St. Michael Medical Center — Pricing
776 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 776 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 776 procedures
Procedures with negotiated rates only
These 776 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $252,333 – $704,141 · median $272,519 | 18 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $98,908 – $419,737 · median $106,821 | 18 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $192,061 – $548,550 · median $207,426 | 18 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $126,735 – $378,216 · median $136,874 | 18 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $95,595 – $266,890 · median $103,243 | 18 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $43,702 – $124,960 · median $47,198 | 18 plans |
| 007 | LUNG TRANSPLANT | $117,241 – $315,847 · median $126,620 | 18 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $48,998 – $142,548 · median $52,917 | 18 plans |
| 010 | PANCREAS TRANSPLANT | $71,650 – $192,691 · median $77,382 | 18 plans |
| 011 | TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $48,593 – $132,666 · median $52,481 | 18 plans |
| 012 | TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $37,032 – $103,042 · median $39,995 | 18 plans |
| 013 | TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $24,026 – $69,100 · median $25,948 | 18 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $117,536 – $316,644 · median $126,939 | 18 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $54,319 – $158,928 · median $58,665 | 18 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $54,319 – $158,928 · median $58,665 | 18 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $337,725 – $969,882 · median $364,743 | 18 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $71,241 – $205,665 · median $76,940 | 18 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $72,438 – $252,163 · median $78,233 | 18 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $49,769 – $189,435 · median $53,750 | 18 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $31,903 – $119,764 · median $34,455 | 18 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $51,360 – $145,853 · median $55,468 | 18 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $34,330 – $104,224 · median $37,077 | 18 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $40,330 – $113,619 · median $43,556 | 18 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $27,682 – $77,226 · median $29,897 | 18 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $22,396 – $62,596 · median $24,188 | 18 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $54,709 – $155,046 · median $59,086 | 18 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $30,349 – $88,204 · median $32,777 | 18 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $20,227 – $59,666 · median $21,846 | 18 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $37,810 – $105,916 · median $40,834 | 18 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $19,424 – $55,415 · median $20,978 | 18 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $14,592 – $41,756 · median $15,759 | 18 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $35,109 – $100,379 · median $37,917 | 18 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $20,669 – $60,707 · median $22,323 | 18 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $16,718 – $46,523 · median $18,055 | 18 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $30,029 – $86,851 · median $32,431 | 18 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $14,733 – $41,164 · median $15,912 | 18 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $10,501 – $29,357 · median $11,341 | 18 plans |
| 040 | PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $34,065 – $99,070 · median $36,791 | 18 plans |
| 041 | PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $20,521 – $57,394 · median $22,163 | 18 plans |
| 042 | PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $16,042 – $49,324 · median $17,326 | 18 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $18,323 – $50,030 · median $19,789 | 18 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,561 – $25,312 · median $9,246 | 18 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $13,729 – $37,912 · median $14,828 | 18 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $10,078 – $27,612 · median $10,885 | 18 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $22,721 – $61,595 · median $24,539 | 18 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $12,256 – $35,074 · median $13,236 | 18 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $16,832 – $44,612 · median $18,179 | 18 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $11,265 – $30,545 · median $12,166 | 18 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $8,301 – $23,089 · median $8,966 | 18 plans |
| 061 | ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $24,504 – $72,113 · median $26,464 | 18 plans |
| 062 | ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $16,251 – $49,018 · median $17,551 | 18 plans |
| 063 | ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $12,886 – $40,958 · median $13,917 | 18 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $18,114 – $51,535 · median $19,563 | 18 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $9,415 – $27,102 · median $10,169 | 18 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,475 – $19,393 · median $6,993 | 18 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $13,334 – $36,455 · median $14,401 | 18 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $8,204 – $22,495 · median $8,860 | 18 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $7,476 – $20,550 · median $8,074 | 18 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $15,874 – $46,042 · median $17,144 | 18 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $9,746 – $27,319 · median $10,526 | 18 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $7,029 – $20,146 · median $7,592 | 18 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $14,145 – $38,928 · median $15,277 | 18 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $9,643 – $26,403 · median $10,415 | 18 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $15,727 – $49,240 · median $16,985 | 18 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $8,521 – $24,932 · median $9,202 | 18 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $14,152 – $40,940 · median $15,284 | 18 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $9,245 – $26,164 · median $9,985 | 18 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $6,282 – $19,060 · median $6,785 | 18 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $18,102 – $56,828 · median $19,550 | 18 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $8,412 – $23,401 · median $9,085 | 18 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $21,076 – $58,618 · median $22,762 | 18 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $12,757 – $34,899 · median $13,777 | 18 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,871 – $24,065 · median $9,581 | 18 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $20,591 – $58,477 · median $22,238 | 18 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $12,052 – $33,888 · median $13,016 | 18 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $8,226 – $22,801 · median $8,884 | 18 plans |
| 088 | CONCUSSION WITH MCC | $12,939 – $39,463 · median $13,974 | 18 plans |
| 089 | CONCUSSION WITH CC | $9,909 – $29,586 · median $10,702 | 18 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,987 – $24,051 · median $8,626 | 18 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $16,626 – $46,034 · median $17,957 | 18 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $9,789 – $26,401 · median $10,572 | 18 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,379 – $19,925 · median $7,969 | 18 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $32,961 – $93,208 · median $35,598 | 18 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $21,765 – $61,840 · median $23,506 | 18 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $21,765 – $57,936 · median $23,506 | 18 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $32,388 – $93,574 · median $34,979 | 18 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $19,726 – $55,433 · median $21,304 | 18 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $12,783 – $33,967 · median $13,806 | 18 plans |
| 100 | SEIZURES WITH MCC | $18,079 – $51,008 · median $19,526 | 18 plans |
| 101 | SEIZURES WITHOUT MCC | $8,564 – $23,403 · median $9,249 | 18 plans |
| 102 | HEADACHES WITH MCC | $10,691 – $31,045 · median $11,546 | 18 plans |
| 103 | HEADACHES WITHOUT MCC | $7,924 – $21,674 · median $8,558 | 18 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $20,507 – $64,510 · median $22,147 | 18 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,893 – $31,693 · median $11,765 | 18 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $14,015 – $40,250 · median $15,136 | 18 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $15,246 – $47,105 · median $16,466 | 18 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $9,967 – $30,834 · median $10,765 | 18 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $10,724 – $32,964 · median $11,582 | 18 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,386 – $19,155 · median $6,897 | 18 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $7,503 – $20,686 · median $8,104 | 18 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $11,983 – $34,011 · median $12,942 | 18 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $7,705 – $20,519 · median $8,321 | 18 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $21,889 – $68,236 · median $23,640 | 18 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $9,069 – $28,791 · median $9,795 | 18 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $12,830 – $38,714 · median $13,857 | 18 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,596 – $22,274 · median $8,203 | 18 plans |
| 139 | SALIVARY GLAND PROCEDURES | $12,601 – $33,183 · median $13,609 | 18 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $38,155 – $103,424 · median $41,207 | 18 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $19,539 – $57,355 · median $21,103 | 18 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $14,385 – $41,800 · median $15,536 | 18 plans |
| 143 | OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $29,859 – $85,564 · median $32,247 | 18 plans |
| 144 | OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC | $16,034 – $45,481 · median $17,317 | 18 plans |
| 145 | OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $10,917 – $31,529 · median $11,791 | 18 plans |
| 146 | EAR NOSE MOUTH AND THROAT MALIGNANCY WITH MCC | $20,842 – $55,444 · median $22,510 | 18 plans |
| 147 | EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC | $11,454 – $34,112 · median $12,371 | 18 plans |
| 148 | EAR NOSE MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $7,481 – $23,701 · median $8,080 | 18 plans |
| 149 | DYSEQUILIBRIUM | $7,005 – $19,160 · median $7,565 | 18 plans |
| 150 | EPISTAXIS WITH MCC | $12,684 – $34,800 · median $13,698 | 18 plans |
| 151 | EPISTAXIS WITHOUT MCC | $7,099 – $19,829 · median $7,667 | 18 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $10,470 – $30,571 · median $11,308 | 18 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,685 – $18,906 · median $7,220 | 18 plans |
| 154 | OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC | $14,867 – $39,576 · median $16,057 | 18 plans |
| 155 | OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH CC | $8,670 – $24,355 · median $9,364 | 18 plans |
| 156 | OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,333 – $17,291 · median $6,840 | 18 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $14,968 – $43,919 · median $16,165 | 18 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $8,733 – $24,147 · median $9,431 | 18 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,219 – $17,372 · median $6,716 | 18 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $41,555 – $130,414 · median $44,879 | 18 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $22,836 – $67,078 · median $24,663 | 18 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $16,994 – $48,278 · median $18,354 | 18 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $34,765 – $104,403 · median $37,546 | 18 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $16,665 – $50,795 · median $17,998 | 18 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,430 – $34,881 · median $13,425 | 18 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $27,771 – $79,895 · median $29,993 | 18 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $12,924 – $38,240 · median $13,958 | 18 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $7,604 – $23,719 · median $8,213 | 18 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $14,780 – $48,514 · median $15,962 | 18 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $9,193 – $34,418 · median $9,929 | 18 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $7,204 – $24,228 · median $7,780 | 18 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $15,955 – $44,722 · median $17,231 | 18 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $10,251 – $30,235 · median $11,071 | 18 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $7,810 – $21,219 · median $8,435 | 18 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $14,519 – $40,510 · median $15,680 | 18 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $9,873 – $27,064 · median $10,663 | 18 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $7,275 – $19,443 · median $7,857 | 18 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $14,453 – $40,321 · median $15,610 | 18 plans |
| 187 | PLEURAL EFFUSION WITH CC | $9,300 – $27,437 · median $10,044 | 18 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,886 – $19,962 · median $7,437 | 18 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $11,388 – $31,698 · median $12,299 | 18 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $10,365 – $29,830 · median $11,194 | 18 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $8,004 – $23,862 · median $8,644 | 18 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $6,108 – $18,795 · median $6,596 | 18 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $12,107 – $36,011 · median $13,075 | 18 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $7,654 – $24,602 · median $8,266 | 18 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,889 – $18,260 · median $6,360 | 18 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $17,174 – $48,767 · median $18,548 | 18 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $9,175 – $27,502 · median $9,909 | 18 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,584 – $21,038 · median $7,110 | 18 plans |
| 199 | PNEUMOTHORAX WITH MCC | $16,111 – $47,020 · median $17,400 | 18 plans |
| 200 | PNEUMOTHORAX WITH CC | $10,226 – $27,710 · median $11,044 | 18 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,375 – $19,232 · median $6,885 | 18 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $8,966 – $24,636 · median $9,683 | 18 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $6,550 – $17,879 · median $7,074 | 18 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $7,573 – $21,172 · median $8,179 | 18 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $17,207 – $46,577 · median $18,584 | 18 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $8,421 – $23,503 · median $9,095 | 18 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $58,178 – $177,736 · median $62,832 | 18 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $24,329 – $69,566 · median $26,275 | 18 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $97,783 – $279,844 · median $105,605 | 18 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $95,107 – $418,508 · median $102,715 | 18 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $86,664 – $250,570 · median $93,597 | 18 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $58,095 – $164,201 · median $62,742 | 18 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $53,544 – $147,263 · median $57,828 | 18 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $69,543 – $200,352 · median $75,106 | 18 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $47,706 – $134,938 · median $51,522 | 18 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $41,406 – $119,790 · median $44,719 | 18 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $44,902 – $184,132 · median $48,494 | 18 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $28,109 – $123,308 · median $30,357 | 18 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $76,131 – $209,576 · median $82,222 | 18 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $54,971 – $153,052 · median $59,368 | 18 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $70,249 – $200,676 · median $75,869 | 18 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $47,916 – $133,737 · median $51,749 | 18 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $52,962 – $151,302 · median $57,199 | 18 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $37,107 – $103,976 · median $40,076 | 18 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $45,381 – $125,127 · median $49,012 | 18 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $26,372 – $72,278 · median $28,482 | 18 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $13,826 – $37,625 · median $14,932 | 18 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $30,665 – $96,146 · median $33,118 | 18 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $20,473 – $68,431 · median $22,110 | 18 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $16,464 – $55,583 · median $17,781 | 18 plans |
| 245 | AICD GENERATOR PROCEDURES | $44,038 – $124,054 · median $47,562 | 18 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $21,008 – $68,330 · median $22,688 | 18 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $14,298 – $43,826 · median $15,441 | 18 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $31,008 – $86,290 · median $33,489 | 18 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $23,158 – $68,699 · median $25,011 | 18 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $15,969 – $46,154 · median $17,246 | 18 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $23,727 – $70,688 · median $25,625 | 18 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $15,470 – $43,837 · median $16,708 | 18 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,297 – $29,347 · median $8,961 | 18 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $25,418 – $78,858 · median $27,451 | 18 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $16,043 – $51,717 · median $17,327 | 18 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $30,792 – $97,781 · median $33,255 | 18 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $17,295 – $50,883 · median $18,678 | 18 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $13,897 – $42,332 · median $15,008 | 18 plans |
| 263 | VEIN LIGATION AND STRIPPING | $24,313 – $72,690 · median $26,259 | 18 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $31,587 – $84,470 · median $34,114 | 18 plans |
| 265 | AICD LEAD PROCEDURES | $32,232 – $90,929 · median $34,811 | 18 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $53,916 – $218,075 · median $58,229 | 18 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $42,409 – $168,156 · median $45,802 | 18 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $59,971 – $176,365 · median $64,769 | 18 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $37,542 – $106,997 · median $40,546 | 18 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $46,241 – $130,109 · median $49,940 | 18 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $31,134 – $88,925 · median $33,624 | 18 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $22,704 – $62,766 · median $24,520 | 18 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $35,302 – $100,266 · median $38,126 | 18 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $28,240 – $83,383 · median $30,499 | 18 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $63,544 – $182,804 · median $68,628 | 18 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $55,737 – $161,353 · median $60,196 | 18 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $41,937 – $124,256 · median $45,292 | 18 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $45,081 – $120,920 · median $48,687 | 18 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $28,986 – $83,158 · median $31,305 | 18 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC | $15,003 – $43,515 · median $16,203 | 18 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC | $8,564 – $25,899 · median $9,250 | 18 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC/MCC | $6,805 – $19,390 · median $7,349 | 18 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC | $17,812 – $50,722 · median $19,237 | 18 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC | $6,947 – $19,601 · median $7,503 | 18 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION EXPIRED WITHOUT CC/MCC | $5,340 – $13,568 · median $5,767 | 18 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC | $20,119 – $57,231 · median $21,729 | 18 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC | $10,067 – $30,381 · median $10,872 | 18 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $24,755 – $72,160 · median $26,736 | 18 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $14,424 – $40,332 · median $15,578 | 18 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $9,076 – $32,750 · median $9,802 | 18 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $11,991 – $38,443 · median $12,950 | 18 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $8,022 – $24,875 · median $8,664 | 18 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,226 – $17,195 · median $5,645 | 18 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $11,304 – $29,678 · median $12,208 | 18 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $7,384 – $20,509 · median $7,974 | 18 plans |
| 296 | CARDIAC ARREST UNEXPLAINED WITH MCC | $14,976 – $41,249 · median $16,174 | 18 plans |
| 297 | CARDIAC ARREST UNEXPLAINED WITH CC | $6,619 – $18,746 · median $7,149 | 18 plans |
| 298 | CARDIAC ARREST UNEXPLAINED WITHOUT CC/MCC | $4,269 – $11,419 · median $4,611 | 18 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $14,790 – $40,554 · median $15,973 | 18 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $9,896 – $27,453 · median $10,687 | 18 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,700 – $18,803 · median $7,236 | 18 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $10,725 – $28,845 · median $11,583 | 18 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $6,333 – $16,932 · median $6,840 | 18 plans |
| 304 | HYPERTENSION WITH MCC | $10,828 – $29,563 · median $11,694 | 18 plans |
| 305 | HYPERTENSION WITHOUT MCC | $7,034 – $19,387 · median $7,596 | 18 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $13,714 – $39,540 · median $14,811 | 18 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $8,606 – $24,252 · median $9,294 | 18 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $11,106 – $31,298 · median $11,995 | 18 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,932 – $20,154 · median $7,486 | 18 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,323 – $14,620 · median $5,749 | 18 plans |
| 311 | ANGINA PECTORIS | $6,565 – $17,961 · median $7,090 | 18 plans |
| 312 | SYNCOPE AND COLLAPSE | $8,113 – $22,217 · median $8,762 | 18 plans |
| 313 | CHEST PAIN | $6,700 – $18,618 · median $7,236 | 18 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $19,584 – $53,864 · median $21,151 | 18 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $8,927 – $25,223 · median $9,641 | 18 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,425 – $17,822 · median $6,939 | 18 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $39,619 – $112,227 · median $42,788 | 18 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $21,027 – $60,998 · median $22,710 | 18 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $25,787 – $74,690 · median $27,850 | 18 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $16,504 – $47,376 · median $17,824 | 18 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $38,425 – $107,565 · median $41,499 | 18 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $28,903 – $77,219 · median $31,215 | 18 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $25,924 – $69,171 · median $27,998 | 18 plans |
| 326 | STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $45,758 – $139,445 · median $49,419 | 18 plans |
| 327 | STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $22,041 – $67,291 · median $23,804 | 18 plans |
| 328 | STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $14,574 – $41,097 · median $15,740 | 18 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $41,400 – $128,902 · median $44,712 | 18 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $21,465 – $66,007 · median $23,182 | 18 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $15,088 – $43,190 · median $16,296 | 18 plans |
| 332 | RECTAL RESECTION WITH MCC | $31,351 – $124,108 · median $33,859 | 18 plans |
| 333 | RECTAL RESECTION WITH CC | $19,332 – $64,711 · median $20,878 | 18 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $15,156 – $41,452 · median $16,369 | 18 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $32,735 – $106,617 · median $35,354 | 18 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $19,216 – $60,899 · median $20,753 | 18 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $14,052 – $42,122 · median $15,176 | 18 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $24,424 – $82,171 · median $26,378 | 18 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,636 – $43,104 · median $14,727 | 18 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,459 – $33,134 · median $12,375 | 18 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $21,493 – $65,586 · median $23,212 | 18 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $11,580 – $37,604 · median $12,507 | 18 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $8,199 – $25,106 · median $8,854 | 18 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $21,957 – $63,043 · median $23,713 | 18 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $13,778 – $37,451 · median $14,880 | 18 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $10,182 – $28,533 · median $10,997 | 18 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $26,558 – $75,239 · median $28,683 | 18 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $15,537 – $44,197 · median $16,780 | 18 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $12,245 – $35,058 · median $13,225 | 18 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $38,482 – $110,087 · median $41,560 | 18 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $20,465 – $56,521 · median $22,103 | 18 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,441 – $35,206 · median $13,436 | 18 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $15,258 – $48,727 · median $16,479 | 18 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $9,422 – $27,468 · median $10,175 | 18 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,562 – $19,486 · median $7,087 | 18 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $15,956 – $45,443 · median $17,233 | 18 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $9,526 – $28,211 · median $10,288 | 18 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,807 – $19,988 · median $7,352 | 18 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $19,208 – $54,005 · median $20,744 | 18 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $11,310 – $31,818 · median $12,215 | 18 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $8,217 – $22,935 · median $8,875 | 18 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $16,584 – $46,066 · median $17,911 | 18 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $9,138 – $25,618 · median $9,869 | 18 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $6,014 – $17,062 · median $6,495 | 18 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $17,534 – $52,473 · median $18,936 | 18 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $10,061 – $27,931 · median $10,866 | 18 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $7,021 – $19,900 · median $7,583 | 18 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $11,628 – $35,974 · median $12,558 | 18 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $8,097 – $22,531 · median $8,745 | 18 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $14,854 – $42,366 · median $16,042 | 18 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $9,197 – $25,210 · median $9,933 | 18 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,314 – $19,284 · median $6,820 | 18 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $13,468 – $40,210 · median $14,546 | 18 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $7,489 – $22,306 · median $8,088 | 18 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,213 – $15,626 · median $5,630 | 18 plans |
| 391 | ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $11,809 – $32,822 · median $12,754 | 18 plans |
| 392 | ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $7,299 – $20,213 · median $7,882 | 18 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $15,133 – $43,445 · median $16,344 | 18 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $8,739 – $24,296 · median $9,438 | 18 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,011 – $17,138 · median $6,492 | 18 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $22,486 – $59,883 · median $24,285 | 18 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $13,856 – $39,319 · median $14,964 | 18 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $10,372 – $28,921 · median $11,201 | 18 plans |
| 405 | PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC | $48,887 – $141,643 · median $52,798 | 18 plans |
| 406 | PANCREAS LIVER AND SHUNT PROCEDURES WITH CC | $25,443 – $74,290 · median $27,479 | 18 plans |
| 407 | PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $19,426 – $55,343 · median $20,980 | 18 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $31,643 – $101,151 · median $34,174 | 18 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $19,074 – $57,321 · median $20,600 | 18 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $14,195 – $43,159 · median $15,330 | 18 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $24,799 – $92,563 · median $26,783 | 18 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $19,388 – $61,635 · median $20,939 | 18 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $15,191 – $46,482 · median $16,407 | 18 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $31,665 – $91,184 · median $34,198 | 18 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $18,015 – $52,575 · median $19,456 | 18 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $12,576 – $34,456 · median $13,582 | 18 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $21,579 – $62,211 · median $23,306 | 18 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $15,155 – $42,868 · median $16,367 | 18 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $12,106 – $33,787 · median $13,074 | 18 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $31,895 – $90,230 · median $34,447 | 18 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $14,969 – $43,986 · median $16,166 | 18 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $13,464 – $36,967 · median $14,541 | 18 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $36,707 – $116,444 · median $39,644 | 18 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $20,746 – $61,195 · median $22,405 | 18 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $14,147 – $41,215 · median $15,279 | 18 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $17,845 – $49,297 · median $19,273 | 18 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,889 – $26,527 · median $10,680 | 18 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,549 – $17,226 · median $7,073 | 18 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $16,642 – $45,280 · median $17,973 | 18 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $10,407 – $29,710 · median $11,239 | 18 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,342 – $24,176 · median $7,930 | 18 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $15,202 – $43,089 · median $16,418 | 18 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $8,013 – $22,612 · median $8,654 | 18 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,821 – $16,317 · median $6,286 | 18 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $17,230 – $49,132 · median $18,609 | 18 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $8,962 – $24,481 · median $9,679 | 18 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,604 – $18,389 · median $7,133 | 18 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $15,387 – $42,021 · median $16,618 | 18 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $10,020 – $27,962 · median $10,822 | 18 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $7,451 – $20,622 · median $8,047 | 18 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC | $76,089 – $257,632 · median $82,177 | 18 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH CC | $51,666 – $183,233 · median $55,800 | 18 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $38,950 – $138,715 · median $42,065 | 18 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $55,221 – $175,433 · median $59,639 | 18 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $25,939 – $85,216 · median $28,014 | 18 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $48,639 – $145,721 · median $52,530 | 18 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $26,698 – $79,224 · median $28,834 | 18 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $15,850 – $53,099 · median $17,118 | 18 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $45,898 – $133,446 · median $49,569 | 18 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $30,962 – $89,699 · median $33,439 | 18 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $23,787 – $72,583 · median $25,690 | 18 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $29,562 – $85,672 · median $31,927 | 18 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $17,186 – $53,707 · median $18,561 | 18 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $43,775 – $126,561 · median $47,276 | 18 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $26,238 – $76,039 · median $28,337 | 18 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $21,498 – $63,309 · median $23,218 | 18 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $40,441 – $110,707 · median $43,676 | 18 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $19,618 – $55,181 · median $21,188 | 18 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,723 – $30,280 · median $11,581 | 18 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $31,085 – $86,681 · median $33,572 | 18 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $21,240 – $61,330 · median $22,940 | 18 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $16,205 – $47,959 · median $17,501 | 18 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $26,630 – $77,982 · median $28,760 | 18 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $18,881 – $53,385 · median $20,391 | 18 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $14,511 – $42,465 · median $15,671 | 18 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $23,116 – $63,916 · median $24,965 | 18 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $29,120 – $84,751 · median $31,449 | 18 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $19,293 – $53,661 · median $20,836 | 18 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $14,455 – $40,051 · median $15,611 | 18 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $17,901 – $54,201 · median $19,333 | 18 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,397 – $33,421 · median $12,309 | 18 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH MCC | $32,089 – $89,076 · median $34,656 | 18 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC | $21,799 – $61,793 · median $23,542 | 18 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITHOUT CC/MCC | $17,186 – $48,093 · median $18,560 | 18 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $31,815 – $92,141 · median $34,361 | 18 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $17,969 – $51,136 · median $19,407 | 18 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $12,329 – $36,726 · median $13,316 | 18 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $22,907 – $67,178 · median $24,740 | 18 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $10,703 – $33,185 · median $11,559 | 18 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $28,667 – $83,434 · median $30,960 | 18 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $16,285 – $44,658 · median $17,587 | 18 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $12,818 – $35,575 · median $13,843 | 18 plans |
| 503 | FOOT PROCEDURES WITH MCC | $23,996 – $69,003 · median $25,916 | 18 plans |
| 504 | FOOT PROCEDURES WITH CC | $16,019 – $44,437 · median $17,300 | 18 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $16,019 – $43,886 · median $17,300 | 18 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $13,729 – $37,631 · median $14,828 | 18 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $17,658 – $54,847 · median $19,071 | 18 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,864 – $43,780 · median $12,813 | 18 plans |
| 509 | ARTHROSCOPY | $16,034 – $45,806 · median $17,317 | 18 plans |
| 510 | SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $25,888 – $69,998 · median $27,959 | 18 plans |
| 511 | SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH CC | $17,864 – $51,298 · median $19,293 | 18 plans |
| 512 | SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $14,702 – $41,521 · median $15,878 | 18 plans |
| 513 | HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $13,788 – $41,707 · median $14,891 | 18 plans |
| 514 | HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $9,439 – $26,797 · median $10,195 | 18 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $27,984 – $81,467 · median $30,223 | 18 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $18,316 – $53,806 · median $19,781 | 18 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $13,672 – $46,640 · median $14,766 | 18 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $32,383 – $93,957 · median $34,973 | 18 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $17,959 – $50,650 · median $19,396 | 18 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $13,140 – $36,831 · median $14,191 | 18 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $26,395 – $79,593 · median $28,506 | 18 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $19,178 – $56,877 · median $20,712 | 18 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $13,960 – $41,974 · median $15,077 | 18 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $7,600 – $20,840 · median $8,208 | 18 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $12,216 – $33,363 · median $13,193 | 18 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $7,572 – $20,251 · median $8,178 | 18 plans |
| 537 | SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITH CC/MCC | $8,539 – $24,880 · median $9,223 | 18 plans |
| 538 | SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITHOUT CC/MCC | $6,325 – $18,244 · median $6,831 | 18 plans |
| 539 | OSTEOMYELITIS WITH MCC | $18,411 – $51,057 · median $19,884 | 18 plans |
| 540 | OSTEOMYELITIS WITH CC | $11,895 – $34,146 · median $12,847 | 18 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $8,145 – $25,031 · median $8,796 | 18 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $17,004 – $47,926 · median $18,364 | 18 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $9,809 – $28,721 · median $10,594 | 18 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $7,078 – $20,133 · median $7,645 | 18 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $22,925 – $64,148 · median $24,759 | 18 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $10,675 – $30,857 · median $11,529 | 18 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,993 – $21,183 · median $7,553 | 18 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $18,342 – $50,166 · median $19,809 | 18 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $11,099 – $31,034 · median $11,987 | 18 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $8,030 – $24,275 · median $8,673 | 18 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $15,584 – $43,788 · median $16,831 | 18 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $8,940 – $24,862 · median $9,655 | 18 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $12,002 – $34,773 · median $12,962 | 18 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,784 – $21,144 · median $8,407 | 18 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,365 – $35,995 · median $13,354 | 18 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,622 – $21,211 · median $8,232 | 18 plans |
| 557 | TENDONITIS MYOSITIS AND BURSITIS WITH MCC | $14,182 – $40,055 · median $15,317 | 18 plans |
| 558 | TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC | $8,046 – $22,600 · median $8,689 | 18 plans |
| 559 | AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $16,925 – $48,441 · median $18,279 | 18 plans |
| 560 | AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $10,505 – $29,128 · median $11,345 | 18 plans |
| 561 | AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,632 – $20,074 · median $8,243 | 18 plans |
| 562 | FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC | $13,411 – $39,126 · median $14,484 | 18 plans |
| 563 | FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC | $8,314 – $23,043 · median $8,979 | 18 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $14,357 – $41,285 · median $15,505 | 18 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $9,440 – $25,714 · median $10,196 | 18 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $7,010 – $19,310 · median $7,571 | 18 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $27,249 – $75,185 · median $29,429 | 18 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $15,297 – $43,531 · median $16,521 | 18 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $10,538 – $29,321 · median $11,381 | 18 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $55,413 – $159,985 · median $59,846 | 18 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $31,317 – $87,628 · median $33,822 | 18 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $18,181 – $52,642 · median $19,636 | 18 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $48,588 – $146,220 · median $52,475 | 18 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $24,141 – $68,159 · median $26,072 | 18 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $15,441 – $41,437 · median $16,676 | 18 plans |
| 579 | OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $29,478 – $85,991 · median $31,837 | 18 plans |
| 580 | OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $16,180 – $44,938 · median $17,474 | 18 plans |
| 581 | OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $13,194 – $34,783 · median $14,249 | 18 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $15,985 – $44,802 · median $17,264 | 18 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $15,014 – $39,701 · median $16,215 | 18 plans |
| 584 | BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $18,635 – $50,393 · median $20,126 | 18 plans |
| 585 | BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $18,078 – $47,976 · median $19,524 | 18 plans |
| 592 | SKIN ULCERS WITH MCC | $18,715 – $53,776 · median $20,212 | 18 plans |
| 593 | SKIN ULCERS WITH CC | $11,257 – $31,130 · median $12,157 | 18 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,910 – $20,511 · median $8,543 | 18 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $19,241 – $55,961 · median $20,780 | 18 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $9,990 – $26,128 · median $10,789 | 18 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $16,034 – $45,684 · median $17,317 | 18 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,970 – $30,942 · median $10,768 | 18 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,966 – $20,661 · median $8,603 | 18 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,876 – $26,385 · median $9,586 | 18 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,681 – $17,177 · median $6,135 | 18 plans |
| 602 | CELLULITIS WITH MCC | $13,462 – $38,272 · median $14,539 | 18 plans |
| 603 | CELLULITIS WITHOUT MCC | $8,198 – $22,762 · median $8,853 | 18 plans |
| 604 | TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $13,610 – $38,753 · median $14,698 | 18 plans |
| 605 | TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $8,581 – $23,383 · median $9,268 | 18 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $14,724 – $40,801 · median $15,902 | 18 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $8,049 – $22,989 · median $8,693 | 18 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $20,707 – $62,409 · median $22,364 | 18 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $13,138 – $37,850 · median $14,189 | 18 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $34,897 – $105,809 · median $37,688 | 18 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $17,599 – $52,203 · median $19,007 | 18 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,457 – $32,311 · median $12,374 | 18 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $24,711 – $80,212 · median $26,688 | 18 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $14,605 – $46,430 · median $15,774 | 18 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $13,396 – $40,329 · median $14,467 | 18 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $33,796 – $98,429 · median $36,500 | 18 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $17,431 – $49,236 · median $18,825 | 18 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,292 – $28,675 · median $10,035 | 18 plans |
| 625 | THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $25,969 – $75,160 · median $28,046 | 18 plans |
| 626 | THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $13,821 – $39,074 · median $14,926 | 18 plans |
| 627 | THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $11,652 – $31,801 · median $12,584 | 18 plans |
| 628 | OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $35,619 – $103,289 · median $38,468 | 18 plans |
| 629 | OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $20,440 – $58,220 · median $22,075 | 18 plans |
| 630 | OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $12,854 – $39,116 · median $13,883 | 18 plans |
| 637 | DIABETES WITH MCC | $13,347 – $37,289 · median $14,414 | 18 plans |
| 638 | DIABETES WITH CC | $8,523 – $23,141 · median $9,205 | 18 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,923 – $16,016 · median $6,397 | 18 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC | $12,199 – $33,839 · median $13,175 | 18 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC | $7,308 – $20,105 · median $7,893 | 18 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $11,421 – $33,533 · median $12,335 | 18 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $15,145 – $42,327 · median $16,356 | 18 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $9,563 – $27,316 · median $10,328 | 18 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $7,284 – $19,577 · median $7,867 | 18 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $41,538 – $117,259 · median $44,861 | 18 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $31,385 – $95,967 · median $33,896 | 18 plans |
| 652 | KIDNEY TRANSPLANT | $27,796 – $85,647 · median $30,020 | 18 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $50,192 – $149,399 · median $54,207 | 18 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $25,566 – $79,991 · median $27,611 | 18 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $18,902 – $56,212 · median $20,415 | 18 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $29,466 – $89,511 · median $31,823 | 18 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $16,673 – $52,323 · median $18,007 | 18 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $13,773 – $39,841 · median $14,875 | 18 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $23,438 – $87,232 · median $25,314 | 18 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $12,306 – $49,010 · median $13,291 | 18 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $9,502 – $36,996 · median $10,262 | 18 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $28,228 – $77,102 · median $30,486 | 18 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $13,983 – $39,134 · median $15,101 | 18 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,978 – $31,558 · median $10,776 | 18 plans |
| 665 | PROSTATECTOMY WITH MCC | $31,037 – $82,983 · median $33,520 | 18 plans |
| 666 | PROSTATECTOMY WITH CC | $15,055 – $45,684 · median $16,260 | 18 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $9,513 – $27,005 · median $10,274 | 18 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $26,409 – $72,504 · median $28,522 | 18 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $14,162 – $39,484 · median $15,295 | 18 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $8,868 – $25,078 · median $9,577 | 18 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $15,739 – $44,045 · median $16,998 | 18 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $10,109 – $26,449 · median $10,917 | 18 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $37,801 – $101,254 · median $40,825 | 18 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $20,970 – $61,292 · median $22,648 | 18 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $14,322 – $40,819 · median $15,467 | 18 plans |
| 682 | RENAL FAILURE WITH MCC | $13,755 – $38,944 · median $14,855 | 18 plans |
| 683 | RENAL FAILURE WITH CC | $8,270 – $23,880 · median $8,932 | 18 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,752 – $16,059 · median $6,212 | 18 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $17,188 – $47,326 · median $18,563 | 18 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $9,736 – $27,559 · median $10,514 | 18 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,797 – $20,092 · median $7,340 | 18 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $10,788 – $30,216 · median $11,651 | 18 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $7,498 – $20,761 · median $8,098 | 18 plans |
| 693 | URINARY STONES WITH MCC | $13,473 – $36,440 · median $14,551 | 18 plans |
| 694 | URINARY STONES WITHOUT MCC | $7,308 – $20,138 · median $7,893 | 18 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $10,408 – $31,636 · median $11,240 | 18 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,507 – $18,026 · median $7,027 | 18 plans |
| 697 | URETHRAL STRICTURE | $9,280 – $28,639 · median $10,023 | 18 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $15,356 – $42,566 · median $16,584 | 18 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $9,442 – $26,915 · median $10,198 | 18 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $6,528 – $19,312 · median $7,050 | 18 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $17,679 – $50,478 · median $19,094 | 18 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $13,581 – $37,526 · median $14,667 | 18 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $20,422 – $56,506 · median $22,055 | 18 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $13,750 – $38,064 · median $14,850 | 18 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $17,411 – $55,110 · median $18,804 | 18 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $9,887 – $30,576 · median $10,678 | 18 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $13,254 – $41,436 · median $14,315 | 18 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,725 – $24,661 · median $9,423 | 18 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $20,522 – $56,797 · median $22,164 | 18 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $13,016 – $36,592 · median $14,057 | 18 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $16,918 – $46,665 · median $18,272 | 18 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $11,339 – $30,252 · median $12,246 | 18 plans |
| 722 | MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH MCC | $15,785 – $48,237 · median $17,048 | 18 plans |
| 723 | MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC | $10,364 – $28,670 · median $11,193 | 18 plans |
| 724 | MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,836 – $20,828 · median $7,383 | 18 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $11,614 – $34,361 · median $12,543 | 18 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,977 – $18,805 · median $7,536 | 18 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $13,464 – $41,707 · median $14,541 | 18 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,628 – $20,988 · median $8,238 | 18 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $10,167 – $27,842 · median $10,980 | 18 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,747 – $17,023 · median $6,207 | 18 plans |
| 734 | PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $19,131 – $70,650 · median $20,661 | 18 plans |
| 735 | PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $11,178 – $32,424 · median $12,072 | 18 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $35,546 – $108,446 · median $38,390 | 18 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $18,197 – $50,784 · median $19,652 | 18 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $13,889 – $36,660 · median $15,000 | 18 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $35,934 – $96,210 · median $38,808 | 18 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $16,585 – $45,978 · median $17,912 | 18 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,607 – $33,430 · median $13,615 | 18 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $16,660 – $45,847 · median $17,993 | 18 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $11,042 – $29,897 · median $11,925 | 18 plans |
| 744 | D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $17,799 – $48,432 · median $19,223 | 18 plans |
| 745 | D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $9,486 – $27,523 · median $10,245 | 18 plans |
| 746 | VAGINA CERVIX AND VULVA PROCEDURES WITH CC/MCC | $15,300 – $43,124 · median $16,524 | 18 plans |
| 747 | VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $8,863 – $24,330 · median $9,572 | 18 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $12,506 – $36,147 · median $13,506 | 18 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $23,477 – $71,580 · median $25,355 | 18 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,854 – $34,991 · median $12,803 | 18 plans |
| 754 | MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC | $16,505 – $49,644 · median $17,825 | 18 plans |
| 755 | MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,249 – $29,165 · median $11,069 | 18 plans |
| 756 | MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,862 – $25,464 · median $9,570 | 18 plans |
| 757 | INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,980 – $38,377 · median $14,018 | 18 plans |
| 758 | INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,437 – $27,229 · median $10,192 | 18 plans |
| 759 | INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,043 – $18,297 · median $6,527 | 18 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $9,135 – $25,611 · median $9,866 | 18 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,989 – $15,581 · median $6,468 | 18 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $10,126 – $33,028 · median $10,936 | 18 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,749 – $53,461 · median $13,769 | 18 plans |
| 770 | ABORTION WITH D&C ASPIRATION CURETTAGE OR HYSTEROTOMY | $9,944 – $26,005 · median $10,740 | 18 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $6,701 – $18,440 · median $7,237 | 18 plans |
| 779 | ABORTION WITHOUT D&C | $8,681 – $25,451 · median $9,375 | 18 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $16,798 – $45,587 · median $18,142 | 18 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $10,007 – $28,635 · median $10,807 | 18 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $8,132 – $22,289 · median $8,783 | 18 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $14,774 – $45,013 · median $15,956 | 18 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $9,817 – $28,089 · median $10,602 | 18 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $8,411 – $23,402 · median $9,084 | 18 plans |
| 789 | NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $16,445 – $46,811 · median $17,760 | 18 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE | $53,504 – $154,377 · median $57,784 | 18 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $36,640 – $105,430 · median $39,572 | 18 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $5,644 – $63,615 · median $23,902 | 18 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $5,644 – $88,054 · median $38,759 | 18 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $5,344 – $31,648 · median $13,930 | 18 plans |
| 795 | NORMAL NEWBORN | $2,105 – $5,190 · median $2,273 | 18 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $11,739 – $38,147 · median $12,678 | 18 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $8,980 – $25,624 · median $9,698 | 18 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $8,980 – $23,399 · median $9,698 | 18 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $42,857 – $132,474 · median $46,286 | 18 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $26,386 – $73,875 · median $28,497 | 18 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $15,005 – $46,047 · median $16,206 | 18 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $32,390 – $88,271 · median $34,981 | 18 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $16,243 – $47,810 · median $17,542 | 18 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,209 – $32,116 · median $11,026 | 18 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $9,246 – $26,585 · median $9,986 | 18 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $6,791 – $19,212 · median $7,335 | 18 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $6,019 – $16,834 · median $6,501 | 18 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $20,808 – $56,443 · median $22,473 | 18 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $11,398 – $31,306 · median $12,310 | 18 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,833 – $25,845 · median $9,540 | 18 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $12,905 – $36,113 · median $13,937 | 18 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $8,574 – $23,174 · median $9,260 | 18 plans |
| 813 | COAGULATION DISORDERS | $14,167 – $50,005 · median $15,300 | 18 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $19,021 – $54,754 · median $20,542 | 18 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $9,408 – $25,580 · median $10,161 | 18 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $6,217 – $19,118 · median $6,714 | 18 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $22,998 – $72,473 · median $24,838 | 18 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $11,841 – $36,821 · median $12,788 | 18 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,622 – $23,341 · median $8,232 | 18 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $52,408 – $155,576 · median $56,601 | 18 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $20,290 – $60,561 · median $21,913 | 18 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,550 – $31,873 · median $11,394 | 18 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $42,184 – $115,829 · median $45,558 | 18 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $19,995 – $58,626 · median $21,594 | 18 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,329 – $35,234 · median $12,235 | 18 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $43,043 – $126,496 · median $46,486 | 18 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $21,431 – $61,016 · median $23,145 | 18 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $14,658 – $42,206 · median $15,831 | 18 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $27,907 – $87,175 · median $30,140 | 18 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,402 – $40,683 · median $14,474 | 18 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $10,615 – $27,817 · median $11,464 | 18 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $7,004 – $18,980 · median $7,565 | 18 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,968 – $13,168 · median $5,365 | 18 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $49,769 – $146,320 · median $53,750 | 18 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $19,427 – $58,504 · median $20,981 | 18 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $11,686 – $36,327 · median $12,621 | 18 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $45,116 – $156,066 · median $48,725 | 18 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $18,463 – $68,169 · median $19,940 | 18 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $12,578 – $35,078 · median $13,584 | 18 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $28,849 – $81,105 · median $31,156 | 18 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $14,346 – $43,990 · median $15,494 | 18 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $9,728 – $29,529 · median $10,507 | 18 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $17,256 – $47,871 · median $18,637 | 18 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $11,011 – $30,703 · median $11,891 | 18 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,804 – $22,253 · median $8,428 | 18 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $23,166 – $64,079 · median $25,019 | 18 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $11,686 – $32,496 · median $12,621 | 18 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,644 – $23,724 · median $8,255 | 18 plans |
| 849 | RADIOTHERAPY | $24,215 – $69,247 · median $26,152 | 18 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $45,063 – $132,760 · median $48,668 | 18 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $18,194 – $61,460 · median $19,649 | 18 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $14,861 – $43,786 · median $16,050 | 18 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $40,682 – $120,621 · median $43,936 | 18 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $19,811 – $54,949 · median $21,396 | 18 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,844 – $37,791 · median $12,792 | 18 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $16,768 – $47,393 · median $18,109 | 18 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $9,263 – $25,871 · median $10,004 | 18 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $8,352 – $22,714 · median $9,020 | 18 plans |
| 865 | VIRAL ILLNESS WITH MCC | $13,522 – $42,193 · median $14,604 | 18 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $8,233 – $23,612 · median $8,892 | 18 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $19,502 – $68,767 · median $21,062 | 18 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $9,712 – $27,929 · median $10,489 | 18 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,755 – $17,771 · median $7,296 | 18 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $62,556 – $179,200 · median $67,560 | 18 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $17,872 – $51,010 · median $19,302 | 18 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $9,541 – $26,717 · median $10,305 | 18 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $39,956 – $112,409 · median $43,153 | 18 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $17,295 – $49,148 · median $18,678 | 18 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $11,224 – $31,943 · median $12,122 | 18 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $34,862 – $93,315 · median $37,651 | 18 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $15,063 – $40,747 · median $16,268 | 18 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $19,844 – $52,747 · median $21,431 | 18 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $35,959 – $100,501 · median $38,835 | 18 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $18,364 – $53,481 · median $19,833 | 18 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $11,665 – $34,896 · median $12,598 | 18 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $14,796 – $39,111 · median $15,980 | 18 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $8,516 – $23,354 · median $9,197 | 18 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $15,866 – $45,643 · median $17,135 | 18 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,259 – $16,950 · median $6,760 | 18 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $14,987 – $41,061 · median $16,186 | 18 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $8,232 – $22,150 · median $8,890 | 18 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $16,633 – $46,948 · median $17,963 | 18 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $9,406 – $26,599 · median $10,159 | 18 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,470 – $18,057 · median $6,988 | 18 plans |
| 922 | OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $15,432 – $44,895 · median $16,667 | 18 plans |
| 923 | OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $9,442 – $26,022 · median $10,198 | 18 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $28,714 – $85,917 · median $31,012 | 18 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $19,208 – $55,744 · median $20,744 | 18 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $17,802 – $47,753 · median $19,226 | 18 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $11,825 – $32,202 · median $12,771 | 18 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $7,426 – $20,609 · median $8,020 | 18 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,971 – $27,602 · median $10,769 | 18 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,561 – $16,431 · median $6,006 | 18 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,390 – $24,018 · median $5,821 | 18 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $56,899 – $176,825 · median $61,451 | 18 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $24,056 – $71,516 · median $25,980 | 18 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $27,034 – $75,039 · median $29,197 | 18 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $13,034 – $35,076 · median $14,077 | 18 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $9,291 – $24,241 · median $10,034 | 18 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $13,218 – $36,435 · median $14,275 | 18 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $42,849 – $128,484 · median $46,277 | 18 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $22,222 – $70,983 · median $23,999 | 18 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $15,242 – $46,287 · median $16,462 | 18 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $31,655 – $86,879 · median $34,188 | 18 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,670 – $44,614 · median $16,924 | 18 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,655 – $27,926 · median $11,508 | 18 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $55,666 – $160,735 · median $59,841 | 16 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $35,319 – $101,647 · median $37,968 | 16 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $94,038 – $272,172 · median $101,091 | 16 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $63,864 – $184,542 · median $68,653 | 16 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $49,561 – $143,008 · median $53,278 | 16 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $74,939 – $216,705 · median $80,559 | 16 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $49,261 – $142,135 · median $52,955 | 16 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $60,303 – $174,202 · median $64,826 | 16 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $36,851 – $106,097 · median $39,615 | 16 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $46,394 – $133,810 · median $49,874 | 16 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $27,927 – $80,180 · median $30,022 | 16 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $82,734 – $239,344 · median $88,939 | 16 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $35,475 – $94,971 · median $38,135 | 16 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $8,894 – $23,167 · median $9,561 | 16 plans |
| 881 | DEPRESSIVE NEUROSES | $8,496 – $22,092 · median $9,133 | 16 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,924 – $23,250 · median $9,593 | 16 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $16,904 – $44,805 · median $18,172 | 16 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $15,260 – $40,365 · median $16,405 | 16 plans |
| 885 | PSYCHOSES | $12,929 – $34,067 · median $13,898 | 16 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $15,162 – $43,418 · median $17,521 | 16 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $10,959 – $28,745 · median $11,781 | 16 plans |
| 894 | ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA | $5,901 – $15,083 · median $6,344 | 16 plans |
| 895 | ALCOHOL DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $13,271 – $34,993 · median $14,267 | 16 plans |
| 896 | ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $16,250 – $43,038 · median $17,469 | 16 plans |
| 897 | ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $8,210 – $21,321 · median $8,826 | 16 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $212,560 – $573,333 · median $228,502 | 16 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $60,072 – $161,416 · median $64,577 | 16 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $28,772 – $76,864 · median $30,930 | 16 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $39,029 – $104,573 · median $41,956 | 16 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $19,515 – $51,860 · median $20,979 | 16 plans |
| 935 | NON-EXTENSIVE BURNS | $19,968 – $53,083 · median $21,466 | 16 plans |
| 945 | REHABILITATION WITH CC/MCC | $13,975 – $36,892 · median $15,023 | 16 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $10,306 – $27,369 · median $11,079 | 16 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $61,409 – $165,026 · median $66,014 | 16 plans |
| 956 | LIMB REATTACHMENT HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $34,515 – $99,217 · median $37,104 | 16 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $67,098 – $180,395 · median $72,130 | 16 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $37,087 – $100,267 · median $39,868 | 16 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $23,972 – $65,670 · median $25,770 | 16 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $24,623 – $67,091 · median $26,470 | 16 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $13,738 – $36,835 · median $14,769 | 16 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $8,482 – $25,166 · median $9,118 | 16 plans |
| 453 | NO ACTIVE CODE DESCRIPTION | $189,412 – $227,995 · median $208,704 | 2 plans |
| 454 | NO ACTIVE CODE DESCRIPTION | $130,736 – $157,366 · median $144,051 | 2 plans |
| 455 | NO ACTIVE CODE DESCRIPTION | $98,445 – $118,497 · median $108,471 | 2 plans |
| 459 | NO ACTIVE CODE DESCRIPTION | $141,765 – $170,642 · median $156,204 | 2 plans |
| 460 | NO ACTIVE CODE DESCRIPTION | $78,188 – $94,114 · median $86,151 | 2 plans |
No procedures match that keyword.