UPMC Muncy — 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 |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $316,807 – $372,714 · median $341,247 | 3 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $209,002 – $247,960 · median $223,578 | 3 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $82,296 – $104,307 · median $90,871 | 3 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $63,615 – $84,809 · median $72,019 | 3 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $42,824 – $50,381 · median $46,332 | 3 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $118,731 – $191,787 · median $148,654 | 3 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $79,877 – $145,026 · median $106,808 | 3 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $46,400 – $102,035 · median $69,605 | 3 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $86,464 – $106,853 · median $94,310 | 3 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $59,026 – $75,946 · median $65,657 | 3 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $66,506 – $78,243 · median $73,099 | 3 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $45,689 – $53,751 · median $49,988 | 3 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $38,068 – $46,336 · median $41,221 | 3 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $86,687 – $102,538 · median $96,322 | 3 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $50,294 – $59,169 · median $54,850 | 3 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $29,051 – $37,463 · median $33,651 | 3 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $58,464 – $76,465 · median $68,193 | 3 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $31,640 – $37,224 · median $34,261 | 3 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $25,091 – $31,132 · median $27,421 | 3 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $58,404 – $97,891 · median $74,632 | 3 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $36,070 – $45,887 · median $39,900 | 3 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $28,096 – $33,156 · median $31,185 | 3 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $49,674 – $70,628 · median $58,109 | 3 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $24,483 – $38,048 · median $30,016 | 3 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $17,737 – $25,340 · median $20,800 | 3 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $54,559 – $65,896 · median $61,224 | 3 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $33,176 – $45,563 · median $38,126 | 3 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $24,701 – $29,485 · median $27,565 | 3 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $26,870 – $47,510 · median $35,387 | 3 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $14,775 – $24,841 · median $18,913 | 3 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $18,505 – $26,058 · median $22,405 | 3 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $15,385 – $19,024 · median $16,785 | 3 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $35,053 – $43,515 · median $38,317 | 3 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $19,549 – $27,687 · median $22,822 | 3 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $25,794 – $41,069 · median $32,041 | 3 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $18,229 – $21,446 · median $19,951 | 3 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $13,879 – $19,074 · median $15,955 | 3 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $41,601 – $57,846 · median $48,111 | 3 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $26,514 – $43,016 · median $33,276 | 3 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $21,182 – $40,320 · median $29,115 | 3 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $29,794 – $35,052 · median $32,332 | 3 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $15,244 – $22,020 · median $17,979 | 3 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $10,327 – $17,201 · median $13,151 | 3 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $22,161 – $35,676 · median $27,695 | 3 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $13,043 – $18,974 · median $15,440 | 3 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $12,053 – $17,077 · median $14,074 | 3 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $25,120 – $38,897 · median $30,737 | 3 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $15,481 – $21,371 · median $17,837 | 3 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $11,410 – $16,527 · median $13,477 | 3 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $24,207 – $30,483 · median $26,645 | 3 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $15,554 – $19,748 · median $17,189 | 3 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $24,255 – $32,724 · median $28,734 | 3 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $11,299 – $15,179 · median $12,841 | 3 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $27,311 – $52,079 · median $37,578 | 3 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $13,514 – $16,403 · median $14,613 | 3 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $34,487 – $43,640 · median $38,050 | 3 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $21,061 – $27,412 · median $23,561 | 3 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $14,422 – $17,102 · median $15,424 | 3 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $29,900 – $38,772 · median $34,729 | 3 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $18,568 – $22,232 · median $20,751 | 3 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $12,160 – $15,610 · median $14,054 | 3 plans |
| 088 | CONCUSSION WITH MCC | $20,397 – $32,131 · median $25,191 | 3 plans |
| 089 | CONCUSSION WITH CC | $15,406 – $18,749 · median $17,351 | 3 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $12,421 – $14,705 · median $13,274 | 3 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $26,499 – $31,557 · median $28,397 | 3 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $15,436 – $22,444 · median $18,268 | 3 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $12,015 – $17,151 · median $14,084 | 3 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $53,104 – $71,028 · median $60,218 | 3 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $38,917 – $55,274 · median $45,500 | 3 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $38,917 – $50,880 · median $43,633 | 3 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $54,498 – $77,094 · median $63,585 | 3 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $34,627 – $41,293 · median $37,132 | 3 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $19,693 – $23,251 · median $21,863 | 3 plans |
| 100 | SEIZURES WITH MCC | $26,080 – $33,054 · median $29,953 | 3 plans |
| 101 | SEIZURES WITHOUT MCC | $11,565 – $15,404 · median $13,613 | 3 plans |
| 102 | HEADACHES WITH MCC | $16,913 – $22,394 · median $19,082 | 3 plans |
| 103 | HEADACHES WITHOUT MCC | $12,619 – $16,128 · median $13,991 | 3 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $35,475 – $58,320 · median $44,848 | 3 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $20,415 – $31,507 · median $24,936 | 3 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $23,160 – $37,998 · median $29,246 | 3 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $27,282 – $45,088 · median $34,591 | 3 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $16,370 – $27,462 · median $20,929 | 3 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $17,553 – $26,489 · median $21,184 | 3 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $11,857 – $15,229 · median $13,178 | 3 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $12,050 – $17,851 · median $14,401 | 3 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $19,964 – $33,579 · median $25,561 | 3 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $11,585 – $14,505 · median $12,716 | 3 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $31,916 – $61,516 · median $44,193 | 3 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $15,320 – $27,113 · median $20,187 | 3 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $16,765 – $25,483 · median $21,127 | 3 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $12,648 – $15,124 · median $14,126 | 3 plans |
| 139 | SALIVARY GLAND PROCEDURES | $18,236 – $31,257 · median $23,597 | 3 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $64,358 – $99,863 · median $78,838 | 3 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $32,910 – $46,112 · median $38,209 | 3 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $24,088 – $39,271 · median $30,312 | 3 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $51,036 – $63,940 · median $58,287 | 3 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $25,826 – $30,383 · median $27,861 | 3 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $18,141 – $22,220 · median $19,703 | 3 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $31,949 – $52,828 · median $40,520 | 3 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $19,185 – $30,333 · median $23,741 | 3 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $12,027 – $20,796 · median $15,640 | 3 plans |
| 149 | DYSEQUILIBRIUM | $11,341 – $14,555 · median $12,599 | 3 plans |
| 150 | EPISTAXIS WITH MCC | $20,091 – $33,604 · median $25,643 | 3 plans |
| 151 | EPISTAXIS WITHOUT MCC | $11,075 – $14,630 · median $12,481 | 3 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $16,828 – $20,176 · median $18,818 | 3 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $8,361 – $12,598 · median $10,488 | 3 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $23,591 – $38,273 · median $29,607 | 3 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $12,733 – $15,641 · median $14,404 | 3 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $10,186 – $11,984 · median $11,111 | 3 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $25,905 – $34,727 · median $29,409 | 3 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $13,093 – $15,527 · median $14,566 | 3 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $10,653 – $12,533 · median $11,391 | 3 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $67,625 – $81,963 · median $73,078 | 3 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $38,084 – $49,682 · median $42,652 | 3 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $28,883 – $35,976 · median $31,624 | 3 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $56,087 – $65,985 · median $60,093 | 3 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $27,211 – $34,153 · median $29,904 | 3 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $20,617 – $26,389 · median $22,875 | 3 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $44,910 – $66,384 · median $53,611 | 3 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $20,726 – $24,616 · median $22,183 | 3 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $12,147 – $15,254 · median $13,352 | 3 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $22,961 – $27,013 · median $25,124 | 3 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $14,727 – $18,599 · median $16,233 | 3 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $11,392 – $13,931 · median $12,363 | 3 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $26,647 – $33,180 · median $29,171 | 3 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $16,160 – $22,944 · median $18,890 | 3 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $11,226 – $19,698 · median $14,720 | 3 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $22,388 – $26,339 · median $24,597 | 3 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $16,056 – $19,099 · median $17,197 | 3 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $11,867 – $14,930 · median $13,056 | 3 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $22,282 – $26,598 · median $24,865 | 3 plans |
| 187 | PLEURAL EFFUSION WITH CC | $14,924 – $19,149 · median $16,578 | 3 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $10,822 – $14,880 · median $12,444 | 3 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $18,641 – $22,045 · median $19,911 | 3 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $15,491 – $18,904 · median $17,469 | 3 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $12,720 – $16,103 · median $14,037 | 3 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $9,687 – $12,857 · median $10,943 | 3 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $18,271 – $22,432 · median $20,664 | 3 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $12,160 – $15,254 · median $13,360 | 3 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $9,483 – $11,459 · median $10,233 | 3 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $28,476 – $35,177 · median $31,054 | 3 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $14,321 – $20,497 · median $16,810 | 3 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $10,807 – $15,753 · median $12,807 | 3 plans |
| 199 | PNEUMOTHORAX WITH MCC | $22,240 – $30,106 · median $26,391 | 3 plans |
| 200 | PNEUMOTHORAX WITH CC | $15,173 – $18,761 · median $17,219 | 3 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $9,231 – $12,204 · median $10,825 | 3 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $13,836 – $16,575 · median $15,466 | 3 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $8,807 – $11,434 · median $10,235 | 3 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $12,183 – $14,630 · median $13,107 | 3 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $23,895 – $31,248 · median $27,870 | 3 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $13,433 – $16,061 · median $15,002 | 3 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $97,092 – $141,206 · median $114,920 | 3 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $41,475 – $48,808 · median $44,198 | 3 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $164,078 – $269,680 · median $207,403 | 3 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $113,532 – $169,927 · median $141,903 | 3 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $145,533 – $171,215 · median $157,283 | 3 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $95,473 – $112,321 · median $105,714 | 3 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $86,709 – $112,215 · median $100,612 | 3 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $100,566 – $131,039 · median $117,085 | 3 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $79,005 – $92,948 · median $85,738 | 3 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $62,793 – $86,017 · median $74,962 | 3 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $74,651 – $127,900 · median $96,574 | 3 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $47,522 – $68,281 · median $55,894 | 3 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $127,197 – $176,808 · median $147,076 | 3 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $91,478 – $119,087 · median $102,344 | 3 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $103,770 – $130,474 · median $118,720 | 3 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $80,958 – $95,244 · median $87,826 | 3 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $79,303 – $100,154 · median $90,924 | 3 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $62,156 – $73,125 · median $67,345 | 3 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $67,673 – $83,994 · median $76,939 | 3 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $42,272 – $49,732 · median $45,829 | 3 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $20,889 – $37,099 · median $27,580 | 3 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $48,176 – $65,835 · median $55,224 | 3 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $32,153 – $48,658 · median $38,863 | 3 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $27,273 – $42,542 · median $33,504 | 3 plans |
| 245 | AICD GENERATOR PROCEDURES | $68,841 – $120,210 · median $90,020 | 3 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $32,931 – $45,538 · median $37,977 | 3 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $22,550 – $36,924 · median $28,445 | 3 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $52,634 – $73,624 · median $61,056 | 3 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $39,165 – $52,378 · median $44,409 | 3 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $26,884 – $36,250 · median $30,610 | 3 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $39,853 – $46,886 · median $43,367 | 3 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $21,157 – $28,977 · median $25,255 | 3 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $15,534 – $18,640 · median $17,377 | 3 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $47,411 – $70,953 · median $56,967 | 3 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $30,511 – $47,585 · median $37,478 | 3 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $49,081 – $72,251 · median $58,463 | 3 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $28,525 – $38,347 · median $32,429 | 3 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $24,593 – $34,078 · median $28,391 | 3 plans |
| 263 | VEIN LIGATION AND STRIPPING | $46,133 – $67,058 · median $54,589 | 3 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $39,110 – $57,011 · median $48,209 | 3 plans |
| 265 | AICD LEAD PROCEDURES | $54,594 – $86,706 · median $67,724 | 3 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $92,470 – $111,073 · median $99,500 | 3 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $71,835 – $100,038 · median $83,140 | 3 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $103,780 – $137,486 · median $117,121 | 3 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $62,092 – $73,050 · median $67,898 | 3 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $75,525 – $90,046 · median $84,233 | 3 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $53,660 – $72,101 · median $60,989 | 3 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $38,522 – $52,503 · median $44,099 | 3 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $62,249 – $91,549 · median $74,112 | 3 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $49,668 – $63,763 · median $55,187 | 3 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $107,589 – $154,588 · median $126,544 | 3 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $90,633 – $133,217 · median $107,872 | 3 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $69,688 – $102,809 · median $83,104 | 3 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $83,988 – $114,743 · median $96,262 | 3 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $54,416 – $79,940 · median $64,748 | 3 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $23,258 – $27,376 · median $25,783 | 3 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $13,868 – $18,874 · median $15,864 | 3 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $10,911 – $17,027 · median $13,407 | 3 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $29,888 – $38,847 · median $33,412 | 3 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $10,445 – $18,425 · median $13,737 | 3 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $9,037 – $13,007 · median $10,638 | 3 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $29,815 – $37,764 · median $34,233 | 3 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $16,147 – $21,396 · median $18,224 | 3 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $40,833 – $52,728 · median $45,501 | 3 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $22,091 – $29,130 · median $25,872 | 3 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $14,028 – $25,190 · median $18,639 | 3 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $17,974 – $21,909 · median $20,259 | 3 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $12,266 – $14,489 · median $13,620 | 3 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $8,540 – $12,907 · median $10,315 | 3 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $23,567 – $37,124 · median $29,106 | 3 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $9,408 – $17,476 · median $12,748 | 3 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $6,867 – $11,459 · median $8,754 | 3 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $18,674 – $27,864 · median $23,303 | 3 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $14,982 – $18,218 · median $16,867 | 3 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $10,859 – $13,032 · median $11,680 | 3 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $18,055 – $28,661 · median $22,391 | 3 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $10,158 – $12,433 · median $11,028 | 3 plans |
| 304 | HYPERTENSION WITH MCC | $17,146 – $20,309 · median $19,064 | 3 plans |
| 305 | HYPERTENSION WITHOUT MCC | $11,394 – $14,380 · median $12,555 | 3 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $23,777 – $36,125 · median $28,800 | 3 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $13,779 – $22,269 · median $17,257 | 3 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $16,680 – $20,548 · median $18,895 | 3 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $10,504 – $12,556 · median $11,729 | 3 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $8,212 – $9,662 · median $9,101 | 3 plans |
| 311 | ANGINA PECTORIS | $10,419 – $12,258 · median $11,285 | 3 plans |
| 312 | SYNCOPE AND COLLAPSE | $13,151 – $16,128 · median $14,292 | 3 plans |
| 313 | CHEST PAIN | $9,889 – $12,288 · median $11,249 | 3 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $30,834 – $36,275 · median $33,525 | 3 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $14,535 – $18,874 · median $16,241 | 3 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $10,292 – $16,502 · median $12,834 | 3 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $100,892 – $154,438 · median $122,692 | 3 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $67,340 – $108,376 · median $84,142 | 3 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $36,293 – $58,095 · median $45,215 | 3 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $41,054 – $61,591 · median $49,393 | 3 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $26,602 – $45,687 · median $34,461 | 3 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $65,295 – $97,466 · median $78,349 | 3 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $47,545 – $75,496 · median $58,974 | 3 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $48,441 – $67,383 · median $56,032 | 3 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $75,254 – $91,250 · median $81,339 | 3 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $36,880 – $49,257 · median $41,791 | 3 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $24,177 – $30,533 · median $26,649 | 3 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $61,116 – $78,444 · median $70,629 | 3 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $36,171 – $44,214 · median $39,247 | 3 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $25,393 – $33,229 · median $28,483 | 3 plans |
| 332 | RECTAL RESECTION WITH MCC | $54,632 – $93,846 · median $70,780 | 3 plans |
| 333 | RECTAL RESECTION WITH CC | $35,341 – $52,453 · median $42,279 | 3 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $24,714 – $30,958 · median $27,133 | 3 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $47,726 – $60,941 · median $55,014 | 3 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $31,704 – $37,299 · median $33,903 | 3 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $23,161 – $28,686 · median $25,290 | 3 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $38,971 – $68,032 · median $50,953 | 3 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $22,704 – $28,436 · median $24,925 | 3 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $17,898 – $24,092 · median $20,361 | 3 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $34,638 – $62,165 · median $46,008 | 3 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $19,748 – $23,917 · median $21,333 | 3 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $13,136 – $18,300 · median $15,206 | 3 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $37,600 – $60,093 · median $46,803 | 3 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $23,003 – $35,826 · median $28,235 | 3 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $17,621 – $21,471 · median $19,090 | 3 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $43,788 – $56,772 · median $48,891 | 3 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $25,385 – $30,633 · median $27,375 | 3 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $20,294 – $25,590 · median $22,353 | 3 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $59,228 – $74,968 · median $67,981 | 3 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $30,070 – $39,687 · median $35,233 | 3 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $21,093 – $26,189 · median $23,059 | 3 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $24,020 – $30,308 · median $26,465 | 3 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $15,092 – $20,097 · median $17,076 | 3 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $10,574 – $17,176 · median $13,280 | 3 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $26,271 – $30,908 · median $28,507 | 3 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $15,300 – $18,000 · median $16,415 | 3 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $10,976 – $13,307 · median $11,862 | 3 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $32,256 – $37,948 · median $34,385 | 3 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $18,251 – $22,419 · median $19,850 | 3 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $13,947 – $18,699 · median $15,834 | 3 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $27,582 – $33,454 · median $29,816 | 3 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $14,798 – $19,224 · median $16,538 | 3 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $9,512 – $13,556 · median $11,141 | 3 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $29,094 – $34,228 · median $31,547 | 3 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $16,128 – $18,974 · median $17,420 | 3 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $12,080 – $15,004 · median $13,208 | 3 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $20,833 – $33,529 · median $26,031 | 3 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $12,898 – $15,878 · median $14,042 | 3 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $22,558 – $27,004 · median $25,207 | 3 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $14,731 – $18,525 · median $16,204 | 3 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $10,280 – $13,307 · median $11,469 | 3 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $19,417 – $25,203 · median $22,563 | 3 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $10,908 – $13,479 · median $12,375 | 3 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $8,208 – $10,036 · median $8,907 | 3 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $18,547 – $21,820 · median $20,391 | 3 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $11,014 – $13,305 · median $12,360 | 3 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $24,132 – $30,758 · median $26,719 | 3 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $14,048 – $16,527 · median $15,044 | 3 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $9,793 – $13,506 · median $11,278 | 3 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $29,497 – $40,872 · median $35,419 | 3 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $22,838 – $30,858 · median $26,030 | 3 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $17,272 – $22,170 · median $19,190 | 3 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $55,938 – $68,614 · median $63,237 | 3 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $82,544 – $108,177 · median $92,655 | 3 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $43,761 – $56,672 · median $48,833 | 3 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $33,491 – $43,141 · median $37,275 | 3 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $53,801 – $84,934 · median $66,522 | 3 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $32,853 – $43,990 · median $37,275 | 3 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $23,957 – $36,725 · median $29,156 | 3 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $49,843 – $78,992 · median $61,759 | 3 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $31,724 – $54,176 · median $40,965 | 3 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $25,055 – $40,120 · median $31,220 | 3 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $53,756 – $77,444 · median $63,313 | 3 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $31,184 – $38,148 · median $33,848 | 3 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $20,571 – $28,910 · median $23,920 | 3 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $33,253 – $40,727 · median $37,565 | 3 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $25,524 – $31,856 · median $27,973 | 3 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $20,608 – $26,489 · median $22,912 | 3 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $51,409 – $83,436 · median $64,533 | 3 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $26,217 – $41,942 · median $32,652 | 3 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $21,117 – $35,551 · median $27,051 | 3 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $62,664 – $87,405 · median $72,585 | 3 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $33,013 – $53,052 · median $41,217 | 3 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $22,638 – $38,522 · median $29,174 | 3 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $109,436 – $188,089 · median $147,523 | 3 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $85,435 – $123,193 · median $104,716 | 3 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $75,143 – $95,946 · median $86,617 | 3 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $135,944 – $208,214 · median $165,370 | 3 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $79,727 – $98,422 · median $90,408 | 3 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $29,698 – $36,525 · median $32,318 | 3 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $15,937 – $19,898 · median $17,469 | 3 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $10,751 – $16,827 · median $13,231 | 3 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $27,142 – $31,931 · median $29,529 | 3 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $17,067 – $20,921 · median $18,543 | 3 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $12,875 – $19,823 · median $15,706 | 3 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $24,598 – $34,528 · median $28,585 | 3 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $12,693 – $16,328 · median $14,117 | 3 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,376 – $11,734 · median $10,289 | 3 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $27,080 – $37,823 · median $31,389 | 3 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $14,565 – $19,398 · median $16,481 | 3 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $10,558 – $16,028 · median $12,782 | 3 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $25,212 – $29,809 · median $26,927 | 3 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $16,513 – $20,697 · median $18,135 | 3 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $12,483 – $17,576 · median $14,529 | 3 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $89,552 – $114,029 · median $103,087 | 3 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $56,448 – $72,374 · median $65,199 | 3 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $75,334 – $90,955 · median $84,523 | 3 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $43,312 – $55,130 · median $49,849 | 3 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $126,798 – $170,167 · median $144,027 | 3 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $89,976 – $123,755 · median $103,479 | 3 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $62,960 – $111,872 · median $83,150 | 3 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $80,885 – $159,481 · median $113,522 | 3 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $40,136 – $47,635 · median $42,943 | 3 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $77,435 – $97,268 · median $88,549 | 3 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $44,691 – $53,156 · median $49,788 | 3 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $27,518 – $34,752 · median $30,331 | 3 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $68,395 – $88,836 · median $79,504 | 3 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $45,179 – $60,185 · median $53,182 | 3 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $36,691 – $46,898 · median $42,315 | 3 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $45,767 – $55,449 · median $49,448 | 3 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $25,592 – $32,919 · median $29,607 | 3 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $63,493 – $82,407 · median $73,779 | 3 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $40,765 – $50,278 · median $46,206 | 3 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $32,935 – $41,663 · median $37,792 | 3 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $60,671 – $73,263 · median $68,076 | 3 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $33,147 – $38,997 · median $36,587 | 3 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $17,808 – $29,435 · median $22,580 | 3 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $51,779 – $60,916 · median $55,541 | 3 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $34,399 – $41,969 · median $38,788 | 3 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $26,590 – $31,724 · median $29,665 | 3 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $43,943 – $63,638 · median $51,897 | 3 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $31,604 – $44,639 · median $36,844 | 3 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $24,610 – $32,331 · median $27,658 | 3 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $31,343 – $47,305 · median $39,350 | 3 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $48,693 – $81,963 · median $62,371 | 3 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $29,900 – $35,687 · median $33,365 | 3 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $22,494 – $26,729 · median $25,048 | 3 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $22,989 – $46,237 · median $32,652 | 3 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $16,851 – $27,412 · median $21,180 | 3 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $49,317 – $62,660 · median $56,710 | 3 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $38,267 – $47,210 · median $41,705 | 3 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $28,203 – $34,243 · median $31,728 | 3 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $54,708 – $89,278 · median $68,881 | 3 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $27,219 – $33,279 · median $29,536 | 3 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $17,378 – $26,439 · median $21,064 | 3 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $45,520 – $63,937 · median $52,916 | 3 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $26,399 – $34,385 · median $30,729 | 3 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $45,285 – $54,011 · median $50,515 | 3 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $26,377 – $32,406 · median $28,689 | 3 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $20,308 – $24,242 · median $21,787 | 3 plans |
| 503 | FOOT PROCEDURES WITH MCC | $42,114 – $60,217 · median $49,409 | 3 plans |
| 504 | FOOT PROCEDURES WITH CC | $26,059 – $31,900 · median $29,431 | 3 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $24,277 – $30,596 · median $27,806 | 3 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $18,101 – $36,325 · median $25,674 | 3 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $27,256 – $50,306 · median $36,794 | 3 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $22,851 – $35,052 · median $27,820 | 3 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $45,576 – $69,605 · median $55,356 | 3 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $31,376 – $37,124 · median $33,521 | 3 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $23,067 – $28,251 · median $26,058 | 3 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $19,799 – $26,867 · median $23,524 | 3 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $15,425 – $18,200 · median $16,458 | 3 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $48,087 – $63,039 · median $53,985 | 3 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $31,356 – $41,368 · median $35,314 | 3 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $22,303 – $26,239 · median $24,706 | 3 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $44,755 – $63,781 · median $54,522 | 3 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $29,200 – $34,353 · median $32,158 | 3 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $19,969 – $25,495 · median $23,017 | 3 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $43,308 – $66,709 · median $52,843 | 3 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $31,954 – $41,343 · median $35,641 | 3 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $23,655 – $38,148 · median $29,590 | 3 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $12,163 – $17,701 · median $14,401 | 3 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $19,344 – $28,786 · median $23,173 | 3 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $12,186 – $15,004 · median $13,268 | 3 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $14,399 – $23,817 · median $18,265 | 3 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $10,868 – $17,476 · median $13,574 | 3 plans |
| 539 | OSTEOMYELITIS WITH MCC | $24,913 – $33,615 · median $29,515 | 3 plans |
| 540 | OSTEOMYELITIS WITH CC | $16,743 – $22,123 · median $19,629 | 3 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $11,641 – $13,981 · median $12,525 | 3 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $26,654 – $37,848 · median $31,159 | 3 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $15,511 – $23,842 · median $18,905 | 3 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $11,386 – $19,174 · median $14,588 | 3 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $37,446 – $59,643 · median $46,525 | 3 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $17,403 – $24,417 · median $20,219 | 3 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,617 – $20,372 · median $15,793 | 3 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $29,135 – $47,710 · median $36,753 | 3 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $18,215 – $22,419 · median $19,829 | 3 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $13,189 – $19,199 · median $15,618 | 3 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $25,290 – $30,708 · median $27,353 | 3 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $13,412 – $16,406 · median $15,142 | 3 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $19,560 – $32,980 · median $25,078 | 3 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $12,525 – $15,129 · median $13,513 | 3 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $19,944 – $34,078 · median $25,762 | 3 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $12,533 – $16,477 · median $14,090 | 3 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $20,499 – $25,376 · median $23,276 | 3 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $9,825 – $15,243 · median $12,518 | 3 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $28,139 – $35,302 · median $30,916 | 3 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $16,992 – $20,547 · median $18,341 | 3 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,130 – $16,552 · median $13,894 | 3 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $21,499 – $29,684 · median $24,774 | 3 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $12,987 – $15,283 · median $14,396 | 3 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $23,291 – $35,826 · median $28,398 | 3 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $14,703 – $18,375 · median $16,124 | 3 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $11,306 – $16,153 · median $13,259 | 3 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $41,614 – $50,193 · median $46,668 | 3 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $21,412 – $28,833 · median $25,342 | 3 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $17,296 – $21,620 · median $18,970 | 3 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $98,853 – $146,199 · median $118,038 | 3 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $52,379 – $81,264 · median $64,159 | 3 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $24,649 – $46,961 · median $33,898 | 3 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $73,953 – $136,638 · median $99,893 | 3 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $39,996 – $58,170 · median $47,341 | 3 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $24,239 – $40,594 · median $30,960 | 3 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $38,877 – $55,269 · median $47,301 | 3 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $26,074 – $33,379 · median $28,931 | 3 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $21,775 – $27,987 · median $24,208 | 3 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $29,070 – $52,478 · median $38,743 | 3 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $26,019 – $47,385 · median $34,853 | 3 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $32,301 – $57,172 · median $42,565 | 3 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $29,108 – $49,857 · median $37,650 | 3 plans |
| 592 | SKIN ULCERS WITH MCC | $23,767 – $33,028 · median $28,582 | 3 plans |
| 593 | SKIN ULCERS WITH CC | $14,515 – $20,246 · median $17,488 | 3 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $9,868 – $14,793 · median $12,344 | 3 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $31,999 – $53,052 · median $40,643 | 3 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $13,327 – $18,474 · median $16,006 | 3 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $25,155 – $41,218 · median $31,743 | 3 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $17,070 – $21,321 · median $18,715 | 3 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $11,063 – $18,375 · median $14,066 | 3 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $13,518 – $17,776 · median $15,810 | 3 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,533 – $10,325 · median $8,996 | 3 plans |
| 602 | CELLULITIS WITH MCC | $21,446 – $26,913 · median $23,566 | 3 plans |
| 603 | CELLULITIS WITHOUT MCC | $10,441 – $14,863 · median $12,712 | 3 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $22,212 – $36,550 · median $28,095 | 3 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $12,648 – $15,633 · median $14,350 | 3 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $22,832 – $35,576 · median $28,032 | 3 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $11,141 – $15,469 · median $13,392 | 3 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $33,072 – $46,062 · median $38,279 | 3 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $21,114 – $34,203 · median $26,477 | 3 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $48,532 – $59,516 · median $54,859 | 3 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $24,595 – $31,919 · median $28,578 | 3 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $15,512 – $24,205 · median $19,825 | 3 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $43,568 – $54,625 · median $47,854 | 3 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $24,147 – $31,881 · median $27,205 | 3 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $21,879 – $25,742 · median $24,250 | 3 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $42,633 – $60,742 · median $51,930 | 3 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $24,213 – $30,615 · median $27,777 | 3 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $18,441 – $21,695 · median $20,127 | 3 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $45,570 – $72,001 · median $56,371 | 3 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $22,624 – $32,930 · median $26,790 | 3 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $20,043 – $23,693 · median $21,404 | 3 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $48,447 – $63,602 · median $56,615 | 3 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $28,033 – $37,184 · median $32,928 | 3 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $18,208 – $24,908 · median $21,721 | 3 plans |
| 637 | DIABETES WITH MCC | $18,823 – $24,519 · median $21,911 | 3 plans |
| 638 | DIABETES WITH CC | $11,629 – $15,295 · median $13,602 | 3 plans |
| 639 | DIABETES WITHOUT CC/MCC | $8,976 – $10,601 · median $9,967 | 3 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $20,153 – $24,117 · median $21,646 | 3 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $11,268 – $13,281 · median $12,499 | 3 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $16,361 – $24,270 · median $20,353 | 3 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $24,838 – $29,260 · median $26,482 | 3 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $14,367 – $17,493 · median $16,184 | 3 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $9,847 – $13,112 · median $11,588 | 3 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $78,408 – $136,762 · median $102,465 | 3 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $42,238 – $53,701 · median $46,710 | 3 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $31,937 – $44,214 · median $36,852 | 3 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $48,040 – $60,367 · median $52,824 | 3 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $27,613 – $35,701 · median $30,788 | 3 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $23,415 – $30,783 · median $26,324 | 3 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $33,741 – $43,363 · median $39,017 | 3 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $18,717 – $22,556 · median $20,981 | 3 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $15,321 – $18,025 · median $16,647 | 3 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $46,194 – $75,696 · median $58,295 | 3 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $22,938 – $37,798 · median $29,036 | 3 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $15,797 – $27,487 · median $20,615 | 3 plans |
| 665 | PROSTATECTOMY WITH MCC | $47,095 – $78,942 · median $60,184 | 3 plans |
| 666 | PROSTATECTOMY WITH CC | $26,395 – $42,592 · median $33,028 | 3 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $16,691 – $25,515 · median $20,283 | 3 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $44,059 – $62,514 · median $51,485 | 3 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $21,072 – $26,487 · median $24,104 | 3 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $14,746 – $20,172 · median $16,913 | 3 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $27,084 – $43,640 · median $33,864 | 3 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $16,288 – $25,740 · median $20,151 | 3 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $51,482 – $71,705 · median $61,982 | 3 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $34,038 – $40,045 · median $37,599 | 3 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $24,767 – $37,199 · median $29,816 | 3 plans |
| 682 | RENAL FAILURE WITH MCC | $18,865 – $25,275 · median $22,271 | 3 plans |
| 683 | RENAL FAILURE WITH CC | $10,801 – $14,946 · median $12,961 | 3 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $8,043 – $10,245 · median $9,260 | 3 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $27,216 – $38,372 · median $31,699 | 3 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $15,810 – $20,072 · median $17,472 | 3 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $11,925 – $15,429 · median $13,301 | 3 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $17,508 – $22,769 · median $19,578 | 3 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $10,589 – $13,815 · median $12,336 | 3 plans |
| 693 | URINARY STONES WITH MCC | $20,287 – $35,227 · median $26,444 | 3 plans |
| 694 | URINARY STONES WITHOUT MCC | $10,037 – $13,341 · median $11,802 | 3 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $17,259 – $28,985 · median $22,079 | 3 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $10,396 – $12,358 · median $11,131 | 3 plans |
| 697 | URETHRAL STRICTURE | $16,263 – $25,964 · median $20,232 | 3 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $24,963 – $30,259 · median $26,977 | 3 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $15,067 – $17,726 · median $16,319 | 3 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $10,410 – $15,629 · median $12,529 | 3 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $30,182 – $36,450 · median $32,560 | 3 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $23,149 – $33,679 · median $27,405 | 3 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $35,113 – $56,423 · median $43,837 | 3 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $21,142 – $35,726 · median $27,140 | 3 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $31,442 – $51,355 · median $39,607 | 3 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $16,593 – $28,561 · median $21,522 | 3 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $22,685 – $29,784 · median $25,487 | 3 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $15,955 – $20,821 · median $17,872 | 3 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $33,758 – $54,850 · median $42,402 | 3 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $22,196 – $34,478 · median $27,205 | 3 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $24,340 – $32,263 · median $28,581 | 3 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $16,340 – $22,921 · median $19,745 | 3 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $27,306 – $44,339 · median $34,286 | 3 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $17,242 – $27,962 · median $21,634 | 3 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,230 – $18,774 · median $13,199 | 3 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $17,657 – $31,357 · median $23,312 | 3 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $10,894 – $18,599 · median $14,066 | 3 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $22,375 – $37,723 · median $28,686 | 3 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $11,459 – $13,844 · median $12,861 | 3 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $15,975 – $26,114 · median $20,132 | 3 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $10,140 – $15,429 · median $12,291 | 3 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $31,322 – $36,849 · median $34,245 | 3 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $20,302 – $29,684 · median $24,097 | 3 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $53,935 – $100,637 · median $73,272 | 3 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $31,092 – $37,823 · median $33,658 | 3 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $22,158 – $27,537 · median $24,234 | 3 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $53,208 – $94,670 · median $70,325 | 3 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $27,305 – $36,974 · median $31,155 | 3 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $21,518 – $25,914 · median $23,183 | 3 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $26,484 – $31,313 · median $29,421 | 3 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $18,526 – $21,795 · median $19,947 | 3 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $21,624 – $34,970 · median $28,179 | 3 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $14,430 – $19,413 · median $17,070 | 3 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $21,964 – $29,646 · median $26,025 | 3 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $12,667 – $18,425 · median $14,994 | 3 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $20,933 – $33,654 · median $26,141 | 3 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $34,993 – $43,819 · median $39,955 | 3 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $22,268 – $34,053 · median $27,066 | 3 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $27,248 – $32,056 · median $29,610 | 3 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $16,361 – $19,249 · median $17,489 | 3 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $14,409 – $16,952 · median $15,442 | 3 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $21,606 – $36,275 · median $27,635 | 3 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $13,221 – $16,708 · median $15,163 | 3 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $10,013 – $12,233 · median $10,862 | 3 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $12,690 – $17,194 · median $15,066 | 3 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $8,595 – $11,135 · median $9,593 | 3 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $11,162 – $18,288 · median $14,651 | 3 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $22,643 – $28,838 · median $26,068 | 3 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $11,841 – $17,112 · median $14,530 | 3 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $7,300 – $11,173 · median $9,233 | 3 plans |
| 779 | ABORTION WITHOUT D&C | $7,788 – $12,170 · median $9,961 | 3 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $17,635 – $40,904 · median $28,896 | 3 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $15,428 – $18,150 · median $16,829 | 3 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $12,881 – $15,958 · median $14,803 | 3 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $17,316 – $27,482 · median $22,631 | 3 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $15,321 – $18,607 · median $17,438 | 3 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $12,860 – $15,974 · median $14,798 | 3 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $9,688 – $28,461 · median $25,692 | 3 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $31,949 – $162,902 · median $114,073 | 3 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $21,819 – $61,246 · median $44,408 | 3 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $13,165 – $36,956 · median $14,757 | 3 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $17,613 – $62,914 · median $21,567 | 3 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $4,817 – $22,270 · median $6,800 | 3 plans |
| 795 | NORMAL NEWBORN | $1,074 – $3,895 · median $3,163 | 3 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $17,609 – $29,210 · median $22,136 | 3 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $15,095 – $19,249 · median $16,514 | 3 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $13,921 – $16,378 · median $15,194 | 3 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $64,108 – $77,291 · median $71,879 | 3 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $42,391 – $55,449 · median $47,539 | 3 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $28,803 – $40,145 · median $33,350 | 3 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $60,115 – $89,128 · median $71,876 | 3 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $28,049 – $38,722 · median $32,319 | 3 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $20,460 – $26,314 · median $22,754 | 3 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $10,886 – $18,418 · median $14,546 | 3 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $9,910 – $12,868 · median $11,518 | 3 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $8,446 – $11,506 · median $10,055 | 3 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $33,315 – $40,420 · median $36,018 | 3 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $18,441 – $21,695 · median $20,352 | 3 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $15,258 – $17,950 · median $16,827 | 3 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $21,189 – $25,715 · median $22,912 | 3 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $13,855 – $17,826 · median $15,411 | 3 plans |
| 813 | COAGULATION DISORDERS | $23,015 – $34,178 · median $27,541 | 3 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $28,967 – $36,294 · median $33,084 | 3 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $15,300 – $18,674 · median $16,589 | 3 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $9,536 – $14,031 · median $11,356 | 3 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $25,232 – $29,684 · median $27,139 | 3 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $15,907 – $19,923 · median $17,463 | 3 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,353 – $14,675 · median $13,166 | 3 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $88,493 – $118,837 · median $100,550 | 3 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $33,778 – $51,954 · median $41,182 | 3 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $18,167 – $29,634 · median $22,868 | 3 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $69,179 – $89,477 · median $77,150 | 3 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $34,185 – $50,031 · median $40,596 | 3 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $20,361 – $30,433 · median $24,449 | 3 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $70,583 – $120,610 · median $91,175 | 3 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $34,873 – $52,328 · median $41,961 | 3 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $25,708 – $34,877 · median $29,361 | 3 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $34,123 – $53,929 · median $43,913 | 3 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $22,709 – $34,078 · median $27,326 | 3 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $13,178 – $20,522 · median $16,824 | 3 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $8,594 – $12,315 · median $10,500 | 3 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $6,112 – $8,924 · median $7,540 | 3 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $82,836 – $169,992 · median $119,092 | 3 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $31,472 – $65,011 · median $45,428 | 3 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $18,401 – $40,095 · median $27,446 | 3 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $66,931 – $81,991 · median $75,617 | 3 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $22,240 – $35,624 · median $28,830 | 3 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $17,974 – $24,642 · median $21,466 | 3 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $48,811 – $78,168 · median $60,825 | 3 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $24,616 – $39,271 · median $30,611 | 3 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $15,246 – $26,763 · median $19,996 | 3 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $30,099 – $44,239 · median $35,823 | 3 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $18,369 – $25,066 · median $21,041 | 3 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $12,850 – $21,296 · median $16,317 | 3 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $32,298 – $44,244 · median $38,558 | 3 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $15,767 – $22,326 · median $19,144 | 3 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,101 – $14,496 · median $12,350 | 3 plans |
| 849 | RADIOTHERAPY | $40,883 – $63,912 · median $50,283 | 3 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $130,662 – $229,960 · median $171,625 | 3 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $71,981 – $84,684 · median $79,400 | 3 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $29,518 – $34,727 · median $32,124 | 3 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $22,591 – $27,462 · median $24,447 | 3 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $58,251 – $77,629 · median $68,583 | 3 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $27,333 – $36,547 · median $32,234 | 3 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $19,417 – $23,771 · median $21,930 | 3 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $21,178 – $31,123 · median $26,217 | 3 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $13,496 – $17,030 · median $15,468 | 3 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $13,390 – $15,753 · median $14,272 | 3 plans |
| 865 | VIRAL ILLNESS WITH MCC | $20,202 – $25,570 · median $23,188 | 3 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $11,374 – $14,841 · median $13,251 | 3 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $31,584 – $41,243 · median $35,390 | 3 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $15,558 – $18,924 · median $16,841 | 3 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $11,010 – $15,254 · median $12,710 | 3 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $104,291 – $129,822 · median $114,153 | 3 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $29,310 – $35,002 · median $31,451 | 3 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $15,194 – $17,875 · median $16,452 | 3 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $58,317 – $90,002 · median $71,230 | 3 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $12,478 – $16,387 · median $14,584 | 3 plans |
| 881 | DEPRESSIVE NEUROSES | $7,767 – $16,057 · median $11,667 | 3 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,597 – $18,326 · median $12,570 | 3 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $21,348 – $33,557 · median $27,392 | 3 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $13,284 – $27,458 · median $19,953 | 3 plans |
| 885 | PSYCHOSES | $11,396 – $23,838 · median $17,241 | 3 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $26,123 – $35,417 · median $31,023 | 3 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $16,159 – $25,765 · median $20,088 | 3 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $7,236 – $10,528 · median $8,911 | 3 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $21,360 – $37,299 · median $27,931 | 3 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $24,107 – $29,782 · median $27,346 | 3 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $10,547 – $15,066 · median $12,864 | 3 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $63,322 – $80,065 · median $69,837 | 3 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $25,317 – $32,673 · median $29,336 | 3 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $16,913 – $19,961 · median $18,773 | 3 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $55,423 – $72,950 · median $62,346 | 3 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $21,604 – $40,120 · median $29,269 | 3 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $26,593 – $32,281 · median $28,758 | 3 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $57,931 – $68,581 · median $61,908 | 3 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $29,879 – $35,152 · median $32,078 | 3 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $19,807 – $23,917 · median $21,366 | 3 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $24,664 – $38,622 · median $30,362 | 3 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $12,711 – $15,112 · median $14,158 | 3 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $22,197 – $28,698 · median $25,744 | 3 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $9,698 – $11,409 · median $10,712 | 3 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $21,051 – $26,766 · median $24,216 | 3 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $10,462 – $14,627 · median $12,620 | 3 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $23,534 – $31,245 · median $27,656 | 3 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $14,473 – $17,105 · median $16,075 | 3 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $10,377 – $12,208 · median $11,068 | 3 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $26,396 – $37,124 · median $30,705 | 3 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $11,778 – $17,368 · median $14,606 | 3 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $278,090 – $541,657 · median $387,470 | 3 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $49,975 – $122,410 · median $83,511 | 3 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $24,277 – $54,966 · median $38,579 | 3 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $57,590 – $81,139 · median $67,052 | 3 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $33,355 – $50,406 · median $40,286 | 3 plans |
| 935 | NON-EXTENSIVE BURNS | $18,547 – $35,156 · median $26,452 | 3 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $54,750 – $80,365 · median $65,117 | 3 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $35,261 – $42,791 · median $38,127 | 3 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $24,362 – $34,605 · median $29,628 | 3 plans |
| 945 | REHABILITATION WITH CC/MCC | $23,367 – $37,573 · median $29,183 | 3 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $17,304 – $26,863 · median $21,203 | 3 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $18,929 – $22,269 · median $20,409 | 3 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $12,079 – $15,129 · median $13,261 | 3 plans |
| 949 | AFTERCARE WITH CC/MCC | $17,951 – $26,064 · median $21,229 | 3 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $9,471 – $16,303 · median $12,285 | 3 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $7,130 – $9,489 · median $8,389 | 3 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $101,564 – $149,345 · median $120,908 | 3 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $56,779 – $118,787 · median $82,594 | 3 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $114,975 – $143,229 · median $125,893 | 3 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $63,583 – $82,761 · median $71,131 | 3 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $44,423 – $64,836 · median $52,677 | 3 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $41,250 – $60,093 · median $48,867 | 3 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $23,125 – $27,462 · median $24,749 | 3 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $14,191 – $18,874 · median $16,047 | 3 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $92,363 – $164,949 · median $122,337 | 3 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $39,795 – $70,728 · median $52,564 | 3 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $43,546 – $64,137 · median $51,885 | 3 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $19,540 – $33,654 · median $25,353 | 3 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $13,497 – $22,744 · median $17,299 | 3 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $19,127 – $34,403 · median $25,438 | 3 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $70,794 – $97,866 · median $81,628 | 3 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $37,096 – $49,257 · median $41,913 | 3 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $25,862 – $30,608 · median $27,634 | 3 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $51,731 – $64,487 · median $56,661 | 3 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $24,800 – $30,084 · median $26,811 | 3 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $18,095 – $23,168 · median $20,079 | 3 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $422,848 – $478,258 · median $450,553 | 2 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $170,984 – $193,390 · median $182,187 | 2 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $155,573 – $175,960 · median $165,767 | 2 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $69,967 – $79,135 · median $74,551 | 2 plans |
| 007 | LUNG TRANSPLANT | $195,404 – $221,009 · median $208,206 | 2 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $84,567 – $95,649 · median $90,108 | 2 plans |
| 010 | PANCREAS TRANSPLANT | $46,321 – $52,391 · median $49,356 | 2 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $181,336 – $205,099 · median $193,217 | 2 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $89,472 – $101,197 · median $95,335 | 2 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $73,004 – $82,571 · median $77,788 | 2 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $651,578 – $736,962 · median $694,270 | 2 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $99,997 – $113,100 · median $106,549 | 2 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $170,788 – $193,168 · median $181,978 | 2 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $86,111 – $97,394 · median $91,752 | 2 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $36,548 – $41,337 · median $38,943 | 2 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $51,884 – $58,683 · median $55,284 | 2 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $36,429 – $41,203 · median $38,816 | 2 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $70,939 – $80,235 · median $75,587 | 2 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $55,916 – $63,244 · median $59,580 | 2 plans |
| 652 | KIDNEY TRANSPLANT | $48,729 – $55,115 · median $51,922 | 2 plans |
No procedures match that keyword.