Mary Washington 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.
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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 |
|---|---|---|---|
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $75,852 – $140,269 · median $114,403 | 11 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $50,755 – $93,858 · median $75,641 | 11 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $66,601 – $123,161 · median $93,799 | 11 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $48,011 – $93,799 · median $69,843 | 11 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $61,432 – $113,603 · median $89,890 | 11 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $41,814 – $93,359 · median $59,906 | 11 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $46,247 – $85,521 · median $69,063 | 11 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $32,319 – $84,779 · median $46,575 | 11 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $26,661 – $49,303 · median $39,820 | 11 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $18,178 – $52,016 · median $30,539 | 11 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $12,281 – $52,016 · median $20,615 | 11 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $26,961 – $52,016 · median $39,736 | 11 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $20,066 – $52,016 · median $31,463 | 11 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $52,404 – $100,185 · median $79,000 | 11 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $32,701 – $62,934 · median $47,928 | 11 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $40,344 – $75,538 · median $58,281 | 11 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $27,073 – $51,077 · median $39,833 | 11 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $19,666 – $36,367 · median $28,115 | 11 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $30,733 – $57,273 · median $44,913 | 11 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $24,529 – $45,780 · median $37,350 | 11 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $17,396 – $32,170 · median $26,323 | 11 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,564 – $30,765 · median $13,976 | 11 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $66,563 – $124,514 · median $109,506 | 11 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $33,937 – $124,514 · median $58,862 | 11 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $40,041 – $89,745 · median $60,916 | 11 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $26,920 – $124,514 · median $41,554 | 11 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $20,618 – $46,795 · median $33,258 | 11 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $25,690 – $73,816 · median $39,845 | 11 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $14,820 – $44,717 · median $24,445 | 11 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $38,176 – $70,596 · median $59,271 | 11 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $22,770 – $42,108 · median $35,117 | 11 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $18,606 – $34,758 · median $27,844 | 11 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $27,911 – $51,614 · median $39,901 | 11 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $18,872 – $34,899 · median $26,521 | 11 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $14,180 – $27,406 · median $20,827 | 11 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $28,169 – $52,091 · median $39,587 | 11 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $15,498 – $28,659 · median $22,688 | 11 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $16,433 – $37,951 · median $29,832 | 11 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,552 – $29,387 · median $21,074 | 11 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,489 – $37,951 · median $18,717 | 11 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $221,387 – $409,399 · median $314,791 | 10 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $73,914 – $177,026 · median $133,266 | 10 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $83,270 – $191,833 · median $125,213 | 10 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $39,165 – $84,027 · median $61,765 | 10 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $24,414 – $55,109 · median $38,976 | 10 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $17,706 – $32,743 · median $27,919 | 10 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $14,185 – $31,297 · median $22,426 | 10 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,749 – $52,016 · median $21,269 | 10 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $47,084 – $103,940 · median $76,565 | 10 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $36,976 – $79,267 · median $59,822 | 10 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $55,543 – $102,712 · median $86,245 | 10 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $48,685 – $90,030 · median $76,125 | 10 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $36,566 – $67,620 · median $58,623 | 10 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $39,323 – $72,717 · median $53,334 | 10 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $25,185 – $46,573 · median $36,141 | 10 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $34,525 – $63,845 · median $49,396 | 10 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $18,193 – $33,643 · median $26,665 | 10 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $22,375 – $41,377 · median $35,238 | 10 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $14,219 – $26,295 · median $22,352 | 10 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $45,108 – $85,820 · median $74,471 | 10 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $47,084 – $96,318 · median $72,377 | 10 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $22,508 – $41,622 · median $34,890 | 10 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $23,116 – $43,213 · median $36,148 | 10 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $16,309 – $30,159 · median $25,434 | 10 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,469 – $23,058 · median $19,471 | 10 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,264 – $20,830 · median $16,164 | 10 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $20,205 – $46,943 · median $35,093 | 10 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $16,570 – $33,281 · median $24,819 | 10 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $6,098 – $17,207 · median $8,120 | 10 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $8,200 – $25,028 · median $13,581 | 10 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,200 – $14,466 · median $9,679 | 10 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,877 – $12,683 · median $9,556 | 10 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $8,200 – $24,713 · median $12,692 | 10 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,200 – $14,848 · median $9,590 | 10 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,113 – $12,683 · median $9,556 | 10 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $6,098 – $20,036 · median $8,367 | 10 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,098 – $14,068 · median $7,944 | 10 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,098 – $11,797 · median $7,944 | 10 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $6,098 – $14,242 · median $8,066 | 10 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,687 – $10,548 · median $7,077 | 10 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,008 – $9,243 · median $7,077 | 10 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $168,441 – $311,488 · median $245,716 | 9 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $111,054 – $207,652 · median $169,418 | 9 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $83,698 – $154,777 · median $119,284 | 9 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $38,112 – $70,479 · median $55,745 | 9 plans |
| 007 | LUNG TRANSPLANT | $102,713 – $189,942 · median $144,348 | 9 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $42,765 – $79,082 · median $60,641 | 9 plans |
| 010 | PANCREAS TRANSPLANT | $55,477 – $115,882 · median $67,051 | 9 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $42,409 – $78,425 · median $59,600 | 9 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $32,253 – $59,643 · median $46,156 | 9 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $20,827 – $38,515 · median $30,953 | 9 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $102,973 – $190,422 · median $144,713 | 9 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $47,439 – $87,726 · median $71,190 | 9 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $47,439 – $87,726 · median $71,190 | 9 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $296,401 – $548,118 · median $424,612 | 9 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $62,304 – $115,215 · median $92,125 | 9 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $63,355 – $119,399 · median $97,414 | 9 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $41,976 – $86,753 · median $70,780 | 9 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $21,708 – $55,412 · median $38,135 | 9 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $44,839 – $82,918 · median $65,333 | 9 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $29,879 – $55,253 · median $43,666 | 9 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $35,150 – $65,001 · median $50,894 | 9 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $24,039 – $44,454 · median $34,034 | 9 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $19,395 – $35,867 · median $28,039 | 9 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $47,782 – $88,360 · median $69,451 | 9 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $26,382 – $48,787 · median $39,510 | 9 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,490 – $32,758 · median $26,726 | 9 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $32,936 – $60,906 · median $47,444 | 9 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,785 – $31,039 · median $24,823 | 9 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,540 – $23,189 · median $18,704 | 9 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $30,564 – $56,519 · median $44,964 | 9 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,878 – $33,061 · median $26,502 | 9 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,407 – $26,643 · median $20,840 | 9 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $26,101 – $48,266 · median $38,904 | 9 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,663 – $23,417 · median $18,439 | 9 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,946 – $16,544 · median $13,150 | 9 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $29,646 – $54,823 · median $44,377 | 9 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,753 – $32,829 · median $25,709 | 9 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,814 – $25,545 · median $20,051 | 9 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $15,817 – $29,250 · median $22,410 | 9 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,241 – $13,897 · median $11,338 | 9 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,783 – $21,789 · median $16,982 | 9 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,574 – $15,856 · median $12,369 | 9 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $19,681 – $36,396 · median $27,659 | 9 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,491 – $19,400 · median $15,711 | 9 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $14,507 – $26,827 · median $20,388 | 9 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,617 – $17,784 · median $13,682 | 9 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,014 – $12,971 · median $10,343 | 9 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $21,247 – $39,592 · median $32,302 | 9 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,997 – $26,440 · median $21,571 | 9 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $11,041 – $21,003 · median $17,135 | 9 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $15,634 – $28,912 · median $23,085 | 9 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,994 – $14,782 · median $11,714 | 9 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,410 – $10,004 · median $7,923 | 9 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,443 – $21,160 · median $16,330 | 9 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,929 – $12,814 · median $10,038 | 9 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,290 – $11,631 · median $9,205 | 9 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $13,666 – $25,278 · median $20,624 | 9 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $8,283 – $15,317 · median $12,237 | 9 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,896 – $11,061 · median $9,024 | 9 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,148 – $22,464 · median $17,437 | 9 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,193 – $15,151 · median $11,827 | 9 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $13,064 – $27,034 · median $22,057 | 9 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,207 – $13,327 · median $10,632 | 9 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $12,153 – $22,474 · median $17,413 | 9 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,843 – $14,503 · median $11,720 | 9 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,200 – $10,465 · median $8,538 | 9 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $15,480 – $31,200 · median $25,455 | 9 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,112 – $13,151 · median $10,482 | 9 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $18,236 – $33,723 · median $26,257 | 9 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,928 – $20,208 · median $15,633 | 9 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,514 – $13,895 · median $10,600 | 9 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,810 – $32,935 · median $26,194 | 9 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,309 – $19,064 · median $15,180 | 9 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,948 – $12,849 · median $10,213 | 9 plans |
| 088 | CONCUSSION WITH MCC | $11,087 – $21,666 · median $17,677 | 9 plans |
| 089 | CONCUSSION WITH CC | $8,427 – $16,243 · median $13,253 | 9 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,738 – $13,205 · median $10,774 | 9 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $14,327 – $26,494 · median $20,621 | 9 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,322 – $15,390 · median $11,826 | 9 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,204 – $11,472 · median $8,925 | 9 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $28,676 – $53,029 · median $41,752 | 9 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $18,840 – $34,840 · median $27,478 | 9 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $18,840 – $34,840 · median $26,477 | 9 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $28,176 – $52,105 · median $41,915 | 9 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $17,049 – $31,528 · median $24,831 | 9 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,951 – $20,250 · median $15,389 | 9 plans |
| 100 | SEIZURES WITH MCC | $15,604 – $28,855 · median $22,848 | 9 plans |
| 101 | SEIZURES WITHOUT MCC | $7,244 – $13,395 · median $10,483 | 9 plans |
| 102 | HEADACHES WITH MCC | $9,113 – $17,044 · median $13,906 | 9 plans |
| 103 | HEADACHES WITHOUT MCC | $6,683 – $12,358 · median $9,709 | 9 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $17,583 – $35,418 · median $28,897 | 9 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,291 – $17,400 · median $14,196 | 9 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $12,033 – $22,252 · median $18,030 | 9 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $13,114 – $25,862 · median $21,100 | 9 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,956 – $16,929 · median $13,812 | 9 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,142 – $18,098 · median $14,766 | 9 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,331 – $10,517 · median $8,580 | 9 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,313 – $11,675 · median $9,266 | 9 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,248 – $18,951 · median $15,235 | 9 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,490 – $12,002 · median $9,191 | 9 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $18,950 – $37,464 · median $30,565 | 9 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,689 – $14,752 · median $10,823 | 9 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,992 – $21,255 · median $17,342 | 9 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,394 – $12,229 · median $9,977 | 9 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,791 – $19,955 · median $15,165 | 9 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $33,240 – $61,469 · median $46,714 | 9 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $16,886 – $31,226 · median $23,876 | 9 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,358 – $22,853 · median $17,806 | 9 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $25,951 – $47,990 · median $38,328 | 9 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,807 – $25,532 · median $19,944 | 9 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,312 – $17,249 · median $14,073 | 9 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $18,030 – $33,342 · median $25,338 | 9 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,783 – $18,092 · median $14,243 | 9 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,999 – $12,568 · median $10,254 | 9 plans |
| 149 | DYSEQUILIBRIUM | $5,875 – $10,865 · median $8,583 | 9 plans |
| 150 | EPISTAXIS WITH MCC | $10,863 – $20,089 · median $15,267 | 9 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,958 – $11,018 · median $8,882 | 9 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,919 – $16,785 · median $13,694 | 9 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,594 – $10,380 · median $8,469 | 9 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,782 – $23,637 · median $17,963 | 9 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,338 – $13,570 · median $10,910 | 9 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,285 – $9,773 · median $7,555 | 9 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,870 – $24,113 · median $19,673 | 9 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,392 – $13,670 · median $10,816 | 9 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,184 – $9,587 · median $7,782 | 9 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $36,226 – $66,990 · median $54,324 | 9 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $19,782 – $36,582 · median $29,393 | 9 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $14,650 – $27,092 · median $21,626 | 9 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $30,269 – $57,320 · median $46,766 | 9 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,361 – $26,557 · median $20,973 | 9 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,641 – $19,677 · median $15,624 | 9 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $24,118 – $44,599 · median $35,439 | 9 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $11,075 – $20,481 · median $16,170 | 9 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,402 – $11,839 · median $9,400 | 9 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,706 – $23,963 · median $19,551 | 9 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,798 – $14,420 · median $11,372 | 9 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,050 – $11,188 · median $8,797 | 9 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $13,737 – $25,403 · median $20,033 | 9 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,726 – $16,137 · median $12,690 | 9 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,583 – $12,173 · median $9,251 | 9 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $12,475 – $23,070 · median $18,146 | 9 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,394 – $15,523 · median $12,123 | 9 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,112 – $11,302 · median $8,709 | 9 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $12,419 – $22,965 · median $17,888 | 9 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,891 – $14,592 · median $11,482 | 9 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,770 – $10,670 · median $8,603 | 9 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,727 – $17,987 · median $14,199 | 9 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,829 – $16,327 · median $12,701 | 9 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,753 – $12,487 · median $9,785 | 9 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,087 – $9,407 · median $7,397 | 9 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,358 – $19,154 · median $15,289 | 9 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,445 – $11,919 · median $9,476 | 9 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,895 – $9,052 · median $7,210 | 9 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $14,810 – $27,387 · median $21,844 | 9 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,781 – $14,388 · median $11,496 | 9 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,290 – $10,993 · median $8,969 | 9 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,874 – $25,657 · median $20,447 | 9 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,704 – $16,096 · median $12,412 | 9 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,320 – $9,974 · median $8,138 | 9 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,598 – $14,051 · median $11,035 | 9 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,473 – $10,121 · median $8,009 | 9 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,374 – $11,786 · median $9,484 | 9 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $14,837 – $27,438 · median $20,864 | 9 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,120 – $13,166 · median $10,528 | 9 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $50,836 – $97,582 · median $79,615 | 9 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $21,097 – $39,013 · median $31,161 | 9 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $85,620 – $158,331 · median $124,132 | 9 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $46,760 – $86,470 · median $65,714 | 9 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $60,813 – $112,457 · median $88,872 | 9 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $41,629 – $76,982 · median $60,444 | 9 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $36,095 – $66,749 · median $53,575 | 9 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $39,587 – $73,206 · median $55,633 | 9 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $22,888 – $42,326 · median $32,376 | 9 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,867 – $21,945 · median $16,677 | 9 plans |
| 245 | AICD GENERATOR PROCEDURES | $38,408 – $71,025 · median $53,976 | 9 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $20,564 – $38,810 · median $31,664 | 9 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,312 – $24,616 · median $18,898 | 9 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,230 – $13,999 · median $10,944 | 9 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $22,050 – $40,776 · median $31,217 | 9 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $13,815 – $26,368 · median $21,513 | 9 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $26,777 – $49,518 · median $38,208 | 9 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,914 – $27,579 · median $21,688 | 9 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $11,929 – $23,242 · median $18,962 | 9 plans |
| 263 | VEIN LIGATION AND STRIPPING | $21,080 – $39,909 · median $32,560 | 9 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $27,470 – $50,798 · median $38,605 | 9 plans |
| 265 | AICD LEAD PROCEDURES | $28,036 – $51,845 · median $40,731 | 9 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,902 – $23,859 · median $18,284 | 9 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,245 – $13,398 · median $10,522 | 9 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,699 – $10,539 · median $8,276 | 9 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $15,369 – $28,422 · median $22,720 | 9 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,823 – $10,769 · median $8,525 | 9 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,412 – $8,158 · median $6,200 | 9 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $21,468 – $39,699 · median $30,170 | 9 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,392 – $22,916 · median $17,415 | 9 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,695 – $15,328 · median $11,815 | 9 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $10,256 – $18,967 · median $14,797 | 9 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,770 – $12,519 · median $9,871 | 9 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,315 – $7,980 · median $6,471 | 9 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $9,651 – $17,848 · median $13,563 | 9 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $6,208 – $11,480 · median $8,724 | 9 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,877 – $23,813 · median $18,477 | 9 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,537 – $10,292 · median $8,397 | 9 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,471 – $6,419 · median $5,058 | 9 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,715 – $23,513 · median $18,166 | 9 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,414 – $15,560 · median $12,297 | 9 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,607 – $10,368 · median $8,180 | 9 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,143 – $16,907 · median $12,921 | 9 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,285 – $9,773 · median $7,585 | 9 plans |
| 304 | HYPERTENSION WITH MCC | $9,234 – $17,076 · median $13,242 | 9 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,900 – $10,911 · median $8,684 | 9 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,770 – $21,765 · median $17,712 | 9 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,281 – $13,464 · median $10,863 | 9 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,479 – $17,529 · median $13,855 | 9 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,811 – $10,746 · median $8,583 | 9 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,398 – $8,132 · median $6,373 | 9 plans |
| 311 | ANGINA PECTORIS | $5,490 – $10,153 · median $8,046 | 9 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,848 – $12,664 · median $9,952 | 9 plans |
| 313 | CHEST PAIN | $5,607 – $10,368 · median $8,339 | 9 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $16,926 – $31,300 · median $24,128 | 9 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,564 – $13,987 · median $11,148 | 9 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,365 – $9,922 · median $7,983 | 9 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $48,622 – $89,914 · median $71,294 | 9 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $33,477 – $61,907 · median $47,714 | 9 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $25,113 – $46,439 · median $35,292 | 9 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $22,495 – $41,599 · median $31,614 | 9 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $39,918 – $73,819 · median $58,535 | 9 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $19,085 – $35,292 · median $28,783 | 9 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,524 – $23,160 · median $18,409 | 9 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $36,091 – $66,740 · median $52,056 | 9 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,579 – $34,356 · median $27,338 | 9 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,977 – $23,997 · median $19,270 | 9 plans |
| 332 | RECTAL RESECTION WITH MCC | $27,262 – $51,621 · median $41,808 | 9 plans |
| 333 | RECTAL RESECTION WITH CC | $16,703 – $30,888 · median $23,966 | 9 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $13,035 – $24,105 · median $18,499 | 9 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $28,484 – $52,673 · median $41,202 | 9 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $16,603 – $30,704 · median $24,264 | 9 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $12,065 – $22,311 · median $17,246 | 9 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $21,178 – $39,163 · median $31,583 | 9 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,705 – $21,763 · median $17,755 | 9 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,787 – $18,191 · median $14,842 | 9 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $18,601 – $36,009 · median $29,378 | 9 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,894 – $18,384 · median $14,999 | 9 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,924 – $13,784 · median $11,246 | 9 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $19,020 – $35,172 · median $27,660 | 9 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,827 – $21,871 · median $16,776 | 9 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,666 – $16,025 · median $12,781 | 9 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $23,052 – $42,628 · median $33,703 | 9 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,371 – $24,725 · median $19,798 | 9 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,478 – $19,377 · median $15,704 | 9 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $33,526 – $61,998 · median $49,312 | 9 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,700 – $32,731 · median $25,318 | 9 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,650 – $19,695 · median $14,967 | 9 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $13,125 – $24,272 · median $19,039 | 9 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,998 – $14,791 · median $11,390 | 9 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,485 – $10,506 · median $8,571 | 9 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,742 – $25,412 · median $20,142 | 9 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,090 – $14,961 · median $12,013 | 9 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,701 – $10,542 · median $8,258 | 9 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $16,596 – $30,691 · median $24,191 | 9 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,658 – $17,859 · median $13,810 | 9 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,940 – $12,833 · median $10,273 | 9 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $14,290 – $26,426 · median $20,633 | 9 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,749 – $14,330 · median $11,338 | 9 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,004 – $9,253 · median $7,298 | 9 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $15,125 – $27,970 · median $22,456 | 9 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,560 – $15,830 · median $12,366 | 9 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,889 – $10,891 · median $8,726 | 9 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,937 – $19,751 · median $16,114 | 9 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,835 – $12,640 · median $10,092 | 9 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,770 – $23,615 · median $18,059 | 9 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,800 – $14,425 · median $11,198 | 9 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,269 – $9,743 · median $7,884 | 9 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,554 – $21,366 · median $16,752 | 9 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,301 – $11,653 · median $9,179 | 9 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,300 – $7,952 · median $6,442 | 9 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $10,099 – $18,676 · median $14,702 | 9 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,133 – $11,342 · median $9,054 | 9 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $13,015 – $24,069 · median $18,666 | 9 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,399 – $13,682 · median $10,798 | 9 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,002 – $9,250 · median $7,462 | 9 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $19,474 – $36,012 · median $27,368 | 9 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,895 – $21,996 · median $17,441 | 9 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,835 – $16,339 · median $12,828 | 9 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $30,883 – $57,111 · median $45,284 | 9 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $42,667 – $78,902 · median $63,447 | 9 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $22,072 – $40,817 · median $33,277 | 9 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $16,786 – $31,041 · median $24,790 | 9 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $27,519 – $52,580 · median $42,898 | 9 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $16,477 – $30,470 · median $23,156 | 9 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,191 – $22,544 · median $18,039 | 9 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $21,327 – $42,949 · median $33,198 | 9 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $16,754 – $30,981 · median $23,574 | 9 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $13,066 – $24,163 · median $18,363 | 9 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $27,538 – $50,925 · median $40,628 | 9 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $15,547 – $28,750 · median $22,771 | 9 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,770 – $19,916 · median $15,434 | 9 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $18,679 – $34,542 · median $26,713 | 9 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $13,036 – $24,106 · median $18,840 | 9 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,356 – $19,151 · median $15,135 | 9 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $27,739 – $51,297 · median $38,984 | 9 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,871 – $24,150 · median $19,703 | 9 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,549 – $21,356 · median $16,262 | 9 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $31,967 – $59,115 · median $45,073 | 9 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,945 – $33,185 · median $25,219 | 9 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $12,149 – $22,628 · median $18,462 | 9 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $82,385 – $152,350 · median $120,800 | 9 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $55,796 – $103,180 · median $81,813 | 9 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $43,271 – $80,018 · median $63,447 | 9 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $65,552 – $121,222 · median $96,119 | 9 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $42,995 – $79,508 · median $63,043 | 9 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $15,398 – $28,476 · median $22,082 | 9 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,408 – $15,548 · median $11,882 | 9 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,474 – $10,122 · median $7,716 | 9 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $14,341 – $26,519 · median $20,283 | 9 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,863 – $16,390 · median $12,686 | 9 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,171 – $11,740 · median $9,578 | 9 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $13,077 – $24,183 · median $19,233 | 9 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,761 – $12,503 · median $9,856 | 9 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,835 – $8,940 · median $7,095 | 9 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $14,858 – $27,476 · median $21,070 | 9 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,594 – $14,044 · median $10,966 | 9 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,522 – $10,212 · median $8,237 | 9 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $13,240 – $24,484 · median $18,823 | 9 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,523 – $15,762 · median $12,525 | 9 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,266 – $11,587 · median $9,237 | 9 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $52,695 – $97,446 · median $77,266 | 9 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $32,094 – $59,349 · median $47,059 | 9 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $40,477 – $74,851 · median $59,350 | 9 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $24,254 – $44,852 · median $35,564 | 9 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $42,449 – $80,005 · median $65,274 | 9 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $23,176 – $42,858 · median $34,591 | 9 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,644 – $26,427 · median $21,561 | 9 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $35,247 – $65,181 · median $49,590 | 9 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,955 – $31,353 · median $24,718 | 9 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,141 – $16,904 · median $13,564 | 9 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $27,029 – $49,983 · median $38,828 | 9 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $18,380 – $33,989 · median $27,472 | 9 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,957 – $26,331 · median $21,483 | 9 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $20,028 – $37,037 · median $28,630 | 9 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $25,337 – $46,855 · median $37,963 | 9 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $16,669 – $30,824 · median $23,425 | 9 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,420 – $22,967 · median $17,805 | 9 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $15,447 – $29,758 · median $24,279 | 9 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,735 – $18,003 · median $14,264 | 9 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $27,669 – $51,168 · median $41,273 | 9 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $15,507 – $28,676 · median $22,906 | 9 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $10,556 – $20,163 · median $16,451 | 9 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $19,844 – $36,883 · median $30,092 | 9 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $8,635 – $18,220 · median $14,865 | 9 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $24,904 – $46,054 · median $37,373 | 9 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $14,029 – $25,944 · median $20,004 | 9 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,981 – $20,307 · median $15,936 | 9 plans |
| 503 | FOOT PROCEDURES WITH MCC | $20,801 – $38,467 · median $30,909 | 9 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,799 – $25,518 · median $19,905 | 9 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,799 – $25,518 · median $19,658 | 9 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $11,782 – $21,788 · median $16,856 | 9 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $15,233 – $30,112 · median $24,568 | 9 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,758 – $20,257 · median $16,527 | 9 plans |
| 509 | ARTHROSCOPY | $13,806 – $25,531 · median $17,747 | 9 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $22,464 – $41,541 · median $31,569 | 9 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $15,417 – $28,509 · median $22,979 | 9 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,636 – $23,368 · median $18,599 | 9 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,833 – $22,898 · median $18,682 | 9 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,014 – $14,820 · median $12,003 | 9 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $24,305 – $44,945 · median $36,436 | 9 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $15,811 – $29,239 · median $23,520 | 9 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,732 – $21,695 · median $17,223 | 9 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,985 – $23,045 · median $18,802 | 9 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,397 – $11,830 · median $9,335 | 9 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,453 – $19,330 · median $14,944 | 9 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,374 – $11,786 · median $9,071 | 9 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,223 – $13,660 · median $11,145 | 9 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,278 – $10,017 · median $8,172 | 9 plans |
| 539 | OSTEOMYELITIS WITH MCC | $15,898 – $29,400 · median $22,870 | 9 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,174 – $18,814 · median $14,962 | 9 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,876 – $12,715 · median $9,887 | 9 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $14,658 – $27,106 · median $21,018 | 9 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,338 – $15,419 · median $12,570 | 9 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,940 – $10,984 · median $8,845 | 9 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $19,860 – $36,726 · median $28,734 | 9 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,099 – $16,941 · median $13,822 | 9 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,865 – $11,630 · median $9,374 | 9 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $15,834 – $29,281 · median $22,471 | 9 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,471 – $17,515 · median $13,901 | 9 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,776 – $13,328 · median $10,612 | 9 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,411 – $24,801 · median $19,614 | 9 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,575 – $14,009 · median $11,137 | 9 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,267 – $19,091 · median $15,576 | 9 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,560 – $12,131 · median $9,471 | 9 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,583 – $19,762 · median $16,123 | 9 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,418 – $11,868 · median $9,501 | 9 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $12,181 – $22,525 · median $17,942 | 9 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,789 – $12,555 · median $10,124 | 9 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,589 – $26,978 · median $21,327 | 9 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,951 – $16,552 · median $13,047 | 9 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,426 – $11,884 · median $9,031 | 9 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $11,505 – $21,481 · median $17,526 | 9 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,024 – $12,990 · median $10,322 | 9 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $12,334 – $22,808 · median $18,001 | 9 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $8,014 – $14,820 · median $11,518 | 9 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,879 – $10,872 · median $8,650 | 9 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $23,662 – $43,756 · median $33,678 | 9 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $13,164 – $24,343 · median $19,499 | 9 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,979 – $16,605 · median $13,134 | 9 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $48,400 – $89,504 · median $71,664 | 9 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $27,232 – $50,359 · median $39,252 | 9 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $15,692 – $29,019 · median $23,580 | 9 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $42,404 – $80,279 · median $65,498 | 9 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,928 – $38,701 · median $30,531 | 9 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,286 – $24,569 · median $18,671 | 9 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $25,616 – $47,371 · median $38,519 | 9 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,935 – $25,769 · median $20,130 | 9 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,311 – $20,917 · median $15,896 | 9 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,764 – $25,452 · median $19,343 | 9 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,910 – $23,874 · median $18,143 | 9 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $16,092 – $29,758 · median $22,614 | 9 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $15,602 – $28,852 · median $21,877 | 9 plans |
| 592 | SKIN ULCERS WITH MCC | $16,162 – $29,887 · median $24,088 | 9 plans |
| 593 | SKIN ULCERS WITH CC | $9,610 – $17,770 · median $13,944 | 9 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,670 – $12,334 · median $9,374 | 9 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $16,624 – $30,742 · median $25,067 | 9 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,497 – $15,712 · median $11,941 | 9 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $13,806 – $25,531 · median $19,402 | 9 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,338 – $16,934 · median $13,816 | 9 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,719 – $12,426 · median $8,740 | 9 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,524 – $14,486 · median $11,819 | 9 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,712 – $8,949 · median $7,175 | 9 plans |
| 602 | CELLULITIS WITH MCC | $11,549 – $21,358 · median $17,143 | 9 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,924 – $12,804 · median $10,196 | 9 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,678 – $21,595 · median $17,359 | 9 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,260 – $13,426 · median $10,474 | 9 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $12,655 – $23,403 · median $18,276 | 9 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,793 – $12,622 · median $10,298 | 9 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,911 – $33,122 · median $25,959 | 9 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,263 – $20,827 · median $16,954 | 9 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $30,378 – $56,176 · median $45,612 | 9 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $15,187 – $28,085 · median $22,871 | 9 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,786 – $18,096 · median $13,752 | 9 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $29,428 – $54,419 · median $44,090 | 9 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $15,044 – $27,820 · median $21,453 | 9 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,827 – $15,743 · median $12,845 | 9 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $22,534 – $41,670 · median $33,667 | 9 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,862 – $21,936 · median $17,194 | 9 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,957 – $18,413 · median $14,245 | 9 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $31,018 – $57,359 · median $46,267 | 9 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $17,686 – $32,705 · median $26,079 | 9 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,013 – $20,366 · median $16,092 | 9 plans |
| 637 | DIABETES WITH MCC | $11,446 – $21,167 · median $16,703 | 9 plans |
| 638 | DIABETES WITH CC | $7,209 – $13,332 · median $10,366 | 9 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,925 – $9,108 · median $7,174 | 9 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,439 – $19,304 · median $15,158 | 9 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,143 – $11,359 · median $9,006 | 9 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $9,755 – $18,410 · median $15,021 | 9 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $13,026 – $24,089 · median $18,960 | 9 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,123 – $15,022 · median $12,236 | 9 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,123 – $11,323 · median $8,769 | 9 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $36,211 – $66,963 · median $51,834 | 9 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $27,291 – $50,468 · median $39,858 | 9 plans |
| 652 | KIDNEY TRANSPLANT | $24,140 – $44,640 · median $34,626 | 9 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $43,813 – $81,021 · median $62,392 | 9 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $22,180 – $41,016 · median $31,550 | 9 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,327 – $30,192 · median $24,292 | 9 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $25,605 – $47,351 · median $36,161 | 9 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $14,368 – $26,570 · median $21,254 | 9 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,821 – $21,859 · median $17,062 | 9 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $20,312 – $37,561 · median $29,837 | 9 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,532 – $19,475 · median $15,511 | 9 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,069 – $14,922 · median $12,083 | 9 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $24,518 – $45,340 · median $34,537 | 9 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $12,005 – $22,199 · median $16,871 | 9 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,487 – $15,695 · median $12,235 | 9 plans |
| 665 | PROSTATECTOMY WITH MCC | $26,986 – $49,904 · median $37,925 | 9 plans |
| 666 | PROSTATECTOMY WITH CC | $12,947 – $24,260 · median $19,793 | 9 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,078 – $14,938 · median $12,097 | 9 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $22,920 – $42,386 · median $32,477 | 9 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $12,163 – $22,493 · median $17,686 | 9 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,511 – $13,890 · median $11,094 | 9 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,547 – $25,053 · median $19,730 | 9 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,601 – $15,906 · median $12,088 | 9 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $32,933 – $60,902 · median $46,283 | 9 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $18,143 – $33,651 · median $27,455 | 9 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,302 – $22,750 · median $18,284 | 9 plans |
| 682 | RENAL FAILURE WITH MCC | $11,806 – $21,832 · median $17,297 | 9 plans |
| 683 | RENAL FAILURE WITH CC | $6,987 – $12,920 · median $10,382 | 9 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,775 – $8,830 · median $7,013 | 9 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $14,821 – $27,407 · median $21,199 | 9 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,273 – $15,300 · median $12,047 | 9 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,692 – $11,031 · median $9,000 | 9 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,199 – $17,012 · median $13,535 | 9 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,308 – $11,666 · median $9,300 | 9 plans |
| 693 | URINARY STONES WITH MCC | $11,557 – $21,371 · median $16,323 | 9 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,142 – $11,358 · median $9,021 | 9 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,864 – $16,895 · median $13,784 | 9 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,437 – $10,054 · median $7,976 | 9 plans |
| 697 | URETHRAL STRICTURE | $7,646 – $15,724 · median $12,828 | 9 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $13,212 – $24,432 · median $19,067 | 9 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,016 – $14,823 · median $11,765 | 9 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,456 – $10,089 · median $8,163 | 9 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $15,252 – $28,205 · median $22,611 | 9 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,652 – $21,547 · median $16,809 | 9 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $17,661 – $32,660 · median $24,820 | 9 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,800 – $21,821 · median $16,583 | 9 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $14,993 – $29,988 · median $24,466 | 9 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,965 – $16,787 · median $12,235 | 9 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,365 – $21,016 · median $16,719 | 9 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,385 – $13,657 · median $11,047 | 9 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $17,749 – $32,823 · median $25,441 | 9 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,155 – $20,628 · median $16,391 | 9 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $14,583 – $26,968 · median $20,903 | 9 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,682 – $17,904 · median $13,606 | 9 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $13,588 – $26,483 · median $21,607 | 9 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,826 – $16,321 · median $12,842 | 9 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,162 – $11,435 · median $9,069 | 9 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,928 – $18,359 · median $14,301 | 9 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,850 – $10,818 · median $8,424 | 9 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,549 – $22,898 · median $18,682 | 9 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,422 – $11,877 · median $9,221 | 9 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,652 – $16,000 · median $12,159 | 9 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,770 – $8,821 · median $7,164 | 9 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,527 – $30,704 · median $25,051 | 9 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,540 – $17,802 · median $14,524 | 9 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $30,947 – $57,229 · median $44,800 | 9 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $15,707 – $29,045 · median $22,748 | 9 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,922 – $22,047 · median $16,755 | 9 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $31,288 – $57,859 · median $43,971 | 9 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $14,291 – $26,428 · median $20,595 | 9 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,796 – $19,964 · median $15,172 | 9 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $14,357 – $26,550 · median $20,536 | 9 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,421 – $17,422 · median $13,392 | 9 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $15,358 – $28,400 · median $21,695 | 9 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,055 – $14,895 · median $11,939 | 9 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $13,162 – $24,339 · median $19,317 | 9 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,507 – $13,882 · median $10,550 | 9 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,707 – $19,846 · median $16,191 | 9 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $20,345 – $37,622 · median $29,011 | 9 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,135 – $19,211 · median $15,674 | 9 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,220 – $26,297 · median $21,350 | 9 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,725 – $16,135 · median $12,501 | 9 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,505 – $13,981 · median $11,406 | 9 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,123 – $21,070 · median $17,191 | 9 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,012 – $14,816 · median $11,440 | 9 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,030 – $9,301 · median $7,447 | 9 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,746 – $14,324 · median $11,472 | 9 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,982 – $9,214 · median $7,002 | 9 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,818 – $21,809 · median $17,793 | 9 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,457 – $15,638 · median $10,376 | 9 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,607 – $10,369 · median $8,260 | 9 plans |
| 779 | ABORTION WITHOUT D&C | $7,347 – $13,973 · median $11,401 | 9 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $37,370 – $69,989 · median $57,102 | 9 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $22,901 – $42,349 · median $32,474 | 9 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $12,904 – $25,281 · median $20,626 | 9 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $28,175 – $52,102 · median $39,595 | 9 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,990 – $26,249 · median $21,416 | 9 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,689 – $17,098 · median $13,950 | 9 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $18,002 – $33,291 · median $25,300 | 9 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,735 – $18,002 · median $13,881 | 9 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,480 – $14,190 · median $11,577 | 9 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $11,057 – $20,448 · median $16,176 | 9 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,254 – $13,414 · median $10,381 | 9 plans |
| 813 | COAGULATION DISORDERS | $12,166 – $22,499 · median $17,979 | 9 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $16,430 – $30,383 · median $24,526 | 9 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,987 – $14,769 · median $11,458 | 9 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,183 – $10,032 · median $8,185 | 9 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $45,760 – $85,416 · median $69,688 | 9 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,545 – $32,445 · median $25,725 | 9 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,989 – $17,499 · median $14,277 | 9 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $36,778 – $68,012 · median $51,884 | 9 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $17,286 – $31,967 · median $25,734 | 9 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,673 – $18,242 · median $14,883 | 9 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $37,533 – $69,408 · median $52,747 | 9 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $18,547 – $34,298 · median $26,706 | 9 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,598 – $23,297 · median $18,906 | 9 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $24,237 – $44,820 · median $36,348 | 9 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,494 – $22,336 · median $18,223 | 9 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $43,441 – $80,333 · median $64,528 | 9 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $16,787 – $31,579 · median $25,764 | 9 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,764 – $19,944 · median $13,799 | 9 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $39,353 – $72,774 · median $55,305 | 9 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $15,941 – $29,478 · median $22,501 | 9 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,771 – $19,917 · median $15,136 | 9 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $25,069 – $46,358 · median $36,018 | 9 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,324 – $22,789 · median $18,135 | 9 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,267 – $15,288 · median $12,290 | 9 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $14,880 – $27,516 · median $21,443 | 9 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,393 – $17,371 · median $13,337 | 9 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,576 – $12,218 · median $9,968 | 9 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $20,071 – $37,117 · median $28,207 | 9 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,987 – $18,468 · median $14,035 | 9 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,437 – $11,903 · median $9,046 | 9 plans |
| 849 | RADIOTHERAPY | $20,993 – $38,822 · median $31,018 | 9 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $72,401 – $133,886 · median $106,160 | 9 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $39,312 – $72,697 · median $57,617 | 9 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,706 – $29,044 · median $23,490 | 9 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,776 – $24,040 · median $19,613 | 9 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $35,459 – $65,572 · median $51,037 | 9 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $17,126 – $31,670 · median $24,614 | 9 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,127 – $18,727 · median $14,791 | 9 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $14,451 – $26,724 · median $21,229 | 9 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,859 – $14,534 · median $11,588 | 9 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,057 – $13,051 · median $10,174 | 9 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,400 – $23,165 · median $18,900 | 9 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,954 – $12,963 · median $10,576 | 9 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $16,853 – $31,166 · median $24,114 | 9 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,253 – $15,334 · median $12,510 | 9 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,655 – $10,458 · median $7,960 | 9 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $54,678 – $101,113 · median $80,270 | 9 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $15,424 – $28,522 · median $22,849 | 9 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,104 – $14,986 · median $11,870 | 9 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $34,821 – $64,393 · median $49,878 | 9 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,914 – $27,579 · median $21,721 | 9 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,581 – $17,718 · median $14,308 | 9 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $30,347 – $56,118 · median $42,301 | 9 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $12,954 – $23,955 · median $18,252 | 9 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $17,154 – $31,721 · median $24,107 | 9 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $31,310 – $57,900 · median $44,002 | 9 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $15,854 – $29,317 · median $23,097 | 9 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,968 – $19,159 · median $15,631 | 9 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,719 – $23,521 · median $17,875 | 9 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,202 – $13,318 · median $10,461 | 9 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $13,659 – $25,259 · median $20,445 | 9 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,219 – $9,651 · median $7,593 | 9 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $12,887 – $23,832 · median $18,393 | 9 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,951 – $12,855 · median $9,922 | 9 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $14,332 – $26,503 · median $21,030 | 9 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,984 – $14,765 · median $11,915 | 9 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,405 – $9,994 · median $8,042 | 9 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,277 – $24,648 · median $20,110 | 9 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $8,016 – $14,823 · median $11,656 | 9 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $158,071 – $372,343 · median $277,691 | 9 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $52,493 – $97,748 · median $79,750 | 9 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $24,996 – $46,224 · median $37,059 | 9 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $34,008 – $62,889 · median $39,389 | 9 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $16,865 – $31,188 · median $24,116 | 9 plans |
| 935 | NON-EXTENSIVE BURNS | $17,263 – $31,923 · median $24,260 | 9 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $24,946 – $46,131 · median $37,056 | 9 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,595 – $30,688 · median $24,970 | 9 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $15,360 – $28,404 · median $21,586 | 9 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,997 – $22,186 · median $17,397 | 9 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,775 – $16,227 · median $12,332 | 9 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $10,109 – $18,693 · median $14,425 | 9 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,245 – $11,548 · median $9,232 | 9 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,480 – $15,682 · median $11,941 | 9 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,607 – $9,021 · median $7,240 | 9 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,456 – $8,334 · median $6,800 | 9 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $53,667 – $99,244 · median $75,421 | 9 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $30,042 – $55,556 · median $44,696 | 9 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $58,665 – $108,485 · median $83,355 | 9 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $32,301 – $59,732 · median $46,616 | 9 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $20,779 – $38,426 · median $29,202 | 9 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $21,352 – $39,486 · median $31,513 | 9 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,792 – $21,805 · median $17,299 | 9 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,172 – $13,503 · median $11,017 | 9 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $49,706 – $97,082 · median $79,207 | 9 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $20,854 – $39,265 · median $29,307 | 9 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $23,470 – $43,402 · median $33,613 | 9 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $11,171 – $20,659 · median $15,712 | 9 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,883 – $14,577 · median $10,981 | 9 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $11,333 – $20,957 · median $16,321 | 9 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $37,369 – $69,104 · median $54,633 | 9 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $19,245 – $35,589 · median $28,651 | 9 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,111 – $24,246 · median $18,846 | 9 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $27,534 – $50,916 · median $38,916 | 9 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,488 – $24,942 · median $19,558 | 9 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,081 – $16,794 · median $12,763 | 9 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $17,180 – $39,790 · median $22,186 | 6 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $7,776 – $20,216 · median $10,920 | 6 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,308 – $12,815 · median $8,067 | 6 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,046 – $15,190 · median $10,659 | 6 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,874 – $10,421 · median $7,394 | 6 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,086 – $7,230 · median $5,135 | 6 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $14,169 – $19,175 · median $14,949 | 4 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $46,728 – $63,230 · median $49,298 | 4 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $31,912 – $43,185 · median $33,668 | 4 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $19,255 – $26,056 · median $20,315 | 4 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $32,781 – $44,359 · median $34,584 | 4 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $11,603 – $15,701 · median $12,241 | 4 plans |
| 795 | NORMAL NEWBORN | $1,570 – $2,126 · median $1,657 | 4 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $30,885 – $43,006 · median $32,584 | 4 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,535 – $11,002 · median $7,949 | 4 plans |
| 881 | DEPRESSIVE NEUROSES | $7,185 – $10,447 · median $7,580 | 4 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,561 – $10,825 · median $7,977 | 4 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $14,591 – $21,614 · median $15,394 | 4 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $13,127 – $20,248 · median $13,849 | 4 plans |
| 885 | PSYCHOSES | $11,079 – $15,748 · median $11,688 | 4 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $14,120 – $19,382 · median $14,896 | 4 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,348 – $14,932 · median $9,862 | 4 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,905 – $6,621 · median $5,176 | 4 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $11,029 – $18,541 · median $11,636 | 4 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $13,997 – $20,493 · median $14,767 | 4 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,934 – $9,861 · median $7,315 | 4 plans |
No procedures match that keyword.