Physicians Centre,the — Pricing
766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 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 766
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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 766 procedures
Procedures with negotiated rates only
These 766 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 |
|---|---|---|---|
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $38,625 – $85,609 · median $68,872 | 5 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $34,479 – $58,827 · median $45,822 | 5 plans |
| 455 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION/COMORBITY | $33,899 – $50,849 · median $42,374 | 5 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $7,416 – $74,775 · median $60,305 | 5 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $7,416 – $53,426 · median $45,415 | 5 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $7,416 – $42,596 · median $36,209 | 5 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $7,416 – $58,778 · median $49,900 | 5 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT COMORBITY | $7,416 – $38,964 · median $28,332 | 5 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $27,372 – $56,775 · median $45,420 | 5 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $7,416 – $28,025 · median $22,461 | 5 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $7,416 – $49,353 · median $39,459 | 5 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $7,416 – $34,622 · median $27,278 | 5 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $7,416 – $28,096 · median $16,833 | 5 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT | $18,354 – $26,887 · median $20,365 | 5 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY | $10,860 – $23,523 · median $13,574 | 5 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $22,109 – $35,763 · median $30,398 | 5 plans |
| 472 | CERVICAL SPINAL FUSION WITH COMPLICATION | $17,443 – $21,804 · median $18,533 | 5 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY | $14,399 – $19,109 · median $15,299 | 5 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $7,416 – $30,850 · median $24,680 | 5 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $7,416 – $21,026 · median $16,821 | 5 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $7,416 – $16,716 · median $13,373 | 5 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $12,517 – $32,990 · median $26,392 | 5 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,153 – $17,694 · median $14,652 | 5 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $8,660 – $13,096 · median $11,133 | 5 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $7,416 – $143,683 · median $118,539 | 4 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $7,416 – $97,495 · median $80,433 | 4 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $7,416 – $36,673 · median $30,255 | 4 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $7,416 – $27,757 · median $22,900 | 4 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $7,416 – $20,081 · median $16,567 | 4 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $7,416 – $256,631 · median $211,721 | 4 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $7,416 – $66,053 · median $54,494 | 4 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $7,416 – $48,203 · median $39,768 | 4 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $7,416 – $30,945 · median $25,530 | 4 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $7,416 – $40,693 · median $33,572 | 4 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $7,416 – $28,036 · median $23,130 | 4 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $7,416 – $32,238 · median $26,596 | 4 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $7,416 – $21,467 · median $17,710 | 4 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,416 – $17,717 · median $14,617 | 4 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $7,416 – $52,016 · median $42,915 | 4 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $7,416 – $30,246 · median $24,954 | 4 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $7,416 – $20,720 · median $17,094 | 4 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $7,416 – $29,259 · median $24,139 | 4 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $7,416 – $14,587 · median $12,034 | 4 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $7,416 – $12,059 · median $9,949 | 4 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $7,416 – $28,396 · median $23,426 | 4 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $7,416 – $16,215 · median $13,377 | 4 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $7,416 – $13,353 · median $11,016 | 4 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $7,416 – $23,948 · median $19,757 | 4 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $7,416 – $11,612 · median $9,580 | 4 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $6,547 – $8,184 · median $7,186 | 4 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $7,416 – $26,898 · median $22,191 | 4 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $7,416 – $16,601 · median $13,695 | 4 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $7,416 – $13,133 · median $10,835 | 4 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $7,416 – $12,640 · median $10,428 | 4 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,810 – $7,416 · median $6,717 | 4 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $7,416 – $9,848 · median $8,124 | 4 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $5,727 – $7,416 · median $6,622 | 4 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $7,416 – $15,839 · median $13,067 | 4 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $7,393 – $9,241 · median $7,635 | 4 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $7,416 – $12,250 · median $10,106 | 4 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $6,495 – $8,119 · median $7,159 | 4 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,148 – $7,416 · median $5,952 | 4 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $7,416 – $20,821 · median $17,178 | 4 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $7,416 – $13,612 · median $11,230 | 4 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $7,416 – $11,225 · median $9,261 | 4 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $7,416 – $14,001 · median $11,551 | 4 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $5,773 – $7,416 · median $6,675 | 4 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $3,967 – $7,416 · median $4,587 | 4 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $7,416 – $10,040 · median $8,283 | 4 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,133 – $7,416 · median $5,935 | 4 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,532 – $7,416 · median $5,240 | 4 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $7,416 – $12,242 · median $10,100 | 4 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $6,072 – $7,590 · median $6,934 | 4 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,385 – $7,416 · median $5,070 | 4 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $7,416 – $10,645 · median $8,782 | 4 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $5,814 – $7,416 · median $6,723 | 4 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $7,416 – $12,958 · median $10,690 | 4 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,608 – $7,416 · median $6,484 | 4 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $7,416 – $11,106 · median $9,162 | 4 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $5,639 – $7,416 · median $6,520 | 4 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,169 – $7,416 · median $4,820 | 4 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $7,416 – $14,483 · median $11,948 | 4 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,103 – $7,416 · median $5,901 | 4 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $7,416 – $16,084 · median $13,269 | 4 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $7,416 – $9,572 · median $7,897 | 4 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,206 – $7,416 · median $6,019 | 4 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $7,416 – $16,583 · median $13,681 | 4 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $7,382 – $9,228 · median $7,630 | 4 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $4,955 – $7,416 · median $5,729 | 4 plans |
| 088 | CONCUSSION WITH MCC | $7,416 – $11,192 · median $9,233 | 4 plans |
| 089 | CONCUSSION WITH CC | $6,633 – $8,291 · median $7,232 | 4 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $4,675 – $7,416 · median $5,406 | 4 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $7,416 – $12,265 · median $10,118 | 4 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $5,648 – $7,416 · median $6,530 | 4 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,344 – $7,416 · median $5,023 | 4 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $7,416 – $25,372 · median $20,932 | 4 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $7,416 – $18,153 · median $14,976 | 4 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,416 – $16,219 · median $13,380 | 4 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $7,416 – $27,606 · median $22,775 | 4 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $7,416 – $14,798 · median $12,208 | 4 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $7,416 – $9,929 · median $8,192 | 4 plans |
| 100 | SEIZURES WITH MCC | $7,416 – $13,639 · median $11,252 | 4 plans |
| 101 | SEIZURES WITHOUT MCC | $5,121 – $7,416 · median $5,921 | 4 plans |
| 102 | HEADACHES WITH MCC | $6,531 – $8,164 · median $7,178 | 4 plans |
| 103 | HEADACHES WITHOUT MCC | $4,729 – $7,416 · median $5,467 | 4 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $7,416 – $15,942 · median $13,152 | 4 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,400 – $9,250 · median $7,639 | 4 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $7,416 – $10,786 · median $8,898 | 4 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $7,416 – $13,394 · median $11,050 | 4 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $5,639 – $7,416 · median $6,520 | 4 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $6,960 – $8,700 · median $7,405 | 4 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $3,924 – $7,416 · median $4,537 | 4 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,509 – $7,416 · median $5,213 | 4 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $7,416 – $9,945 · median $8,205 | 4 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,897 – $7,416 · median $5,662 | 4 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $7,416 – $17,400 · median $14,355 | 4 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,591 – $8,238 · median $7,209 | 4 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $7,416 – $10,647 · median $8,784 | 4 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,023 – $7,416 · median $5,808 | 4 plans |
| 139 | SALIVARY GLAND PROCEDURES | $7,143 – $8,928 · median $7,503 | 4 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $7,416 – $29,510 · median $24,346 | 4 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $7,416 – $15,851 · median $13,077 | 4 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $7,416 – $12,082 · median $9,968 | 4 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $7,416 – $22,525 · median $18,584 | 4 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $7,416 – $12,846 · median $10,598 | 4 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $6,860 – $8,575 · median $7,353 | 4 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $7,416 – $14,301 · median $11,798 | 4 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $6,879 – $8,599 · median $7,362 | 4 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,644 – $7,416 · median $5,370 | 4 plans |
| 149 | DYSEQUILIBRIUM | $4,288 – $7,416 · median $4,958 | 4 plans |
| 150 | EPISTAXIS WITH MCC | $7,416 – $9,793 · median $8,079 | 4 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,379 – $7,416 · median $5,064 | 4 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $6,803 – $8,504 · median $7,322 | 4 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $3,922 – $7,416 · median $4,535 | 4 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $7,416 – $10,671 · median $8,803 | 4 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $5,222 – $7,416 · median $6,038 | 4 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $3,872 – $7,416 · median $4,477 | 4 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $7,416 – $11,870 · median $9,793 | 4 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,277 – $7,416 · median $6,102 | 4 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,259 – $7,416 · median $4,925 | 4 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $7,416 – $34,390 · median $28,372 | 4 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $7,416 – $18,337 · median $15,128 | 4 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $7,416 – $13,681 · median $11,287 | 4 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $7,416 – $26,027 · median $21,472 | 4 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $7,416 – $13,498 · median $11,136 | 4 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,416 – $10,065 · median $8,304 | 4 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $7,416 – $9,917 · median $8,182 | 4 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $4,644 – $7,416 · median $5,370 | 4 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $7,416 – $12,637 · median $10,426 | 4 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,174 – $7,718 · median $6,988 | 4 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,461 – $7,416 · median $5,158 | 4 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $7,416 – $12,027 · median $9,922 | 4 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,439 – $8,049 · median $7,129 | 4 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,041 – $7,416 · median $5,829 | 4 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $7,416 – $10,666 · median $8,799 | 4 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $5,937 – $7,421 · median $6,862 | 4 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,288 – $7,416 · median $4,958 | 4 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $7,416 – $10,840 · median $8,943 | 4 plans |
| 187 | PLEURAL EFFUSION WITH CC | $5,941 – $7,426 · median $6,864 | 4 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,112 – $7,416 · median $4,755 | 4 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $6,856 – $8,570 · median $7,350 | 4 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,166 – $7,707 · median $6,983 | 4 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $4,909 – $7,416 · median $5,676 | 4 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $3,704 – $7,416 · median $4,283 | 4 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $7,377 – $9,221 · median $7,627 | 4 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,772 – $7,416 · median $5,518 | 4 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,645 – $7,416 · median $4,215 | 4 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $7,416 – $12,338 · median $10,179 | 4 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $5,587 – $7,416 · median $6,460 | 4 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,038 – $7,416 · median $4,669 | 4 plans |
| 199 | PNEUMOTHORAX WITH MCC | $7,416 – $12,486 · median $10,301 | 4 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,089 – $7,611 · median $6,943 | 4 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,134 – $7,416 · median $4,780 | 4 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $5,259 – $7,416 · median $6,080 | 4 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $3,789 – $7,416 · median $4,381 | 4 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,597 – $7,416 · median $5,316 | 4 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $7,416 – $12,645 · median $10,432 | 4 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,075 – $7,416 · median $5,867 | 4 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $7,416 – $46,618 · median $38,460 | 4 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $7,416 – $18,461 · median $15,230 | 4 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $7,416 – $73,153 · median $60,351 | 4 plans |
| 216 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMORBITY | $7,416 – $69,167 · median $57,063 | 4 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $7,416 – $45,076 · median $37,188 | 4 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $7,416 – $42,165 · median $34,786 | 4 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $7,416 – $57,711 · median $47,612 | 4 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $7,416 – $38,589 · median $31,836 | 4 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $7,416 – $33,594 · median $27,715 | 4 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $7,416 – $34,991 · median $28,868 | 4 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $7,416 – $23,436 · median $19,335 | 4 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $7,416 – $59,592 · median $49,163 | 4 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $7,416 – $41,590 · median $34,312 | 4 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $7,416 – $54,989 · median $45,366 | 4 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $7,416 – $36,823 · median $30,379 | 4 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $7,416 – $42,529 · median $35,086 | 4 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $7,416 – $28,957 · median $23,889 | 4 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $7,416 – $33,016 · median $27,238 | 4 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $7,416 – $19,271 · median $15,898 | 4 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $7,416 – $10,997 · median $9,073 | 4 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $7,416 – $24,662 · median $20,346 | 4 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $7,416 – $16,642 · median $13,730 | 4 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $7,416 – $13,498 · median $11,136 | 4 plans |
| 245 | AICD GENERATOR PROCEDURES | $7,416 – $34,620 · median $28,561 | 4 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $7,416 – $17,180 · median $14,173 | 4 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $7,416 – $11,540 · median $9,520 | 4 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $7,416 – $23,737 · median $19,583 | 4 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $7,416 – $18,985 · median $15,663 | 4 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $7,416 – $12,982 · median $10,710 | 4 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $7,416 – $18,216 · median $15,028 | 4 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $7,416 – $11,589 · median $9,561 | 4 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $5,957 – $7,446 · median $6,872 | 4 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $7,416 – $20,244 · median $16,701 | 4 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $7,416 – $14,158 · median $11,680 | 4 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $7,416 – $24,840 · median $20,493 | 4 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $7,416 – $13,567 · median $11,193 | 4 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $7,416 – $11,905 · median $9,822 | 4 plans |
| 263 | VEIN LIGATION AND STRIPPING | $7,416 – $19,781 · median $16,319 | 4 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $7,416 – $23,499 · median $19,387 | 4 plans |
| 265 | AICD LEAD PROCEDURES | $7,416 – $24,013 · median $19,811 | 4 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $7,416 – $46,865 · median $38,664 | 4 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $7,416 – $36,640 · median $30,228 | 4 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $7,416 – $49,138 · median $40,539 | 4 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $7,416 – $30,362 · median $25,048 | 4 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $7,416 – $36,299 · median $29,947 | 4 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $7,416 – $24,735 · median $20,406 | 4 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $7,416 – $18,434 · median $15,208 | 4 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $7,416 – $28,492 · median $23,506 | 4 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $7,416 – $23,852 · median $19,678 | 4 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $7,416 – $11,405 · median $9,409 | 4 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,218 – $7,416 · median $6,033 | 4 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,071 – $7,416 · median $4,707 | 4 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $7,416 – $13,622 · median $11,238 | 4 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,177 – $7,416 · median $4,830 | 4 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,077 – $7,416 · median $3,558 | 4 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $7,416 – $15,059 · median $12,424 | 4 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,249 – $7,811 · median $7,028 | 4 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $7,416 – $19,145 · median $15,795 | 4 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $7,416 – $11,410 · median $9,414 | 4 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,848 – $8,560 · median $7,346 | 4 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $7,269 – $9,087 · median $7,570 | 4 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $4,901 – $7,416 · median $5,666 | 4 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,183 – $7,416 · median $3,680 | 4 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $6,558 – $8,197 · median $7,192 | 4 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,031 – $7,416 · median $5,817 | 4 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $7,416 – $11,632 · median $9,596 | 4 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,614 – $7,416 · median $4,179 | 4 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,775 – $7,416 · median $3,208 | 4 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $7,416 – $10,920 · median $9,009 | 4 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $5,857 – $7,416 · median $6,772 | 4 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,068 – $7,416 · median $4,704 | 4 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $6,849 – $8,561 · median $7,347 | 4 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $3,840 – $7,416 · median $4,440 | 4 plans |
| 304 | HYPERTENSION WITH MCC | $6,240 – $7,800 · median $7,023 | 4 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,235 – $7,416 · median $4,897 | 4 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $7,416 – $10,478 · median $8,645 | 4 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,177 – $7,416 · median $5,986 | 4 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $6,660 – $8,325 · median $7,246 | 4 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,190 – $7,416 · median $4,844 | 4 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,131 – $7,416 · median $3,620 | 4 plans |
| 311 | ANGINA PECTORIS | $3,795 – $7,416 · median $4,388 | 4 plans |
| 312 | SYNCOPE AND COLLAPSE | $4,843 – $7,416 · median $5,600 | 4 plans |
| 313 | CHEST PAIN | $4,109 – $7,416 · median $4,751 | 4 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $7,416 – $14,786 · median $12,199 | 4 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $5,501 – $7,416 · median $6,361 | 4 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,874 – $7,416 · median $4,479 | 4 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $7,416 – $30,577 · median $25,226 | 4 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $7,416 – $17,547 · median $14,476 | 4 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $7,416 – $36,343 · median $29,983 | 4 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $7,416 – $18,185 · median $15,003 | 4 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $7,416 – $11,770 · median $9,710 | 4 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $7,416 – $32,825 · median $27,081 | 4 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $7,416 – $17,433 · median $14,383 | 4 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,416 – $12,132 · median $10,009 | 4 plans |
| 332 | RECTAL RESECTION WITH MCC | $7,416 – $28,828 · median $23,783 | 4 plans |
| 333 | RECTAL RESECTION WITH CC | $7,416 – $15,855 · median $13,080 | 4 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $7,416 – $12,173 · median $10,043 | 4 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $7,416 – $26,155 · median $21,578 | 4 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $7,416 – $15,102 · median $12,459 | 4 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $7,416 – $11,186 · median $9,228 | 4 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $7,416 – $18,691 · median $15,420 | 4 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $7,416 – $11,016 · median $9,088 | 4 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,104 – $8,880 · median $7,482 | 4 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $7,416 – $18,021 · median $14,868 | 4 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $7,416 – $9,805 · median $8,089 | 4 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,664 – $7,416 · median $6,549 | 4 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $7,416 – $16,735 · median $13,806 | 4 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $7,416 – $10,438 · median $8,612 | 4 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $6,260 – $7,825 · median $7,034 | 4 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $7,416 – $20,361 · median $16,798 | 4 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $7,416 – $12,439 · median $10,262 | 4 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $7,416 – $9,743 · median $8,038 | 4 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $7,416 – $29,980 · median $24,733 | 4 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $7,416 – $15,948 · median $13,157 | 4 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,416 – $9,849 · median $8,126 | 4 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $7,416 – $12,455 · median $10,275 | 4 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $5,806 – $7,416 · median $6,713 | 4 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,253 – $7,416 · median $4,917 | 4 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $7,416 – $12,012 · median $9,910 | 4 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $5,782 – $7,416 · median $6,686 | 4 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,124 – $7,416 · median $4,768 | 4 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $7,416 – $14,152 · median $11,676 | 4 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $6,842 – $8,553 · median $7,343 | 4 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $4,986 – $7,416 · median $5,765 | 4 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $7,416 – $12,624 · median $10,415 | 4 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $5,595 – $7,416 · median $6,469 | 4 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,600 – $7,416 · median $4,162 | 4 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $7,416 – $13,519 · median $11,153 | 4 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $5,995 – $7,494 · median $6,893 | 4 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,372 – $7,416 · median $5,056 | 4 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $7,416 – $9,656 · median $7,966 | 4 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,121 – $7,416 · median $5,921 | 4 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $7,416 – $11,564 · median $9,540 | 4 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $5,622 – $7,416 · median $6,501 | 4 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION/COMORBITY | $3,928 – $7,416 · median $4,542 | 4 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $7,416 – $10,419 · median $8,595 | 4 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,584 – $7,416 · median $5,301 | 4 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,212 – $7,416 · median $3,714 | 4 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $7,293 – $9,116 · median $7,582 | 4 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,474 – $7,416 · median $5,173 | 4 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $7,416 – $11,440 · median $9,438 | 4 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,356 – $7,416 · median $6,193 | 4 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,663 – $7,416 · median $4,235 | 4 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $7,416 – $39,347 · median $32,462 | 4 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $7,416 – $20,801 · median $17,161 | 4 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $7,416 – $15,802 · median $13,037 | 4 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $7,416 – $26,053 · median $21,494 | 4 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $7,416 – $15,133 · median $12,485 | 4 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $7,416 – $12,054 · median $9,944 | 4 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $7,416 – $23,985 · median $19,788 | 4 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $7,416 – $16,299 · median $13,447 | 4 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $7,416 – $11,505 · median $9,491 | 4 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $7,416 – $25,096 · median $20,705 | 4 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $7,416 – $14,200 · median $11,715 | 4 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $7,416 – $9,772 · median $8,062 | 4 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $7,416 – $16,882 · median $13,927 | 4 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $7,416 – $11,793 · median $9,729 | 4 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $7,412 – $9,266 · median $7,646 | 4 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $7,416 – $23,155 · median $19,102 | 4 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $7,416 – $12,862 · median $10,611 | 4 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $7,416 – $9,838 · median $8,116 | 4 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $7,416 – $27,916 · median $23,031 | 4 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $7,416 – $16,817 · median $13,874 | 4 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $7,416 – $10,157 · median $8,380 | 4 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $7,416 – $13,406 · median $11,060 | 4 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $5,906 – $7,416 · median $6,829 | 4 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,565 – $7,416 · median $4,122 | 4 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $7,416 – $12,412 · median $10,240 | 4 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $6,250 – $7,813 · median $7,028 | 4 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,805 – $7,416 · median $5,555 | 4 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $7,416 – $11,768 · median $9,708 | 4 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $4,940 – $7,416 · median $5,712 | 4 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,444 – $7,416 · median $3,983 | 4 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $7,416 – $13,453 · median $11,099 | 4 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $5,373 – $7,416 · median $6,213 | 4 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,703 – $7,416 · median $4,281 | 4 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $7,416 – $11,819 · median $9,751 | 4 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,246 – $7,807 · median $7,026 | 4 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,610 – $7,416 · median $5,331 | 4 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $7,416 – $37,215 · median $30,703 | 4 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $7,416 – $21,209 · median $17,498 | 4 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,416 – $17,635 · median $14,550 | 4 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $7,416 – $29,088 · median $23,998 | 4 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $7,416 – $15,771 · median $13,011 | 4 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,972 – $8,715 · median $7,412 | 4 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,416 – $24,160 · median $19,932 | 4 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,416 – $16,677 · median $13,759 | 4 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,416 – $12,556 · median $10,358 | 4 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $7,416 – $26,249 · median $21,656 | 4 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $7,416 – $18,695 · median $15,424 | 4 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $7,416 – $14,568 · median $12,019 | 4 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $14,538 – $20,865 · median $17,214 | 4 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $7,416 – $23,082 · median $19,043 | 4 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $7,416 – $14,811 · median $12,219 | 4 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,416 – $11,388 · median $9,395 | 4 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $7,416 – $16,111 · median $13,292 | 4 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,416 – $11,766 · median $9,707 | 4 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $7,416 – $32,872 · median $27,121 | 4 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $7,416 – $18,582 · median $15,331 | 4 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $7,416 – $13,467 · median $11,111 | 4 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $7,416 – $22,683 · median $18,714 | 4 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $7,416 – $11,670 · median $9,628 | 4 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $7,416 – $22,752 · median $18,770 | 4 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $7,416 – $12,480 · median $10,296 | 4 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $7,416 – $9,759 · median $8,051 | 4 plans |
| 503 | FOOT PROCEDURES WITH MCC | $7,416 – $17,986 · median $14,839 | 4 plans |
| 504 | FOOT PROCEDURES WITH CC | $7,416 – $12,601 · median $10,396 | 4 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $7,416 – $12,544 · median $10,349 | 4 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $7,416 – $12,477 · median $10,294 | 4 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $11,505 – $16,415 · median $13,543 | 4 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,564 – $12,817 · median $10,574 | 4 plans |
| 509 | ARTHROSCOPY | $7,416 – $13,433 · median $11,083 | 4 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $7,416 – $25,560 · median $21,087 | 4 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $7,416 – $17,514 · median $14,450 | 4 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $7,416 – $14,218 · median $11,730 | 4 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $7,416 – $14,107 · median $11,639 | 4 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,312 – $9,139 · median $7,593 | 4 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $7,416 – $27,593 · median $22,765 | 4 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $7,416 – $17,999 · median $14,850 | 4 plans |
| 517 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITHOUT COMPLICATION/COMORBITY | $7,416 – $13,363 · median $11,025 | 4 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $7,416 – $21,436 · median $17,685 | 4 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $7,416 – $15,428 · median $12,728 | 4 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $7,416 – $10,127 · median $8,355 | 4 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,521 – $7,416 · median $5,227 | 4 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $7,324 – $9,155 · median $7,599 | 4 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,502 – $7,416 · median $6,362 | 4 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,643 – $7,416 · median $6,524 | 4 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $3,954 – $7,416 · median $4,572 | 4 plans |
| 539 | OSTEOMYELITIS WITH MCC | $7,416 – $14,171 · median $11,691 | 4 plans |
| 540 | OSTEOMYELITIS WITH CC | $7,416 – $9,561 · median $7,888 | 4 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,646 – $7,416 · median $5,372 | 4 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $7,416 – $12,979 · median $10,708 | 4 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,186 – $7,732 · median $6,994 | 4 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,420 – $7,416 · median $5,110 | 4 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $7,416 – $17,811 · median $14,694 | 4 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $6,848 – $8,560 · median $7,346 | 4 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,196 – $7,416 · median $6,008 | 4 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $7,416 – $13,773 · median $11,363 | 4 plans |
| 549 | SEPTIC ARTHRITIS WITH COMPLICATION | $6,882 – $8,603 · median $7,364 | 4 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,954 – $7,443 · median $6,871 | 4 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $7,416 – $11,881 · median $9,802 | 4 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,456 – $7,416 · median $6,308 | 4 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $7,416 – $9,414 · median $7,766 | 4 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $4,659 – $7,416 · median $5,387 | 4 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,416 – $9,452 · median $7,798 | 4 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $4,589 – $7,416 · median $5,307 | 4 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $7,416 – $10,166 · median $8,387 | 4 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $4,936 – $7,416 · median $5,707 | 4 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,416 – $12,674 · median $10,456 | 4 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $6,223 – $7,779 · median $7,014 | 4 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,595 – $7,416 · median $6,469 | 4 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $7,416 – $10,386 · median $8,568 | 4 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $4,892 – $7,416 · median $5,656 | 4 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $7,416 – $11,028 · median $9,098 | 4 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $5,608 – $7,416 · median $6,485 | 4 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,219 – $7,416 · median $4,878 | 4 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $7,416 – $20,711 · median $17,087 | 4 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $7,416 – $11,705 · median $9,657 | 4 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $6,836 – $8,546 · median $7,340 | 4 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $7,416 – $41,681 · median $34,386 | 4 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $7,416 – $25,593 · median $21,114 | 4 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $7,416 – $14,552 · median $12,006 | 4 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $7,416 – $40,108 · median $33,089 | 4 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $7,416 – $18,593 · median $15,339 | 4 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $7,416 – $12,159 · median $10,031 | 4 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $7,416 – $22,377 · median $18,461 | 4 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $7,416 – $12,327 · median $10,170 | 4 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $7,416 – $10,022 · median $8,268 | 4 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $7,416 – $13,737 · median $11,333 | 4 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $7,416 – $10,727 · median $8,850 | 4 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $7,416 – $15,164 · median $12,510 | 4 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $7,416 – $13,072 · median $10,784 | 4 plans |
| 592 | SKIN ULCERS WITH MCC | $7,416 – $12,666 · median $10,450 | 4 plans |
| 593 | SKIN ULCERS WITH CC | $6,543 – $8,178 · median $7,184 | 4 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $4,396 – $7,416 · median $5,083 | 4 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $7,416 – $15,204 · median $12,543 | 4 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,201 – $7,752 · median $7,003 | 4 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $7,416 – $11,956 · median $9,864 | 4 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $6,067 – $7,584 · median $6,931 | 4 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,246 – $7,416 · median $4,910 | 4 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $5,913 – $7,416 · median $6,837 | 4 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,998 – $7,416 · median $4,623 | 4 plans |
| 602 | CELLULITIS WITH MCC | $7,416 – $10,233 · median $8,442 | 4 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,009 – $7,416 · median $5,791 | 4 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $7,416 – $10,715 · median $8,840 | 4 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,171 – $7,416 · median $5,979 | 4 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $7,416 – $10,898 · median $8,991 | 4 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $4,818 – $7,416 · median $5,571 | 4 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $7,416 – $16,684 · median $13,765 | 4 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $7,416 – $10,478 · median $8,645 | 4 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $7,416 – $26,728 · median $22,051 | 4 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $7,416 – $13,802 · median $11,387 | 4 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,662 – $8,328 · median $7,247 | 4 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $15,527 – $20,531 · median $16,938 | 4 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $9,574 – $13,390 · median $11,070 | 4 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $7,416 – $11,041 · median $9,108 | 4 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $7,416 – $25,710 · median $21,211 | 4 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $7,416 – $13,381 · median $11,039 | 4 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $5,618 – $7,416 · median $6,495 | 4 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $7,416 – $20,428 · median $16,853 | 4 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $7,416 – $11,496 · median $9,484 | 4 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $7,247 – $9,059 · median $7,558 | 4 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $7,416 – $25,878 · median $21,349 | 4 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $7,416 – $15,931 · median $13,143 | 4 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $7,416 – $9,970 · median $8,225 | 4 plans |
| 637 | DIABETES WITH MCC | $7,416 – $9,909 · median $8,175 | 4 plans |
| 638 | DIABETES WITH CC | $4,976 – $7,416 · median $5,753 | 4 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,413 – $7,416 · median $3,946 | 4 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $7,187 – $8,984 · median $7,526 | 4 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,375 – $7,416 · median $5,058 | 4 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $7,416 – $9,963 · median $8,220 | 4 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $7,416 – $11,670 · median $9,628 | 4 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $5,788 – $7,416 · median $6,693 | 4 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,218 – $7,416 · median $4,877 | 4 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $7,416 – $39,453 · median $32,548 | 4 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $7,416 – $20,182 · median $16,650 | 4 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,416 – $15,327 · median $12,645 | 4 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $7,416 – $23,468 · median $19,361 | 4 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $7,416 – $13,334 · median $11,000 | 4 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $7,416 – $11,211 · median $9,249 | 4 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $7,416 – $18,296 · median $15,094 | 4 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $7,416 – $10,020 · median $8,266 | 4 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,122 – $7,653 · median $6,961 | 4 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $7,416 – $21,575 · median $17,799 | 4 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $7,416 – $10,828 · median $8,933 | 4 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,400 – $8,000 · median $7,108 | 4 plans |
| 665 | PROSTATECTOMY WITH MCC | $7,416 – $21,728 · median $17,926 | 4 plans |
| 666 | PROSTATECTOMY WITH CC | $7,416 – $12,225 · median $10,086 | 4 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $5,589 – $7,416 · median $6,462 | 4 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $7,416 – $20,043 · median $16,535 | 4 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $7,416 – $11,177 · median $9,221 | 4 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $5,609 – $7,416 · median $6,485 | 4 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $7,416 – $13,004 · median $10,728 | 4 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $5,917 – $7,416 · median $6,841 | 4 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $7,416 – $24,807 · median $20,466 | 4 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $7,416 – $16,831 · median $13,885 | 4 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $7,416 – $11,973 · median $9,878 | 4 plans |
| 682 | RENAL FAILURE WITH MCC | $7,416 – $10,555 · median $8,708 | 4 plans |
| 683 | RENAL FAILURE WITH CC | $5,083 – $7,416 · median $5,877 | 4 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,435 – $7,416 · median $3,972 | 4 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $7,416 – $12,054 · median $9,945 | 4 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $5,906 – $7,416 · median $6,829 | 4 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,921 – $7,416 · median $5,690 | 4 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $6,516 – $8,144 · median $7,169 | 4 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,519 – $7,416 · median $5,225 | 4 plans |
| 693 | URINARY STONES WITH MCC | $7,416 – $10,159 · median $8,381 | 4 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,528 – $7,416 · median $5,235 | 4 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $6,522 – $8,153 · median $7,173 | 4 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $3,936 – $7,416 · median $4,551 | 4 plans |
| 697 | URETHRAL STRICTURE | $5,637 – $7,416 · median $6,518 | 4 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $7,416 – $11,378 · median $9,387 | 4 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $5,749 – $7,416 · median $6,647 | 4 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,208 – $7,416 · median $4,865 | 4 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $7,416 – $14,167 · median $11,687 | 4 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $7,416 – $10,541 · median $8,697 | 4 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $7,416 – $17,125 · median $14,128 | 4 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $7,416 – $10,234 · median $8,443 | 4 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $7,416 – $14,508 · median $11,969 | 4 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,052 – $8,815 · median $7,455 | 4 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $7,416 – $10,521 · median $8,680 | 4 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $5,443 – $7,416 · median $6,293 | 4 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $7,416 – $15,856 · median $13,081 | 4 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $7,416 – $9,332 · median $7,699 | 4 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $7,416 – $12,569 · median $10,370 | 4 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,208 – $9,010 · median $7,537 | 4 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $7,416 – $12,054 · median $9,944 | 4 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $6,546 – $8,182 · median $7,185 | 4 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,346 – $7,416 · median $5,025 | 4 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,096 – $8,870 · median $7,478 | 4 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,383 – $7,416 · median $5,067 | 4 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $7,416 – $10,201 · median $8,416 | 4 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $4,667 – $7,416 · median $5,397 | 4 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,122 – $7,652 · median $6,960 | 4 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,725 – $7,416 · median $4,307 | 4 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $7,416 – $15,515 · median $12,800 | 4 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $7,226 – $9,033 · median $7,547 | 4 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $7,416 – $30,283 · median $24,983 | 4 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $7,416 – $14,367 · median $11,853 | 4 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $7,416 – $9,967 · median $8,223 | 4 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $7,416 – $27,706 · median $22,858 | 4 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $7,416 – $12,797 · median $10,558 | 4 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $7,416 – $9,322 · median $7,690 | 4 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $7,416 – $12,795 · median $10,556 | 4 plans |
| 743 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $6,649 – $8,311 · median $7,240 | 4 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $7,416 – $13,478 · median $11,119 | 4 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,537 – $8,171 · median $7,181 | 4 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $7,416 – $11,100 · median $9,158 | 4 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,558 – $7,416 · median $6,427 | 4 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $7,416 – $10,062 · median $8,301 | 4 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $7,416 – $17,936 · median $14,797 | 4 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,416 – $10,132 · median $8,359 | 4 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $7,416 – $12,332 · median $10,174 | 4 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,141 – $7,676 · median $6,970 | 4 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,662 – $7,416 · median $6,546 | 4 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $7,416 – $9,743 · median $8,038 | 4 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,427 – $7,416 · median $6,275 | 4 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,524 – $7,416 · median $4,074 | 4 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $5,490 – $7,416 · median $6,348 | 4 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,213 – $7,416 · median $3,715 | 4 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $6,514 – $8,142 · median $7,168 | 4 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $7,416 – $11,795 · median $9,731 | 4 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $4,918 – $7,416 · median $5,686 | 4 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,960 – $7,416 · median $4,578 | 4 plans |
| 779 | ABORTION WITHOUT D&C | $5,786 – $7,416 · median $6,690 | 4 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $7,416 – $13,701 · median $11,303 | 4 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $5,930 – $7,416 · median $6,856 | 4 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,181 – $7,416 · median $5,990 | 4 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $7,416 – $11,467 · median $9,460 | 4 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,051 – $7,564 · median $6,923 | 4 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $4,955 – $7,416 · median $5,729 | 4 plans |
| 795 | NORMAL NEWBORN | $1,150 – $7,416 · median $1,329 | 4 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $7,416 – $9,322 · median $7,691 | 4 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $5,270 – $7,416 · median $6,094 | 4 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $5,270 – $7,416 · median $6,094 | 4 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $7,416 – $36,975 · median $30,504 | 4 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $7,416 – $18,875 · median $15,572 | 4 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $7,416 – $12,752 · median $10,520 | 4 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $7,416 – $27,065 · median $22,329 | 4 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $7,416 – $14,578 · median $12,027 | 4 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,167 – $8,959 · median $7,515 | 4 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,712 – $7,416 · median $6,604 | 4 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,964 – $7,416 · median $4,583 | 4 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,586 – $7,416 · median $4,147 | 4 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $7,416 – $15,201 · median $12,541 | 4 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $6,905 – $8,631 · median $7,376 | 4 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $5,332 – $7,416 · median $6,166 | 4 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $7,416 – $9,871 · median $8,144 | 4 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,101 – $7,416 · median $5,898 | 4 plans |
| 813 | COAGULATION DISORDERS | $7,416 – $11,112 · median $9,168 | 4 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $7,416 – $13,342 · median $11,007 | 4 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $5,857 – $7,416 · median $6,772 | 4 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,141 – $7,416 · median $4,788 | 4 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $7,416 – $22,222 · median $18,333 | 4 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $7,416 – $11,290 · median $9,314 | 4 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,047 – $7,416 · median $5,835 | 4 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $7,416 – $37,755 · median $31,148 | 4 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $7,416 – $15,353 · median $12,666 | 4 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,844 – $8,556 · median $7,344 | 4 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $7,416 – $30,717 · median $25,342 | 4 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $7,416 – $16,261 · median $13,415 | 4 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,416 – $9,348 · median $7,712 | 4 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $7,416 – $36,507 · median $30,119 | 4 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $7,416 – $17,286 · median $14,261 | 4 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,416 – $12,348 · median $10,187 | 4 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $7,416 – $22,469 · median $18,537 | 4 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,416 – $10,441 · median $8,613 | 4 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $6,786 – $8,483 · median $7,313 | 4 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $3,979 – $7,416 · median $4,601 | 4 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,863 – $7,416 · median $3,310 | 4 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $7,416 – $39,263 · median $32,392 | 4 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $7,416 – $14,889 · median $12,284 | 4 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,416 – $11,138 · median $9,189 | 4 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $7,416 – $38,214 · median $31,526 | 4 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $7,416 – $15,791 · median $13,028 | 4 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,416 – $9,760 · median $8,052 | 4 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $7,416 – $22,060 · median $18,199 | 4 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $7,416 – $11,323 · median $9,342 | 4 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,269 – $7,836 · median $7,038 | 4 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $7,416 – $13,756 · median $11,348 | 4 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $6,479 – $8,098 · median $7,150 | 4 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $4,802 – $7,416 · median $5,553 | 4 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $7,416 – $17,104 · median $14,111 | 4 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $6,919 – $8,649 · median $7,384 | 4 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,277 – $7,416 · median $6,102 | 4 plans |
| 849 | RADIOTHERAPY | $7,416 – $16,606 · median $13,700 | 4 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $7,416 – $34,797 · median $28,708 | 4 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $7,416 – $14,595 · median $12,041 | 4 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,416 – $10,847 · median $8,949 | 4 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $7,416 – $31,330 · median $25,847 | 4 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $7,416 – $14,974 · median $12,353 | 4 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,416 – $10,044 · median $8,286 | 4 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $7,416 – $12,987 · median $10,714 | 4 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $5,714 – $7,416 · median $6,606 | 4 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $4,818 – $7,416 · median $5,571 | 4 plans |
| 865 | VIRAL ILLNESS WITH MCC | $7,416 – $11,877 · median $9,798 | 4 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,110 – $7,416 · median $5,909 | 4 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $7,416 – $15,005 · median $12,379 | 4 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $5,996 – $7,495 · median $6,894 | 4 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,208 – $7,416 · median $4,865 | 4 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $7,416 – $48,215 · median $39,778 | 4 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $7,416 – $13,896 · median $11,464 | 4 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $5,839 – $7,416 · median $6,751 | 4 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $7,416 – $31,230 · median $25,765 | 4 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $7,416 – $14,071 · median $11,608 | 4 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $6,905 – $8,631 · median $7,376 | 4 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $7,416 – $25,218 · median $20,805 | 4 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $7,416 – $11,075 · median $9,137 | 4 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $7,416 – $12,693 · median $10,472 | 4 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $7,416 – $27,446 · median $22,643 | 4 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $7,416 – $14,601 · median $12,046 | 4 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $7,416 – $9,689 · median $7,994 | 4 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $7,416 – $10,750 · median $8,869 | 4 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,050 – $7,416 · median $5,839 | 4 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $7,416 – $12,923 · median $10,661 | 4 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $3,773 – $7,416 · median $4,362 | 4 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $7,416 – $10,810 · median $8,918 | 4 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $4,645 – $7,416 · median $5,370 | 4 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $7,416 – $12,735 · median $10,506 | 4 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $5,804 – $7,416 · median $6,711 | 4 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,134 – $7,416 · median $4,780 | 4 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $7,416 – $11,046 · median $9,113 | 4 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $5,357 – $7,416 · median $6,194 | 4 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $7,416 – $21,989 · median $18,141 | 4 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $7,416 – $15,643 · median $12,906 | 4 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $7,416 – $13,401 · median $11,055 | 4 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $6,905 – $8,631 · median $7,376 | 4 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,417 – $7,416 · median $5,107 | 4 plans |
| 949 | AFTERCARE WITH CC/MCC | $6,771 – $8,463 · median $7,305 | 4 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,030 – $7,416 · median $4,660 | 4 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,233 – $7,416 · median $3,738 | 4 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $7,416 – $47,826 · median $39,456 | 4 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $7,416 – $27,010 · median $22,283 | 4 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $7,416 – $52,615 · median $43,407 | 4 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $7,416 – $29,611 · median $24,429 | 4 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,416 – $18,238 · median $15,046 | 4 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $7,416 – $19,690 · median $16,244 | 4 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $7,416 – $10,398 · median $8,578 | 4 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,168 – $7,416 · median $5,976 | 4 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $7,416 – $51,458 · median $42,453 | 4 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $7,416 – $21,928 · median $18,090 | 4 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $7,416 – $20,398 · median $16,829 | 4 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $7,416 – $9,767 · median $8,058 | 4 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,242 – $7,416 · median $6,060 | 4 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $7,383 – $9,229 · median $7,630 | 4 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $7,416 – $32,521 · median $26,830 | 4 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $7,416 – $17,808 · median $14,692 | 4 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,416 – $11,858 · median $9,783 | 4 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $7,416 – $23,561 · median $19,438 | 4 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $7,416 – $12,044 · median $9,937 | 4 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $6,262 – $7,827 · median $7,034 | 4 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | — | 1 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | — | 1 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | — | 1 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | — | 1 plans |
| 007 | LUNG TRANSPLANT | — | 1 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | — | 1 plans |
| 010 | PANCREAS TRANSPLANT | — | 1 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | — | 1 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | — | 1 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | — | 1 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | — | 1 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $7,416 – $7,416 · median $7,416 | 1 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | — | 1 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | — | 1 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC | — | 1 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | — | 1 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | — | 1 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $7,416 – $7,416 · median $7,416 | 1 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $7,416 – $7,416 · median $7,416 | 1 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $7,416 – $7,416 · median $7,416 | 1 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | — | 1 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $7,416 – $7,416 · median $7,416 | 1 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $7,416 – $7,416 · median $7,416 | 1 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $7,416 – $7,416 · median $7,416 | 1 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $7,416 – $7,416 · median $7,416 | 1 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,416 – $7,416 · median $7,416 | 1 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | — | 1 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $7,416 – $7,416 · median $7,416 | 1 plans |
| 652 | KIDNEY TRANSPLANT | $7,416 – $7,416 · median $7,416 | 1 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $7,416 – $7,416 · median $7,416 | 1 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | — | 1 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $7,416 – $7,416 · median $7,416 | 1 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $7,416 – $7,416 · median $7,416 | 1 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $7,416 – $7,416 · median $7,416 | 1 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $7,416 – $7,416 · median $7,416 | 1 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $7,416 – $7,416 · median $7,416 | 1 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,416 – $7,416 · median $7,416 | 1 plans |
| 881 | DEPRESSIVE NEUROSES | $7,416 – $7,416 · median $7,416 | 1 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,416 – $7,416 · median $7,416 | 1 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $7,416 – $7,416 · median $7,416 | 1 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $7,416 – $7,416 · median $7,416 | 1 plans |
| 885 | PSYCHOSES | $7,416 – $7,416 · median $7,416 | 1 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $7,416 – $7,416 · median $7,416 | 1 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,416 – $7,416 · median $7,416 | 1 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $7,416 – $7,416 · median $7,416 | 1 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $7,416 – $7,416 · median $7,416 | 1 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $7,416 – $7,416 · median $7,416 | 1 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $7,416 – $7,416 · median $7,416 | 1 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | — | 1 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | — | 1 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $7,416 – $7,416 · median $7,416 | 1 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $7,416 – $7,416 · median $7,416 | 1 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $7,416 – $7,416 · median $7,416 | 1 plans |
| 935 | NON-EXTENSIVE BURNS | $7,416 – $7,416 · median $7,416 | 1 plans |
| 945 | REHABILITATION WITH CC/MCC | $7,416 – $7,416 · median $7,416 | 1 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,416 – $7,416 · median $7,416 | 1 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $7,416 – $7,416 · median $7,416 | 1 plans |
| 999 | UNGROUPABLE | $7,416 – $7,416 · median $7,416 | 1 plans |
No procedures match that keyword.