,818 – $50,550 · median $37,520 | 5 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $21,557 – $34,247 · median $25,100 | 5 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $18,092 – $26,686 · median $19,968 | 5 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $18,541 – $31,638 · median $25,140 | 5 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $13,291 – $18,732 · median $14,467 | 5 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $25,468 – $41,688 · median $32,118 | 5 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,910 – $22,251 · median $17,298 | 5 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,214 – $16,795 · median $9,963 | 5 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $21,116 – $34,758 · median $26,661 | 5 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $15,032 – $23,881 · median $18,301 | 5 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $10,886 – $18,052 · median $13,995 | 5 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $17,802 – $36,311 · median $24,848 | 5 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $12,803 – $25,470 · median $17,681 | 5 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,042 – $18,447 · median $13,424 | 5 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $14,585 – $26,918 · median $18,580 | 5 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $19,726 – $46,767 · median $27,837 | 5 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $12,782 – $20,307 · median $16,214 | 5 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,574 – $15,209 · median $11,937 | 5 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $9,313 – $26,382 · median $13,603 | 5 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $6,827 – $15,641 · median $9,706 | 5 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $20,410 – $35,655 · median $26,761 | 5 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $13,013 – $26,937 · median $20,156 | 5 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $9,121 – $19,485 · median $14,969 | 5 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $22,162 – $50,940 · median $30,607 | 5 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $11,026 – $18,989 · median $14,341 | 5 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $7,040 – $15,086 · median $9,745 | 5 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $19,345 – $30,733 · median $23,832 | 5 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $10,685 – $18,490 · median $13,861 | 5 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $7,072 – $13,832 · median $10,506 | 5 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $11,042 – $28,704 · median $15,249 | 5 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $8,231 – $20,000 · median $12,784 | 5 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $14,727 – $39,715 · median $25,498 | 5 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $9,892 – $21,182 · median $16,155 | 5 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $7,023 – $16,076 · median $12,295 | 5 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $19,480 – $35,969 · median $26,198 | 5 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $12,703 – $23,604 · median $17,145 | 5 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,393 – $14,972 · median $11,658 | 5 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $17,544 – $38,063 · median $26,085 | 5 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $12,945 – $23,590 · median $17,281 | 5 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,439 – $19,444 · median $11,158 | 5 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $4,259 – $9,402 · median $6,839 | 5 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $23,581 – $83,419 · median $55,305 | 5 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $14,412 – $46,368 · median $29,305 | 5 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $8,284 – $26,795 · median $13,790 | 5 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $19,796 – $31,449 · median $22,330 | 5 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $10,418 – $19,046 · median $14,017 | 5 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $6,347 – $15,969 · median $11,732 | 5 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $6,488 – $23,841 · median $13,422 | 5 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,480 – $10,356 · median $8,054 | 5 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,855 – $9,301 · median $6,985 | 5 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $6,488 – $16,018 · median $10,853 | 5 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,488 – $10,845 · median $8,228 | 5 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $5,861 – $9,311 · median $6,983 | 5 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,831 – $16,667 · median $9,852 | 5 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,831 – $10,983 · median $8,097 | 5 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $4,831 – $9,345 · median $7,269 | 5 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,831 – $10,480 · median $6,952 | 5 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,609 – $7,322 · median $5,436 | 5 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,121 – $6,547 · median $4,833 | 5 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $7,446 – $18,419 · median $13,883 | 5 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $23,468 – $39,131 · median $29,836 | 5 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,196 – $20,057 · median $15,391 | 5 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,024 – $13,647 · median $10,311 | 5 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $19,621 – $45,855 · median $30,631 | 5 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $12,072 – $24,416 · median $18,406 | 5 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $44,236 – $81,724 · median $60,884 | 5 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $25,758 – $47,222 · median $34,502 | 5 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $17,658 – $36,994 · median $24,853 | 5 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $28,679 – $55,841 · median $41,330 | 5 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,028 – $28,105 · median $22,906 | 5 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,477 – $17,464 · median $14,535 | 5 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $129,741 – $212,664 · median $174,645 | 4 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $84,668 – $141,482 · median $116,188 | 4 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $33,339 – $59,516 · median $48,876 | 4 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $25,771 – $48,390 · median $39,739 | 4 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $17,615 – $28,747 · median $23,607 | 4 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $48,099 – $109,430 · median $76,414 | 4 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $32,359 – $82,750 · median $51,408 | 4 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $18,797 – $58,220 · median $29,862 | 4 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $35,027 – $60,969 · median $50,069 | 4 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $23,912 – $43,333 · median $35,587 | 4 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $27,792 – $44,644 · median $36,663 | 4 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $19,005 – $30,670 · median $25,187 | 4 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $15,421 – $26,439 · median $21,712 | 4 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $36,726 – $58,347 · median $47,788 | 4 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $20,854 – $33,761 · median $27,725 | 4 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $13,418 – $21,318 · median $16,015 | 4 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $27,387 – $43,510 · median $32,229 | 4 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $13,026 – $21,239 · median $17,442 | 4 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $10,165 – $17,764 · median $14,588 | 4 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $23,660 – $55,855 · median $37,588 | 4 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $14,612 – $26,182 · median $21,502 | 4 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,876 – $18,867 · median $15,489 | 4 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $20,123 – $40,299 · median $31,970 | 4 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $9,918 – $21,709 · median $15,757 | 4 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,185 – $14,459 · median $11,415 | 4 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $23,602 – $37,496 · median $30,077 | 4 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $13,440 – $25,997 · median $21,350 | 4 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $10,561 – $16,778 · median $13,617 | 4 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $10,885 – $27,108 · median $17,293 | 4 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,985 – $14,174 · median $9,509 | 4 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,333 – $14,828 · median $10,952 | 4 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,232 – $10,855 · median $8,914 | 4 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $14,200 – $24,829 · median $20,390 | 4 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $7,919 – $15,798 · median $12,582 | 4 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $10,449 – $23,433 · median $16,601 | 4 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,585 – $12,237 · median $10,049 | 4 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,622 – $10,883 · median $8,932 | 4 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $16,853 – $33,006 · median $26,774 | 4 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $10,741 – $24,544 · median $17,064 | 4 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,581 – $23,006 · median $13,632 | 4 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $12,292 – $20,000 · median $16,425 | 4 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,176 – $12,564 · median $9,811 | 4 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,183 – $9,815 · median $6,646 | 4 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $8,978 – $20,356 · median $14,263 | 4 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,284 – $10,826 · median $8,394 | 4 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,883 – $9,744 · median $7,757 | 4 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $10,176 – $22,194 · median $16,167 | 4 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $6,272 – $12,194 · median $9,963 | 4 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,622 – $9,430 · median $7,343 | 4 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $9,806 – $17,393 · median $14,284 | 4 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,301 – $11,268 · median $9,253 | 4 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $11,721 – $18,621 · median $13,753 | 4 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $4,577 – $8,661 · median $7,113 | 4 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $11,064 – $29,715 · median $17,577 | 4 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,474 – $9,359 · median $7,686 | 4 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $13,971 – $24,900 · median $20,449 | 4 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,532 – $15,641 · median $12,845 | 4 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,842 – $9,758 · median $8,013 | 4 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $13,887 – $22,062 · median $16,483 | 4 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $7,963 – $12,651 · median $10,236 | 4 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,591 – $8,883 · median $6,703 | 4 plans |
| 088 | CONCUSSION WITH MCC | $8,263 – $18,333 · median $13,127 | 4 plans |
| 089 | CONCUSSION WITH CC | $6,715 – $10,669 · median $8,493 | 4 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,032 – $8,390 · median $6,890 | 4 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $10,735 – $18,006 · median $14,787 | 4 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,253 – $12,806 · median $9,934 | 4 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,867 – $9,786 · median $7,733 | 4 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $21,513 – $40,527 · median $33,282 | 4 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $15,766 – $31,539 · median $25,047 | 4 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $15,766 – $29,031 · median $23,841 | 4 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $22,077 – $43,989 · median $35,074 | 4 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $14,028 – $23,561 · median $19,349 | 4 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,328 – $13,230 · median $10,856 | 4 plans |
| 100 | SEIZURES WITH MCC | $11,839 – $18,808 · median $14,377 | 4 plans |
| 101 | SEIZURES WITHOUT MCC | $5,517 – $8,765 · median $6,474 | 4 plans |
| 102 | HEADACHES WITH MCC | $6,852 – $12,778 · median $10,493 | 4 plans |
| 103 | HEADACHES WITHOUT MCC | $5,112 – $9,202 · median $7,557 | 4 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $14,371 – $33,276 · median $22,832 | 4 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,270 – $17,977 · median $13,139 | 4 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,382 – $21,681 · median $14,905 | 4 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $11,052 – $25,727 · median $17,558 | 4 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,632 – $15,670 · median $10,535 | 4 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,111 – $15,114 · median $11,297 | 4 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,803 – $8,689 · median $7,136 | 4 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,882 – $10,185 · median $7,755 | 4 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,088 – $19,160 · median $12,849 | 4 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,693 – $8,276 · median $6,797 | 4 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $12,929 – $35,100 · median $20,541 | 4 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,206 – $15,470 · median $9,860 | 4 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $9,127 – $14,500 · median $10,710 | 4 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,417 – $8,606 · median $6,972 | 4 plans |
| 139 | SALIVARY GLAND PROCEDURES | $7,388 – $17,835 · median $11,737 | 4 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $26,072 – $56,980 · median $41,420 | 4 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,332 – $26,311 · median $21,181 | 4 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,758 – $22,407 · median $15,503 | 4 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $22,901 – $36,383 · median $28,135 | 4 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $10,592 – $17,336 · median $14,237 | 4 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,349 – $12,678 · median $10,412 | 4 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $12,943 – $30,143 · median $20,562 | 4 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $7,772 – $17,308 · median $12,348 | 4 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,872 – $11,866 · median $7,741 | 4 plans |
| 149 | DYSEQUILIBRIUM | $4,594 – $8,305 · median $6,820 | 4 plans |
| 150 | EPISTAXIS WITH MCC | $8,139 – $19,174 · median $12,930 | 4 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,487 – $8,348 · median $6,855 | 4 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,226 – $11,480 · median $9,277 | 4 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,512 – $7,169 · median $5,295 | 4 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $9,557 – $21,838 · median $15,183 | 4 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $5,602 – $8,900 · median $7,019 | 4 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,224 – $6,838 · median $5,615 | 4 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $10,494 – $19,815 · median $16,272 | 4 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,561 – $8,835 · median $7,218 | 4 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,331 – $7,151 · median $5,873 | 4 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $27,395 – $46,767 · median $38,406 | 4 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $15,428 – $28,348 · median $23,280 | 4 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,701 – $20,527 · median $16,857 | 4 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $22,847 – $37,650 · median $30,919 | 4 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $11,023 – $19,487 · median $16,003 | 4 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,352 – $15,057 · median $12,365 | 4 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $18,193 – $37,878 · median $28,904 | 4 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,396 – $14,046 · median $11,535 | 4 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $4,921 – $8,704 · median $7,148 | 4 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $9,552 – $15,413 · median $12,658 | 4 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $5,966 – $10,613 · median $8,715 | 4 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,615 – $7,949 · median $6,528 | 4 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $10,795 – $18,932 · median $15,547 | 4 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,547 – $13,091 · median $10,400 | 4 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,548 – $11,239 · median $7,225 | 4 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $9,352 – $15,029 · median $12,342 | 4 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,504 – $10,897 · median $8,949 | 4 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,808 – $8,519 · median $6,996 | 4 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $9,526 – $15,135 · median $12,283 | 4 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,046 – $10,926 · median $8,973 | 4 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,384 – $8,490 · median $6,965 | 4 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,551 – $12,578 · median $10,330 | 4 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,771 – $10,757 · median $8,540 | 4 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,153 – $9,188 · median $7,545 | 4 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $3,924 – $7,336 · median $6,025 | 4 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,034 – $12,764 · median $10,072 | 4 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,926 – $8,704 · median $7,148 | 4 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,842 – $6,538 · median $5,370 | 4 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $11,536 – $20,071 · median $16,483 | 4 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $5,801 – $11,695 · median $9,217 | 4 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,378 – $8,989 · median $6,955 | 4 plans |
| 199 | PNEUMOTHORAX WITH MCC | $10,783 – $17,131 · median $12,653 | 4 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,720 – $10,675 · median $8,364 | 4 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,371 – $6,944 · median $5,129 | 4 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $5,937 – $9,431 · median $7,627 | 4 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,095 – $6,506 · median $4,855 | 4 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,935 – $8,348 · median $6,855 | 4 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $11,192 – $17,781 · median $13,172 | 4 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,753 – $9,139 · median $7,405 | 4 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $39,333 – $80,570 · median $62,487 | 4 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $16,802 – $27,849 · median $22,870 | 4 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $66,469 – $153,875 · median $105,598 | 4 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $60,863 – $96,692 · median $71,416 | 4 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $59,798 – $97,693 · median $80,228 | 4 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $40,192 – $64,088 · median $52,631 | 4 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $40,192 – $63,853 · median $47,800 | 4 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $46,934 – $74,564 · median $55,439 | 4 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $32,597 – $53,034 · median $43,553 | 4 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $30,809 – $48,945 · median $36,151 | 4 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $30,241 – $72,977 · median $48,044 | 4 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $19,252 – $38,960 · median $30,585 | 4 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $51,528 – $100,883 · median $81,863 | 4 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $37,058 – $67,949 · median $55,801 | 4 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $46,732 – $74,243 · median $57,205 | 4 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $33,391 – $54,345 · median $44,629 | 4 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $35,872 – $56,990 · median $43,717 | 4 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $25,604 – $41,724 · median $34,265 | 4 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $30,084 – $47,795 · median $37,306 | 4 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $17,424 – $28,376 · median $23,303 | 4 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $8,462 – $21,168 · median $13,444 | 4 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $19,516 – $37,564 · median $30,849 | 4 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $13,025 – $27,764 · median $20,693 | 4 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $11,048 – $24,274 · median $17,553 | 4 plans |
| 245 | AICD GENERATOR PROCEDURES | $27,888 – $68,590 · median $44,305 | 4 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $13,341 – $25,983 · median $21,194 | 4 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $9,135 – $21,068 · median $14,513 | 4 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $21,322 – $42,009 · median $33,875 | 4 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $15,866 – $29,886 · median $24,543 | 4 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $10,891 – $20,684 · median $16,986 | 4 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $16,488 – $26,752 · median $21,970 | 4 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,379 – $16,488 · median $12,178 | 4 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,676 – $10,606 · median $8,563 | 4 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $19,206 – $40,484 · median $30,513 | 4 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $12,360 – $27,151 · median $19,637 | 4 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $19,883 – $41,225 · median $31,588 | 4 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $11,556 – $21,880 · median $17,969 | 4 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,963 – $19,444 · median $15,828 | 4 plans |
| 263 | VEIN LIGATION AND STRIPPING | $18,689 – $38,262 · median $29,690 | 4 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $20,420 – $32,441 · median $23,960 | 4 plans |
| 265 | AICD LEAD PROCEDURES | $22,117 – $49,473 · median $35,136 | 4 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $37,460 – $63,376 · median $52,046 | 4 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $29,101 – $57,080 · median $46,232 | 4 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $42,042 – $78,447 · median $64,423 | 4 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $25,815 – $41,681 · median $34,229 | 4 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $32,252 – $51,238 · median $41,635 | 4 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $21,738 – $41,140 · median $33,785 | 4 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $15,605 – $29,957 · median $24,602 | 4 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $25,217 – $52,237 · median $40,063 | 4 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $20,121 – $36,382 · median $29,878 | 4 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $43,585 – $88,205 · median $69,243 | 4 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $36,716 – $76,012 · median $58,330 | 4 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $28,231 – $58,661 · median $44,850 | 4 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $34,024 – $65,470 · median $53,766 | 4 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $22,044 – $45,613 · median $35,022 | 4 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $9,805 – $15,613 · median $12,821 | 4 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,618 – $10,769 · median $8,844 | 4 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,420 – $9,715 · median $7,022 | 4 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $12,108 – $22,165 · median $18,203 | 4 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,231 – $10,513 · median $6,722 | 4 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,661 – $7,422 · median $5,816 | 4 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $13,526 – $21,489 · median $16,436 | 4 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,541 – $12,208 · median $10,026 | 4 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $16,542 – $30,086 · median $24,707 | 4 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $10,434 – $16,576 · median $12,243 | 4 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,683 – $14,373 · median $9,028 | 4 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $7,847 – $12,467 · median $9,909 | 4 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,190 – $8,245 · median $6,762 | 4 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,460 – $7,365 · median $5,496 | 4 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $9,547 – $21,182 · median $15,168 | 4 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,811 – $9,972 · median $6,055 | 4 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,782 – $6,538 · median $4,419 | 4 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $9,980 – $15,855 · median $11,710 | 4 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,525 – $10,366 · median $8,259 | 4 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,399 – $7,436 · median $6,107 | 4 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,314 – $16,353 · median $11,620 | 4 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,115 – $7,094 · median $5,826 | 4 plans |
| 304 | HYPERTENSION WITH MCC | $7,274 – $11,556 · median $9,452 | 4 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,616 – $8,205 · median $6,738 | 4 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,632 – $20,613 · median $15,303 | 4 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,582 – $12,707 · median $8,868 | 4 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,360 – $11,692 · median $9,195 | 4 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,497 – $7,144 · median $5,791 | 4 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,460 – $5,513 · median $4,527 | 4 plans |
| 311 | ANGINA PECTORIS | $4,290 – $6,994 · median $5,744 | 4 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,328 – $9,202 · median $7,557 | 4 plans |
| 313 | CHEST PAIN | $4,401 – $6,992 · median $5,451 | 4 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $12,746 – $20,698 · median $16,998 | 4 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $5,888 – $10,769 · median $8,844 | 4 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,169 – $9,416 · median $6,624 | 4 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $40,872 – $88,120 · median $64,933 | 4 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $27,280 – $61,838 · median $43,339 | 4 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $14,703 – $33,148 · median $23,358 | 4 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $16,631 – $35,143 · median $26,422 | 4 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $10,776 – $26,068 · median $17,120 | 4 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $26,452 – $55,613 · median $42,023 | 4 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $19,261 – $43,077 · median $30,599 | 4 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $19,624 – $38,447 · median $31,176 | 4 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $30,486 – $52,066 · median $42,758 | 4 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $14,940 – $28,105 · median $23,081 | 4 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $9,794 – $17,422 · median $14,307 | 4 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $28,096 – $44,637 · median $33,691 | 4 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $14,653 – $25,228 · median $20,718 | 4 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,287 – $18,960 · median $15,571 | 4 plans |
| 332 | RECTAL RESECTION WITH MCC | $22,132 – $53,547 · median $35,161 | 4 plans |
| 333 | RECTAL RESECTION WITH CC | $14,317 – $29,929 · median $22,745 | 4 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,012 – $17,664 · median $14,506 | 4 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $21,827 – $34,677 · median $26,310 | 4 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $12,890 – $21,282 · median $17,477 | 4 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,383 – $16,368 · median $13,441 | 4 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $15,788 – $38,818 · median $25,082 | 4 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,198 – $16,225 · median $13,324 | 4 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,251 – $13,746 · median $11,289 | 4 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $14,032 – $35,470 · median $22,293 | 4 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,000 – $13,647 · median $11,207 | 4 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,322 – $10,442 · median $8,454 | 4 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $15,232 – $34,288 · median $24,199 | 4 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,319 – $20,442 · median $14,804 | 4 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,138 – $12,251 · median $10,061 | 4 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $17,739 – $32,393 · median $26,602 | 4 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,284 – $17,479 · median $14,354 | 4 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,221 – $14,601 · median $11,991 | 4 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $26,851 – $42,658 · median $32,650 | 4 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $14,215 – $22,583 · median $16,680 | 4 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,545 – $14,943 · median $12,272 | 4 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $9,731 – $17,293 · median $14,202 | 4 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,114 – $11,467 · median $9,417 | 4 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,284 – $9,801 · median $6,805 | 4 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $10,838 – $17,635 · median $14,483 | 4 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,241 – $10,271 · median $8,435 | 4 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,446 – $7,593 · median $6,235 | 4 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $13,073 – $21,652 · median $17,782 | 4 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,394 – $12,792 · median $10,505 | 4 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,650 – $10,670 · median $8,762 | 4 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $11,174 – $19,088 · median $15,676 | 4 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $5,995 – $10,969 · median $9,008 | 4 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,853 – $7,735 · median $6,122 | 4 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $11,994 – $19,530 · median $16,038 | 4 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,623 – $10,826 · median $8,891 | 4 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,894 – $8,561 · median $7,031 | 4 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $8,440 – $19,131 · median $13,408 | 4 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,225 – $9,060 · median $7,440 | 4 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $9,672 – $15,366 · median $12,435 | 4 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $5,968 – $10,570 · median $8,680 | 4 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,164 – $7,593 · median $6,235 | 4 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,027 – $14,341 · median $10,704 | 4 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,828 – $7,670 · median $6,013 | 4 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,325 – $5,727 · median $4,703 | 4 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $7,753 – $12,450 · median $10,224 | 4 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,765 – $7,571 · median $6,071 | 4 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $9,776 – $17,550 · median $14,412 | 4 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,720 – $9,430 · median $7,744 | 4 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,967 – $7,707 · median $6,302 | 4 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $14,639 – $23,257 · median $17,177 | 4 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $9,252 – $17,607 · median $14,459 | 4 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $6,997 – $12,650 · median $10,388 | 4 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $24,576 – $39,043 · median $30,837 | 4 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $33,439 – $61,724 · median $50,689 | 4 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $17,728 – $32,336 · median $26,555 | 4 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $13,567 – $24,615 · median $20,215 | 4 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $21,795 – $48,462 · median $34,626 | 4 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $13,309 – $25,100 · median $20,613 | 4 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,705 – $20,954 · median $15,418 | 4 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $20,192 – $45,071 · median $32,078 | 4 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $12,852 – $30,912 · median $20,417 | 4 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,150 – $22,892 · median $16,125 | 4 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $21,777 – $44,188 · median $34,596 | 4 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $12,633 – $21,766 · median $17,875 | 4 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,333 – $16,496 · median $13,239 | 4 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $14,587 – $23,174 · median $18,331 | 4 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,340 – $18,177 · median $14,927 | 4 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,349 – $15,114 · median $12,412 | 4 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $20,826 – $47,607 · median $33,086 | 4 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,621 – $23,932 · median $16,873 | 4 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $8,555 – $20,285 · median $13,591 | 4 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $25,386 – $49,872 · median $40,330 | 4 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $13,374 – $30,271 · median $21,247 | 4 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,171 – $21,980 · median $14,569 | 4 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $60,329 – $107,027 · median $73,462 | 4 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $44,124 – $70,100 · median $51,775 | 4 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $34,365 – $54,595 · median $41,424 | 4 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $55,072 – $118,804 · median $87,492 | 4 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $35,252 – $56,004 · median $43,951 | 4 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $12,031 – $20,841 · median $17,115 | 4 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,456 – $11,353 · median $9,324 | 4 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,355 – $9,601 · median $6,919 | 4 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,227 – $18,219 · median $14,962 | 4 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $6,914 – $11,937 · median $9,803 | 4 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,216 – $11,311 · median $8,286 | 4 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $9,965 – $19,701 · median $15,831 | 4 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,142 – $9,316 · median $7,651 | 4 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,798 – $6,695 · median $5,498 | 4 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $10,970 – $21,581 · median $17,428 | 4 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $5,900 – $11,068 · median $9,090 | 4 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,277 – $9,145 · median $6,795 | 4 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $10,213 – $17,009 · median $13,968 | 4 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,690 – $11,809 · median $9,698 | 4 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,057 – $10,029 · median $8,034 | 4 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $40,842 – $64,885 · median $49,367 | 4 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $25,922 – $41,182 · median $31,118 | 4 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $32,578 – $51,756 · median $41,529 | 4 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $19,746 – $31,370 · median $23,876 | 4 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $51,366 – $97,094 · median $79,736 | 4 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $36,450 – $70,613 · median $57,908 | 4 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $25,505 – $63,832 · median $40,520 | 4 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $29,516 – $46,892 · median $35,002 | 4 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $18,008 – $28,610 · median $22,473 | 4 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $14,923 – $23,707 · median $18,156 | 4 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $18,440 – $36,482 · median $29,296 | 4 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $12,316 – $19,566 · median $14,553 | 4 plans |
| 503 | FOOT PROCEDURES WITH MCC | $17,061 – $34,359 · median $27,104 | 4 plans |
| 504 | FOOT PROCEDURES WITH CC | $11,426 – $18,152 · median $14,366 | 4 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $10,959 – $17,410 · median $13,383 | 4 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $7,333 – $20,727 · median $11,649 | 4 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,623 – $15,288 · median $11,292 | 4 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,249 – $10,385 · median $8,528 | 4 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $22,845 – $36,293 · median $26,806 | 4 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,226 – $19,601 · median $16,097 | 4 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $9,132 – $14,507 · median $11,008 | 4 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,583 – $21,766 · median $15,224 | 4 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,927 – $10,100 · median $7,828 | 4 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $7,836 – $16,425 · median $12,450 | 4 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,937 – $8,561 · median $7,031 | 4 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,833 – $13,590 · median $9,267 | 4 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,403 – $9,972 · median $6,995 | 4 plans |
| 539 | OSTEOMYELITIS WITH MCC | $12,040 – $19,128 · median $14,128 | 4 plans |
| 540 | OSTEOMYELITIS WITH CC | $7,924 – $12,588 · median $9,298 | 4 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,716 – $7,977 · median $6,551 | 4 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $10,798 – $21,596 · median $17,154 | 4 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,284 – $13,604 · median $9,983 | 4 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,613 – $10,940 · median $7,328 | 4 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $15,170 – $34,031 · median $24,100 | 4 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,050 – $13,932 · median $11,201 | 4 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,111 – $11,624 · median $8,120 | 4 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $11,803 – $27,222 · median $18,751 | 4 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,379 – $12,792 · median $10,505 | 4 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,343 – $10,954 · median $8,488 | 4 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $10,245 – $17,521 · median $14,389 | 4 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,876 – $9,335 · median $7,393 | 4 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $7,924 – $18,818 · median $12,588 | 4 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,074 – $8,633 · median $7,089 | 4 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,089 – $14,439 · median $11,301 | 4 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,416 – $8,674 · median $6,406 | 4 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,399 – $20,143 · median $16,542 | 4 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $6,883 – $11,724 · median $9,628 | 4 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $4,914 – $9,444 · median $7,756 | 4 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $8,709 – $16,937 · median $13,836 | 4 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $5,474 – $8,718 · median $7,159 | 4 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,435 – $20,442 · median $14,990 | 4 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $5,956 – $10,484 · median $8,610 | 4 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,580 – $9,217 · median $7,276 | 4 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $17,978 – $28,561 · median $22,941 | 4 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,327 – $16,407 · median $12,118 | 4 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,007 – $12,336 · median $10,131 | 4 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $29,959 – $77,963 · median $47,596 | 4 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $16,203 – $33,191 · median $25,741 | 4 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $9,819 – $23,162 · median $15,600 | 4 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $11,776 – $29,943 · median $18,709 | 4 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $10,541 – $27,037 · median $16,746 | 4 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $13,085 – $32,621 · median $20,788 | 4 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $11,792 – $28,447 · median $18,733 | 4 plans |
| 592 | SKIN ULCERS WITH MCC | $11,830 – $18,794 · median $13,881 | 4 plans |
| 593 | SKIN ULCERS WITH CC | $7,251 – $11,520 · median $8,509 | 4 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,298 – $8,417 · median $6,217 | 4 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $12,963 – $30,271 · median $20,594 | 4 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,617 – $10,512 · median $7,764 | 4 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $10,190 – $23,519 · median $16,189 | 4 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $6,915 – $12,165 · median $9,990 | 4 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,482 – $10,484 · median $7,120 | 4 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,367 – $10,115 · median $7,471 | 4 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,698 – $5,875 · median $4,339 | 4 plans |
| 602 | CELLULITIS WITH MCC | $8,688 – $15,356 · median $12,611 | 4 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,323 – $8,457 · median $6,247 | 4 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $8,998 – $20,855 · median $14,296 | 4 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,599 – $8,895 · median $6,972 | 4 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $9,250 – $20,299 · median $14,695 | 4 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,540 – $8,802 · median $6,501 | 4 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $13,398 – $26,282 · median $21,285 | 4 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $8,553 – $19,516 · median $13,589 | 4 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $21,317 – $33,866 · median $26,754 | 4 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,432 – $18,162 · median $13,558 | 4 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,552 – $13,773 · median $10,173 | 4 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $17,649 – $31,168 · median $25,596 | 4 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $9,782 – $18,191 · median $14,939 | 4 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,220 – $14,687 · median $12,061 | 4 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $21,756 – $34,563 · median $25,528 | 4 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $10,965 – $17,421 · median $13,348 | 4 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,652 – $12,379 · median $10,166 | 4 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $18,461 – $41,083 · median $29,328 | 4 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,165 – $18,789 · median $14,561 | 4 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,119 – $13,519 · median $11,102 | 4 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $22,780 – $36,191 · median $26,730 | 4 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $13,318 – $21,158 · median $15,627 | 4 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,921 – $14,173 · median $10,468 | 4 plans |
| 637 | DIABETES WITH MCC | $8,782 – $13,952 · median $10,376 | 4 plans |
| 638 | DIABETES WITH CC | $5,478 – $8,703 · median $6,428 | 4 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,797 – $6,032 · median $4,948 | 4 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,164 – $13,761 · median $11,301 | 4 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,757 – $7,564 · median $6,212 | 4 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $8,693 – $13,810 · median $10,200 | 4 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,062 – $16,695 · median $13,711 | 4 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,265 – $9,954 · median $7,920 | 4 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,696 – $7,461 · median $5,511 | 4 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $31,763 – $78,034 · median $50,462 | 4 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $17,111 – $30,641 · median $25,163 | 4 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $12,938 – $25,228 · median $20,554 | 4 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $19,461 – $34,445 · median $28,287 | 4 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,186 – $20,370 · median $16,729 | 4 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,485 – $17,564 · median $14,424 | 4 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $15,531 – $24,675 · median $18,600 | 4 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,079 – $12,835 · median $10,318 | 4 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,329 – $10,285 · median $8,446 | 4 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $18,714 – $43,191 · median $29,730 | 4 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,292 – $21,567 · median $14,763 | 4 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,399 – $15,684 · median $10,166 | 4 plans |
| 665 | PROSTATECTOMY WITH MCC | $19,079 – $45,043 · median $30,310 | 4 plans |
| 666 | PROSTATECTOMY WITH CC | $10,693 – $24,302 · median $16,987 | 4 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,762 – $14,558 · median $10,742 | 4 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $17,849 – $35,670 · median $28,356 | 4 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $9,487 – $15,071 · median $11,617 | 4 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $5,974 – $11,510 · median $9,452 | 4 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $10,972 – $24,900 · median $17,431 | 4 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,599 – $14,687 · median $10,483 | 4 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $25,683 – $40,802 · median $30,136 | 4 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $14,295 – $22,849 · median $18,764 | 4 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $10,033 – $21,225 · median $15,940 | 4 plans |
| 682 | RENAL FAILURE WITH MCC | $9,053 – $14,382 · median $10,622 | 4 plans |
| 683 | RENAL FAILURE WITH CC | $5,353 – $8,505 · median $6,282 | 4 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,669 – $5,830 · median $4,434 | 4 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $11,025 – $21,895 · median $17,516 | 4 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,405 – $11,453 · median $9,406 | 4 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,831 – $8,803 · median $7,230 | 4 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,092 – $12,991 · median $10,669 | 4 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,948 – $7,861 · median $5,838 | 4 plans |
| 693 | URINARY STONES WITH MCC | $8,218 – $20,100 · median $13,056 | 4 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,778 – $7,591 · median $5,607 | 4 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $6,992 – $16,539 · median $11,107 | 4 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,212 – $7,051 · median $5,791 | 4 plans |
| 697 | URETHRAL STRICTURE | $6,588 – $14,815 · median $10,467 | 4 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,113 – $17,265 · median $14,178 | 4 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,204 – $10,114 · median $8,306 | 4 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,217 – $8,917 · median $6,700 | 4 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $12,227 – $20,798 · median $17,080 | 4 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,378 – $19,217 · median $14,899 | 4 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $14,225 – $32,194 · median $22,598 | 4 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $8,565 – $20,385 · median $13,607 | 4 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $12,737 – $29,302 · median $20,236 | 4 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,722 – $16,296 · median $10,679 | 4 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,190 – $16,994 · median $13,956 | 4 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,463 – $11,880 · median $9,756 | 4 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $13,676 – $31,296 · median $21,726 | 4 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $8,992 – $19,672 · median $14,285 | 4 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,556 – $18,359 · median $13,560 | 4 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,210 – $13,043 · median $9,633 | 4 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $11,062 – $25,299 · median $17,574 | 4 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $6,985 – $15,954 · median $11,097 | 4 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,739 – $10,712 · median $5,940 | 4 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,153 – $17,892 · median $11,364 | 4 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,413 – $10,613 · median $7,011 | 4 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,064 – $21,524 · median $14,400 | 4 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $4,959 – $7,878 · median $6,317 | 4 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,471 – $14,900 · median $10,281 | 4 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,108 – $8,803 · median $6,526 | 4 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $13,020 – $21,026 · median $17,267 | 4 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,224 – $16,937 · median $13,066 | 4 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $21,849 – $57,422 · median $34,712 | 4 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $12,596 – $21,581 · median $17,723 | 4 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,976 – $15,712 · median $12,903 | 4 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $21,555 – $54,017 · median $34,244 | 4 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $11,061 – $21,097 · median $17,325 | 4 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,717 – $14,786 · median $12,143 | 4 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $11,215 – $17,818 · median $14,600 | 4 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,584 – $12,436 · median $10,213 | 4 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $11,921 – $19,899 · median $14,516 | 4 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,953 – $11,046 · median $8,159 | 4 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,618 – $16,869 · median $12,459 | 4 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,132 – $10,513 · median $8,152 | 4 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,480 – $19,202 · median $13,472 | 4 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $15,695 – $24,934 · median $19,291 | 4 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,021 – $19,430 · median $14,331 | 4 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,258 – $18,291 · median $15,021 | 4 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,649 – $10,983 · median $9,019 | 4 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,871 – $9,672 · median $7,943 | 4 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,753 – $20,698 · median $13,905 | 4 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,984 – $9,507 · median $7,288 | 4 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,056 – $6,980 · median $5,732 | 4 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,158 – $9,784 · median $7,226 | 4 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,482 – $6,353 · median $5,217 | 4 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $6,153 – $10,406 · median $7,493 | 4 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,329 – $16,410 · median $12,482 | 4 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,129 – $9,737 · median $7,192 | 4 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,002 – $6,358 · median $4,696 | 4 plans |
| 779 | ABORTION WITHOUT D&C | $4,293 – $6,925 · median $5,115 | 4 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $11,016 – $17,501 · median $13,336 | 4 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $36,330 – $92,949 · median $57,717 | 4 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $22,496 – $39,417 · median $27,393 | 4 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $7,475 – $23,784 · median $14,971 | 4 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $9,710 – $40,491 · median $25,487 | 4 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,656 – $14,332 · median $9,022 | 4 plans |
| 795 | NORMAL NEWBORN | $1,221 – $2,222 · median $1,825 | 4 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $27,683 – $43,980 · median $35,341 | 4 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $17,173 – $31,638 · median $25,982 | 4 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $11,668 – $22,906 · median $18,537 | 4 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $24,353 – $50,855 · median $38,690 | 4 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $11,363 – $22,094 · median $18,052 | 4 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,289 – $15,014 · median $12,330 | 4 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $13,496 – $23,063 · median $18,940 | 4 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,738 – $12,379 · median $10,166 | 4 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,397 – $10,242 · median $8,411 | 4 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,584 – $14,672 · median $12,049 | 4 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,613 – $10,171 · median $8,353 | 4 plans |
| 813 | COAGULATION DISORDERS | $9,324 – $19,501 · median $14,812 | 4 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $13,000 – $20,652 · median $15,968 | 4 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,198 – $10,655 · median $8,750 | 4 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,863 – $8,006 · median $6,137 | 4 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $10,318 – $16,937 · median $13,909 | 4 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $6,444 – $11,368 · median $9,335 | 4 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,256 – $8,350 · median $6,259 | 4 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $35,849 – $67,806 · median $55,684 | 4 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $13,684 – $29,644 · median $21,739 | 4 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,360 – $16,909 · median $11,692 | 4 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $28,025 – $51,054 · median $41,927 | 4 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $13,849 – $28,547 · median $22,001 | 4 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,248 – $17,365 · median $13,104 | 4 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $28,593 – $68,818 · median $45,426 | 4 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $14,127 – $29,858 · median $22,444 | 4 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,415 – $19,900 · median $16,343 | 4 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $18,811 – $30,687 · median $22,665 | 4 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,199 – $19,444 · median $14,615 | 4 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $7,265 – $11,677 · median $8,625 | 4 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,411 – $7,007 · median $5,176 | 4 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,196 – $5,078 · median $3,750 | 4 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $33,557 – $96,995 · median $53,312 | 4 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $12,750 – $37,094 · median $20,255 | 4 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $7,454 – $22,878 · median $11,843 | 4 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $29,367 – $46,655 · median $36,897 | 4 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $12,260 – $20,271 · median $14,929 | 4 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,826 – $14,022 · median $10,356 | 4 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $19,774 – $44,601 · median $31,414 | 4 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $9,972 – $22,407 · median $15,843 | 4 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,176 – $15,271 · median $9,812 | 4 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $12,193 – $25,242 · median $19,372 | 4 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,441 – $14,302 · median $11,745 | 4 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,205 – $12,151 · median $8,270 | 4 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $15,847 – $25,176 · median $18,595 | 4 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $7,996 – $12,704 · median $9,383 | 4 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,192 – $8,249 · median $6,092 | 4 plans |
| 849 | RADIOTHERAPY | $16,562 – $36,467 · median $26,312 | 4 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $52,932 – $131,211 · median $84,092 | 4 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $30,188 – $48,319 · median $39,681 | 4 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $12,214 – $19,815 · median $16,272 | 4 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,152 – $15,670 · median $12,868 | 4 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $27,804 – $44,172 · median $32,625 | 4 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,090 – $20,796 · median $15,360 | 4 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,514 – $13,526 · median $10,704 | 4 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $11,147 – $17,710 · median $13,080 | 4 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,100 – $9,691 · median $7,440 | 4 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,426 – $8,989 · median $7,382 | 4 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,158 – $14,550 · median $11,137 | 4 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,315 – $8,445 · median $6,270 | 4 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $12,795 – $23,533 · median $19,326 | 4 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,303 – $10,798 · median $8,867 | 4 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,460 – $8,704 · median $7,086 | 4 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $42,249 – $74,074 · median $60,832 | 4 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $11,874 – $19,972 · median $16,401 | 4 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,255 – $10,199 · median $8,376 | 4 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $23,624 – $51,353 · median $37,532 | 4 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $5,869 – $9,325 · median $6,887 | 4 plans |
| 881 | DEPRESSIVE NEUROSES | $4,282 – $9,137 · median $5,751 | 4 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $4,188 – $10,428 · median $6,564 | 4 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $11,769 – $19,095 · median $14,103 | 4 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $7,323 – $15,624 · median $9,835 | 4 plans |
| 885 | PSYCHOSES | $6,282 – $13,564 · median $8,538 | 4 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $12,685 – $20,153 · median $14,885 | 4 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $6,546 – $14,701 · median $10,400 | 4 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,771 – $5,991 · median $4,425 | 4 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $8,653 – $21,282 · median $13,747 | 4 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $10,667 – $16,947 · median $13,289 | 4 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $5,396 – $8,573 · median $6,332 | 4 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $25,652 – $45,684 · median $37,517 | 4 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $11,703 – $18,592 · median $13,956 | 4 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,149 – $11,358 · median $9,324 | 4 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $22,452 – $41,624 · median $34,183 | 4 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $8,752 – $22,892 · median $13,904 | 4 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $9,992 – $22,037 · median $15,874 | 4 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,413 – $8,599 · median $7,007 | 4 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $10,279 – $16,330 · median $12,237 | 4 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,073 – $6,510 · median $5,346 | 4 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $9,587 – $15,231 · median $11,605 | 4 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,239 – $8,323 · median $6,148 | 4 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $11,191 – $17,779 · median $13,131 | 4 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,127 – $9,733 · median $7,978 | 4 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,208 – $6,966 · median $5,721 | 4 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $10,693 – $21,182 · median $16,988 | 4 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,221 – $9,883 · median $7,299 | 4 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $112,656 – $309,061 · median $178,976 | 4 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $27,550 – $69,654 · median $43,844 | 4 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $13,383 – $31,277 · median $19,687 | 4 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $23,330 – $46,296 · median $37,064 | 4 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $13,512 – $28,761 · median $21,467 | 4 plans |
| 935 | NON-EXTENSIVE BURNS | $10,224 – $20,005 · median $12,592 | 4 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $12,394 – $19,691 · median $14,544 | 4 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $7,759 – $12,707 · median $10,435 | 4 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,893 – $8,633 · median $7,089 | 4 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,272 – $14,872 · median $11,553 | 4 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,837 – $9,302 · median $6,096 | 4 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,399 – $5,399 · median $3,988 | 4 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $41,144 – $85,214 · median $65,366 | 4 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $23,002 – $67,778 · median $36,542 | 4 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $16,711 – $34,288 · median $26,548 | 4 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,368 – $15,670 · median $12,868 | 4 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,749 – $10,769 · median $8,844 | 4 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $37,417 – $94,117 · median $59,444 | 4 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $16,121 – $40,356 · median $25,612 | 4 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $17,641 – $36,596 · median $28,026 | 4 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $7,916 – $19,202 · median $12,576 | 4 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,468 – $12,977 · median $8,686 | 4 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $7,748 – $19,630 · median $12,310 | 4 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $20,956 – $36,795 · median $30,217 | 4 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,047 – $17,165 · median $14,097 | 4 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,330 – $13,219 · median $10,856 | 4 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $171,298 – $272,140 · median $201,000 | 3 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $69,266 – $110,043 · median $81,277 | 3 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $69,187 – $109,917 · median $81,184 | 3 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $34,884 – $55,420 · median $40,933 | 3 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $14,806 – $23,522 · median $17,373 | 3 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $21,019 – $33,392 · median $24,663 | 3 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $14,758 – $23,445 · median $17,316 | 3 plans |
| 945 | REHABILITATION WITH CC/MCC | $9,466 – $21,439 · median $14,357 | 3 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,010 – $15,328 · median $10,406 | 3 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $63,024 – $73,952 · median $68,488 | 2 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $28,344 – $33,259 · median $30,801 | 2 plans |
| 007 | LUNG TRANSPLANT | $79,159 – $92,885 · median $86,022 | 2 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $34,259 – $40,199 · median $37,229 | 2 plans |
| 010 | PANCREAS TRANSPLANT | $18,765 – $22,019 · median $20,392 | 2 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $73,460 – $86,198 · median $79,829 | 2 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $36,246 – $42,531 · median $39,388 | 2 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $29,574 – $34,703 · median $32,138 | 2 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $263,958 – $309,727 · median $286,842 | 2 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $40,509 – $47,533 · median $44,021 | 2 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $28,738 – $33,721 · median $31,229 | 2 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $22,652 – $26,580 · median $24,616 | 2 plans |
| 652 | KIDNEY TRANSPLANT | $19,741 – $23,163 · median $21,452 | 2 plans |
No procedures match that keyword.