Coon Memorial Hospital — Pricing
729 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 729 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 729
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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 729 procedures
Procedures with negotiated rates only
These 729 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 |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROC EXCEPT STERIL &/OR D&C | $2,700 – $6,980 · median $6,599 | 5 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $90,588 – $113,225 · median $110,129 | 4 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $56,582 – $70,721 · median $68,788 | 4 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $23,928 – $29,908 · median $29,090 | 4 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $18,278 – $22,846 · median $22,221 | 4 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $12,977 – $16,220 · median $15,776 | 4 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $178,059 – $222,556 · median $216,471 | 4 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $49,227 – $61,528 · median $59,846 | 4 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $35,926 – $44,903 · median $43,676 | 4 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $23,180 – $28,973 · median $28,181 | 4 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $27,009 – $33,759 · median $32,836 | 4 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $18,758 – $23,446 · median $22,805 | 4 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $21,425 – $26,780 · median $26,047 | 4 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $14,587 – $18,232 · median $17,733 | 4 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $11,981 – $14,975 · median $14,566 | 4 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $27,761 – $34,699 · median $33,750 | 4 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $15,717 – $19,645 · median $19,108 | 4 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $11,243 – $14,053 · median $13,669 | 4 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $20,826 – $26,031 · median $25,319 | 4 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $10,552 – $13,189 · median $12,829 | 4 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $8,208 – $10,259 · median $9,978 | 4 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $18,959 – $23,697 · median $23,049 | 4 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $11,148 – $13,934 · median $13,553 | 4 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $8,830 – $11,037 · median $10,735 | 4 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $15,620 – $19,524 · median $18,990 | 4 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $7,905 – $9,881 · median $9,611 | 4 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $5,433 – $6,791 · median $6,605 | 4 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $18,879 – $23,596 · median $22,951 | 4 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $11,215 – $14,017 · median $13,634 | 4 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $8,991 – $11,238 · median $10,931 | 4 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $8,801 – $11,000 · median $10,700 | 4 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,419 – $6,773 · median $6,588 | 4 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $6,515 – $8,143 · median $7,920 | 4 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $4,977 – $6,221 · median $6,051 | 4 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $10,433 – $13,041 · median $12,684 | 4 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $6,030 – $7,537 · median $7,331 | 4 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $8,284 – $10,354 · median $10,071 | 4 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $5,373 – $6,716 · median $6,533 | 4 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $4,367 – $5,459 · median $5,310 | 4 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $13,777 – $17,219 · median $16,749 | 4 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $9,479 – $11,848 · median $11,524 | 4 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,156 – $10,194 · median $9,916 | 4 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $9,125 – $11,405 · median $11,093 | 4 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $4,857 – $6,071 · median $5,905 | 4 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $3,391 – $4,238 · median $4,123 | 4 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $6,795 – $8,493 · median $8,261 | 4 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $4,239 – $5,298 · median $5,153 | 4 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $3,750 – $4,687 · median $4,559 | 4 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $7,996 – $9,995 · median $9,721 | 4 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $4,822 – $6,026 · median $5,862 | 4 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY | $3,679 – $4,598 · median $4,472 | 4 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $6,914 – $8,641 · median $8,405 | 4 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $4,858 – $6,072 · median $5,906 | 4 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $7,756 – $9,694 · median $9,429 | 4 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $4,679 – $5,848 · median $5,688 | 4 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $7,307 – $9,133 · median $8,883 | 4 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $4,527 – $5,658 · median $5,503 | 4 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $3,467 – $4,333 · median $4,215 | 4 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $9,979 – $12,473 · median $12,132 | 4 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $3,682 – $4,603 · median $4,477 | 4 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $10,771 – $13,463 · median $13,095 | 4 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $6,400 – $7,999 · median $7,781 | 4 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $4,313 – $5,391 · median $5,243 | 4 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $11,002 – $13,751 · median $13,375 | 4 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $6,072 – $7,589 · median $7,382 | 4 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $4,115 – $5,143 · median $5,002 | 4 plans |
| 088 | CONCUSSION WITH MCC | $6,961 – $8,700 · median $8,462 | 4 plans |
| 089 | CONCUSSION WITH CC | $5,062 – $6,327 · median $6,154 | 4 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $4,077 – $5,096 · median $4,957 | 4 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $7,865 – $9,831 · median $9,562 | 4 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION | $4,704 – $5,879 · median $5,718 | 4 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $3,727 – $4,658 · median $4,531 | 4 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $17,330 – $21,661 · median $21,068 | 4 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $11,963 – $14,953 · median $14,544 | 4 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $11,121 – $13,900 · median $13,520 | 4 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $17,900 – $22,373 · median $21,761 | 4 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $10,069 – $12,585 · median $12,241 | 4 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $6,665 – $8,331 · median $8,103 | 4 plans |
| 100 | SEIZURES WITH MCC | $8,937 – $11,170 · median $10,865 | 4 plans |
| 101 | SEIZURES WITHOUT MCC | $4,231 – $5,288 · median $5,144 | 4 plans |
| 102 | HEADACHES WITH MCC | $5,494 – $6,866 · median $6,679 | 4 plans |
| 103 | HEADACHES WITHOUT MCC | $3,951 – $4,938 · median $4,803 | 4 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $10,455 – $13,068 · median $12,710 | 4 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $6,895 – $8,618 · median $8,382 | 4 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $6,932 – $8,665 · median $8,428 | 4 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $8,954 – $11,192 · median $10,886 | 4 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $4,956 – $6,194 · median $6,025 | 4 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $5,670 – $7,087 · median $6,893 | 4 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $3,071 – $3,838 · median $3,733 | 4 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $3,650 – $4,563 · median $4,438 | 4 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $6,672 – $8,340 · median $8,112 | 4 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $3,985 – $4,981 · median $4,844 | 4 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $10,211 – $12,762 · median $12,413 | 4 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $5,989 – $7,485 · median $7,281 | 4 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $7,005 – $8,756 · median $8,516 | 4 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $4,022 – $5,027 · median $4,889 | 4 plans |
| 139 | SALIVARY GLAND PROCEDURES | $5,852 – $7,314 · median $7,114 | 4 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $18,987 – $23,732 · median $23,084 | 4 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $10,530 – $13,161 · median $12,801 | 4 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $7,674 – $9,592 · median $9,329 | 4 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $14,137 – $17,670 · median $17,187 | 4 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $8,350 – $10,436 · median $10,151 | 4 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $5,788 – $7,235 · median $7,037 | 4 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $9,698 – $12,121 · median $11,790 | 4 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $6,206 – $7,757 · median $7,545 | 4 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $3,751 – $4,688 · median $4,560 | 4 plans |
| 149 | DYSEQUILIBRIUM | $3,508 – $4,385 · median $4,265 | 4 plans |
| 150 | EPISTAXIS WITH MCC | $6,319 – $7,898 · median $7,682 | 4 plans |
| 151 | EPISTAXIS WITHOUT MCC | $3,515 – $4,394 · median $4,274 | 4 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $5,137 – $6,420 · median $6,245 | 4 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $3,390 – $4,237 · median $4,121 | 4 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $7,358 – $9,196 · median $8,945 | 4 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $4,325 – $5,406 · median $5,259 | 4 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $3,137 – $3,921 · median $3,813 | 4 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $7,500 – $9,375 · median $9,118 | 4 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $4,241 – $5,301 · median $5,156 | 4 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $3,128 – $3,910 · median $3,803 | 4 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $23,664 – $29,578 · median $28,769 | 4 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $12,589 – $15,735 · median $15,305 | 4 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $9,128 – $11,409 · median $11,097 | 4 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $18,085 – $22,604 · median $21,986 | 4 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $8,881 – $11,101 · median $10,797 | 4 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $6,531 – $8,163 · median $7,939 | 4 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $7,366 – $9,207 · median $8,955 | 4 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $4,230 – $5,287 · median $5,142 | 4 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $8,802 – $11,002 · median $10,701 | 4 plans |
| 178 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMPLICATION | $5,752 – $7,190 · median $6,993 | 4 plans |
| 179 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITHOUT COMPLICATION/COMORBITY | $4,155 – $5,194 · median $5,052 | 4 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $8,289 – $10,361 · median $10,078 | 4 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $5,347 – $6,683 · median $6,500 | 4 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $3,756 – $4,695 · median $4,567 | 4 plans |
| 183 | MAJOR CHEST TRAUMA WITH COMORBITY | $7,420 – $9,274 · median $9,021 | 4 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $4,958 – $6,197 · median $6,027 | 4 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $3,690 – $4,612 · median $4,486 | 4 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $7,361 – $9,201 · median $8,949 | 4 plans |
| 187 | PLEURAL EFFUSION WITH COMPLICATION | $4,924 – $6,154 · median $5,986 | 4 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $3,473 – $4,341 · median $4,222 | 4 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $5,842 – $7,302 · median $7,103 | 4 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY | $5,361 – $6,701 · median $6,517 | 4 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $4,212 – $5,265 · median $5,121 | 4 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $3,315 – $4,143 · median $4,030 | 4 plans |
| 193 | SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY | $6,252 – $7,814 · median $7,601 | 4 plans |
| 194 | SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION | $4,117 – $5,145 · median $5,005 | 4 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,172 – $3,965 · median $3,856 | 4 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $8,281 – $10,351 · median $10,068 | 4 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $4,797 – $5,995 · median $5,831 | 4 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $3,541 – $4,426 · median $4,305 | 4 plans |
| 199 | PNEUMOTHORAX WITH MCC | $8,527 – $10,658 · median $10,366 | 4 plans |
| 200 | PNEUMOTHORAX WITH CC | $5,128 – $6,409 · median $6,234 | 4 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $3,384 – $4,230 · median $4,114 | 4 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $4,606 – $5,757 · median $5,600 | 4 plans |
| 203 | BRONCHITIS & ASTHMA WITHOUT COMPLICATION/COMORBITY | $3,365 – $4,206 · median $4,091 | 4 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $3,780 – $4,725 · median $4,596 | 4 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $8,025 – $10,030 · median $9,756 | 4 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $4,218 – $5,272 · median $5,127 | 4 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $27,315 – $34,141 · median $33,207 | 4 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $12,127 – $15,157 · median $14,743 | 4 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $53,223 – $66,523 · median $64,705 | 4 plans |
| 216 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMORBITY | $49,752 – $62,184 · median $60,484 | 4 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $30,971 – $38,710 · median $37,652 | 4 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $24,533 – $30,664 · median $29,825 | 4 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $38,423 – $48,025 · median $46,712 | 4 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $25,758 – $32,194 · median $31,314 | 4 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $21,714 – $27,141 · median $26,399 | 4 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $29,647 – $37,056 · median $36,043 | 4 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $19,023 – $23,776 · median $23,126 | 4 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $40,498 – $50,619 · median $49,235 | 4 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $28,135 – $35,166 · median $34,204 | 4 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $37,171 – $46,460 · median $45,190 | 4 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $25,364 – $31,702 · median $30,836 | 4 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $28,764 – $35,952 · median $34,969 | 4 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $19,465 – $24,330 · median $23,665 | 4 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $22,938 – $28,669 · median $27,886 | 4 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $13,308 – $16,633 · median $16,179 | 4 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $7,591 – $9,488 · median $9,229 | 4 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $17,756 – $22,194 · median $21,587 | 4 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $12,081 – $15,099 · median $14,687 | 4 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $9,853 – $12,316 · median $11,979 | 4 plans |
| 245 | AICD GENERATOR PROCEDURES | $25,825 – $32,278 · median $31,396 | 4 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $12,034 – $15,041 · median $14,630 | 4 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $7,917 – $9,896 · median $9,625 | 4 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $15,840 – $19,798 · median $19,257 | 4 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $12,658 – $15,821 · median $15,389 | 4 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $8,631 – $10,788 · median $10,493 | 4 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $12,130 – $15,161 · median $14,747 | 4 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $7,838 – $9,796 · median $9,528 | 4 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $5,538 – $6,922 · median $6,733 | 4 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $15,270 – $19,086 · median $18,564 | 4 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $10,113 – $12,641 · median $12,295 | 4 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $17,097 – $21,369 · median $20,785 | 4 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $9,499 – $11,872 · median $11,548 | 4 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $8,148 – $10,184 · median $9,905 | 4 plans |
| 263 | VEIN LIGATION AND STRIPPING | $10,996 – $13,744 · median $13,368 | 4 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $15,492 – $19,363 · median $18,834 | 4 plans |
| 265 | AICD LEAD PROCEDURES | $16,040 – $20,048 · median $19,500 | 4 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $33,854 – $42,314 · median $41,157 | 4 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $26,716 – $33,393 · median $32,480 | 4 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $33,173 – $41,463 · median $40,330 | 4 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $20,581 – $25,724 · median $25,020 | 4 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $24,716 – $30,893 · median $30,048 | 4 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $17,003 – $21,252 · median $20,671 | 4 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $12,826 – $16,031 · median $15,592 | 4 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $18,303 – $22,877 · median $22,252 | 4 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $15,671 – $19,588 · median $19,052 | 4 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $7,757 – $9,695 · median $9,430 | 4 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION | $4,446 – $5,557 · median $5,405 | 4 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $3,461 – $4,325 · median $4,207 | 4 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $8,894 – $11,117 · median $10,813 | 4 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $3,502 – $4,377 · median $4,258 | 4 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $2,368 – $2,960 · median $2,879 | 4 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $10,561 – $13,200 · median $12,840 | 4 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $5,486 – $6,856 · median $6,669 | 4 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $12,788 – $15,984 · median $15,547 | 4 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $7,835 – $9,793 · median $9,525 | 4 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $4,883 – $6,103 · median $5,936 | 4 plans |
| 291 | HEART FAILURE & SHOCK WITH COMORBITY | $6,396 – $7,994 · median $7,776 | 4 plans |
| 292 | HEART FAILURE & SHOCK WITH COMPLICATION | $4,270 – $5,337 · median $5,191 | 4 plans |
| 293 | HEART FAILURE & SHOCK WITHOUT COMPLICATION/COMORBITY | $3,113 – $3,891 · median $3,784 | 4 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $6,116 – $7,644 · median $7,435 | 4 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $4,681 – $5,851 · median $5,691 | 4 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $7,607 – $9,508 · median $9,248 | 4 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,361 – $4,201 · median $4,086 | 4 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,329 – $2,911 · median $2,831 | 4 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $7,305 – $9,130 · median $8,881 | 4 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION | $4,971 – $6,214 · median $6,044 | 4 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $3,542 – $4,427 · median $4,306 | 4 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $5,216 – $6,519 · median $6,341 | 4 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $3,226 – $4,033 · median $3,922 | 4 plans |
| 304 | HYPERTENSION WITH MCC | $5,226 – $6,532 · median $6,353 | 4 plans |
| 305 | HYPERTENSION WITHOUT MCC | $3,523 – $4,403 · median $4,283 | 4 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $7,173 – $8,965 · median $8,720 | 4 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $4,142 – $5,177 · median $5,036 | 4 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $5,721 – $7,150 · median $6,955 | 4 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $3,575 – $4,468 · median $4,346 | 4 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $2,664 – $3,329 · median $3,238 | 4 plans |
| 311 | ANGINA PECTORIS | $3,325 – $4,156 · median $4,042 | 4 plans |
| 312 | SYNCOPE & COLLAPSE | $3,993 – $4,991 · median $4,855 | 4 plans |
| 313 | CHEST PAIN | $3,438 – $4,297 · median $4,180 | 4 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $9,938 – $12,421 · median $12,082 | 4 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $4,652 – $5,814 · median $5,655 | 4 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,575 – $4,469 · median $4,346 | 4 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $20,586 – $25,731 · median $25,027 | 4 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $11,656 – $14,569 · median $14,171 | 4 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $25,652 – $32,062 · median $31,185 | 4 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $12,448 – $15,558 · median $15,133 | 4 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $7,944 – $9,930 · median $9,658 | 4 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $23,136 – $28,917 · median $28,127 | 4 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,111 – $15,138 · median $14,724 | 4 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,157 – $10,196 · median $9,917 | 4 plans |
| 332 | RECTAL RESECTION WITH MCC | $19,842 – $24,800 · median $24,122 | 4 plans |
| 333 | RECTAL RESECTION WITH CC | $10,213 – $12,765 · median $12,416 | 4 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $7,676 – $9,594 · median $9,332 | 4 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $18,557 – $23,195 · median $22,560 | 4 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $10,889 – $13,611 · median $13,239 | 4 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $7,788 – $9,734 · median $9,467 | 4 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $13,360 – $16,699 · median $16,242 | 4 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $7,526 – $9,406 · median $9,149 | 4 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $6,082 – $7,602 · median $7,394 | 4 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $11,742 – $14,676 · median $14,275 | 4 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $6,403 – $8,003 · median $7,785 | 4 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $4,671 – $5,839 · median $5,679 | 4 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $11,698 – $14,621 · median $14,221 | 4 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $7,109 – $8,886 · median $8,643 | 4 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $5,261 – $6,576 · median $6,396 | 4 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $14,350 – $17,935 · median $17,445 | 4 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $8,505 – $10,630 · median $10,340 | 4 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $6,483 – $8,104 · median $7,882 | 4 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $20,470 – $25,585 · median $24,886 | 4 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $10,750 – $13,437 · median $13,069 | 4 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $6,387 – $7,983 · median $7,765 | 4 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $9,265 – $11,580 · median $11,263 | 4 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $5,136 – $6,420 · median $6,244 | 4 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $3,566 – $4,457 · median $4,335 | 4 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $8,244 – $10,304 · median $10,022 | 4 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $4,902 – $6,127 · median $5,959 | 4 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITHOUT COMPLICATION/COMORBITY | $3,547 – $4,433 · median $4,312 | 4 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $9,864 – $12,329 · median $11,992 | 4 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $5,747 – $7,184 · median $6,987 | 4 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $4,270 – $5,337 · median $5,191 | 4 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $8,581 – $10,725 · median $10,432 | 4 plans |
| 378 | G.I. HEMORRHAGE WITH COMPLICATION | $4,738 – $5,921 · median $5,760 | 4 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,039 – $3,798 · median $3,695 | 4 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $8,982 – $11,227 · median $10,920 | 4 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $5,055 – $6,318 · median $6,145 | 4 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $3,665 – $4,581 · median $4,455 | 4 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $6,253 – $7,816 · median $7,602 | 4 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $4,257 – $5,320 · median $5,175 | 4 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $7,723 – $9,653 · median $9,389 | 4 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $4,739 – $5,923 · median $5,761 | 4 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $3,403 – $4,254 · median $4,138 | 4 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $7,211 – $9,013 · median $8,767 | 4 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $3,920 – $4,900 · median $4,766 | 4 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $2,779 – $3,473 · median $3,378 | 4 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $5,936 – $7,419 · median $7,216 | 4 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $3,646 – $4,557 · median $4,433 | 4 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $7,888 – $9,859 · median $9,589 | 4 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $4,477 – $5,596 · median $5,443 | 4 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $3,099 – $3,874 · median $3,768 | 4 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $27,334 – $34,165 · median $33,231 | 4 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $13,723 – $17,153 · median $16,684 | 4 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $10,093 – $12,616 · median $12,271 | 4 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $17,885 – $22,355 · median $21,743 | 4 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $10,085 – $12,605 · median $12,261 | 4 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $7,468 – $9,335 · median $9,080 | 4 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $17,899 – $22,372 · median $21,760 | 4 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $10,855 – $13,568 · median $13,197 | 4 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $8,259 – $10,323 · median $10,040 | 4 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $17,294 – $21,615 · median $21,024 | 4 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $9,692 – $12,114 · median $11,783 | 4 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $6,784 – $8,479 · median $8,247 | 4 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $11,560 – $14,449 · median $14,054 | 4 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $8,052 – $10,064 · median $9,789 | 4 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $6,274 – $7,841 · median $7,627 | 4 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $16,762 – $20,951 · median $20,378 | 4 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $9,105 – $11,381 · median $11,070 | 4 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $6,923 – $8,653 · median $8,417 | 4 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $19,934 – $24,915 · median $24,234 | 4 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $10,883 – $13,603 · median $13,231 | 4 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $7,362 – $9,201 · median $8,950 | 4 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $8,978 – $11,221 · median $10,914 | 4 plans |
| 433 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMPLICATION | $4,906 – $6,132 · median $5,964 | 4 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,955 – $3,694 · median $3,593 | 4 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $8,361 – $10,450 · median $10,164 | 4 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $5,343 – $6,679 · median $6,496 | 4 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,267 – $5,333 · median $5,187 | 4 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $7,614 – $9,517 · median $9,257 | 4 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $4,028 – $5,034 · median $4,897 | 4 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $2,890 – $3,612 · median $3,514 | 4 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $8,985 – $11,231 · median $10,924 | 4 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $4,444 – $5,554 · median $5,402 | 4 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,162 – $3,952 · median $3,844 | 4 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $7,960 – $9,949 · median $9,677 | 4 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $5,136 – $6,420 · median $6,244 | 4 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $3,893 – $4,866 · median $4,733 | 4 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $43,853 – $54,812 · median $53,314 | 4 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $29,088 – $36,357 · median $35,363 | 4 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $22,853 – $28,564 · median $27,783 | 4 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $41,013 – $51,262 · median $49,860 | 4 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $31,015 – $38,765 · median $37,705 | 4 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $23,933 – $29,914 · median $29,096 | 4 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $32,111 – $40,135 · median $39,038 | 4 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT COMORBITY | $18,759 – $23,447 · median $22,806 | 4 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $28,983 – $36,226 · median $35,236 | 4 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $14,998 – $18,746 · median $18,233 | 4 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $25,593 – $31,989 · median $31,114 | 4 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $14,188 – $17,734 · median $17,249 | 4 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,794 – $10,992 · median $10,691 | 4 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $25,496 – $31,867 · median $30,996 | 4 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $17,058 – $21,321 · median $20,738 | 4 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $13,375 – $16,717 · median $16,260 | 4 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $14,713 – $18,389 · median $17,886 | 4 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY | $9,063 – $11,327 · median $11,018 | 4 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $23,930 – $29,910 · median $29,092 | 4 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $14,564 – $18,203 · median $17,706 | 4 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY | $12,117 – $15,145 · median $14,731 | 4 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $19,427 – $24,282 · median $23,618 | 4 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $10,463 – $13,078 · median $12,721 | 4 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,532 – $6,915 · median $6,726 | 4 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $16,012 – $20,014 · median $19,467 | 4 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $11,242 – $14,052 · median $13,668 | 4 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $8,630 – $10,787 · median $10,492 | 4 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $14,427 – $18,032 · median $17,539 | 4 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $9,996 – $12,493 · median $12,152 | 4 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $7,855 – $9,818 · median $9,550 | 4 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $11,383 – $14,227 · median $13,838 | 4 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $16,254 – $20,316 · median $19,761 | 4 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $10,248 – $12,809 · median $12,459 | 4 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,824 – $9,779 · median $9,512 | 4 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $9,419 – $11,773 · median $11,451 | 4 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $6,192 – $7,740 · median $7,528 | 4 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $16,543 – $20,677 · median $20,112 | 4 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $11,091 – $13,863 · median $13,484 | 4 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $8,834 – $11,041 · median $10,739 | 4 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $17,335 – $21,667 · median $21,075 | 4 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $9,471 – $11,838 · median $11,514 | 4 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $6,958 – $8,697 · median $8,459 | 4 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $12,327 – $15,408 · median $14,986 | 4 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $5,718 – $7,147 · median $6,951 | 4 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $15,044 – $18,804 · median $18,289 | 4 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $8,324 – $10,404 · median $10,119 | 4 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $6,348 – $7,934 · median $7,717 | 4 plans |
| 503 | FOOT PROCEDURES WITH MCC | $12,539 – $15,672 · median $15,244 | 4 plans |
| 504 | FOOT PROCEDURES WITH CC | $8,462 – $10,576 · median $10,287 | 4 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $8,462 – $10,576 · median $10,287 | 4 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $7,039 – $8,798 · median $8,558 | 4 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $9,646 – $12,057 · median $11,727 | 4 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $6,745 – $8,430 · median $8,200 | 4 plans |
| 509 | ARTHROSCOPY | $7,984 – $9,979 · median $9,706 | 4 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $13,025 – $16,280 · median $15,835 | 4 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $9,390 – $11,736 · median $11,415 | 4 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $7,423 – $9,278 · median $9,024 | 4 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $7,436 – $9,295 · median $9,041 | 4 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $4,742 – $5,927 · median $5,765 | 4 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $14,963 – $18,703 · median $18,191 | 4 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $9,354 – $11,692 · median $11,372 | 4 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $6,662 – $8,327 · median $8,099 | 4 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $17,097 – $21,370 · median $20,785 | 4 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $9,338 – $11,672 · median $11,353 | 4 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $6,761 – $8,451 · median $8,220 | 4 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $14,612 – $18,264 · median $17,765 | 4 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $10,442 – $13,051 · median $12,695 | 4 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $6,738 – $8,422 · median $8,192 | 4 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $3,762 – $4,702 · median $4,573 | 4 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $5,885 – $7,356 · median $7,155 | 4 plans |
| 536 | FRACTURES OF HIP & PELVIS WITHOUT COMORBITY | $3,681 – $4,600 · median $4,475 | 4 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $4,451 – $5,564 · median $5,412 | 4 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $3,441 – $4,301 · median $4,183 | 4 plans |
| 539 | OSTEOMYELITIS WITH MCC | $9,260 – $11,573 · median $11,257 | 4 plans |
| 540 | OSTEOMYELITIS WITH CC | $6,179 – $7,723 · median $7,511 | 4 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,010 – $5,012 · median $4,875 | 4 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $8,611 – $10,763 · median $10,469 | 4 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $4,977 – $6,220 · median $6,050 | 4 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $3,702 – $4,628 · median $4,501 | 4 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $11,923 – $14,902 · median $14,495 | 4 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $5,755 – $7,194 · median $6,997 | 4 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,973 – $4,966 · median $4,831 | 4 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $9,681 – $12,100 · median $11,770 | 4 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $5,948 – $7,434 · median $7,231 | 4 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $4,210 – $5,263 · median $5,119 | 4 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $7,742 – $9,677 · median $9,412 | 4 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT COMORBITY | $4,493 – $5,616 · median $5,463 | 4 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $6,050 – $7,562 · median $7,355 | 4 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $3,770 – $4,712 · median $4,584 | 4 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $6,501 – $8,125 · median $7,903 | 4 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $3,846 – $4,807 · median $4,676 | 4 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $6,649 – $8,310 · median $8,083 | 4 plans |
| 558 | TENDONITIS, MYOSITIS & BURSITIS WITHOUT COMORBITY | $4,094 – $5,117 · median $4,977 | 4 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,910 – $11,136 · median $10,832 | 4 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $5,134 – $6,418 · median $6,242 | 4 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY | $3,774 – $4,717 · median $4,588 | 4 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $6,716 – $8,395 · median $8,165 | 4 plans |
| 563 | FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH WITHOUT COMORBITY | $4,154 – $5,192 · median $5,050 | 4 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $7,221 – $9,025 · median $8,779 | 4 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $4,800 – $6,000 · median $5,836 | 4 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $3,585 – $4,480 · median $4,358 | 4 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $13,529 – $16,910 · median $16,448 | 4 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $7,788 – $9,735 · median $9,469 | 4 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $5,259 – $6,574 · median $6,394 | 4 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $26,413 – $33,013 · median $32,111 | 4 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $15,486 – $19,356 · median $18,826 | 4 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $8,402 – $10,502 · median $10,215 | 4 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $24,137 – $30,168 · median $29,344 | 4 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $12,151 – $15,188 · median $14,772 | 4 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $7,607 – $9,508 · median $9,248 | 4 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $13,966 – $17,456 · median $16,978 | 4 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $7,647 – $9,558 · median $9,296 | 4 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $6,010 – $7,512 · median $7,306 | 4 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $7,830 – $9,787 · median $9,520 | 4 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $7,353 – $9,191 · median $8,940 | 4 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $8,731 – $10,912 · median $10,614 | 4 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $8,311 – $10,388 · median $10,104 | 4 plans |
| 592 | SKIN ULCERS WITH MCC | $8,046 – $10,056 · median $9,781 | 4 plans |
| 593 | SKIN ULCERS WITH COMPLICATION | $5,423 – $6,778 · median $6,592 | 4 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $3,905 – $4,881 · median $4,748 | 4 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $9,598 – $11,996 · median $11,668 | 4 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $4,718 – $5,898 · median $5,736 | 4 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $7,807 – $9,758 · median $9,491 | 4 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $5,300 – $6,625 · median $6,444 | 4 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,202 – $4,002 · median $3,892 | 4 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $4,749 – $5,936 · median $5,774 | 4 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,280 – $4,099 · median $3,987 | 4 plans |
| 602 | CELLULITIS WITH COMORBITY | $6,853 – $8,565 · median $8,331 | 4 plans |
| 603 | CELLULITIS WITHOUT COMORBITY | $4,030 – $5,037 · median $4,899 | 4 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $7,114 – $8,891 · median $8,648 | 4 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $4,337 – $5,421 · median $5,272 | 4 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $7,207 – $9,009 · median $8,762 | 4 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $3,938 – $4,922 · median $4,788 | 4 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $11,385 – $14,230 · median $13,841 | 4 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $7,508 – $9,385 · median $9,128 | 4 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $19,027 – $23,781 · median $23,131 | 4 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $9,703 – $12,127 · median $11,796 | 4 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,215 – $7,768 · median $7,556 | 4 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $14,601 – $18,250 · median $17,751 | 4 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $8,400 – $10,500 · median $10,213 | 4 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $7,615 – $9,518 · median $9,258 | 4 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $17,233 – $21,540 · median $20,951 | 4 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $8,934 – $11,166 · median $10,861 | 4 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $5,220 – $6,524 · median $6,346 | 4 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $13,553 – $16,939 · median $16,476 | 4 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $7,881 – $9,851 · median $9,582 | 4 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $5,637 – $7,046 · median $6,853 | 4 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $17,640 – $22,048 · median $21,445 | 4 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $11,194 – $13,992 · median $13,609 | 4 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $6,711 – $8,388 · median $8,159 | 4 plans |
| 637 | DIABETES WITH MCC | $6,557 – $8,196 · median $7,972 | 4 plans |
| 638 | DIABETES WITH COMPLICATION | $4,195 – $5,243 · median $5,100 | 4 plans |
| 639 | DIABETES WITHOUT CC/MCC | $2,906 – $3,633 · median $3,533 | 4 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $5,857 – $7,320 · median $7,120 | 4 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $3,592 – $4,489 · median $4,367 | 4 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $6,141 – $7,676 · median $7,466 | 4 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $7,934 – $9,917 · median $9,645 | 4 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $4,857 – $6,071 · median $5,905 | 4 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT COMPLICATION/COMORBITY | $3,662 – $4,578 · median $4,452 | 4 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $25,993 – $32,488 · median $31,600 | 4 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $13,834 – $17,291 · median $16,818 | 4 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,922 – $12,402 · median $12,063 | 4 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $15,654 – $19,566 · median $19,031 | 4 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $9,226 – $11,531 · median $11,216 | 4 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $7,532 – $9,415 · median $9,157 | 4 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $12,711 – $15,888 · median $15,453 | 4 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $6,885 – $8,606 · median $8,370 | 4 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $5,077 – $6,346 · median $6,172 | 4 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $13,975 – $17,467 · median $16,990 | 4 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $7,608 – $9,509 · median $9,249 | 4 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $5,649 – $7,060 · median $6,867 | 4 plans |
| 665 | PROSTATECTOMY WITH MCC | $14,485 – $18,105 · median $17,610 | 4 plans |
| 666 | PROSTATECTOMY WITH CC | $8,273 – $10,340 · median $10,057 | 4 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $4,746 – $5,932 · median $5,769 | 4 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $13,142 – $16,426 · median $15,977 | 4 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $7,307 – $9,133 · median $8,883 | 4 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $4,658 – $5,822 · median $5,663 | 4 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $8,475 – $10,593 · median $10,303 | 4 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $5,490 – $6,862 · median $6,674 | 4 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $16,519 – $20,647 · median $20,083 | 4 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $11,355 – $14,192 · median $13,804 | 4 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $8,357 – $10,445 · median $10,160 | 4 plans |
| 682 | RENAL FAILURE WITH COMORBITY | $7,013 – $8,765 · median $8,526 | 4 plans |
| 683 | RENAL FAILURE WITH COMPLICATION | $4,189 – $5,235 · median $5,092 | 4 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $2,898 – $3,622 · median $3,523 | 4 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $8,935 – $11,168 · median $10,863 | 4 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $4,998 – $6,247 · median $6,076 | 4 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $3,269 – $4,086 · median $3,974 | 4 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $5,301 – $6,626 · median $6,444 | 4 plans |
| 690 | KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY | $3,779 – $4,723 · median $4,594 | 4 plans |
| 693 | URINARY STONES WITH MCC | $6,052 – $7,565 · median $7,358 | 4 plans |
| 694 | URINARY STONES WITHOUT MCC | $3,479 – $4,348 · median $4,229 | 4 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $5,420 – $6,775 · median $6,589 | 4 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $3,290 – $4,112 · median $4,000 | 4 plans |
| 697 | URETHRAL STRICTURE | $4,756 – $5,944 · median $5,782 | 4 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $7,664 – $9,579 · median $9,317 | 4 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $4,890 – $6,112 · median $5,945 | 4 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $3,553 – $4,441 · median $4,319 | 4 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $9,161 – $11,451 · median $11,138 | 4 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $7,114 – $8,892 · median $8,649 | 4 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $11,028 – $13,784 · median $13,407 | 4 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $7,632 – $9,539 · median $9,278 | 4 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $10,162 – $12,701 · median $12,354 | 4 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $5,044 – $6,305 · median $6,132 | 4 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $7,115 – $8,893 · median $8,650 | 4 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $4,429 – $5,536 · median $5,384 | 4 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $9,630 – $12,037 · median $11,708 | 4 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $6,089 – $7,610 · median $7,402 | 4 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $8,579 – $10,723 · median $10,430 | 4 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,897 – $7,370 · median $7,169 | 4 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $8,152 – $10,189 · median $9,910 | 4 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $5,195 – $6,493 · median $6,316 | 4 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,098 – $3,872 · median $3,766 | 4 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $6,115 – $7,643 · median $7,434 | 4 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $3,546 – $4,432 · median $4,310 | 4 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $6,764 – $8,455 · median $8,224 | 4 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $3,833 – $4,790 · median $4,660 | 4 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $4,793 – $5,991 · median $5,827 | 4 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,698 – $3,373 · median $3,280 | 4 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $10,603 – $13,252 · median $12,890 | 4 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $6,742 – $8,427 · median $8,197 | 4 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $20,312 – $25,387 · median $24,693 | 4 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $9,818 – $12,271 · median $11,936 | 4 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $7,043 – $8,803 · median $8,563 | 4 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $18,230 – $22,785 · median $22,162 | 4 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $8,586 – $10,732 · median $10,438 | 4 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $6,103 – $7,628 · median $7,420 | 4 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $8,190 – $10,237 · median $9,957 | 4 plans |
| 743 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $5,401 – $6,751 · median $6,566 | 4 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $8,557 – $10,696 · median $10,403 | 4 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $5,583 – $6,979 · median $6,788 | 4 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $7,677 – $9,595 · median $9,333 | 4 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $4,474 – $5,592 · median $5,439 | 4 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $6,431 – $8,039 · median $7,819 | 4 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $12,914 – $16,142 · median $15,700 | 4 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $6,992 – $8,740 · median $8,501 | 4 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,686 – $10,857 · median $10,560 | 4 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,379 – $6,723 · median $6,539 | 4 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,370 – $5,462 · median $5,312 | 4 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $7,260 – $9,075 · median $8,827 | 4 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $4,613 – $5,765 · median $5,608 | 4 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,259 – $4,073 · median $3,962 | 4 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $4,401 – $5,501 · median $5,350 | 4 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $2,814 – $3,518 · median $3,421 | 4 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $7,729 – $9,661 · median $9,397 | 4 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $4,236 – $5,295 · median $5,150 | 4 plans |
| 776 | POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE | $3,667 – $4,584 · median $4,458 | 4 plans |
| 779 | ABORTION WITHOUT D&C | $4,963 – $6,203 · median $6,033 | 4 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $8,933 – $11,165 · median $10,860 | 4 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH COMPLICATION | $5,223 – $6,528 · median $6,349 | 4 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT COMPLICATION/COMORBITY | $4,366 – $5,457 · median $5,308 | 4 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $7,590 – $9,486 · median $9,227 | 4 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $5,069 – $6,336 · median $6,163 | 4 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT COMPLICATION/COMORBITY | $4,231 – $5,289 · median $5,144 | 4 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $8,197 – $10,246 · median $9,966 | 4 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $27,032 – $33,787 · median $32,864 | 4 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $18,462 – $23,075 · median $22,444 | 4 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $11,139 – $13,923 · median $13,542 | 4 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $18,964 – $23,703 · median $23,055 | 4 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $6,712 – $8,390 · median $8,160 | 4 plans |
| 795 | NORMAL NEWBORN | $909 – $1,136 · median $1,105 | 4 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $5,094 – $6,367 · median $6,193 | 4 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,388 – $5,484 · median $5,335 | 4 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY | $3,946 – $4,932 · median $4,798 | 4 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $24,536 – $30,668 · median $29,829 | 4 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $14,078 – $17,596 · median $17,115 | 4 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $8,030 – $10,037 · median $9,763 | 4 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $17,691 – $22,111 · median $21,507 | 4 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $8,991 – $11,237 · median $10,930 | 4 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $6,507 – $8,133 · median $7,911 | 4 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,898 – $6,122 · median $5,954 | 4 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMPLICATION | $3,501 – $4,376 · median $4,256 | 4 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY | $3,058 – $3,822 · median $3,718 | 4 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $10,389 – $12,985 · median $12,630 | 4 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $5,828 – $7,284 · median $7,085 | 4 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $4,583 – $5,728 · median $5,571 | 4 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $6,571 – $8,213 · median $7,989 | 4 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $4,196 – $5,245 · median $5,101 | 4 plans |
| 813 | COAGULATION DISORDERS | $7,368 – $9,210 · median $8,958 | 4 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $9,019 – $11,272 · median $10,964 | 4 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $4,734 – $5,917 · median $5,756 | 4 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,152 – $3,940 · median $3,833 | 4 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $10,980 – $13,723 · median $13,348 | 4 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $6,280 – $7,849 · median $7,634 | 4 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,760 – $5,949 · median $5,787 | 4 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $27,128 – $33,908 · median $32,981 | 4 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $10,280 – $12,849 · median $12,497 | 4 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $5,970 – $7,462 · median $7,258 | 4 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $21,451 – $26,812 · median $26,079 | 4 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $11,270 – $14,086 · median $13,701 | 4 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $6,681 – $8,351 · median $8,123 | 4 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $24,026 – $30,029 · median $29,208 | 4 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $11,914 – $14,891 · median $14,484 | 4 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,003 – $10,002 · median $9,729 | 4 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $15,291 – $19,112 · median $18,590 | 4 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,043 – $8,803 · median $8,562 | 4 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $5,348 – $6,684 · median $6,501 | 4 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMPLICATION | $3,720 – $4,649 · median $4,522 | 4 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY | $2,557 – $3,196 · median $3,108 | 4 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $28,859 – $36,071 · median $35,085 | 4 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $10,082 – $12,602 · median $12,257 | 4 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $5,579 – $6,973 · median $6,783 | 4 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $27,185 – $33,978 · median $33,049 | 4 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $10,774 – $13,467 · median $13,099 | 4 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,090 – $8,861 · median $8,619 | 4 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $15,339 – $19,172 · median $18,648 | 4 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $7,731 – $9,663 · median $9,399 | 4 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $5,225 – $6,530 · median $6,352 | 4 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $9,077 – $11,345 · median $11,035 | 4 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $5,631 – $7,038 · median $6,846 | 4 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $4,042 – $5,052 · median $4,914 | 4 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $12,735 – $15,918 · median $15,483 | 4 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $6,369 – $7,960 · median $7,743 | 4 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,908 – $6,135 · median $5,967 | 4 plans |
| 849 | RADIOTHERAPY | $11,865 – $14,830 · median $14,425 | 4 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $23,586 – $29,480 · median $28,674 | 4 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $9,990 – $12,487 · median $12,145 | 4 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,131 – $8,913 · median $8,670 | 4 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $21,683 – $27,101 · median $26,361 | 4 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $9,706 – $12,131 · median $11,799 | 4 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,432 – $8,039 · median $7,819 | 4 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $8,962 – $11,201 · median $10,895 | 4 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $4,662 – $5,827 · median $5,668 | 4 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $4,174 – $5,217 · median $5,074 | 4 plans |
| 865 | VIRAL ILLNESS WITH MCC | $7,054 – $8,817 · median $8,576 | 4 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $3,993 – $4,991 · median $4,855 | 4 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $10,635 – $13,292 · median $12,929 | 4 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $5,049 – $6,310 · median $6,138 | 4 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $3,463 – $4,328 · median $4,210 | 4 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $30,646 – $38,305 · median $37,257 | 4 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY | $8,911 – $11,138 · median $10,834 | 4 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $4,873 – $6,091 · median $5,924 | 4 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $15,556 – $19,444 · median $18,912 | 4 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $4,119 – $5,149 · median $5,008 | 4 plans |
| 881 | DEPRESSIVE NEUROSES | $3,823 – $4,778 · median $4,647 | 4 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $3,926 – $4,907 · median $4,773 | 4 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $7,528 – $9,410 · median $9,153 | 4 plans |
| 884 | ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY | $6,887 – $8,608 · median $8,373 | 4 plans |
| 885 | PSYCHOSES | $5,901 – $7,376 · median $7,174 | 4 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $5,827 – $7,283 · median $7,083 | 4 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $5,145 – $6,431 · median $6,255 | 4 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $2,612 – $3,264 · median $3,175 | 4 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $7,594 – $9,492 · median $9,232 | 4 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH COMORBITY | $8,476 – $10,594 · median $10,305 | 4 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY | $3,938 – $4,922 · median $4,787 | 4 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $20,331 – $25,411 · median $24,717 | 4 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $9,361 – $11,700 · median $11,380 | 4 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $5,411 – $6,763 · median $6,578 | 4 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $17,751 – $22,187 · median $21,580 | 4 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $7,854 – $9,817 · median $9,549 | 4 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $8,556 – $10,695 · median $10,402 | 4 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $18,875 – $23,592 · median $22,947 | 4 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $9,733 – $12,165 · median $11,832 | 4 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $6,557 – $8,195 · median $7,971 | 4 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $7,806 – $9,756 · median $9,489 | 4 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $4,239 – $5,298 · median $5,153 | 4 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $8,098 – $10,121 · median $9,844 | 4 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $3,135 – $3,919 · median $3,812 | 4 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $7,048 – $8,809 · median $8,568 | 4 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $3,774 – $4,717 · median $4,588 | 4 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $8,750 – $10,937 · median $10,638 | 4 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $4,900 – $6,125 · median $5,957 | 4 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $3,298 – $4,122 · median $4,009 | 4 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $7,573 – $9,465 · median $9,206 | 4 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $4,438 – $5,547 · median $5,395 | 4 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $16,152 – $20,189 · median $19,637 | 4 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $10,578 – $13,221 · median $12,860 | 4 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $9,181 – $11,475 · median $11,161 | 4 plans |
| 945 | REHABILITATION WITH CC/MCC | $7,082 – $8,852 · median $8,610 | 4 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $5,377 – $6,720 · median $6,537 | 4 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $5,677 – $7,095 · median $6,901 | 4 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $3,747 – $4,684 · median $4,556 | 4 plans |
| 949 | AFTERCARE WITH CC/MCC | $5,281 – $6,601 · median $6,420 | 4 plans |
| 950 | AFTERCARE WITHOUT COMPLICATION/COMORBITY | $3,525 – $4,405 · median $4,285 | 4 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $2,663 – $3,328 · median $3,237 | 4 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $29,994 – $37,489 · median $36,464 | 4 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $18,359 – $22,947 · median $22,319 | 4 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $35,397 – $44,243 · median $43,033 | 4 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $20,060 – $25,073 · median $24,387 | 4 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $13,042 – $16,301 · median $15,856 | 4 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $12,994 – $16,242 · median $15,798 | 4 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $7,100 – $8,874 · median $8,631 | 4 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $4,355 – $5,443 · median $5,294 | 4 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $27,606 – $34,504 · median $33,561 | 4 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $14,048 – $17,559 · median $17,079 | 4 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $12,811 – $16,012 · median $15,574 | 4 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $6,101 – $7,626 · median $7,418 | 4 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $4,527 – $5,659 · median $5,504 | 4 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $6,300 – $7,875 · median $7,659 | 4 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $21,979 – $27,472 · median $26,721 | 4 plans |
| 982 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $12,122 – $15,151 · median $14,736 | 4 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,893 – $9,866 · median $9,596 | 4 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $15,560 – $19,449 · median $18,917 | 4 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $8,017 – $10,020 · median $9,746 | 4 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $5,323 – $6,653 · median $6,471 | 4 plans |
No procedures match that keyword.