UPMC Wellsboro — 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.
Procedures published 770
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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 |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $379,530 – $478,258 · median $434,677 | 3 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $170,984 – $283,697 · median $217,266 | 3 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $283,556 – $362,231 · median $326,929 | 3 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $188,645 – $236,389 · median $215,468 | 3 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $155,573 – $237,241 · median $188,808 | 3 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $69,967 – $107,593 · median $85,295 | 3 plans |
| 007 | LUNG TRANSPLANT | $195,404 – $274,290 · median $227,078 | 3 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $84,567 – $120,710 · median $99,126 | 3 plans |
| 010 | PANCREAS TRANSPLANT | $46,321 – $117,939 · median $76,320 | 3 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $79,355 – $93,359 · median $87,688 | 3 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $63,615 – $75,907 · median $68,236 | 3 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $38,329 – $49,181 · median $44,288 | 3 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $181,336 – $217,242 · median $194,877 | 3 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $57,513 – $101,197 · median $78,567 | 3 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $47,883 – $82,571 · median $64,669 | 3 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $651,578 – $820,010 · median $716,985 | 3 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $99,997 – $169,132 · median $128,432 | 3 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $118,731 – $171,658 · median $140,099 | 3 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $79,877 – $129,805 · median $100,339 | 3 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $46,400 – $91,326 · median $65,053 | 3 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $81,293 – $97,794 · median $91,051 | 3 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $57,779 – $67,975 · median $62,893 | 3 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $59,526 – $77,594 · median $69,317 | 3 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $40,893 – $53,062 · median $47,512 | 3 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $35,252 – $43,056 · median $39,770 | 3 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $77,589 – $102,538 · median $90,970 | 3 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $45,015 – $58,223 · median $52,218 | 3 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $26,002 – $37,463 · median $31,857 | 3 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $52,327 – $76,465 · median $64,584 | 3 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $28,319 – $36,368 · median $32,736 | 3 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $23,685 – $28,379 · median $26,478 | 3 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $58,404 – $87,616 · median $70,266 | 3 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $34,910 – $41,071 · median $38,433 | 3 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $25,148 – $33,156 · median $29,450 | 3 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $49,674 – $63,215 · median $54,958 | 3 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $24,483 – $34,054 · median $28,319 | 3 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $17,737 – $22,681 · median $19,670 | 3 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $48,833 – $65,896 · median $57,856 | 3 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $33,176 – $40,780 · median $36,093 | 3 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $22,109 – $29,485 · median $26,040 | 3 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $26,870 – $42,523 · median $33,268 | 3 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $14,775 – $22,234 · median $17,805 | 3 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $16,562 – $26,058 · median $21,262 | 3 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $14,473 – $17,401 · median $16,206 | 3 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $33,106 – $39,646 · median $37,000 | 3 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $19,549 – $24,781 · median $21,587 | 3 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $25,794 – $36,758 · median $30,209 | 3 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $16,316 – $21,177 · median $18,959 | 3 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $13,879 – $17,072 · median $15,104 | 3 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $41,601 – $51,774 · median $45,531 | 3 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $26,514 – $38,501 · median $31,357 | 3 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $21,182 – $36,088 · median $27,316 | 3 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $26,667 – $34,320 · median $30,858 | 3 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $15,244 – $19,709 · median $16,997 | 3 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $10,327 – $15,396 · median $12,383 | 3 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $22,161 – $31,932 · median $26,103 | 3 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $13,043 – $16,983 · median $14,594 | 3 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $12,053 – $15,284 · median $13,312 | 3 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $25,120 – $34,814 · median $29,002 | 3 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $15,481 – $19,128 · median $16,884 | 3 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $11,410 – $14,793 · median $12,740 | 3 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $23,191 – $27,379 · median $25,745 | 3 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $15,024 – $17,675 · median $16,573 | 3 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $21,710 – $32,724 · median $27,237 | 3 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $11,299 – $13,586 · median $12,164 | 3 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $27,311 – $46,613 · median $35,255 | 3 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $12,479 – $15,284 · median $14,097 | 3 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $33,201 – $39,060 · median $36,747 | 3 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $20,855 – $24,535 · median $22,441 | 3 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $13,011 – $16,312 · median $14,864 | 3 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $26,762 – $38,772 · median $32,883 | 3 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $16,619 – $22,232 · median $19,604 | 3 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $10,883 – $15,610 · median $13,303 | 3 plans |
| 088 | CONCUSSION WITH MCC | $20,397 – $28,759 · median $23,757 | 3 plans |
| 089 | CONCUSSION WITH CC | $13,789 – $18,749 · median $16,400 | 3 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $11,187 – $14,049 · median $12,791 | 3 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $24,008 – $29,971 · median $27,372 | 3 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $15,436 – $20,089 · median $17,267 | 3 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $12,015 – $15,351 · median $13,319 | 3 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $53,104 – $63,573 · median $57,050 | 3 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $38,917 – $49,473 · median $43,034 | 3 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $38,709 – $45,540 · median $41,467 | 3 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $54,498 – $69,003 · median $60,146 | 3 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $31,415 – $39,165 · median $35,793 | 3 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $17,626 – $23,251 · median $20,647 | 3 plans |
| 100 | SEIZURES WITH MCC | $23,343 – $33,054 · median $28,343 | 3 plans |
| 101 | SEIZURES WITHOUT MCC | $10,352 – $15,404 · median $12,899 | 3 plans |
| 102 | HEADACHES WITH MCC | $16,913 – $20,044 · median $18,083 | 3 plans |
| 103 | HEADACHES WITHOUT MCC | $12,270 – $14,435 · median $13,446 | 3 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $35,475 – $52,199 · median $42,247 | 3 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $20,415 – $28,200 · median $23,530 | 3 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $23,160 – $34,010 · median $27,552 | 3 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $27,282 – $40,356 · median $32,580 | 3 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $16,370 – $24,580 · median $19,704 | 3 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $17,553 – $23,708 · median $20,003 | 3 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $11,586 – $13,631 · median $12,634 | 3 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $12,050 – $15,977 · median $13,605 | 3 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $19,964 – $30,055 · median $24,063 | 3 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $11,035 – $13,103 · median $12,284 | 3 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $31,916 – $55,059 · median $41,449 | 3 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $15,320 – $24,267 · median $18,977 | 3 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $15,005 – $25,483 · median $20,092 | 3 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $11,320 – $15,124 · median $13,345 | 3 plans |
| 139 | SALIVARY GLAND PROCEDURES | $18,236 – $27,976 · median $22,203 | 3 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $64,358 – $89,382 · median $74,383 | 3 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $32,910 – $41,272 · median $36,152 | 3 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $24,088 – $35,149 · median $28,561 | 3 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $45,680 – $63,940 · median $55,136 | 3 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $23,115 – $29,574 · median $26,671 | 3 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $16,904 – $20,519 · median $19,014 | 3 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $31,949 – $47,283 · median $38,163 | 3 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $19,185 – $27,150 · median $22,388 | 3 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $12,027 – $18,614 · median $14,713 | 3 plans |
| 149 | DYSEQUILIBRIUM | $11,073 – $13,027 · median $12,084 | 3 plans |
| 150 | EPISTAXIS WITH MCC | $20,091 – $30,077 · median $24,144 | 3 plans |
| 151 | EPISTAXIS WITHOUT MCC | $11,075 – $13,094 · median $11,828 | 3 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $15,062 – $20,176 · median $17,779 | 3 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $7,483 – $12,598 · median $9,971 | 3 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $23,591 – $34,256 · median $27,900 | 3 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $11,396 – $15,641 · median $13,618 | 3 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $9,117 – $11,794 · median $10,577 | 3 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $25,905 – $31,082 · median $27,860 | 3 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $11,719 – $15,527 · median $13,757 | 3 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $9,535 – $12,091 · median $10,954 | 3 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $62,356 – $76,487 · median $70,493 | 3 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $37,797 – $44,467 · median $40,580 | 3 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $27,370 – $32,668 · median $30,541 | 3 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $50,200 – $63,788 · median $57,728 | 3 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $25,983 – $30,777 · median $28,890 | 3 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $20,076 – $23,619 · median $21,968 | 3 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $44,910 – $59,416 · median $50,650 | 3 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $18,728 – $23,442 · median $21,379 | 3 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $11,605 – $13,738 · median $12,900 | 3 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $20,551 – $26,669 · median $23,879 | 3 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $14,150 – $16,657 · median $15,687 | 3 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $10,598 – $12,885 · median $11,930 | 3 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $25,243 – $30,139 · median $28,172 | 3 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $16,160 – $20,535 · median $17,866 | 3 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $11,226 – $17,631 · median $13,842 | 3 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $20,038 – $26,109 · median $23,329 | 3 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $14,530 – $18,160 · median $16,575 | 3 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $11,358 – $13,422 · median $12,615 | 3 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $19,943 – $26,598 · median $23,489 | 3 plans |
| 187 | PLEURAL EFFUSION WITH CC | $14,568 – $17,139 · median $15,902 | 3 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $10,822 – $13,318 · median $11,780 | 3 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $16,771 – $21,083 · median $19,186 | 3 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $13,865 – $18,904 · median $16,513 | 3 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $12,251 – $14,413 · median $13,553 | 3 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $9,687 – $11,508 · median $10,369 | 3 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $16,354 – $22,432 · median $19,536 | 3 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $11,605 – $13,754 · median $12,907 | 3 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $8,718 – $10,726 · median $9,870 | 3 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $26,762 – $32,207 · median $29,980 | 3 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $14,321 – $18,346 · median $15,896 | 3 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $10,807 – $14,100 · median $12,104 | 3 plans |
| 199 | PNEUMOTHORAX WITH MCC | $19,905 – $30,106 · median $25,018 | 3 plans |
| 200 | PNEUMOTHORAX WITH CC | $13,580 – $18,761 · median $16,282 | 3 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $8,262 – $12,204 · median $10,255 | 3 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $12,384 – $16,575 · median $14,612 | 3 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $7,882 – $11,434 · median $9,691 | 3 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $11,130 – $13,779 · median $12,639 | 3 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $21,387 – $31,248 · median $26,394 | 3 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $12,023 – $16,061 · median $14,172 | 3 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $97,092 – $126,386 · median $108,622 | 3 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $37,133 – $46,910 · median $42,580 | 3 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $164,078 – $241,375 · median $195,374 | 3 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $101,616 – $169,927 · median $134,894 | 3 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $130,258 – $166,954 · median $150,428 | 3 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $85,452 – $112,215 · median $99,873 | 3 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $77,608 – $112,215 · median $95,259 | 3 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $90,011 – $131,039 · median $110,876 | 3 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $70,713 – $91,010 · median $81,829 | 3 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $56,202 – $86,017 · median $71,085 | 3 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $74,651 – $114,476 · median $90,869 | 3 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $47,522 – $61,115 · median $52,849 | 3 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $127,197 – $158,250 · median $139,189 | 3 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $90,600 – $106,588 · median $97,471 | 3 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $92,879 – $130,474 · median $112,313 | 3 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $72,461 – $93,227 · median $83,837 | 3 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $70,979 – $100,154 · median $86,028 | 3 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $55,632 – $71,486 · median $64,327 | 3 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $60,571 – $83,994 · median $72,761 | 3 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $37,835 – $48,647 · median $43,761 | 3 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $20,889 – $33,205 · median $25,925 | 3 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $48,176 – $58,925 · median $52,287 | 3 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $32,153 – $43,551 · median $36,692 | 3 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $27,273 – $38,077 · median $31,606 | 3 plans |
| 245 | AICD GENERATOR PROCEDURES | $68,841 – $107,593 · median $84,658 | 3 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $32,931 – $40,758 · median $35,946 | 3 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $22,550 – $33,049 · median $26,798 | 3 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $52,634 – $65,897 · median $57,772 | 3 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $39,165 – $46,881 · median $42,073 | 3 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $26,884 – $32,446 · median $28,993 | 3 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $35,670 – $46,034 · median $41,333 | 3 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $18,937 – $28,977 · median $23,949 | 3 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $13,903 – $18,640 · median $16,418 | 3 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $47,411 – $63,506 · median $53,802 | 3 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $30,511 – $42,590 · median $35,356 | 3 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $49,081 – $64,668 · median $55,240 | 3 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $28,525 – $34,323 · median $30,719 | 3 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $24,593 – $30,502 · median $26,871 | 3 plans |
| 263 | VEIN LIGATION AND STRIPPING | $46,133 – $60,020 · median $51,597 | 3 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $35,005 – $57,011 · median $45,794 | 3 plans |
| 265 | AICD LEAD PROCEDURES | $54,594 – $77,606 · median $63,857 | 3 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $84,503 – $104,588 · median $95,943 | 3 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $71,835 – $89,538 · median $78,678 | 3 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $103,780 – $123,056 · median $110,988 | 3 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $55,575 – $72,074 · median $64,553 | 3 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $67,598 – $90,046 · median $79,570 | 3 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $53,660 – $64,534 · median $57,773 | 3 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $38,522 – $46,992 · median $41,757 | 3 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $62,249 – $81,941 · median $70,028 | 3 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $48,510 – $57,070 · median $52,922 | 3 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $107,589 – $138,363 · median $119,648 | 3 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $90,633 – $119,235 · median $101,930 | 3 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $69,688 – $92,018 · median $78,518 | 3 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $83,988 – $102,700 · median $91,144 | 3 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $54,416 – $71,550 · median $61,182 | 3 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $20,817 – $27,376 · median $24,347 | 3 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $13,868 – $16,893 · median $15,022 | 3 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $10,911 – $15,240 · median $12,647 | 3 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $29,554 – $34,769 · median $31,846 | 3 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $10,445 – $16,491 · median $12,915 | 3 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $9,037 – $11,642 · median $10,058 | 3 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $26,686 – $37,764 · median $32,392 | 3 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $16,147 – $19,150 · median $17,270 | 3 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $40,115 – $47,194 · median $43,509 | 3 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $19,772 – $29,130 · median $24,508 | 3 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $14,028 – $22,547 · median $17,515 | 3 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $16,088 – $21,909 · median $19,149 | 3 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $10,978 – $14,489 · median $12,863 | 3 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $8,540 – $11,553 · median $9,740 | 3 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $23,567 – $33,228 · median $27,450 | 3 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $9,408 – $15,642 · median $11,968 | 3 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $6,867 – $10,257 · median $8,242 | 3 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $16,714 – $27,864 · median $22,150 | 3 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $13,409 – $18,218 · median $15,942 | 3 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $9,915 – $12,282 · median $11,262 | 3 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $18,055 – $25,653 · median $21,113 | 3 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $9,459 – $11,489 · median $10,643 | 3 plans |
| 304 | HYPERTENSION WITH MCC | $15,347 – $20,309 · median $18,005 | 3 plans |
| 305 | HYPERTENSION WITHOUT MCC | $10,940 – $12,887 · median $12,132 | 3 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $23,777 – $32,334 · median $27,188 | 3 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $13,779 – $19,932 · median $16,264 | 3 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $14,929 – $20,548 · median $17,865 | 3 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $9,402 – $12,556 · median $11,081 | 3 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $7,351 – $9,661 · median $8,595 | 3 plans |
| 311 | ANGINA PECTORIS | $9,326 – $11,979 · median $10,781 | 3 plans |
| 312 | SYNCOPE AND COLLAPSE | $12,270 – $14,875 · median $13,793 | 3 plans |
| 313 | CHEST PAIN | $8,851 – $12,288 · median $10,638 | 3 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $27,598 – $35,586 · median $31,966 | 3 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $14,359 – $16,893 · median $15,487 | 3 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $10,292 – $14,770 · median $12,098 | 3 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $100,892 – $138,229 · median $115,803 | 3 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $67,340 – $97,001 · median $79,308 | 3 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $36,293 – $51,998 · median $42,624 | 3 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $41,054 – $55,126 · median $46,645 | 3 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $26,602 – $40,892 · median $32,423 | 3 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $65,295 – $87,237 · median $74,001 | 3 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $47,545 – $67,573 · median $55,606 | 3 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $48,441 – $60,310 · median $53,026 | 3 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $69,422 – $85,115 · median $78,463 | 3 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $36,880 – $44,088 · median $39,594 | 3 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $23,229 – $27,345 · median $25,753 | 3 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $54,702 – $78,444 · median $66,855 | 3 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $33,638 – $40,911 · median $37,872 | 3 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $25,280 – $29,742 · median $27,057 | 3 plans |
| 332 | RECTAL RESECTION WITH MCC | $54,632 – $83,996 · median $66,594 | 3 plans |
| 333 | RECTAL RESECTION WITH CC | $35,341 – $46,948 · median $39,939 | 3 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $23,552 – $27,953 · median $26,211 | 3 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $42,717 – $60,941 · median $52,068 | 3 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $28,376 – $35,987 · median $32,601 | 3 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $21,824 – $26,196 · median $24,418 | 3 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $38,971 – $60,891 · median $47,918 | 3 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $21,634 – $25,679 · median $24,078 | 3 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $17,898 – $21,563 · median $19,286 | 3 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $34,638 – $55,640 · median $43,236 | 3 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $18,196 – $22,336 · median $20,578 | 3 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $13,136 – $16,379 · median $14,390 | 3 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $37,600 – $53,785 · median $44,122 | 3 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $23,003 – $32,066 · median $26,637 | 3 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $16,335 – $19,930 · median $18,419 | 3 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $43,191 – $50,813 · median $46,657 | 3 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $23,305 – $28,712 · median $26,402 | 3 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $19,468 – $22,954 · median $21,599 | 3 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $53,011 – $74,968 · median $64,324 | 3 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $26,914 – $39,687 · median $33,376 | 3 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $19,924 – $23,857 · median $22,267 | 3 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $23,058 – $27,168 · median $25,574 | 3 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $15,092 – $17,988 · median $16,180 | 3 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $10,574 – $15,374 · median $12,514 | 3 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $23,514 – $30,260 · median $27,209 | 3 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $13,694 – $17,424 · median $15,758 | 3 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $10,124 – $12,414 · median $11,443 | 3 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $28,870 – $36,499 · median $33,118 | 3 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $17,056 – $20,643 · median $19,159 | 3 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $13,947 – $16,737 · median $15,000 | 3 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $25,451 – $31,197 · median $28,763 | 3 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $14,625 – $17,206 · median $15,767 | 3 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $9,512 – $12,134 · median $10,536 | 3 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $26,040 – $33,487 · median $30,121 | 3 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $14,435 – $18,491 · median $16,666 | 3 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $11,415 – $13,663 · median $12,755 | 3 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $20,833 – $30,010 · median $24,536 | 3 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $12,080 – $14,588 · median $13,555 | 3 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $20,190 – $27,004 · median $23,814 | 3 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $14,093 – $16,662 · median $15,656 | 3 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $10,124 – $11,910 · median $10,954 | 3 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $17,379 – $25,203 · median $21,365 | 3 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $9,763 – $13,479 · median $11,701 | 3 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $7,635 – $9,284 · median $8,596 | 3 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $16,600 – $21,645 · median $19,334 | 3 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $9,858 – $13,305 · median $11,680 | 3 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $23,400 – $27,530 · median $25,713 | 3 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $12,574 – $15,969 · median $14,456 | 3 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $9,793 – $12,089 · median $10,676 | 3 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $26,401 – $40,872 · median $33,598 | 3 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $22,838 – $27,619 · median $24,654 | 3 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $16,866 – $19,843 · median $18,404 | 3 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $50,067 – $68,614 · median $59,784 | 3 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $82,299 – $96,823 · median $87,952 | 3 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $43,115 – $50,724 · median $46,628 | 3 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $32,821 – $38,613 · median $35,686 | 3 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $53,801 – $76,019 · median $62,734 | 3 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $32,853 – $39,373 · median $35,312 | 3 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $23,957 – $32,870 · median $27,518 | 3 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $49,843 – $70,701 · median $58,235 | 3 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $31,724 – $48,490 · median $38,549 | 3 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $25,055 – $35,909 · median $29,430 | 3 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $53,756 – $69,315 · median $59,859 | 3 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $29,022 – $35,270 · median $32,664 | 3 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $20,571 – $25,876 · median $22,630 | 3 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $29,763 – $40,727 · median $35,512 | 3 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $24,236 – $28,869 · median $27,019 | 3 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $20,152 – $23,708 · median $21,959 | 3 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $51,409 – $74,678 · median $60,811 | 3 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $26,217 – $37,540 · median $30,781 | 3 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $21,117 – $31,820 · median $25,465 | 3 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $62,664 – $78,231 · median $68,686 | 3 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $33,013 – $47,484 · median $38,850 | 3 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $22,638 – $34,479 · median $27,456 | 3 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $97,950 – $188,089 · median $140,766 | 3 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $76,468 – $123,193 · median $99,441 | 3 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $67,256 – $95,946 · median $81,977 | 3 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $135,944 – $186,361 · median $156,083 | 3 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $71,359 – $98,422 · median $85,485 | 3 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $27,788 – $33,589 · median $31,195 | 3 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $15,138 – $18,025 · median $16,873 | 3 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $10,751 – $15,061 · median $12,481 | 3 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $24,293 – $31,345 · median $28,147 | 3 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $15,917 – $19,303 · median $17,896 | 3 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $12,875 – $17,742 · median $14,822 | 3 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $24,598 – $30,904 · median $27,045 | 3 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $12,422 – $14,614 · median $13,524 | 3 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,927 – $10,605 · median $9,939 | 3 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $27,080 – $33,853 · median $29,702 | 3 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $14,565 – $17,362 · median $15,616 | 3 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $10,558 – $14,346 · median $12,068 | 3 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $22,678 – $28,516 · median $25,946 | 3 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $15,746 – $18,677 · median $17,519 | 3 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $12,483 – $15,731 · median $13,745 | 3 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $80,153 – $114,029 · median $97,558 | 3 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $50,523 – $72,374 · median $61,714 | 3 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $67,427 – $90,955 · median $79,872 | 3 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $38,766 – $55,130 · median $47,175 | 3 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $126,798 – $152,306 · median $136,437 | 3 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $89,976 – $110,766 · median $97,959 | 3 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $62,960 – $100,130 · median $78,160 | 3 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $80,885 – $142,743 · median $106,408 | 3 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $36,240 – $45,396 · median $41,386 | 3 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $69,308 – $97,268 · median $83,769 | 3 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $40,001 – $53,156 · median $47,028 | 3 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $26,439 – $31,123 · median $29,311 | 3 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $61,216 – $88,836 · median $75,281 | 3 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $40,437 – $60,185 · median $50,393 | 3 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $32,840 – $46,898 · median $40,050 | 3 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $42,185 – $51,765 · median $47,698 | 3 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $22,906 – $32,919 · median $28,027 | 3 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $56,829 – $82,407 · median $69,858 | 3 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $36,487 – $50,278 · median $43,689 | 3 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $29,478 – $41,663 · median $35,758 | 3 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $54,303 – $73,263 · median $64,330 | 3 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $29,668 – $38,837 · median $34,621 | 3 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $17,808 – $26,345 · median $21,267 | 3 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $46,344 – $58,957 · median $53,324 | 3 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $30,789 – $41,969 · median $36,664 | 3 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $23,799 – $31,724 · median $28,024 | 3 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $43,943 – $56,958 · median $49,058 | 3 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $31,604 – $39,954 · median $34,853 | 3 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $24,597 – $28,937 · median $26,222 | 3 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $28,054 – $47,305 · median $37,414 | 3 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $48,693 – $73,360 · median $58,715 | 3 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $26,762 – $35,687 · median $31,518 | 3 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $20,133 – $26,729 · median $23,659 | 3 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $22,989 – $41,384 · median $30,589 | 3 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $16,851 – $24,535 · median $19,957 | 3 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $44,141 – $62,660 · median $53,665 | 3 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $35,917 – $43,281 · median $40,261 | 3 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $25,243 – $34,243 · median $29,986 | 3 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $54,708 – $79,907 · median $64,899 | 3 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $25,318 – $30,786 · median $28,503 | 3 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $17,378 – $23,664 · median $19,885 | 3 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $45,520 – $57,227 · median $50,064 | 3 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $23,628 – $34,385 · median $29,099 | 3 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $40,532 – $54,011 · median $47,719 | 3 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $24,654 – $29,833 · median $27,691 | 3 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $18,443 – $22,969 · median $21,003 | 3 plans |
| 503 | FOOT PROCEDURES WITH MCC | $42,114 – $53,897 · median $46,723 | 3 plans |
| 504 | FOOT PROCEDURES WITH CC | $23,324 – $31,900 · median $27,822 | 3 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $21,729 – $30,596 · median $26,307 | 3 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $18,101 – $32,513 · median $24,054 | 3 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $27,256 – $45,026 · median $34,550 | 3 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $22,851 – $31,373 · median $26,256 | 3 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $45,576 – $62,299 · median $52,251 | 3 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $28,244 – $35,487 · median $32,302 | 3 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $20,646 – $28,251 · median $24,634 | 3 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $17,721 – $26,867 · median $22,301 | 3 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $13,846 – $17,447 · median $15,858 | 3 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $47,959 – $56,422 · median $51,237 | 3 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $31,356 – $37,026 · median $33,469 | 3 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $19,962 – $26,225 · median $23,336 | 3 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $40,058 – $63,781 · median $51,759 | 3 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $26,135 – $34,136 · median $30,464 | 3 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $17,873 – $25,495 · median $21,784 | 3 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $43,308 – $59,707 · median $49,867 | 3 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $31,453 – $37,004 · median $34,047 | 3 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $23,655 – $34,144 · median $27,888 | 3 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $12,163 – $15,843 · median $13,612 | 3 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $19,344 – $25,764 · median $21,889 | 3 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $11,415 – $13,783 · median $12,808 | 3 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $14,399 – $21,318 · median $17,203 | 3 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $10,868 – $15,642 · median $12,794 | 3 plans |
| 539 | OSTEOMYELITIS WITH MCC | $22,299 – $33,615 · median $27,977 | 3 plans |
| 540 | OSTEOMYELITIS WITH CC | $14,986 – $22,123 · median $18,595 | 3 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $10,636 – $13,166 · median $12,077 | 3 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $26,654 – $33,876 · median $29,471 | 3 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $15,511 – $21,340 · median $17,841 | 3 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $11,386 – $17,161 · median $13,733 | 3 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $37,446 – $53,383 · median $43,864 | 3 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $17,403 – $21,854 · median $19,130 | 3 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,617 – $18,234 · median $14,885 | 3 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $29,135 – $42,702 · median $34,625 | 3 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $17,056 – $20,602 · median $19,141 | 3 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $13,189 – $17,184 · median $14,762 | 3 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $23,362 – $28,604 · median $26,388 | 3 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $12,004 – $16,406 · median $14,314 | 3 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $19,560 – $29,518 · median $23,607 | 3 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $11,510 – $14,167 · median $13,033 | 3 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $19,944 – $30,502 · median $24,242 | 3 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $12,533 – $14,748 · median $13,355 | 3 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $18,348 – $25,376 · median $22,011 | 3 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $8,794 – $15,243 · median $11,912 | 3 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $26,857 – $31,827 · median $29,868 | 3 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $15,632 – $19,218 · median $17,691 | 3 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,130 – $14,815 · median $13,156 | 3 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $21,499 – $26,569 · median $23,450 | 3 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $11,624 – $15,283 · median $13,594 | 3 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $23,291 – $32,066 · median $26,800 | 3 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $13,979 – $16,629 · median $15,574 | 3 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $11,306 – $14,457 · median $12,538 | 3 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $37,246 – $50,193 · median $44,099 | 3 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $19,165 – $28,833 · median $24,020 | 3 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $16,448 – $19,563 · median $18,324 | 3 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $98,853 – $130,855 · median $111,517 | 3 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $52,379 – $72,734 · median $60,534 | 3 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $24,649 – $42,032 · median $31,803 | 3 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $73,953 – $122,296 · median $93,798 | 3 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $39,996 – $52,065 · median $44,746 | 3 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $24,239 – $36,334 · median $29,149 | 3 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $34,796 – $55,269 · median $44,901 | 3 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $25,394 – $29,876 · median $27,782 | 3 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $21,292 – $25,049 · median $23,201 | 3 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $29,070 – $46,970 · median $36,402 | 3 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $26,019 – $42,412 · median $32,739 | 3 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $32,301 – $51,171 · median $40,014 | 3 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $29,108 – $44,624 · median $35,426 | 3 plans |
| 592 | SKIN ULCERS WITH MCC | $21,273 – $33,028 · median $27,114 | 3 plans |
| 593 | SKIN ULCERS WITH CC | $12,992 – $20,246 · median $16,592 | 3 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $8,832 – $14,793 · median $11,735 | 3 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $31,999 – $47,484 · median $38,277 | 3 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $11,928 – $18,474 · median $15,183 | 3 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $25,155 – $36,892 · median $29,905 | 3 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $16,221 – $19,307 · median $18,077 | 3 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $11,063 – $16,446 · median $13,246 | 3 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $12,099 – $17,776 · median $14,975 | 3 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,743 – $10,325 · median $8,531 | 3 plans |
| 602 | CELLULITIS WITH MCC | $20,475 – $24,256 · median $22,767 | 3 plans |
| 603 | CELLULITIS WITHOUT MCC | $9,345 – $14,863 · median $12,067 | 3 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $22,212 – $32,714 · median $26,465 | 3 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $11,320 – $15,633 · median $13,570 | 3 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $22,832 – $31,842 · median $26,445 | 3 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $9,972 – $15,469 · median $12,704 | 3 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $33,072 – $41,227 · median $36,224 | 3 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $21,114 – $30,613 · median $24,951 | 3 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $43,438 – $59,516 · median $51,862 | 3 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $22,014 – $31,919 · median $27,060 | 3 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $13,884 – $24,205 · median $18,868 | 3 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $41,558 – $49,277 · median $46,230 | 3 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $24,147 – $28,535 · median $25,783 | 3 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $19,582 – $25,742 · median $22,899 | 3 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $38,158 – $60,742 · median $49,298 | 3 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $21,672 – $30,615 · median $26,282 | 3 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $16,505 – $21,365 · median $19,154 | 3 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $45,570 – $64,444 · median $53,159 | 3 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $22,624 – $29,474 · median $25,321 | 3 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $18,025 – $22,669 · median $20,624 | 3 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $43,362 – $63,602 · median $53,624 | 3 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $25,091 – $37,184 · median $31,197 | 3 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $16,297 – $24,908 · median $20,597 | 3 plans |
| 637 | DIABETES WITH MCC | $16,847 – $24,519 · median $20,749 | 3 plans |
| 638 | DIABETES WITH CC | $10,409 – $15,295 · median $12,884 | 3 plans |
| 639 | DIABETES WITHOUT CC/MCC | $8,034 – $10,601 · median $9,413 | 3 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $18,348 – $22,793 · median $20,869 | 3 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $10,086 – $13,281 · median $11,804 | 3 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $14,644 – $24,270 · median $19,343 | 3 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $22,261 – $28,092 · median $25,513 | 3 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $12,859 – $17,493 · median $15,297 | 3 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $8,813 – $13,112 · median $10,981 | 3 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $70,939 – $101,828 · median $83,394 | 3 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $55,916 – $78,723 · median $65,079 | 3 plans |
| 652 | KIDNEY TRANSPLANT | $48,729 – $91,460 · median $66,428 | 3 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $78,408 – $122,408 · median $96,365 | 3 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $40,855 – $48,065 · median $45,006 | 3 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $31,937 – $39,574 · median $34,880 | 3 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $45,927 – $54,335 · median $51,036 | 3 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $27,161 – $31,954 · median $29,422 | 3 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $23,415 – $27,552 · median $24,951 | 3 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $30,200 – $43,363 · median $36,934 | 3 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $16,752 – $22,556 · median $19,826 | 3 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $13,713 – $17,670 · median $15,878 | 3 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $46,194 – $67,751 · median $54,918 | 3 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $22,938 – $33,831 · median $27,350 | 3 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $15,797 – $24,602 · median $19,389 | 3 plans |
| 665 | PROSTATECTOMY WITH MCC | $47,095 – $70,656 · median $56,662 | 3 plans |
| 666 | PROSTATECTOMY WITH CC | $26,395 – $38,121 · median $31,128 | 3 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $16,691 – $22,837 · median $19,145 | 3 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $44,059 – $55,953 · median $48,696 | 3 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $18,861 – $26,487 · median $22,803 | 3 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $14,746 – $18,055 · median $16,013 | 3 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $27,084 – $39,060 · median $31,917 | 3 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $16,288 – $23,038 · median $19,003 | 3 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $46,079 – $71,705 · median $58,804 | 3 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $30,466 – $39,911 · median $35,564 | 3 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $24,767 – $33,295 · median $28,156 | 3 plans |
| 682 | RENAL FAILURE WITH MCC | $16,885 – $25,275 · median $21,106 | 3 plans |
| 683 | RENAL FAILURE WITH CC | $9,668 – $14,946 · median $12,294 | 3 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $7,199 – $10,245 · median $8,763 | 3 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $27,216 – $34,345 · median $29,988 | 3 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $15,271 – $17,966 · median $16,846 | 3 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $11,738 – $13,809 · median $12,706 | 3 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $17,322 – $20,379 · median $18,655 | 3 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $9,478 – $13,815 · median $11,682 | 3 plans |
| 693 | URINARY STONES WITH MCC | $20,287 – $31,529 · median $24,873 | 3 plans |
| 694 | URINARY STONES WITHOUT MCC | $8,984 – $13,341 · median $11,182 | 3 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $17,259 – $25,943 · median $20,786 | 3 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $9,402 – $11,759 · median $10,729 | 3 plans |
| 697 | URETHRAL STRICTURE | $16,263 – $23,239 · median $19,074 | 3 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $23,020 – $28,234 · median $26,023 | 3 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $13,485 – $17,322 · median $15,590 | 3 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $10,410 – $13,988 · median $11,832 | 3 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $27,731 – $34,137 · median $31,403 | 3 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $23,149 – $30,144 · median $25,903 | 3 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $35,113 – $50,501 · median $41,320 | 3 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $21,142 – $31,976 · median $25,546 | 3 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $31,442 – $45,965 · median $37,316 | 3 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $16,593 – $25,563 · median $20,248 | 3 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $22,659 – $26,658 · median $24,171 | 3 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $15,841 – $18,636 · median $17,000 | 3 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $33,758 – $49,093 · median $39,955 | 3 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $22,196 – $30,859 · median $25,667 | 3 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $21,786 – $32,263 · median $27,078 | 3 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $14,625 – $22,921 · median $18,736 | 3 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $27,306 – $39,685 · median $32,309 | 3 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $17,242 – $25,027 · median $20,387 | 3 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,230 – $16,804 · median $12,361 | 3 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $17,657 – $28,066 · median $21,913 | 3 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $10,894 – $16,647 · median $13,236 | 3 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $22,375 – $33,764 · median $27,003 | 3 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $10,257 – $13,844 · median $12,153 | 3 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $15,975 – $23,373 · median $18,968 | 3 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $10,140 – $13,809 · median $11,603 | 3 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $28,035 – $36,351 · median $32,561 | 3 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $20,302 – $26,569 · median $22,773 | 3 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $53,935 – $90,074 · median $68,783 | 3 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $28,775 – $35,166 · median $32,473 | 3 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $20,950 – $25,062 · median $23,402 | 3 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $53,208 – $84,734 · median $66,102 | 3 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $27,305 – $33,094 · median $29,506 | 3 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $19,715 – $24,338 · median $22,356 | 3 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $23,704 – $31,313 · median $27,786 | 3 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $16,581 – $21,174 · median $19,114 | 3 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $19,354 – $34,970 · median $26,844 | 3 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $12,916 – $19,413 · median $16,179 | 3 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $19,658 – $29,646 · median $24,669 | 3 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $12,667 – $16,491 · median $14,172 | 3 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $20,933 – $30,122 · median $24,640 | 3 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $31,320 – $43,819 · median $37,795 | 3 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $22,268 – $30,479 · median $25,547 | 3 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $24,388 – $31,431 · median $28,240 | 3 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $14,644 – $18,564 · median $16,821 | 3 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $12,897 – $16,392 · median $14,833 | 3 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $21,606 – $32,468 · median $26,017 | 3 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $11,833 – $16,708 · median $14,347 | 3 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,307 – $11,325 · median $10,481 | 3 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $11,358 – $17,194 · median $14,282 | 3 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $8,471 – $9,966 · median $9,158 | 3 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $9,991 – $18,288 · median $13,961 | 3 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $20,266 – $28,838 · median $24,670 | 3 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $10,598 – $17,112 · median $13,799 | 3 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $6,534 – $11,173 · median $8,783 | 3 plans |
| 779 | ABORTION WITHOUT D&C | $6,971 – $12,170 · median $9,480 | 3 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $15,784 – $40,904 · median $27,807 | 3 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $13,808 – $17,662 · median $16,120 | 3 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $11,529 – $15,958 · median $14,008 | 3 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $15,499 – $27,482 · median $21,561 | 3 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $13,713 – $18,607 · median $16,492 | 3 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $11,510 – $15,974 · median $14,004 | 3 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $9,688 – $27,193 · median $23,563 | 3 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $31,949 – $145,804 · median $106,807 | 3 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $21,819 – $61,246 · median $39,747 | 3 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $12,137 – $36,956 · median $13,722 | 3 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $15,765 – $62,914 · median $20,480 | 3 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $4,312 – $22,270 · median $6,503 | 3 plans |
| 795 | NORMAL NEWBORN | $1,074 – $3,486 · median $2,989 | 3 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $17,609 – $26,144 · median $20,833 | 3 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $14,644 – $17,228 · median $15,881 | 3 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $12,460 – $15,946 · median $14,550 | 3 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $57,380 – $77,291 · median $67,921 | 3 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $42,185 – $49,629 · median $45,168 | 3 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $28,803 – $35,931 · median $31,560 | 3 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $60,115 – $79,773 · median $67,900 | 3 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $28,049 – $34,658 · median $30,592 | 3 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $20,019 – $23,552 · median $21,801 | 3 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $9,744 – $18,418 · median $13,874 | 3 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $8,870 – $12,868 · median $10,906 | 3 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $7,559 – $11,506 · median $9,533 | 3 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $30,751 – $37,680 · median $34,746 | 3 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $16,505 – $21,604 · median $19,260 | 3 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $13,656 – $17,861 · median $15,929 | 3 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $19,563 – $23,966 · median $22,103 | 3 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $13,561 – $15,955 · median $14,762 | 3 plans |
| 813 | COAGULATION DISORDERS | $23,015 – $30,591 · median $26,017 | 3 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $25,926 – $36,294 · median $31,295 | 3 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $14,207 – $17,305 · median $16,007 | 3 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $9,536 – $12,558 · median $10,730 | 3 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $22,583 – $28,808 · median $26,019 | 3 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $15,157 – $17,991 · median $16,869 | 3 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,162 – $14,675 · median $12,465 | 3 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $88,493 – $106,364 · median $95,249 | 3 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $33,778 – $46,501 · median $38,865 | 3 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $18,167 – $26,524 · median $21,546 | 3 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $68,073 – $80,086 · median $73,712 | 3 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $34,185 – $44,780 · median $38,364 | 3 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $20,361 – $27,239 · median $23,091 | 3 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $70,583 – $107,951 · median $85,795 | 3 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $34,873 – $46,836 · median $39,627 | 3 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $25,708 – $31,217 · median $27,806 | 3 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $30,542 – $53,929 · median $41,806 | 3 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $22,709 – $30,502 · median $25,805 | 3 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $11,795 – $20,522 · median $16,010 | 3 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $7,692 – $12,315 · median $9,969 | 3 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $5,470 – $8,924 · median $7,163 | 3 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $82,836 – $152,150 · median $111,509 | 3 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $31,472 – $58,187 · median $42,528 | 3 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $18,401 – $35,887 · median $25,658 | 3 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $59,906 – $81,991 · median $71,484 | 3 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $19,905 – $35,624 · median $27,457 | 3 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $16,088 – $24,642 · median $20,357 | 3 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $48,811 – $69,964 · median $57,338 | 3 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $24,616 – $35,149 · median $28,859 | 3 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $15,246 – $23,954 · median $18,802 | 3 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $30,099 – $39,596 · median $33,850 | 3 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $18,369 – $22,435 · median $19,923 | 3 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $12,850 – $19,061 · median $15,368 | 3 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $28,908 – $44,244 · median $36,564 | 3 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $14,112 – $22,326 · median $18,171 | 3 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,041 – $14,496 · median $11,726 | 3 plans |
| 849 | RADIOTHERAPY | $40,883 – $57,204 · median $47,432 | 3 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $130,662 – $205,824 · median $161,367 | 3 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $64,426 – $84,283 · median $75,157 | 3 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $26,420 – $34,100 · median $30,616 | 3 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $20,893 – $25,551 · median $23,585 | 3 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $52,137 – $77,629 · median $64,986 | 3 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $24,464 – $36,547 · median $30,547 | 3 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $17,379 – $23,771 · median $20,732 | 3 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $18,956 – $31,123 · median $24,909 | 3 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $12,080 – $17,030 · median $14,634 | 3 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $11,985 – $15,150 · median $13,747 | 3 plans |
| 865 | VIRAL ILLNESS WITH MCC | $18,082 – $25,570 · median $21,940 | 3 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $10,181 – $14,841 · median $12,549 | 3 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $31,377 – $36,915 · median $33,653 | 3 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $14,397 – $17,597 · median $16,248 | 3 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $11,010 – $13,653 · median $12,029 | 3 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $98,767 – $117,957 · median $110,244 | 3 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $26,629 – $33,151 · median $30,319 | 3 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $13,599 – $17,464 · median $15,720 | 3 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $58,317 – $80,555 · median $67,215 | 3 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $11,168 – $16,387 · median $13,814 | 3 plans |
| 881 | DEPRESSIVE NEUROSES | $6,952 – $16,057 · median $11,188 | 3 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $6,800 – $18,326 · median $12,101 | 3 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $19,108 – $33,557 · median $26,074 | 3 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $11,890 – $27,458 · median $19,132 | 3 plans |
| 885 | PSYCHOSES | $10,200 – $23,838 · median $16,538 | 3 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $23,381 – $35,417 · median $29,411 | 3 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $16,159 – $23,060 · median $18,939 | 3 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $6,477 – $10,528 · median $8,464 | 3 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $21,360 – $33,384 · median $26,268 | 3 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $21,577 – $29,782 · median $25,858 | 3 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $9,440 – $15,066 · median $12,213 | 3 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $60,913 – $71,662 · median $67,471 | 3 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $22,659 – $32,673 · median $27,773 | 3 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $15,138 – $19,961 · median $17,729 | 3 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $55,423 – $65,293 · median $59,092 | 3 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $21,604 – $35,909 · median $27,479 | 3 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $24,559 – $30,077 · median $27,743 | 3 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $52,175 – $65,522 · median $59,657 | 3 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $26,743 – $34,050 · median $30,784 | 3 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $18,196 – $22,403 · median $20,607 | 3 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $24,664 – $34,568 · median $28,640 | 3 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $11,377 – $15,112 · median $13,373 | 3 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $19,867 – $28,698 · median $24,373 | 3 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $8,680 – $11,371 · median $10,133 | 3 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $18,842 – $26,766 · median $22,916 | 3 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $9,364 – $14,627 · median $11,974 | 3 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $21,064 – $31,245 · median $26,203 | 3 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $12,954 – $17,105 · median $15,182 | 3 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $9,288 – $11,748 · median $10,657 | 3 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $26,396 – $33,228 · median $29,049 | 3 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $10,541 – $17,368 · median $13,879 | 3 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $278,090 – $484,806 · median $363,308 | 3 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $44,730 – $122,410 · median $80,426 | 3 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $21,729 – $54,966 · median $37,081 | 3 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $57,590 – $72,623 · median $63,433 | 3 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $33,355 – $45,115 · median $38,037 | 3 plans |
| 935 | NON-EXTENSIVE BURNS | $16,600 – $35,156 · median $25,306 | 3 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $54,750 – $71,930 · median $61,532 | 3 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $32,555 – $39,882 · median $36,781 | 3 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $21,805 – $34,605 · median $28,124 | 3 plans |
| 945 | REHABILITATION WITH CC/MCC | $23,367 – $33,630 · median $27,507 | 3 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $17,304 – $24,044 · median $20,004 | 3 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $16,942 – $21,664 · median $19,543 | 3 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $11,510 – $13,661 · median $12,810 | 3 plans |
| 949 | AFTERCARE WITH CC/MCC | $17,951 – $23,329 · median $20,066 | 3 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $9,471 – $14,592 · median $11,558 | 3 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $6,382 – $9,489 · median $7,949 | 3 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $101,564 – $133,670 · median $114,247 | 3 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $56,779 – $106,320 · median $77,296 | 3 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $108,966 – $130,042 · median $121,586 | 3 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $62,964 – $74,075 · median $67,749 | 3 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $44,423 – $58,031 · median $49,785 | 3 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $41,250 – $53,785 · median $46,186 | 3 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $20,893 – $26,155 · median $23,853 | 3 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $14,191 – $16,893 · median $15,205 | 3 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $92,363 – $147,636 · median $114,979 | 3 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $39,795 – $63,305 · median $49,410 | 3 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $43,546 – $57,405 · median $49,024 | 3 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $19,540 – $30,122 · median $23,852 | 3 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $13,497 – $20,357 · median $16,284 | 3 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $19,127 – $30,792 · median $23,903 | 3 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $70,794 – $87,594 · median $77,263 | 3 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $37,096 – $44,088 · median $39,716 | 3 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $23,286 – $29,251 · median $26,629 | 3 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $49,060 – $58,509 · median $54,724 | 3 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $22,887 – $28,050 · median $25,863 | 3 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $17,626 – $20,737 · median $19,280 | 3 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 |
No procedures match that keyword.