Mc Camey Hospital — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Estimate your out-of-pocket cost
Enter what's left on your plan this year, then choose a procedure — click any row below or its “Estimate” button.
No procedure selected yet — pick a row in the table below to see an estimate here.
Estimate only. Your plan's actual negotiated rate, network status, and benefit rules control what you pay — confirm with your insurer. Professional fees (surgeon, anesthesia) are usually billed separately.
Showing all 771 procedures
Procedures with negotiated rates only
These 771 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 | $188,728 – $382,258 · median $285,493 | 2 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $73,832 – $149,543 · median $111,687 | 2 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $143,592 – $290,838 · median $217,215 | 2 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $94,671 – $191,751 · median $143,211 | 2 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $71,351 – $144,518 · median $107,934 | 2 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $32,490 – $65,806 · median $49,148 | 2 plans |
| 007 | Lung transplant | $87,561 – $177,350 · median $132,456 | 2 plans |
| 008 | Simultaneous pancreas/kidney transplant | $36,455 – $73,838 · median $55,147 | 2 plans |
| 010 | Pancreas transplant | $53,419 – $108,198 · median $80,808 | 2 plans |
| 011 | Tracheostomy for face,mouth & neck diagnoses w MCC | $36,153 – $73,225 · median $54,689 | 2 plans |
| 012 | Tracheostomy for face,mouth & neck diagnoses w CC | $27,495 – $55,689 · median $41,592 | 2 plans |
| 013 | Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC | $17,755 – $35,962 · median $26,858 | 2 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $87,782 – $177,798 · median $132,790 | 2 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $40,441 – $81,910 · median $61,175 | 2 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $40,441 – $81,910 · median $61,175 | 2 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $252,676 – $511,782 · median $382,229 | 2 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $53,113 – $107,577 · median $80,345 | 2 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $54,009 – $109,393 · median $81,701 | 2 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $37,033 – $75,008 · median $56,021 | 2 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $23,654 – $47,909 · median $35,781 | 2 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $38,224 – $77,421 · median $57,823 | 2 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $25,471 – $51,591 · median $38,531 | 2 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $29,964 – $60,691 · median $45,328 | 2 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $20,493 – $41,507 · median $31,000 | 2 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $16,534 – $33,489 · median $25,012 | 2 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $40,733 – $82,502 · median $61,617 | 2 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $22,490 – $45,552 · median $34,021 | 2 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $14,910 – $30,200 · median $22,555 | 2 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $28,077 – $56,869 · median $42,473 | 2 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $14,309 – $28,981 · median $21,645 | 2 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $10,690 – $21,652 · median $16,171 | 2 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $26,054 – $52,772 · median $39,413 | 2 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $15,241 – $30,870 · median $23,056 | 2 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $12,282 – $24,876 · median $18,579 | 2 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $22,250 – $45,066 · median $33,658 | 2 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $10,796 – $21,866 · median $16,331 | 2 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,626 – $15,446 · median $11,536 | 2 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $25,273 – $51,189 · median $38,231 | 2 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $15,130 – $30,645 · median $22,887 | 2 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $11,776 – $23,852 · median $17,814 | 2 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $13,484 – $27,311 · median $20,397 | 2 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,173 – $12,504 · median $9,339 | 2 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,044 – $20,344 · median $15,194 | 2 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,310 – $14,805 · median $11,058 | 2 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $16,777 – $33,982 · median $25,380 | 2 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,940 – $18,108 · median $13,524 | 2 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $12,368 – $25,050 · median $18,709 | 2 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,198 – $16,605 · median $12,401 | 2 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,979 – $12,110 · median $9,045 | 2 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $18,113 – $36,686 · median $27,400 | 2 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $11,932 – $24,168 · median $18,050 | 2 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $9,412 – $19,064 · median $14,238 | 2 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $13,328 – $26,994 · median $20,161 | 2 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,813 – $13,800 · median $10,307 | 2 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,612 – $9,341 · median $6,976 | 2 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,748 – $19,744 · median $14,746 | 2 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,906 – $11,962 · median $8,934 | 2 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,361 – $10,858 · median $8,109 | 2 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $11,650 – $23,596 · median $17,623 | 2 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $7,061 – $14,302 · median $10,682 | 2 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,026 – $10,181 · median $7,603 | 2 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $10,356 – $20,975 · median $15,665 | 2 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,984 – $14,146 · median $10,565 | 2 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $11,540 – $23,374 · median $17,457 | 2 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,143 – $12,443 · median $9,293 | 2 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $10,360 – $20,984 · median $15,672 | 2 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $6,686 – $13,542 · median $10,114 | 2 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,467 – $9,047 · median $6,757 | 2 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $13,318 – $26,975 · median $20,147 | 2 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,062 – $12,279 · median $9,170 | 2 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $15,545 – $31,486 · median $23,516 | 2 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $9,316 – $18,868 · median $14,092 | 2 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,406 – $12,975 · median $9,690 | 2 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $15,182 – $30,751 · median $22,966 | 2 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,788 – $17,799 · median $13,293 | 2 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,923 – $11,996 · median $8,960 | 2 plans |
| 088 | CONCUSSION WITH MCC | $9,452 – $19,144 · median $14,298 | 2 plans |
| 089 | CONCUSSION WITH CC | $7,183 – $14,549 · median $10,866 | 2 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,744 – $11,634 · median $8,689 | 2 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $12,213 – $24,738 · median $18,476 | 2 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,093 – $14,367 · median $10,730 | 2 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,288 – $10,711 · median $8,000 | 2 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $24,446 – $49,515 · median $36,980 | 2 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $16,061 – $32,531 · median $24,296 | 2 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $16,061 – $32,531 · median $24,296 | 2 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $24,017 – $48,645 · median $36,331 | 2 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $14,534 – $29,438 · median $21,986 | 2 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $9,335 – $18,908 · median $14,121 | 2 plans |
| 100 | SEIZURES WITH MCC | $13,302 – $26,942 · median $20,122 | 2 plans |
| 101 | SEIZURES WITHOUT MCC | $6,175 – $12,508 · median $9,342 | 2 plans |
| 102 | HEADACHES WITH MCC | $7,769 – $15,735 · median $11,752 | 2 plans |
| 103 | HEADACHES WITHOUT MCC | $5,696 – $11,538 · median $8,617 | 2 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $15,119 – $30,623 · median $22,871 | 2 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,920 – $16,042 · median $11,981 | 2 plans |
| 115 | Extraocular procedures except orbit | $10,258 – $20,776 · median $15,517 | 2 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $11,180 – $22,644 · median $16,912 | 2 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,227 – $14,637 · median $10,932 | 2 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,793 – $15,785 · median $11,789 | 2 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,545 – $9,205 · median $6,875 | 2 plans |
| 123 | Neurological eye disorders | $5,381 – $10,900 · median $8,141 | 2 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,736 – $17,695 · median $13,215 | 2 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,532 – $11,205 · median $8,369 | 2 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $16,154 – $32,720 · median $24,437 | 2 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,554 – $13,275 · median $9,914 | 2 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $9,371 – $18,980 · median $14,175 | 2 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,450 – $11,040 · median $8,245 | 2 plans |
| 139 | Salivary gland procedures | $9,199 – $18,632 · median $13,916 | 2 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $28,336 – $57,392 · median $42,864 | 2 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $14,395 – $29,156 · median $21,776 | 2 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $10,535 – $21,338 · median $15,937 | 2 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $22,123 – $44,808 · median $33,466 | 2 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $11,770 – $23,839 · median $17,805 | 2 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,938 – $16,078 · median $12,008 | 2 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $15,370 – $31,132 · median $23,251 | 2 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $8,340 – $16,893 · median $12,616 | 2 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,365 – $10,866 · median $8,115 | 2 plans |
| 149 | Dysequilibrium | $5,008 – $10,144 · median $7,576 | 2 plans |
| 150 | EPISTAXIS WITH MCC | $9,261 – $18,757 · median $14,009 | 2 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,079 – $10,286 · median $7,683 | 2 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,603 – $15,400 · median $11,501 | 2 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,768 – $9,658 · median $7,213 | 2 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $10,896 – $22,070 · median $16,483 | 2 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $6,255 – $12,669 · median $9,462 | 2 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,505 – $9,125 · median $6,815 | 2 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $10,971 – $22,222 · median $16,596 | 2 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,302 – $12,764 · median $9,533 | 2 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,419 – $8,951 · median $6,685 | 2 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $30,882 – $62,549 · median $46,715 | 2 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $16,864 – $34,157 · median $25,510 | 2 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $12,489 – $25,295 · median $18,892 | 2 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $25,797 – $52,251 · median $39,024 | 2 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $12,242 – $24,796 · median $18,519 | 2 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,071 – $18,373 · median $13,722 | 2 plans |
| 173 | Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism | $20,560 – $41,642 · median $31,101 | 2 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $9,441 – $19,122 · median $14,282 | 2 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,457 – $11,053 · median $8,255 | 2 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $10,831 – $21,937 · median $16,384 | 2 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,647 – $13,463 · median $10,055 | 2 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,157 – $10,445 · median $7,801 | 2 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $11,710 – $23,719 · median $17,714 | 2 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,439 – $15,067 · median $11,253 | 2 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,611 – $11,365 · median $8,488 | 2 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $10,635 – $21,540 · median $16,088 | 2 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,156 – $14,495 · median $10,825 | 2 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,211 – $10,554 · median $7,882 | 2 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $10,586 – $21,441 · median $16,014 | 2 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,727 – $13,625 · median $10,176 | 2 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,919 – $9,963 · median $7,441 | 2 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $8,291 – $16,792 · median $12,541 | 2 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,524 – $15,240 · median $11,382 | 2 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,756 – $11,658 · median $8,707 | 2 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,336 – $8,783 · median $6,560 | 2 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,829 – $17,882 · median $13,355 | 2 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,494 – $11,128 · median $8,311 | 2 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,172 – $8,450 · median $6,311 | 2 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $12,623 – $25,568 · median $19,096 | 2 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,633 – $13,435 · median $10,034 | 2 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,693 – $9,505 · median $7,099 | 2 plans |
| 199 | PNEUMOTHORAX WITH MCC | $11,828 – $23,956 · median $17,892 | 2 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,420 – $15,029 · median $11,225 | 2 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,537 – $9,189 · median $6,863 | 2 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,477 – $13,119 · median $9,798 | 2 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,667 – $9,453 · median $7,060 | 2 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,434 – $11,006 · median $8,220 | 2 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $12,648 – $25,618 · median $19,133 | 2 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,069 – $12,292 · median $9,181 | 2 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $43,330 – $87,763 · median $65,547 | 2 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $17,981 – $36,421 · median $27,201 | 2 plans |
| 212 | Concomitant Aortic and Mitral Valve Procedures | $72,989 – $147,836 · median $110,412 | 2 plans |
| 215 | Other heart assist system implant | $70,985 – $143,777 · median $107,381 | 2 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $64,662 – $130,970 · median $97,816 | 2 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $43,268 – $87,637 · median $65,452 | 2 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $39,860 – $80,735 · median $60,298 | 2 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $51,841 – $105,002 · median $78,421 | 2 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $35,488 – $71,879 · median $53,683 | 2 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $30,770 – $62,324 · median $46,547 | 2 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $33,388 – $67,626 · median $50,507 | 2 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $20,812 – $42,154 · median $31,483 | 2 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $56,775 – $114,995 · median $85,885 | 2 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $40,928 – $82,898 · median $61,913 | 2 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $52,370 – $106,072 · median $79,221 | 2 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $35,645 – $72,198 · median $53,922 | 2 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $39,424 – $79,852 · median $59,638 | 2 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $27,551 – $55,803 · median $41,677 | 2 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $33,747 – $68,353 · median $51,050 | 2 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $19,512 – $39,520 · median $29,516 | 2 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $10,116 – $20,490 · median $15,303 | 2 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $22,726 – $46,031 · median $34,379 | 2 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $15,094 – $30,572 · median $22,833 | 2 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $12,091 – $24,491 · median $18,291 | 2 plans |
| 245 | AICD generator procedures | $32,742 – $66,316 · median $49,529 | 2 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $15,494 – $31,383 · median $23,439 | 2 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $10,469 – $21,205 · median $15,837 | 2 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $22,984 – $46,552 · median $34,768 | 2 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $17,105 – $34,645 · median $25,875 | 2 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $11,721 – $23,740 · median $17,731 | 2 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $17,531 – $35,507 · median $26,519 | 2 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $11,348 – $22,984 · median $17,166 | 2 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $5,976 – $12,104 · median $9,040 | 2 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $18,797 – $38,072 · median $28,434 | 2 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $11,777 – $23,853 · median $17,815 | 2 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $22,822 – $46,224 · median $34,523 | 2 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $12,714 – $25,751 · median $19,233 | 2 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $10,169 – $20,597 · median $15,383 | 2 plans |
| 263 | VEIN LIGATION AND STRIPPING | $17,970 – $36,397 · median $27,184 | 2 plans |
| 264 | Other circulatory system O.R. procedures | $23,417 – $47,430 · median $35,424 | 2 plans |
| 265 | AICD lead procedures | $23,900 – $48,409 · median $36,154 | 2 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $40,138 – $81,298 · median $60,718 | 2 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $31,521 – $63,845 · median $47,683 | 2 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $44,673 – $90,483 · median $67,578 | 2 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $27,877 – $56,463 · median $42,170 | 2 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $34,391 – $69,657 · median $52,024 | 2 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $23,077 – $46,742 · median $34,910 | 2 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $16,765 – $33,956 · median $25,360 | 2 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $26,199 – $53,065 · median $39,632 | 2 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $20,911 – $42,354 · median $31,632 | 2 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $47,349 – $95,903 · median $71,626 | 2 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $41,502 – $84,061 · median $62,782 | 2 plans |
| 277 | Cardiac Defibrillator Implant without MCC | $31,168 – $63,129 · median $47,148 | 2 plans |
| 278 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC | $33,522 – $67,897 · median $50,710 | 2 plans |
| 279 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC | $21,469 – $43,485 · median $32,477 | 2 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $10,997 – $22,275 · median $16,636 | 2 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,176 – $12,509 · median $9,343 | 2 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,858 – $9,840 · median $7,349 | 2 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $13,101 – $26,536 · median $19,818 | 2 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,965 – $10,056 · median $7,510 | 2 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,761 – $7,618 · median $5,690 | 2 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $14,829 – $30,036 · median $22,432 | 2 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,301 – $14,788 · median $11,044 | 2 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $18,301 – $37,068 · median $27,684 | 2 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $10,564 – $21,397 · median $15,980 | 2 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,559 – $13,286 · median $9,922 | 2 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,742 – $17,707 · median $13,224 | 2 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,770 – $11,687 · median $8,728 | 2 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,676 – $7,446 · median $5,561 | 2 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $8,228 – $16,665 · median $12,446 | 2 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,292 – $10,718 · median $8,005 | 2 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $10,977 – $22,234 · median $16,606 | 2 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,719 – $9,559 · median $7,139 | 2 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,959 – $5,994 · median $4,477 | 2 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $10,838 – $21,952 · median $16,395 | 2 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,173 – $14,529 · median $10,851 | 2 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,780 – $9,681 · median $7,230 | 2 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,794 – $15,787 · median $11,790 | 2 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,505 – $9,125 · median $6,815 | 2 plans |
| 304 | HYPERTENSION WITH MCC | $7,871 – $15,943 · median $11,907 | 2 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,030 – $10,187 · median $7,609 | 2 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $10,033 – $20,320 · median $15,177 | 2 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,207 – $12,572 · median $9,389 | 2 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,080 – $16,365 · median $12,222 | 2 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,953 – $10,033 · median $7,493 | 2 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,749 – $7,593 · median $5,671 | 2 plans |
| 311 | Angina pectoris | $4,679 – $9,476 · median $7,077 | 2 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,838 – $11,824 · median $8,831 | 2 plans |
| 313 | Chest pain | $4,780 – $9,681 · median $7,230 | 2 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $14,428 – $29,224 · median $21,826 | 2 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,447 – $13,059 · median $9,753 | 2 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,574 – $9,265 · median $6,919 | 2 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $29,432 – $59,612 · median $44,522 | 2 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $15,509 – $31,413 · median $23,461 | 2 plans |
| 321 | Percutaneous Cardiovascular Procedures with Intraluminal Device with MMC or 4+ Arteries/Intraluminal Devices | $19,074 – $38,633 · median $28,853 | 2 plans |
| 322 | Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC | $12,122 – $24,552 · median $18,337 | 2 plans |
| 323 | Coronary Intravascular Lithotripsy with Intraluminal Device with MCC | $28,538 – $57,802 · median $43,170 | 2 plans |
| 324 | Coronary Intravascular Lithotripsy with Intraluminal Device without MCC | $21,407 – $43,359 · median $32,383 | 2 plans |
| 325 | Coronary Intravascular Lithotripsy without Intraluminal Device | $19,176 – $38,840 · median $29,008 | 2 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $34,029 – $68,925 · median $51,477 | 2 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $16,268 – $32,951 · median $24,609 | 2 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $10,676 – $21,625 · median $16,151 | 2 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $30,766 – $62,314 · median $46,540 | 2 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $15,837 – $32,077 · median $23,957 | 2 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,062 – $22,405 · median $16,733 | 2 plans |
| 332 | RECTAL RESECTION WITH MCC | $23,240 – $47,072 · median $35,156 | 2 plans |
| 333 | RECTAL RESECTION WITH CC | $14,240 – $28,841 · median $21,540 | 2 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $11,113 – $22,508 · median $16,810 | 2 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $24,277 – $49,171 · median $36,724 | 2 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $14,152 – $28,665 · median $21,409 | 2 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $10,285 – $20,832 · median $15,559 | 2 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $18,053 – $36,566 · median $27,309 | 2 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,974 – $20,202 · median $15,088 | 2 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,344 – $16,899 · median $12,621 | 2 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $15,858 – $32,119 · median $23,988 | 2 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,435 – $17,084 · median $12,759 | 2 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,902 – $11,954 · median $8,928 | 2 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $16,205 – $32,823 · median $24,514 | 2 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $10,080 – $20,417 · median $15,248 | 2 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,387 – $14,963 · median $11,175 | 2 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $19,651 – $39,802 · median $29,727 | 2 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $11,397 – $23,085 · median $17,241 | 2 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,932 – $18,092 · median $13,512 | 2 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $28,580 – $57,888 · median $43,234 | 2 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $15,088 – $30,561 · median $22,825 | 2 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,079 – $18,389 · median $13,734 | 2 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $11,189 – $22,663 · median $16,926 | 2 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,818 – $13,809 · median $10,314 | 2 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,677 – $9,472 · median $7,074 | 2 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $11,712 – $23,721 · median $17,716 | 2 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,896 – $13,968 · median $10,432 | 2 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,860 – $9,844 · median $7,352 | 2 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $14,146 – $28,653 · median $21,400 | 2 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,232 – $16,674 · median $12,453 | 2 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,916 – $11,983 · median $8,949 | 2 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $12,182 – $24,674 · median $18,428 | 2 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,606 – $13,379 · median $9,992 | 2 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,266 – $8,640 · median $6,453 | 2 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $12,893 – $26,114 · median $19,503 | 2 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,297 – $14,780 · median $11,038 | 2 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,020 – $10,168 · median $7,594 | 2 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $8,470 – $17,156 · median $12,813 | 2 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,826 – $11,801 · median $8,814 | 2 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $10,886 – $22,049 · median $16,468 | 2 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,650 – $13,469 · median $10,059 | 2 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,491 – $9,096 · median $6,794 | 2 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,848 – $19,947 · median $14,898 | 2 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,371 – $10,878 · median $8,124 | 2 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,666 – $7,426 · median $5,546 | 2 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $8,606 – $17,431 · median $13,019 | 2 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,228 – $10,589 · median $7,909 | 2 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $11,095 – $22,473 · median $16,784 | 2 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,307 – $12,774 · median $9,540 | 2 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,264 – $8,636 · median $6,450 | 2 plans |
| 397 | Appendix Procedures with MCC | $16,601 – $33,625 · median $25,113 | 2 plans |
| 398 | Appendix Procedures without MCC/CC | $10,138 – $20,535 · median $15,337 | 2 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,529 – $15,251 · median $11,390 | 2 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $36,372 – $73,670 · median $55,021 | 2 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $18,816 – $38,111 · median $28,464 | 2 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $14,310 – $28,984 · median $21,647 | 2 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $23,459 – $47,514 · median $35,487 | 2 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $14,047 – $28,451 · median $21,249 | 2 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $10,392 – $21,049 · median $15,721 | 2 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $18,334 – $37,134 · median $27,734 | 2 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $14,282 – $28,927 · median $21,604 | 2 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $11,139 – $22,561 · median $16,850 | 2 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $23,475 – $47,548 · median $35,512 | 2 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $13,253 – $26,844 · median $20,049 | 2 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $9,180 – $18,594 · median $13,887 | 2 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $15,923 – $32,250 · median $24,086 | 2 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $11,111 – $22,505 · median $16,808 | 2 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,828 – $17,880 · median $13,354 | 2 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $23,648 – $47,897 · median $35,772 | 2 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,972 – $22,223 · median $16,597 | 2 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,845 – $19,940 · median $14,893 | 2 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $27,252 – $55,197 · median $41,224 | 2 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $15,298 – $30,986 · median $23,142 | 2 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $10,357 – $20,977 · median $15,667 | 2 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $13,126 – $26,586 · median $19,856 | 2 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,168 – $14,518 · median $10,843 | 2 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,667 – $9,452 · median $7,059 | 2 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $12,225 – $24,761 · median $18,493 | 2 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,556 – $15,303 · median $11,430 | 2 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,261 – $10,656 · median $7,958 | 2 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $11,147 – $22,577 · median $16,862 | 2 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,763 – $11,673 · median $8,718 | 2 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,121 – $8,347 · median $6,234 | 2 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $12,666 – $25,654 · median $19,160 | 2 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,474 – $13,112 · median $9,793 | 2 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,708 – $9,536 · median $7,122 | 2 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $11,285 – $22,858 · median $17,072 | 2 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,266 – $14,717 · median $10,992 | 2 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,342 – $10,820 · median $8,081 | 2 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $56,744 – $114,931 · median $85,837 | 2 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $38,454 – $77,887 · median $58,170 | 2 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $28,931 – $58,597 · median $43,764 | 2 plans |
| 461 | Bilateral or multiple major joint procs of lower extremity w MCC | $41,116 – $83,278 · median $62,197 | 2 plans |
| 462 | Bilateral or multiple major joint procs of lower extremity w/o MCC | $19,187 – $38,863 · median $29,025 | 2 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $36,187 – $73,294 · median $54,740 | 2 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $19,756 – $40,014 · median $29,885 | 2 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,632 – $23,560 · median $17,596 | 2 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $34,134 – $69,136 · median $51,635 | 2 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $22,949 – $46,482 · median $34,715 | 2 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $17,576 – $35,599 · median $26,588 | 2 plans |
| 469 | Major joint replacement or reattachment of lower extremity w MCC | $21,900 – $44,358 · median $33,129 | 2 plans |
| 470 | Major joint replacement or reattachment of lower extremity w/o MCC | $12,633 – $25,587 · median $19,110 | 2 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $32,544 – $65,916 · median $49,230 | 2 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $19,411 – $39,316 · median $29,364 | 2 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $15,862 – $32,127 · median $23,994 | 2 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $30,047 – $60,860 · median $45,454 | 2 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $14,454 – $29,276 · median $21,865 | 2 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,793 – $15,784 · median $11,788 | 2 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $23,041 – $46,669 · median $34,855 | 2 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $15,669 – $31,736 · median $23,702 | 2 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $11,898 – $24,098 · median $17,998 | 2 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $19,705 – $39,911 · median $29,808 | 2 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $13,902 – $28,157 · median $21,030 | 2 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $10,629 – $21,528 · median $16,079 | 2 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $17,073 – $34,580 · median $25,827 | 2 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $21,569 – $43,688 · median $32,628 | 2 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $14,210 – $28,782 · median $21,496 | 2 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,587 – $21,444 · median $16,016 | 2 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $13,168 – $26,671 · median $19,920 | 2 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,297 – $16,806 · median $12,551 | 2 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $23,793 – $48,192 · median $35,992 | 2 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $16,087 – $32,583 · median $24,335 | 2 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $12,632 – $25,586 · median $19,109 | 2 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $23,588 – $47,776 · median $35,682 | 2 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $13,219 – $26,775 · median $19,997 | 2 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,995 – $18,220 · median $13,608 | 2 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $16,917 – $34,264 · median $25,591 | 2 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $7,777 – $15,753 · median $11,765 | 2 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $21,230 – $43,001 · median $32,116 | 2 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $11,957 – $24,219 · median $18,088 | 2 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $9,361 – $18,961 · median $14,161 | 2 plans |
| 503 | FOOT PROCEDURES WITH MCC | $17,732 – $35,916 · median $26,824 | 2 plans |
| 504 | FOOT PROCEDURES WITH CC | $11,759 – $23,816 · median $17,787 | 2 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $11,759 – $23,816 · median $17,787 | 2 plans |
| 506 | Major thumb or joint procedures | $10,044 – $20,344 · median $15,194 | 2 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $12,986 – $26,302 · median $19,644 | 2 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $8,647 – $17,514 · median $13,081 | 2 plans |
| 509 | Arthroscopy | $11,770 – $23,839 · median $17,805 | 2 plans |
| 510 | Shoulder,elbow or forearm proc,exc major joint proc w MCC | $19,149 – $38,786 · median $28,968 | 2 plans |
| 511 | Shoulder,elbow or forearm proc,exc major joint proc w CC | $13,140 – $26,614 · median $19,877 | 2 plans |
| 512 | Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC | $10,772 – $21,819 · median $16,295 | 2 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $10,088 – $20,432 · median $15,260 | 2 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,831 – $13,836 · median $10,334 | 2 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $20,719 – $41,965 · median $31,342 | 2 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $13,478 – $27,300 · median $20,389 | 2 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $10,001 – $20,257 · median $15,129 | 2 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $24,013 – $48,637 · median $36,325 | 2 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $13,212 – $26,760 · median $19,986 | 2 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $9,602 – $19,449 · median $14,526 | 2 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $19,528 – $39,554 · median $29,541 | 2 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $14,124 – $28,608 · median $21,366 | 2 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $10,217 – $20,694 · median $15,455 | 2 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,454 – $11,046 · median $8,250 | 2 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,910 – $18,047 · median $13,479 | 2 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,433 – $11,004 · median $8,219 | 2 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,157 – $12,471 · median $9,314 | 2 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,499 – $9,113 · median $6,806 | 2 plans |
| 539 | OSTEOMYELITIS WITH MCC | $13,550 – $27,445 · median $20,498 | 2 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,670 – $17,562 · median $13,116 | 2 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,862 – $11,873 · median $8,867 | 2 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $12,496 – $25,310 · median $18,903 | 2 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,108 – $14,397 · median $10,752 | 2 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,063 – $10,255 · median $7,659 | 2 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $16,930 – $34,291 · median $25,611 | 2 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,757 – $15,711 · median $11,734 | 2 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,000 – $10,126 · median $7,563 | 2 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $13,498 – $27,339 · median $20,418 | 2 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,074 – $16,354 · median $12,214 | 2 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,776 – $11,699 · median $8,738 | 2 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $11,433 – $23,157 · median $17,295 | 2 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,457 – $13,079 · median $9,768 | 2 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,750 – $17,723 · median $13,237 | 2 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,592 – $11,326 · median $8,459 | 2 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,022 – $18,274 · median $13,648 | 2 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,471 – $11,080 · median $8,275 | 2 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $10,383 – $21,030 · median $15,707 | 2 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,787 – $11,722 · median $8,755 | 2 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,437 – $25,191 · median $18,814 | 2 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,629 – $15,453 · median $11,541 | 2 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,478 – $11,095 · median $8,287 | 2 plans |
| 562 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC | $9,805 – $19,860 · median $14,833 | 2 plans |
| 563 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC | $5,988 – $12,129 · median $9,059 | 2 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $10,514 – $21,295 · median $15,904 | 2 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,832 – $13,838 · median $10,335 | 2 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,012 – $10,152 · median $7,582 | 2 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $20,168 – $40,850 · median $30,509 | 2 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $11,218 – $22,721 · median $16,969 | 2 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,654 – $15,503 · median $11,579 | 2 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $41,260 – $83,570 · median $62,415 | 2 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $23,215 – $47,020 · median $35,118 | 2 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,378 – $27,096 · median $20,237 | 2 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $36,149 – $73,217 · median $54,683 | 2 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $17,841 – $36,136 · median $26,988 | 2 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,326 – $22,940 · median $17,133 | 2 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $21,838 – $44,232 · median $33,035 | 2 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $11,879 – $24,061 · median $17,970 | 2 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $9,643 – $19,531 · median $14,587 | 2 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $11,733 – $23,765 · median $17,749 | 2 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $11,006 – $22,292 · median $16,649 | 2 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $13,718 – $27,784 · median $20,751 | 2 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $13,300 – $26,939 · median $20,119 | 2 plans |
| 592 | SKIN ULCERS WITH MCC | $13,777 – $27,905 · median $20,841 | 2 plans |
| 593 | SKIN ULCERS WITH CC | $8,192 – $16,593 · median $12,392 | 2 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,686 – $11,517 · median $8,602 | 2 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $14,171 – $28,703 · median $21,437 | 2 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,243 – $14,671 · median $10,957 | 2 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $11,770 – $23,839 · median $17,805 | 2 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,229 – $14,641 · median $10,935 | 2 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,728 – $11,601 · median $8,665 | 2 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,409 – $12,982 · median $9,695 | 2 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,017 – $8,136 · median $6,076 | 2 plans |
| 602 | CELLULITIS WITH MCC | $9,844 – $19,938 · median $14,891 | 2 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,901 – $11,953 · median $8,927 | 2 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,954 – $20,162 · median $15,058 | 2 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,189 – $12,535 · median $9,362 | 2 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $10,789 – $21,853 · median $16,321 | 2 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,790 – $11,728 · median $8,759 | 2 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $15,269 – $30,927 · median $23,098 | 2 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $9,601 – $19,447 · median $14,524 | 2 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,896 – $52,450 · median $39,173 | 2 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,942 – $26,213 · median $19,577 | 2 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,342 – $16,897 · median $12,619 | 2 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $18,268 – $37,000 · median $27,634 | 2 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $10,700 – $21,672 · median $16,186 | 2 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,794 – $19,837 · median $14,816 | 2 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,071 – $50,781 · median $37,926 | 2 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,816 – $25,958 · median $19,387 | 2 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,721 – $13,613 · median $10,167 | 2 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $19,210 – $38,908 · median $29,059 | 2 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $10,112 – $20,482 · median $15,297 | 2 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,488 – $17,192 · median $12,840 | 2 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $26,436 – $53,545 · median $39,991 | 2 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $15,069 – $30,521 · median $22,795 | 2 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $9,389 – $19,016 · median $14,203 | 2 plans |
| 637 | DIABETES WITH MCC | $9,757 – $19,763 · median $14,760 | 2 plans |
| 638 | DIABETES WITH CC | $6,145 – $12,447 · median $9,296 | 2 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,198 – $8,503 · median $6,351 | 2 plans |
| 640 | Nutritional & misc metabolic disorders w MCC | $8,898 – $18,022 · median $13,460 | 2 plans |
| 641 | Nutritional & misc metabolic disorders w/o MCC | $5,235 – $10,604 · median $7,920 | 2 plans |
| 642 | Inborn errors of metabolism | $8,315 – $16,842 · median $12,579 | 2 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $11,104 – $22,490 · median $16,797 | 2 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,924 – $14,024 · median $10,474 | 2 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,217 – $10,567 · median $7,892 | 2 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $30,869 – $62,523 · median $46,696 | 2 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $23,266 – $47,124 · median $35,195 | 2 plans |
| 652 | Kidney transplant | $20,578 – $41,680 · median $31,129 | 2 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $37,350 – $75,650 · median $56,500 | 2 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $18,908 – $38,297 · median $28,603 | 2 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,918 – $28,190 · median $21,054 | 2 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $21,829 – $44,213 · median $33,021 | 2 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $12,248 – $24,808 · median $18,528 | 2 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $10,077 – $20,410 · median $15,243 | 2 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $17,315 – $35,070 · median $26,193 | 2 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,978 – $18,184 · median $13,581 | 2 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,878 – $13,931 · median $10,405 | 2 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $20,901 – $42,335 · median $31,618 | 2 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $10,234 – $20,728 · median $15,481 | 2 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,235 – $14,653 · median $10,944 | 2 plans |
| 665 | PROSTATECTOMY WITH MCC | $23,005 – $46,596 · median $34,800 | 2 plans |
| 666 | PROSTATECTOMY WITH CC | $11,037 – $22,355 · median $16,696 | 2 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,886 – $13,948 · median $10,417 | 2 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $19,539 – $39,576 · median $29,557 | 2 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $10,368 – $21,000 · median $15,684 | 2 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,403 – $12,969 · median $9,686 | 2 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $11,549 – $23,391 · median $17,470 | 2 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,332 – $14,852 · median $11,092 | 2 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $28,070 – $56,855 · median $42,463 | 2 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $15,466 – $31,326 · median $23,396 | 2 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $10,488 – $21,242 · median $15,865 | 2 plans |
| 682 | RENAL FAILURE WITH MCC | $10,063 – $20,382 · median $15,222 | 2 plans |
| 683 | RENAL FAILURE WITH CC | $5,956 – $12,063 · median $9,009 | 2 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,070 – $8,243 · median $6,156 | 2 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $12,634 – $25,590 · median $19,112 | 2 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,053 – $14,286 · median $10,669 | 2 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,852 – $9,828 · median $7,340 | 2 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,841 – $15,882 · median $11,861 | 2 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,377 – $10,892 · median $8,135 | 2 plans |
| 693 | URINARY STONES WITH MCC | $9,852 – $19,954 · median $14,903 | 2 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,235 – $10,604 · median $7,920 | 2 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,556 – $15,305 · median $11,431 | 2 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,635 – $9,388 · median $7,012 | 2 plans |
| 697 | Urethral stricture | $6,712 – $13,595 · median $10,154 | 2 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $11,262 – $22,811 · median $17,036 | 2 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,833 – $13,841 · median $10,337 | 2 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,651 – $9,421 · median $7,036 | 2 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $13,002 – $26,335 · median $19,668 | 2 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,933 – $20,118 · median $15,026 | 2 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $15,056 – $30,494 · median $22,775 | 2 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,059 – $20,375 · median $15,217 | 2 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $12,801 – $25,928 · median $19,364 | 2 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,166 – $14,515 · median $10,841 | 2 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,688 – $19,623 · median $14,656 | 2 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,296 – $12,752 · median $9,524 | 2 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $15,131 – $30,646 · median $22,888 | 2 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $9,509 – $19,261 · median $14,385 | 2 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $12,432 – $25,180 · median $18,806 | 2 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,254 – $16,718 · median $12,486 | 2 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $11,584 – $23,462 · median $17,523 | 2 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,523 – $15,238 · median $11,381 | 2 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,882 – $9,887 · median $7,385 | 2 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,459 – $17,134 · median $12,797 | 2 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,987 – $10,102 · median $7,545 | 2 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,845 – $19,940 · median $14,893 | 2 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,475 – $11,088 · median $8,282 | 2 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,376 – $14,940 · median $11,158 | 2 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,066 – $8,236 · median $6,151 | 2 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $14,089 – $28,536 · median $21,312 | 2 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,133 – $16,473 · median $12,303 | 2 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $26,382 – $53,435 · median $39,909 | 2 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $13,389 – $27,119 · median $20,254 | 2 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,163 – $20,585 · median $15,374 | 2 plans |
| 739 | Uterine,adnexa proc for non-ovarian/adnexal malig w MCC | $26,672 – $54,023 · median $40,347 | 2 plans |
| 740 | Uterine,adnexa proc for non-ovarian/adnexal malig w CC | $12,183 – $24,675 · median $18,429 | 2 plans |
| 741 | Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC | $9,203 – $18,640 · median $13,922 | 2 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $12,239 – $24,789 · median $18,514 | 2 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $8,031 – $16,267 · median $12,149 | 2 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $13,092 – $26,517 · median $19,804 | 2 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,866 – $13,907 · median $10,387 | 2 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $11,220 – $22,725 · median $16,972 | 2 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,400 – $12,963 · median $9,681 | 2 plans |
| 748 | Female reproductive system reconstructive procedures | $9,127 – $18,487 · median $13,807 | 2 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $17,344 – $35,129 · median $26,236 | 2 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,640 – $17,499 · median $13,069 | 2 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,122 – $24,553 · median $18,338 | 2 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,438 – $15,065 · median $11,251 | 2 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,399 – $12,960 · median $9,679 | 2 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,483 – $19,206 · median $14,344 | 2 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,829 – $13,832 · median $10,331 | 2 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,288 – $8,685 · median $6,487 | 2 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,604 – $13,375 · median $9,989 | 2 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,247 – $8,602 · median $6,425 | 2 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $2,600 – $14,877 · median $8,739 | 2 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $9,310 – $18,856 · median $14,083 | 2 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,209 – $14,602 · median $10,906 | 2 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,780 – $9,683 · median $7,232 | 2 plans |
| 779 | ABORTION WITHOUT D&C | $6,263 – $12,686 · median $9,474 | 2 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $12,342 – $24,998 · median $18,670 | 2 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,256 – $14,697 · median $10,976 | 2 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,852 – $11,854 · median $8,853 | 2 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $10,827 – $21,929 · median $16,378 | 2 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,114 – $14,409 · median $10,762 | 2 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,061 – $12,277 · median $9,169 | 2 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $8,553 – $17,324 · median $12,939 | 2 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,487 – $13,139 · median $9,813 | 2 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,487 – $13,139 · median $9,813 | 2 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $31,857 – $64,525 · median $48,191 | 2 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $19,522 – $39,542 · median $29,532 | 2 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $10,999 – $22,279 · median $16,639 | 2 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $24,018 – $48,648 · median $36,333 | 2 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $11,926 – $24,155 · median $18,041 | 2 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,408 – $15,004 · median $11,206 | 2 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $6,687 – $13,543 · median $10,115 | 2 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,848 – $9,820 · median $7,334 | 2 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,270 – $8,648 · median $6,459 | 2 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $15,345 – $31,081 · median $23,213 | 2 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $8,298 – $16,807 · median $12,553 | 2 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,377 – $12,916 · median $9,647 | 2 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $9,426 – $19,092 · median $14,259 | 2 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,183 – $12,524 · median $9,354 | 2 plans |
| 813 | Coagulation disorders | $10,372 – $21,007 · median $15,689 | 2 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $14,006 – $28,369 · median $21,188 | 2 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,808 – $13,789 · median $10,298 | 2 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,418 – $8,948 · median $6,683 | 2 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $16,985 – $34,403 · median $25,694 | 2 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,630 – $17,479 · median $13,054 | 2 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,471 – $11,080 · median $8,275 | 2 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $39,009 – $79,012 · median $59,010 | 2 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $14,957 – $30,295 · median $22,626 | 2 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,663 – $15,521 · median $11,592 | 2 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $31,353 – $63,503 · median $47,428 | 2 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $14,736 – $29,847 · median $22,291 | 2 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,246 – $16,703 · median $12,474 | 2 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $31,996 – $64,806 · median $48,401 | 2 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $15,811 – $32,025 · median $23,918 | 2 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,739 – $21,752 · median $16,246 | 2 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $20,661 – $41,849 · median $31,255 | 2 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,799 – $19,847 · median $14,823 | 2 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $7,712 – $15,620 · median $11,666 | 2 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,008 – $10,143 · median $7,575 | 2 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,483 – $7,054 · median $5,268 | 2 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $37,033 – $75,008 · median $56,021 | 2 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $14,311 – $28,985 · median $21,648 | 2 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,514 – $17,244 · median $12,879 | 2 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $33,548 – $67,950 · median $50,749 | 2 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $13,589 – $27,524 · median $20,556 | 2 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,182 – $18,597 · median $13,889 | 2 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $21,366 – $43,276 · median $32,321 | 2 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $10,506 – $21,279 · median $15,892 | 2 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,048 – $14,275 · median $10,661 | 2 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $12,685 – $25,693 · median $19,189 | 2 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,008 – $16,219 · median $12,114 | 2 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,607 – $11,356 · median $8,481 | 2 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $17,110 – $34,656 · median $25,883 | 2 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $8,514 – $17,244 · median $12,879 | 2 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,487 – $11,113 · median $8,300 | 2 plans |
| 849 | Radiotherapy | $17,896 – $36,248 · median $27,072 | 2 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $33,509 – $67,870 · median $50,689 | 2 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $13,387 – $27,115 · median $20,251 | 2 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,892 – $22,060 · median $16,476 | 2 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $30,228 – $61,225 · median $45,726 | 2 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $14,599 – $29,569 · median $22,084 | 2 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,632 – $17,484 · median $13,058 | 2 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $12,319 – $24,952 · median $18,636 | 2 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,699 – $13,569 · median $10,134 | 2 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,017 – $12,186 · median $9,101 | 2 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,889 – $20,029 · median $14,959 | 2 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,928 – $12,007 · median $8,968 | 2 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $14,367 – $29,099 · median $21,733 | 2 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,036 – $14,250 · median $10,643 | 2 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,821 – $9,765 · median $7,293 | 2 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $46,609 – $94,403 · median $70,506 | 2 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $13,146 – $26,627 · median $19,886 | 2 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,908 – $13,991 · median $10,449 | 2 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $26,328 – $53,327 · median $39,827 | 2 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,423 – $13,009 · median $9,716 | 2 plans |
| 881 | Depressive neuroses | $6,124 – $12,405 · median $9,265 | 2 plans |
| 882 | Neuroses except depressive | $6,445 – $13,055 · median $9,750 | 2 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $12,421 – $25,158 · median $18,790 | 2 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $11,190 – $22,665 · median $16,928 | 2 plans |
| 885 | Psychoses | $9,444 – $19,129 · median $14,287 | 2 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $12,037 – $24,379 · median $18,208 | 2 plans |
| 887 | Other mental disorder diagnoses | $7,969 – $16,141 · median $12,055 | 2 plans |
| 894 | Alcohol/drug abuse or dependence, left AMA | $4,181 – $8,469 · median $6,325 | 2 plans |
| 895 | Alcohol/drug abuse or dependence w rehabilitation therapy | $9,701 – $19,649 · median $14,675 | 2 plans |
| 896 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC | $11,931 – $24,166 · median $18,049 | 2 plans |
| 897 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC | $5,911 – $11,972 · median $8,941 | 2 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $29,684 – $60,124 · median $44,904 | 2 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $12,714 – $25,751 · median $19,233 | 2 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,168 – $16,544 · median $12,356 | 2 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $25,869 – $52,397 · median $39,133 | 2 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,043 – $22,367 · median $16,705 | 2 plans |
| 906 | Hand procedures for injuries | $14,623 – $29,618 · median $22,120 | 2 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $26,691 – $54,061 · median $40,376 | 2 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $13,515 – $27,373 · median $20,444 | 2 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,498 – $17,211 · median $12,855 | 2 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $10,843 – $21,961 · median $16,402 | 2 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,140 – $12,436 · median $9,288 | 2 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $11,644 – $23,584 · median $17,614 | 2 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,449 – $9,012 · median $6,731 | 2 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $10,986 – $22,252 · median $16,619 | 2 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,927 – $12,004 · median $8,966 | 2 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $12,218 – $24,747 · median $18,483 | 2 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,807 – $13,786 · median $10,296 | 2 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,608 – $9,332 · median $6,970 | 2 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $11,319 – $22,926 · median $17,122 | 2 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,833 – $13,841 · median $10,337 | 2 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $158,943 – $321,930 · median $240,437 | 2 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $44,749 – $90,636 · median $67,692 | 2 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $21,309 – $43,160 · median $32,234 | 2 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $28,990 – $58,718 · median $43,854 | 2 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $14,377 – $29,120 · median $21,748 | 2 plans |
| 935 | Non-extensive burns | $14,716 – $29,806 · median $22,261 | 2 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $21,266 – $43,073 · median $32,169 | 2 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $14,146 – $28,653 · median $21,400 | 2 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $13,094 – $26,521 · median $19,807 | 2 plans |
| 945 | REHABILITATION WITH CC/MCC | $10,228 – $20,715 · median $15,471 | 2 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,481 – $15,151 · median $11,316 | 2 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,618 – $17,454 · median $13,036 | 2 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,323 – $10,782 · median $8,052 | 2 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,229 – $14,643 · median $10,936 | 2 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,927 – $7,954 · median $5,940 | 2 plans |
| 951 | Other factors influencing health status | $3,799 – $7,694 · median $5,747 | 2 plans |
| 955 | Craniotomy for multiple significant trauma | $45,750 – $92,663 · median $69,207 | 2 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $25,610 – $51,872 · median $38,741 | 2 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $50,010 – $101,293 · median $75,652 | 2 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $27,536 – $55,772 · median $41,654 | 2 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $17,714 – $35,879 · median $26,797 | 2 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $18,202 – $36,867 · median $27,534 | 2 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,051 – $20,357 · median $15,204 | 2 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,114 – $12,384 · median $9,249 | 2 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $42,373 – $85,824 · median $64,098 | 2 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $17,777 – $36,007 · median $26,892 | 2 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $20,008 – $40,524 · median $30,266 | 2 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,523 – $19,289 · median $14,406 | 2 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,720 – $13,611 · median $10,166 | 2 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,661 – $19,567 · median $14,614 | 2 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $31,851 – $64,513 · median $48,182 | 2 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $16,404 – $33,225 · median $24,814 | 2 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,177 – $22,638 · median $16,908 | 2 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $23,468 – $47,533 · median $35,501 | 2 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,497 – $23,287 · median $17,392 | 2 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,742 – $15,681 · median $11,711 | 2 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $83,953 – $83,953 · median $83,953 | 1 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $53,091 – $53,091 · median $53,091 | 1 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $142,156 – $142,156 · median $142,156 | 1 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $96,387 – $96,387 · median $96,387 | 1 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $74,693 – $74,693 · median $74,693 | 1 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $113,186 – $113,186 · median $113,186 | 1 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $74,237 – $74,237 · median $74,237 | 1 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $90,986 – $90,986 · median $90,986 | 1 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $55,415 – $55,415 · median $55,415 | 1 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $69,889 – $69,889 · median $69,889 | 1 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $41,879 – $41,879 · median $41,879 | 1 plans |
| 789 | Neonates, died or transferred to another acute care facility | $24,462 – $24,462 · median $24,462 | 1 plans |
| 790 | Extreme immaturity or respiratory distress syndrome, neonate | $80,674 – $80,674 · median $80,674 | 1 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $55,095 – $55,095 · median $55,095 | 1 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $33,244 – $33,244 · median $33,244 | 1 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $56,596 – $56,596 · median $56,596 | 1 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $20,033 – $20,033 · median $20,033 | 1 plans |
| 795 | Normal newborn | $2,711 – $2,711 · median $2,711 | 1 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $125,010 – $125,010 · median $125,010 | 1 plans |
No procedures match that keyword.