Stafford Hospital, Llc — 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 | $78,697 – $126,877 · median $113,280 | 11 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $52,659 – $84,734 · median $74,296 | 11 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $69,099 – $111,188 · median $93,799 | 11 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $49,812 – $93,799 · median $69,432 | 11 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $63,736 – $102,559 · median $89,890 | 11 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $43,383 – $93,359 · median $59,906 | 11 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $47,981 – $84,779 · median $68,638 | 11 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $33,531 – $84,779 · median $46,575 | 11 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $27,661 – $45,736 · median $39,820 | 11 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $18,860 – $52,016 · median $27,439 | 11 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $12,742 – $52,016 · median $20,176 | 11 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $27,972 – $52,016 · median $39,146 | 11 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $20,818 – $52,016 · median $29,776 | 11 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $54,369 – $100,185 · median $78,773 | 11 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $33,927 – $62,934 · median $47,928 | 11 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $41,857 – $75,538 · median $58,281 | 11 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $28,088 – $51,077 · median $39,833 | 11 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $20,403 – $35,926 · median $28,115 | 11 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $31,885 – $57,273 · median $44,913 | 11 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $25,449 – $41,204 · median $36,872 | 11 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $18,049 – $30,765 · median $25,160 | 11 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,885 – $30,765 · median $12,624 | 11 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $69,059 – $124,514 · median $98,388 | 11 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $35,210 – $124,514 · median $52,220 | 11 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $41,543 – $89,745 · median $60,189 | 11 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $27,929 – $124,514 · median $40,465 | 11 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $21,392 – $46,795 · median $30,993 | 11 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $26,654 – $73,816 · median $38,865 | 11 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $15,376 – $44,717 · median $23,924 | 11 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $39,608 – $63,734 · median $57,385 | 11 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $23,624 – $38,014 · median $34,228 | 11 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $19,304 – $31,284 · median $27,844 | 11 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $28,958 – $46,596 · median $39,901 | 11 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $19,580 – $31,506 · median $25,962 | 11 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $14,180 – $24,742 · median $19,094 | 11 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $29,225 – $47,027 · median $36,519 | 11 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $16,079 – $27,948 · median $22,688 | 11 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $16,433 – $36,642 · median $29,832 | 11 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $13,022 – $28,374 · median $18,934 | 11 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,920 – $26,173 · median $17,710 | 11 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $229,690 – $369,600 · median $314,303 | 10 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $76,686 – $177,026 · median $117,252 | 10 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $86,393 – $191,833 · median $118,477 | 10 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $40,634 – $84,027 · median $58,442 | 10 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $25,330 – $55,109 · median $36,672 | 10 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $18,370 – $31,297 · median $26,417 | 10 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $14,717 – $31,297 · median $21,204 | 10 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $14,265 – $52,016 · median $20,125 | 10 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $48,850 – $103,940 · median $71,382 | 10 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $38,363 – $79,267 · median $55,913 | 10 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $57,626 – $92,986 · median $81,605 | 10 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $50,511 – $84,298 · median $72,029 | 10 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $37,938 – $66,262 · median $55,042 | 10 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $39,736 – $65,648 · median $49,347 | 10 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $26,129 – $42,046 · median $34,175 | 10 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $35,820 – $57,638 · median $49,305 | 10 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $18,875 – $30,372 · median $25,819 | 10 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $23,214 – $39,279 · median $33,342 | 10 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $14,753 – $25,756 · median $21,149 | 10 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $46,800 – $85,511 · median $68,912 | 10 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $48,850 – $86,690 · median $66,200 | 10 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $23,352 – $38,858 · median $33,013 | 10 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $23,983 – $43,213 · median $34,203 | 10 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $16,920 – $27,227 · median $24,066 | 10 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,937 – $22,112 · median $18,423 | 10 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,687 – $18,805 · median $15,389 | 10 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $20,205 – $45,324 · median $34,477 | 10 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $17,192 – $32,133 · median $24,382 | 10 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $6,098 – $15,487 · median $8,174 | 10 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $7,917 – $22,527 · median $13,852 | 10 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,917 – $13,020 · median $9,673 | 10 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,135 – $12,683 · median $9,379 | 10 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $7,917 – $22,243 · median $12,930 | 10 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,917 – $13,364 · median $9,581 | 10 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,380 – $12,683 · median $9,379 | 10 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $6,098 – $18,034 · median $8,377 | 10 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,098 – $12,662 · median $7,999 | 10 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,098 – $10,617 · median $7,999 | 10 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $6,098 – $12,818 · median $8,121 | 10 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,900 – $9,494 · median $7,006 | 10 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,196 – $8,319 · median $6,898 | 10 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $174,758 – $281,207 · median $245,716 | 9 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $115,219 – $186,896 · median $166,935 | 9 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $86,837 – $139,731 · median $119,284 | 9 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $39,542 – $63,627 · median $55,745 | 9 plans |
| 007 | LUNG TRANSPLANT | $106,566 – $171,477 · median $141,370 | 9 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $44,368 – $71,394 · median $60,641 | 9 plans |
| 010 | PANCREAS TRANSPLANT | $55,477 – $104,616 · median $67,615 | 9 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $44,000 – $70,801 · median $59,426 | 9 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $33,462 – $53,845 · median $46,156 | 9 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $21,608 – $34,771 · median $30,953 | 9 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $106,835 – $171,910 · median $132,087 | 9 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $49,218 – $79,198 · median $71,190 | 9 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $49,218 – $79,198 · median $71,190 | 9 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $307,518 – $494,833 · median $424,612 | 9 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $64,640 – $104,014 · median $92,125 | 9 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $65,731 – $107,464 · median $95,235 | 9 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $43,550 – $78,082 · median $63,098 | 9 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $22,522 – $49,873 · median $32,631 | 9 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $46,520 – $74,857 · median $65,333 | 9 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $31,000 – $49,882 · median $43,666 | 9 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $36,468 – $58,682 · median $50,894 | 9 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $24,941 – $40,132 · median $34,034 | 9 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $20,123 – $32,380 · median $28,039 | 9 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $49,574 – $79,770 · median $69,451 | 9 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $27,371 – $44,044 · median $39,510 | 9 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $18,146 – $29,484 · median $26,291 | 9 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $34,171 – $54,985 · median $47,444 | 9 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $17,414 – $28,022 · median $24,823 | 9 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $13,010 – $20,935 · median $18,704 | 9 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $31,710 – $51,025 · median $44,964 | 9 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $18,549 – $29,847 · median $26,502 | 9 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,948 – $24,053 · median $20,840 | 9 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $27,080 – $43,574 · median $38,904 | 9 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $13,138 – $21,141 · median $18,439 | 9 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,282 – $14,935 · median $13,150 | 9 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $30,758 – $49,494 · median $44,377 | 9 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $18,418 – $29,637 · median $25,709 | 9 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $14,332 – $23,062 · median $20,051 | 9 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $16,411 – $26,407 · median $22,410 | 9 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,513 – $12,508 · median $10,885 | 9 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $12,225 – $19,671 · median $16,982 | 9 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,896 – $14,315 · median $12,369 | 9 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $20,420 – $32,857 · median $27,591 | 9 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,884 – $17,514 · median $15,711 | 9 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $15,051 – $24,219 · median $19,914 | 9 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,977 – $16,055 · median $13,682 | 9 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,277 – $11,710 · median $10,343 | 9 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $22,044 – $35,635 · median $31,938 | 9 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $14,522 – $23,797 · median $21,040 | 9 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $11,455 – $18,903 · median $16,597 | 9 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $16,221 – $26,101 · median $23,085 | 9 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $8,293 – $13,345 · median $11,714 | 9 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,613 – $9,032 · median $7,923 | 9 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,872 – $19,103 · median $16,330 | 9 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,189 – $11,568 · median $10,038 | 9 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,525 – $10,500 · median $9,205 | 9 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $14,179 – $22,815 · median $20,543 | 9 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $8,593 – $13,828 · median $12,237 | 9 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,117 – $9,955 · median $8,862 | 9 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,603 – $20,280 · median $17,437 | 9 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,501 – $13,678 · median $11,827 | 9 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $13,554 – $24,332 · median $19,638 | 9 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,477 – $12,032 · median $10,632 | 9 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $12,609 – $20,289 · median $17,413 | 9 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $8,137 – $13,093 · median $11,720 | 9 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,395 – $9,419 · median $7,817 | 9 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $16,061 – $28,081 · median $23,270 | 9 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,378 – $11,873 · median $10,482 | 9 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $18,920 – $30,444 · median $26,257 | 9 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $11,338 – $18,244 · median $15,633 | 9 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,796 – $12,545 · median $10,600 | 9 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $18,478 – $29,733 · median $26,194 | 9 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,696 – $17,211 · median $15,180 | 9 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,209 – $11,600 · median $10,213 | 9 plans |
| 088 | CONCUSSION WITH MCC | $11,503 – $19,501 · median $16,666 | 9 plans |
| 089 | CONCUSSION WITH CC | $8,743 – $14,620 · median $12,667 | 9 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,990 – $11,885 · median $10,128 | 9 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $14,864 – $23,919 · median $20,621 | 9 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,634 – $13,894 · median $11,826 | 9 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,437 – $10,357 · median $8,925 | 9 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $29,752 – $47,874 · median $41,752 | 9 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $19,547 – $31,453 · median $27,478 | 9 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $19,547 – $31,453 · median $25,121 | 9 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $29,233 – $47,040 · median $41,915 | 9 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $17,688 – $28,463 · median $24,831 | 9 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $11,361 – $18,282 · median $15,215 | 9 plans |
| 100 | SEIZURES WITH MCC | $16,189 – $26,050 · median $22,848 | 9 plans |
| 101 | SEIZURES WITHOUT MCC | $7,515 – $12,093 · median $10,483 | 9 plans |
| 102 | HEADACHES WITH MCC | $9,455 – $15,341 · median $13,698 | 9 plans |
| 103 | HEADACHES WITHOUT MCC | $6,933 – $11,156 · median $9,709 | 9 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $18,242 – $31,878 · median $26,430 | 9 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,640 – $15,661 · median $13,967 | 9 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $12,484 – $20,088 · median $18,030 | 9 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $13,606 – $23,277 · median $19,713 | 9 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,254 – $15,236 · median $11,959 | 9 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,485 – $16,289 · median $13,742 | 9 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,531 – $9,466 · median $8,014 | 9 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,550 – $10,540 · median $9,266 | 9 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,632 – $17,108 · median $15,235 | 9 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,733 – $10,835 · median $9,191 | 9 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $19,660 – $33,719 · median $28,485 | 9 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,977 – $13,277 · median $10,823 | 9 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,404 – $19,131 · median $16,523 | 9 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,634 – $11,007 · median $9,612 | 9 plans |
| 139 | SALIVARY GLAND PROCEDURES | $11,196 – $18,015 · median $13,688 | 9 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $34,486 – $55,493 · median $43,543 | 9 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $17,519 – $28,190 · median $23,876 | 9 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,822 – $20,632 · median $17,806 | 9 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $26,925 – $43,325 · median $38,328 | 9 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $14,325 – $23,050 · median $19,944 | 9 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,661 – $15,546 · median $13,997 | 9 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $18,706 – $30,101 · median $24,329 | 9 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $10,150 – $16,333 · median $14,243 | 9 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,224 – $11,312 · median $9,017 | 9 plans |
| 149 | DYSEQUILIBRIUM | $6,096 – $9,809 · median $8,583 | 9 plans |
| 150 | EPISTAXIS WITH MCC | $11,271 – $18,136 · median $15,150 | 9 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,181 – $9,946 · median $8,882 | 9 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,253 – $15,107 · median $13,406 | 9 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,804 – $9,342 · median $8,409 | 9 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $13,261 – $21,339 · median $17,728 | 9 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,613 – $12,251 · median $10,910 | 9 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,483 – $8,823 · median $7,555 | 9 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $13,353 – $21,703 · median $19,346 | 9 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,670 – $12,341 · median $10,816 | 9 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,379 – $8,655 · median $7,782 | 9 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $37,584 – $60,478 · median $54,324 | 9 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $20,524 – $33,025 · median $29,393 | 9 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $15,200 – $24,458 · median $21,626 | 9 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $31,404 – $51,591 · median $45,500 | 9 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,900 – $23,975 · median $20,973 | 9 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,040 – $17,765 · median $15,624 | 9 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $25,022 – $40,264 · median $35,439 | 9 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $11,491 – $18,490 · median $16,170 | 9 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,642 – $10,688 · median $9,400 | 9 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $13,182 – $21,568 · median $19,099 | 9 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,090 – $13,018 · median $11,372 | 9 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,277 – $10,100 · median $8,797 | 9 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $14,252 – $22,933 · median $20,033 | 9 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $9,053 – $14,568 · median $12,690 | 9 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,830 – $10,990 · median $8,747 | 9 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $12,943 – $20,827 · median $18,146 | 9 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,709 – $14,014 · median $12,123 | 9 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,341 – $10,204 · median $8,709 | 9 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $12,885 – $20,733 · median $17,888 | 9 plans |
| 187 | PLEURAL EFFUSION WITH CC | $8,187 – $13,173 · median $11,482 | 9 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,986 – $9,633 · median $8,603 | 9 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $10,092 – $16,238 · median $14,199 | 9 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $9,160 – $14,740 · median $12,701 | 9 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $7,006 – $11,273 · median $9,785 | 9 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,278 – $8,493 · median $7,397 | 9 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,746 – $17,292 · median $15,289 | 9 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,687 – $10,760 · median $9,476 | 9 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,079 – $8,172 · median $7,210 | 9 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $15,365 – $24,724 · median $21,844 | 9 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,072 – $12,989 · median $11,496 | 9 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,488 – $9,894 · median $7,951 | 9 plans |
| 199 | PNEUMOTHORAX WITH MCC | $14,395 – $23,163 · median $20,447 | 9 plans |
| 200 | PNEUMOTHORAX WITH CC | $9,031 – $14,531 · median $12,412 | 9 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,520 – $8,977 · median $7,998 | 9 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,883 – $12,685 · median $11,035 | 9 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,678 – $9,137 · median $8,009 | 9 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,613 – $10,641 · median $9,484 | 9 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $15,394 – $24,770 · median $20,864 | 9 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,387 – $11,886 · median $10,528 | 9 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $52,743 – $87,828 · median $76,416 | 9 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $21,888 – $35,221 · median $31,161 | 9 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $88,831 – $142,939 · median $124,132 | 9 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $48,513 – $78,064 · median $65,654 | 9 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $63,093 – $101,525 · median $88,872 | 9 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $43,190 – $69,498 · median $60,444 | 9 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $37,449 – $60,260 · median $53,575 | 9 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $41,071 – $66,089 · median $55,398 | 9 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $23,747 – $38,211 · median $32,376 | 9 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $12,312 – $19,812 · median $16,017 | 9 plans |
| 245 | AICD GENERATOR PROCEDURES | $39,848 – $64,121 · median $52,224 | 9 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $21,335 – $34,930 · median $30,912 | 9 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,811 – $22,223 · median $18,898 | 9 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,463 – $12,600 · median $9,365 | 9 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $22,877 – $36,812 · median $31,217 | 9 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $14,333 – $23,732 · median $20,766 | 9 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $27,782 – $44,704 · median $38,208 | 9 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $15,473 – $24,898 · median $21,688 | 9 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $12,376 – $20,918 · median $17,932 | 9 plans |
| 263 | VEIN LIGATION AND STRIPPING | $21,870 – $35,920 · median $31,687 | 9 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $28,500 – $45,860 · median $37,641 | 9 plans |
| 265 | AICD LEAD PROCEDURES | $29,087 – $46,805 · median $40,731 | 9 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $13,386 – $21,540 · median $18,284 | 9 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,517 – $12,096 · median $10,522 | 9 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,913 – $9,515 · median $8,276 | 9 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $15,946 – $25,659 · median $22,720 | 9 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,042 – $9,722 · median $8,525 | 9 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,577 – $7,365 · median $5,632 | 9 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $22,273 – $35,840 · median $29,884 | 9 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,857 – $20,688 · median $17,030 | 9 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,984 – $13,796 · median $11,567 | 9 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $10,641 – $17,123 · median $14,797 | 9 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,024 – $11,302 · median $9,871 | 9 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,477 – $7,204 · median $6,471 | 9 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $10,013 – $16,113 · median $12,605 | 9 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $6,441 – $10,364 · median $7,465 | 9 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $13,360 – $21,498 · median $18,477 | 9 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,744 – $9,263 · median $8,322 | 9 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,601 – $5,795 · median $5,058 | 9 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $13,192 – $21,227 · median $18,166 | 9 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,730 – $14,047 · median $12,297 | 9 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,817 – $9,360 · median $8,180 | 9 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,486 – $15,264 · median $12,921 | 9 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,483 – $8,823 · median $7,585 | 9 plans |
| 304 | HYPERTENSION WITH MCC | $9,580 – $15,416 · median $13,242 | 9 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,122 – $9,851 · median $8,684 | 9 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,211 – $19,649 · median $17,692 | 9 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,554 – $12,155 · median $10,863 | 9 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,835 – $15,825 · median $13,855 | 9 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,029 – $9,701 · median $8,583 | 9 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,563 – $7,342 · median $6,373 | 9 plans |
| 311 | ANGINA PECTORIS | $5,696 – $9,166 · median $8,046 | 9 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,105 – $11,433 · median $9,952 | 9 plans |
| 313 | CHEST PAIN | $5,817 – $9,360 · median $8,339 | 9 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $17,560 – $28,257 · median $24,128 | 9 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,847 – $12,627 · median $11,148 | 9 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,566 – $8,957 · median $7,983 | 9 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $50,445 – $81,173 · median $71,294 | 9 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $34,733 – $55,889 · median $47,714 | 9 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $26,054 – $41,925 · median $34,213 | 9 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $23,339 – $37,555 · median $30,476 | 9 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $41,416 – $66,643 · median $58,535 | 9 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $19,801 – $31,862 · median $28,688 | 9 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,994 – $20,909 · median $18,409 | 9 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $37,444 – $60,252 · median $52,056 | 9 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $19,275 – $31,016 · median $27,338 | 9 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,464 – $21,664 · median $19,270 | 9 plans |
| 332 | RECTAL RESECTION WITH MCC | $28,285 – $46,461 · median $40,980 | 9 plans |
| 333 | RECTAL RESECTION WITH CC | $17,330 – $27,886 · median $23,966 | 9 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $13,524 – $21,762 · median $18,499 | 9 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $29,552 – $47,553 · median $41,202 | 9 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $17,226 – $27,719 · median $24,264 | 9 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $12,518 – $20,142 · median $17,246 | 9 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $21,972 – $35,356 · median $31,583 | 9 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,144 – $19,587 · median $17,595 | 9 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,154 – $16,373 · median $14,712 | 9 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $19,299 – $32,409 · median $27,961 | 9 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,265 – $16,546 · median $14,873 | 9 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,184 – $12,406 · median $10,408 | 9 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $19,733 – $31,753 · median $27,660 | 9 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $12,270 – $19,745 · median $16,776 | 9 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,991 – $14,467 · median $12,781 | 9 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $23,916 – $38,484 · median $33,703 | 9 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,872 – $22,322 · median $19,798 | 9 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,871 – $17,493 · median $15,704 | 9 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $34,783 – $55,971 · median $49,312 | 9 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $18,364 – $29,549 · median $25,318 | 9 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,050 – $17,780 · median $14,765 | 9 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $13,618 – $21,912 · median $19,039 | 9 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,298 – $13,353 · median $11,390 | 9 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,691 – $9,455 · median $8,246 | 9 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $14,257 – $22,941 · median $20,142 | 9 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,394 – $13,506 · median $12,013 | 9 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,915 – $9,517 · median $8,258 | 9 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $17,219 – $27,707 · median $24,191 | 9 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $10,020 – $16,123 · median $13,810 | 9 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,200 – $11,585 · median $10,273 | 9 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $14,826 – $23,857 · median $20,633 | 9 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $8,040 – $12,937 · median $11,338 | 9 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,191 – $8,353 · median $7,298 | 9 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $15,692 – $25,251 · median $22,456 | 9 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,881 – $14,291 · median $12,366 | 9 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,110 – $9,832 · median $8,726 | 9 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,309 – $17,777 · median $14,937 | 9 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,091 – $11,411 · median $10,092 | 9 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $13,249 – $21,319 · median $18,059 | 9 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $8,093 – $13,022 · median $11,198 | 9 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,466 – $8,796 · median $7,884 | 9 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,987 – $19,289 · median $16,752 | 9 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,538 – $10,520 · median $9,179 | 9 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,461 – $7,179 · median $6,442 | 9 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $10,478 – $16,860 · median $14,702 | 9 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,363 – $10,239 · median $9,054 | 9 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $13,503 – $21,729 · median $18,666 | 9 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,676 – $12,352 · median $10,798 | 9 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,190 – $8,351 · median $7,462 | 9 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $20,204 – $32,511 · median $25,892 | 9 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $12,341 – $19,858 · median $17,441 | 9 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $9,167 – $14,750 · median $12,828 | 9 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $32,042 – $51,559 · median $45,284 | 9 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $44,267 – $71,231 · median $63,447 | 9 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $22,900 – $36,849 · median $33,179 | 9 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $17,415 – $28,023 · median $24,790 | 9 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $28,551 – $47,324 · median $41,365 | 9 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $17,095 – $27,508 · median $22,558 | 9 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,648 – $20,352 · median $18,039 | 9 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $22,127 – $38,656 · median $32,059 | 9 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $17,382 – $27,970 · median $23,574 | 9 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $13,556 – $21,814 · median $17,398 | 9 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $28,571 – $45,974 · median $40,628 | 9 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $16,130 – $25,955 · median $22,771 | 9 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $11,174 – $17,980 · median $15,434 | 9 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $19,380 – $31,184 · median $26,713 | 9 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $13,525 – $21,763 · median $18,840 | 9 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,745 – $17,290 · median $15,135 | 9 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $28,780 – $46,310 · median $36,889 | 9 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,353 – $21,736 · median $19,347 | 9 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,982 – $19,280 · median $16,262 | 9 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $33,166 – $53,368 · median $45,073 | 9 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $18,618 – $29,959 · median $24,056 | 9 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $12,605 – $20,367 · median $18,262 | 9 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $85,475 – $137,540 · median $120,800 | 9 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $57,888 – $93,149 · median $81,813 | 9 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $44,894 – $72,239 · median $63,447 | 9 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $68,011 – $109,437 · median $96,119 | 9 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $44,607 – $71,779 · median $63,043 | 9 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $15,976 – $25,707 · median $22,082 | 9 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,723 – $14,037 · median $11,882 | 9 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,679 – $9,138 · median $7,716 | 9 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $14,878 – $23,941 · median $20,283 | 9 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $9,195 – $14,796 · median $12,686 | 9 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,402 – $10,567 · median $9,276 | 9 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $13,568 – $21,832 · median $19,233 | 9 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $7,015 – $11,288 · median $9,856 | 9 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,016 – $8,071 · median $7,095 | 9 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $15,415 – $24,805 · median $21,070 | 9 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,879 – $12,678 · median $10,966 | 9 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,730 – $9,220 · median $8,237 | 9 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $13,737 – $22,104 · median $18,823 | 9 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,843 – $14,229 · median $12,525 | 9 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,501 – $10,461 · median $9,237 | 9 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $54,671 – $87,973 · median $77,266 | 9 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $33,298 – $53,580 · median $47,059 | 9 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $41,995 – $67,574 · median $59,350 | 9 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $25,164 – $40,492 · median $35,564 | 9 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $44,041 – $72,008 · median $63,809 | 9 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $24,045 – $38,692 · median $34,591 | 9 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,156 – $23,785 · median $20,510 | 9 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $36,569 – $58,844 · median $49,590 | 9 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,591 – $28,305 · median $24,718 | 9 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,484 – $15,261 · median $13,564 | 9 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $28,043 – $45,124 · median $38,828 | 9 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $19,069 – $30,684 · median $27,472 | 9 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $14,480 – $23,699 · median $20,980 | 9 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $20,779 – $33,436 · median $28,630 | 9 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $26,288 – $42,300 · median $37,963 | 9 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $17,294 – $27,828 · median $23,146 | 9 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,885 – $20,734 · median $17,805 | 9 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $16,027 – $26,783 · median $23,220 | 9 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,100 – $16,253 · median $14,264 | 9 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $28,707 – $46,193 · median $41,273 | 9 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $16,089 – $25,888 · median $22,906 | 9 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $10,952 – $18,148 · median $15,868 | 9 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $20,588 – $33,196 · median $29,829 | 9 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $8,959 – $16,399 · median $12,980 | 9 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $25,838 – $41,577 · median $37,373 | 9 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $14,555 – $23,421 · median $20,004 | 9 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $11,393 – $18,333 · median $15,936 | 9 plans |
| 503 | FOOT PROCEDURES WITH MCC | $21,582 – $34,727 · median $30,909 | 9 plans |
| 504 | FOOT PROCEDURES WITH CC | $14,316 – $23,037 · median $19,905 | 9 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,316 – $23,037 · median $19,658 | 9 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $12,224 – $19,670 · median $16,856 | 9 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $15,805 – $27,102 · median $22,899 | 9 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,124 – $18,232 · median $14,668 | 9 plans |
| 509 | ARTHROSCOPY | $14,324 – $23,049 · median $15,945 | 9 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $23,306 – $37,503 · median $31,355 | 9 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $15,995 – $25,737 · median $22,979 | 9 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $13,110 – $21,096 · median $18,599 | 9 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,277 – $20,609 · median $17,787 | 9 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,315 – $13,379 · median $12,003 | 9 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $25,216 – $40,576 · median $36,436 | 9 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $16,404 – $26,396 · median $23,520 | 9 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $12,172 – $19,586 · median $17,223 | 9 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $12,434 – $20,742 · median $18,016 | 9 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,637 – $10,680 · median $9,335 | 9 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,845 – $17,451 · median $14,944 | 9 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,613 – $10,641 · median $9,071 | 9 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,493 – $12,294 · median $10,857 | 9 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,476 – $9,015 · median $7,934 | 9 plans |
| 539 | OSTEOMYELITIS WITH MCC | $16,495 – $26,542 · median $22,870 | 9 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,556 – $16,985 · median $14,962 | 9 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $7,134 – $11,479 · median $9,887 | 9 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $15,208 – $24,471 · median $21,018 | 9 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,651 – $13,920 · median $12,533 | 9 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,163 – $9,916 · median $8,845 | 9 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $20,605 – $33,155 · median $28,734 | 9 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,441 – $15,248 · median $13,678 | 9 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,085 – $10,467 · median $8,816 | 9 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $16,428 – $26,434 · median $22,471 | 9 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,826 – $15,812 · median $13,901 | 9 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,030 – $11,996 · median $10,186 | 9 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,914 – $22,390 · median $19,614 | 9 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,860 – $12,647 · median $11,137 | 9 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,653 – $17,183 · median $15,434 | 9 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,806 – $10,952 · median $9,471 | 9 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,980 – $17,787 · median $15,909 | 9 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,658 – $10,714 · median $9,501 | 9 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $12,637 – $20,335 · median $17,942 | 9 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,044 – $11,335 · median $10,124 | 9 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $15,136 – $24,356 · median $21,327 | 9 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,287 – $14,943 · median $13,047 | 9 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,667 – $10,729 · median $8,992 | 9 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $11,936 – $19,334 · median $17,294 | 9 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,288 – $11,727 · median $10,322 | 9 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $12,796 – $20,591 · median $18,001 | 9 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $8,315 – $13,379 · median $11,518 | 9 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,100 – $9,815 · median $8,650 | 9 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $24,549 – $39,502 · median $33,678 | 9 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $13,658 – $21,977 · median $19,499 | 9 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $9,316 – $14,991 · median $13,134 | 9 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $50,215 – $80,803 · median $71,664 | 9 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $28,254 – $45,464 · median $39,252 | 9 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $16,281 – $26,198 · median $23,580 | 9 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $43,994 – $72,255 · median $63,741 | 9 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,713 – $34,939 · median $30,531 | 9 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,784 – $22,180 · median $18,561 | 9 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $26,577 – $42,766 · median $38,506 | 9 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $14,458 – $23,264 · median $20,130 | 9 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,736 – $18,884 · median $15,521 | 9 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $14,280 – $22,978 · median $19,213 | 9 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $13,394 – $21,553 · median $17,540 | 9 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $16,695 – $26,865 · median $22,573 | 9 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $16,187 – $26,047 · median $19,408 | 9 plans |
| 592 | SKIN ULCERS WITH MCC | $16,768 – $26,981 · median $24,088 | 9 plans |
| 593 | SKIN ULCERS WITH CC | $9,970 – $16,043 · median $13,944 | 9 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,920 – $11,135 · median $9,075 | 9 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $17,247 – $27,753 · median $24,989 | 9 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,815 – $14,185 · median $11,629 | 9 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $14,324 – $23,049 · median $18,446 | 9 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,651 – $15,242 · median $12,533 | 9 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,972 – $11,218 · median $7,853 | 9 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,806 – $13,038 · median $11,309 | 9 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,889 – $8,054 · median $7,083 | 9 plans |
| 602 | CELLULITIS WITH MCC | $11,983 – $19,281 · median $17,143 | 9 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,184 – $11,559 · median $10,196 | 9 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $12,116 – $19,495 · median $17,359 | 9 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,533 – $12,121 · median $10,474 | 9 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $13,130 – $21,128 · median $18,276 | 9 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,048 – $11,360 · median $10,212 | 9 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $18,583 – $29,902 · median $25,959 | 9 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,685 – $18,803 · median $16,930 | 9 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $31,517 – $50,715 · median $45,612 | 9 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $15,757 – $25,354 · median $22,829 | 9 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,153 – $16,337 · median $13,386 | 9 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $30,531 – $49,129 · median $44,090 | 9 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $15,608 – $25,116 · median $21,453 | 9 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,121 – $14,170 · median $11,765 | 9 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $23,379 – $37,619 · median $33,667 | 9 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $12,307 – $19,804 · median $17,194 | 9 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,330 – $16,623 · median $14,245 | 9 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $32,181 – $51,783 · median $46,267 | 9 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $18,349 – $29,526 · median $26,079 | 9 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,426 – $18,387 · median $16,092 | 9 plans |
| 637 | DIABETES WITH MCC | $11,876 – $19,110 · median $16,703 | 9 plans |
| 638 | DIABETES WITH CC | $7,480 – $12,035 · median $10,366 | 9 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,110 – $8,222 · median $7,174 | 9 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,830 – $17,427 · median $15,158 | 9 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,373 – $10,255 · median $9,006 | 9 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,121 – $16,570 · median $14,664 | 9 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $13,515 – $21,747 · median $18,960 | 9 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,428 – $13,562 · median $12,211 | 9 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,353 – $10,222 · median $8,769 | 9 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $37,569 – $60,453 · median $51,834 | 9 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $28,315 – $45,562 · median $39,858 | 9 plans |
| 652 | KIDNEY TRANSPLANT | $25,045 – $40,300 · median $34,626 | 9 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $45,456 – $73,145 · median $62,392 | 9 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $23,012 – $37,029 · median $31,550 | 9 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,939 – $27,257 · median $24,292 | 9 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $26,566 – $42,748 · median $36,161 | 9 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $14,907 – $23,987 · median $21,254 | 9 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $12,264 – $19,734 · median $17,062 | 9 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $21,074 – $33,910 · median $29,837 | 9 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,927 – $17,582 · median $15,511 | 9 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,372 – $13,471 · median $12,083 | 9 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $25,438 – $40,933 · median $34,537 | 9 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $12,455 – $20,041 · median $16,815 | 9 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,806 – $14,169 · median $12,235 | 9 plans |
| 665 | PROSTATECTOMY WITH MCC | $27,999 – $45,053 · median $35,602 | 9 plans |
| 666 | PROSTATECTOMY WITH CC | $13,433 – $21,835 · median $19,462 | 9 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,381 – $13,485 · median $12,097 | 9 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $23,780 – $38,265 · median $32,477 | 9 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $12,619 – $20,306 · median $17,686 | 9 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,793 – $12,539 · median $11,094 | 9 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $14,056 – $22,617 · median $19,730 | 9 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,924 – $14,359 · median $10,634 | 9 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $34,168 – $54,981 · median $42,619 | 9 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $18,824 – $30,290 · median $27,273 | 9 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,764 – $20,539 · median $18,284 | 9 plans |
| 682 | RENAL FAILURE WITH MCC | $12,248 – $19,709 · median $17,297 | 9 plans |
| 683 | RENAL FAILURE WITH CC | $7,249 – $11,664 · median $10,382 | 9 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,954 – $7,972 · median $7,013 | 9 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $15,377 – $24,743 · median $21,199 | 9 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,584 – $13,812 · median $12,047 | 9 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,906 – $9,928 · median $8,556 | 9 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,544 – $15,358 · median $13,535 | 9 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,545 – $10,532 · median $9,300 | 9 plans |
| 693 | URINARY STONES WITH MCC | $11,990 – $19,293 · median $16,323 | 9 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,372 – $10,254 · median $9,021 | 9 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,196 – $15,206 · median $13,324 | 9 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,641 – $9,076 · median $7,976 | 9 plans |
| 697 | URETHRAL STRICTURE | $7,933 – $14,152 · median $11,494 | 9 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $13,707 – $22,057 · median $19,067 | 9 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,316 – $13,382 · median $11,765 | 9 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,660 – $9,108 · median $8,163 | 9 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $15,824 – $25,463 · median $22,611 | 9 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $12,089 – $19,452 · median $16,809 | 9 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $18,324 – $29,485 · median $24,433 | 9 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $12,243 – $19,700 · median $14,225 | 9 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $15,555 – $26,991 · median $22,537 | 9 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,226 – $15,109 · median $10,469 | 9 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,791 – $18,973 · median $16,719 | 9 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,662 – $12,329 · median $11,047 | 9 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $18,415 – $29,632 · median $25,441 | 9 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,573 – $18,623 · median $16,391 | 9 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $15,130 – $24,347 · median $20,903 | 9 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,045 – $16,164 · median $13,551 | 9 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $14,098 – $23,836 · median $20,426 | 9 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,157 – $14,735 · median $12,842 | 9 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,356 – $10,292 · median $7,760 | 9 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $10,300 – $16,574 · median $14,301 | 9 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,070 – $9,767 · median $8,424 | 9 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,982 – $20,609 · median $17,360 | 9 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,663 – $10,722 · median $9,221 | 9 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,977 – $14,445 · median $11,570 | 9 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,949 – $7,964 · median $7,164 | 9 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $17,147 – $27,635 · median $24,843 | 9 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,898 – $16,022 · median $14,341 | 9 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $32,108 – $51,665 · median $44,800 | 9 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $16,296 – $26,222 · median $22,748 | 9 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,369 – $19,903 · median $15,727 | 9 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $32,462 – $52,235 · median $41,678 | 9 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $14,827 – $23,858 · median $20,595 | 9 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,201 – $18,023 · median $14,974 | 9 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $14,895 – $23,969 · median $20,536 | 9 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,774 – $15,728 · median $13,392 | 9 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $15,934 – $25,639 · median $21,695 | 9 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,357 – $13,447 · median $11,939 | 9 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $13,655 – $21,973 · median $19,317 | 9 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,789 – $12,533 · median $10,225 | 9 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $11,108 – $17,875 · median $16,094 | 9 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $21,108 – $33,965 · median $29,011 | 9 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,516 – $17,291 · median $15,235 | 9 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,754 – $23,740 · median $21,350 | 9 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,053 – $14,567 · median $12,501 | 9 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,787 – $12,583 · median $11,282 | 9 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,541 – $18,964 · median $16,721 | 9 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,312 – $13,375 · median $11,440 | 9 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,218 – $8,397 · median $7,447 | 9 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $8,037 – $12,932 · median $11,472 | 9 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,169 – $8,318 · median $6,980 | 9 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $11,223 – $19,629 · median $16,261 | 9 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,774 – $14,118 · median $9,388 | 9 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,818 – $9,361 · median $8,260 | 9 plans |
| 779 | ABORTION WITHOUT D&C | $7,622 – $12,577 · median $11,043 | 9 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $38,772 – $62,993 · median $56,174 | 9 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $23,760 – $38,232 · median $32,474 | 9 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $13,388 – $22,754 · median $19,397 | 9 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $29,232 – $47,037 · median $39,073 | 9 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $14,515 – $23,625 · median $21,030 | 9 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,015 – $15,389 · median $13,061 | 9 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $18,678 – $30,055 · median $25,241 | 9 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $10,100 – $16,252 · median $13,881 | 9 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,761 – $12,771 · median $11,244 | 9 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $11,472 – $18,460 · median $16,176 | 9 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,526 – $12,110 · median $10,381 | 9 plans |
| 813 | COAGULATION DISORDERS | $12,623 – $20,312 · median $17,979 | 9 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $17,046 – $27,429 · median $24,526 | 9 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $8,286 – $13,333 · median $11,458 | 9 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,377 – $9,029 · median $7,791 | 9 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $47,476 – $76,878 · median $68,786 | 9 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $18,203 – $29,291 · median $25,725 | 9 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,326 – $15,750 · median $13,512 | 9 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $38,158 – $61,400 · median $51,884 | 9 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $17,935 – $28,859 · median $25,734 | 9 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,036 – $16,419 · median $14,541 | 9 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $38,941 – $62,660 · median $50,581 | 9 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $19,243 – $30,964 · median $26,706 | 9 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,070 – $21,032 · median $18,906 | 9 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $25,146 – $40,463 · median $36,348 | 9 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,926 – $20,103 · median $17,278 | 9 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $45,071 – $72,524 · median $64,528 | 9 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $17,417 – $28,422 · median $25,234 | 9 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $10,131 – $17,951 · median $13,799 | 9 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $40,829 – $65,699 · median $54,820 | 9 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $16,539 – $26,613 · median $22,501 | 9 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,174 – $17,981 · median $15,018 | 9 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $26,009 – $41,851 · median $36,018 | 9 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,786 – $20,574 · median $18,135 | 9 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,577 – $13,802 · median $12,290 | 9 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $15,438 – $24,841 · median $21,443 | 9 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,746 – $15,682 · median $13,337 | 9 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,823 – $10,996 · median $9,886 | 9 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $20,824 – $33,508 · median $28,167 | 9 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $10,361 – $16,673 · median $13,975 | 9 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,678 – $10,746 · median $8,753 | 9 plans |
| 849 | RADIOTHERAPY | $21,781 – $35,048 · median $31,018 | 9 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $75,116 – $120,871 · median $106,160 | 9 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $40,786 – $65,630 · median $57,617 | 9 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $16,295 – $26,220 · median $23,490 | 9 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $13,256 – $21,637 · median $19,205 | 9 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $36,789 – $59,197 · median $51,037 | 9 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $17,768 – $28,592 · median $24,614 | 9 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,507 – $16,906 · median $14,791 | 9 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $14,993 – $24,126 · median $21,229 | 9 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,154 – $13,121 · median $11,588 | 9 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,322 – $11,782 · median $10,174 | 9 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,828 – $20,850 · median $17,136 | 9 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,215 – $11,668 · median $10,453 | 9 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $17,485 – $28,136 · median $24,114 | 9 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,562 – $13,801 · median $12,406 | 9 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,867 – $9,441 · median $7,960 | 9 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $56,729 – $91,283 · median $80,270 | 9 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $16,002 – $25,749 · median $22,849 | 9 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,408 – $13,529 · median $11,870 | 9 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $36,127 – $58,133 · median $49,878 | 9 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $15,473 – $24,898 · median $21,721 | 9 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,941 – $15,996 · median $14,308 | 9 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $31,485 – $50,663 · median $37,528 | 9 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $13,440 – $21,626 · median $18,252 | 9 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $17,797 – $28,637 · median $21,685 | 9 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $32,484 – $52,271 · median $42,867 | 9 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $16,448 – $26,467 · median $23,097 | 9 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,342 – $17,244 · median $14,984 | 9 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $13,196 – $21,234 · median $17,224 | 9 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,472 – $12,024 · median $10,461 | 9 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $14,171 – $22,803 · median $20,445 | 9 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,415 – $8,713 · median $7,593 | 9 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $13,371 – $21,515 · median $18,393 | 9 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,212 – $11,605 · median $9,922 | 9 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $14,869 – $23,927 · median $21,030 | 9 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $8,284 – $13,329 · median $11,915 | 9 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,607 – $9,023 · median $8,042 | 9 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,775 – $22,185 · median $19,958 | 9 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $8,316 – $13,382 · median $11,656 | 9 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $164,000 – $335,125 · median $237,610 | 9 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $54,462 – $87,977 · median $78,906 | 9 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $25,934 – $41,731 · median $37,059 | 9 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $34,944 – $56,775 · median $37,753 | 9 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $17,498 – $28,156 · median $24,116 | 9 plans |
| 935 | NON-EXTENSIVE BURNS | $17,910 – $28,820 · median $23,524 | 9 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $25,882 – $41,647 · median $37,056 | 9 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $17,217 – $27,704 · median $24,945 | 9 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $15,936 – $25,643 · median $21,390 | 9 plans |
| 945 | REHABILITATION WITH CC/MCC | $12,447 – $20,029 · median $17,397 | 9 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $9,104 – $14,649 · median $11,671 | 9 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $10,488 – $16,876 · median $14,425 | 9 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,479 – $10,425 · median $9,232 | 9 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,798 – $14,157 · median $11,941 | 9 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,780 – $8,119 · median $6,925 | 9 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,623 – $7,501 · median $6,698 | 9 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $55,680 – $89,596 · median $70,190 | 9 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $31,169 – $50,155 · median $44,696 | 9 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $60,865 – $97,939 · median $83,355 | 9 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $33,512 – $53,925 · median $46,616 | 9 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $21,559 – $34,691 · median $29,186 | 9 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $22,153 – $35,647 · median $31,513 | 9 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,234 – $19,686 · median $17,299 | 9 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,441 – $12,153 · median $10,781 | 9 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $51,570 – $87,378 · median $74,717 | 9 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $21,636 – $35,340 · median $27,711 | 9 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $24,350 – $39,182 · median $33,613 | 9 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $11,590 – $18,650 · median $15,712 | 9 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $8,178 – $13,160 · median $9,742 | 9 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $11,758 – $18,919 · median $16,321 | 9 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $38,770 – $62,386 · median $54,633 | 9 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $19,967 – $32,129 · median $28,651 | 9 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,603 – $21,889 · median $18,846 | 9 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $28,566 – $45,966 · median $38,916 | 9 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,994 – $22,517 · median $19,558 | 9 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,422 – $15,161 · median $12,450 | 9 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $17,824 – $35,813 · median $22,531 | 6 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,068 – $18,195 · median $11,076 | 6 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,507 – $11,534 · median $8,174 | 6 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,385 – $13,671 · median $10,840 | 6 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,094 – $9,379 · median $7,512 | 6 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,239 – $6,507 · median $5,217 | 6 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $14,701 – $19,175 · median $15,510 | 4 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $48,480 – $63,230 · median $51,147 | 4 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $33,109 – $43,185 · median $34,931 | 4 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $19,978 – $26,056 · median $21,077 | 4 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $34,010 – $44,359 · median $35,881 | 4 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $12,038 – $15,701 · median $12,701 | 4 plans |
| 795 | NORMAL NEWBORN | $1,629 – $2,126 · median $1,719 | 4 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $32,043 – $43,006 · median $33,806 | 4 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,817 – $11,002 · median $8,247 | 4 plans |
| 881 | DEPRESSIVE NEUROSES | $7,454 – $10,447 · median $7,864 | 4 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,844 – $10,825 · median $8,276 | 4 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $15,138 – $21,614 · median $15,971 | 4 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $13,619 – $20,248 · median $14,369 | 4 plans |
| 885 | PSYCHOSES | $11,494 – $15,748 · median $12,127 | 4 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $14,649 – $19,382 · median $15,455 | 4 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,698 – $14,932 · median $10,232 | 4 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,089 – $6,621 · median $5,370 | 4 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $11,443 – $18,541 · median $12,072 | 4 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $14,522 – $20,493 · median $15,321 | 4 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $7,194 – $9,861 · median $7,590 | 4 plans |
No procedures match that keyword.