St. Michael Medical Center — Pricing
770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 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 770 procedures
Procedures with negotiated rates only
These 770 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 |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $110,332 – $146,461 · median $146,461 | 7 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $72,743 – $95,865 · median $95,865 | 7 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $27,779 – $38,247 · median $38,247 | 7 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $21,126 – $29,752 · median $29,752 | 7 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $13,643 – $20,597 · median $20,597 | 7 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $41,500 – $54,816 · median $54,816 | 7 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $28,455 – $37,147 · median $37,147 | 7 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $18,175 – $22,626 · median $22,626 | 7 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $29,371 – $40,142 · median $40,142 | 7 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $19,572 – $27,666 · median $27,666 | 7 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $23,024 – $32,021 · median $32,021 | 7 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $15,746 – $22,158 · median $22,158 | 7 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $12,705 – $18,135 · median $18,135 | 7 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $31,298 – $42,050 · median $42,050 | 7 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $17,281 – $24,233 · median $24,233 | 7 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $11,457 – $15,886 · median $15,886 | 7 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $21,574 – $31,567 · median $31,567 | 7 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $10,994 – $15,446 · median $15,446 | 7 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $8,214 – $12,234 · median $12,234 | 7 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $20,019 – $27,383 · median $27,383 | 7 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $11,711 – $17,226 · median $17,226 | 7 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $9,437 – $14,155 · median $14,155 | 7 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $17,096 – $23,413 · median $23,413 | 7 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $8,295 – $11,957 · median $11,957 | 7 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $5,860 – $8,890 · median $8,890 | 7 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $19,419 – $27,318 · median $27,318 | 7 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $11,625 – $15,910 · median $15,910 | 7 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $9,048 – $12,679 · median $12,679 | 7 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $10,361 – $13,252 · median $13,252 | 7 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $4,743 – $7,543 · median $7,543 | 7 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $7,718 – $11,301 · median $11,301 | 7 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $5,617 – $7,820 · median $7,820 | 7 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $12,891 – $16,764 · median $16,764 | 7 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $6,870 – $9,714 · median $9,714 | 7 plans |
| 058 | MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMORBITY | $9,503 – $12,554 · median $12,554 | 7 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $6,299 – $9,338 · median $9,338 | 7 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $4,594 – $7,135 · median $7,135 | 7 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $13,917 – $19,742 · median $19,742 | 7 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $9,168 – $12,881 · median $12,881 | 7 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $7,232 – $10,456 · median $10,456 | 7 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY | $10,241 – $14,622 · median $14,622 | 7 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS | $5,235 – $7,756 · median $7,756 | 7 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $3,543 – $5,520 · median $5,520 | 7 plans |
| 067 | NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITH COMORBITY | $7,490 – $10,902 · median $10,902 | 7 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $4,538 – $6,755 · median $6,755 | 7 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,119 – $6,305 · median $6,305 | 7 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $8,952 – $12,247 · median $12,247 | 7 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $5,426 – $7,864 · median $7,864 | 7 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $3,862 – $6,013 · median $6,013 | 7 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $7,957 – $11,832 · median $11,832 | 7 plans |
| 074 | CRANIAL & PERIPHERAL NERVE DISORDERS WITHOUT COMORBITY | $5,366 – $7,897 · median $7,897 | 7 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $8,867 – $13,981 · median $13,981 | 7 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $4,720 – $6,486 · median $6,486 | 7 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $10,233 – $13,243 · median $13,243 | 7 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $4,658 – $6,969 · median $6,969 | 7 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $11,945 – $16,507 · median $16,507 | 7 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $7,158 – $10,401 · median $10,401 | 7 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $4,922 – $7,382 · median $7,382 | 7 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $11,666 – $16,413 · median $16,413 | 7 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $6,752 – $9,762 · median $9,762 | 7 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $4,551 – $7,100 · median $7,100 | 7 plans |
| 088 | CONCUSSION WITH MCC | $7,262 – $10,099 · median $10,099 | 7 plans |
| 089 | CONCUSSION WITH CC | $5,519 – $8,362 · median $8,362 | 7 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $4,413 – $6,472 · median $6,472 | 7 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMORBITY | $9,385 – $12,874 · median $12,874 | 7 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION | $5,450 – $7,843 · median $7,843 | 7 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,063 – $6,288 · median $6,288 | 7 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $18,784 – $24,972 · median $24,972 | 7 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $12,341 – $18,521 · median $18,521 | 7 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $12,341 – $18,521 · median $18,521 | 7 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $18,454 – $25,606 · median $25,606 | 7 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $11,168 – $16,570 · median $16,570 | 7 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $7,173 – $10,172 · median $10,172 | 7 plans |
| 100 | SEIZURES WITH COMORBITY | $10,221 – $14,113 · median $14,113 | 7 plans |
| 101 | SEIZURES WITHOUT COMORBITY | $4,745 – $7,017 · median $7,017 | 7 plans |
| 102 | HEADACHES WITH MCC | $5,969 – $8,515 · median $8,515 | 7 plans |
| 103 | HEADACHES WITHOUT MCC | $4,377 – $6,562 · median $6,562 | 7 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $11,617 – $16,956 · median $16,956 | 7 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $6,086 – $10,108 · median $10,108 | 7 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $7,882 – $11,356 · median $11,356 | 7 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $8,590 – $13,230 · median $13,230 | 7 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $5,553 – $8,268 · median $8,268 | 7 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $5,988 – $8,806 · median $8,806 | 7 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $3,492 – $6,216 · median $6,216 | 7 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,135 – $6,304 · median $6,304 | 7 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $6,713 – $9,902 · median $9,902 | 7 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,251 – $6,092 · median $6,092 | 7 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $12,413 – $15,713 · median $15,713 | 7 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $5,036 – $7,790 · median $7,790 | 7 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $7,200 – $11,070 · median $11,070 | 7 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $4,188 – $6,905 · median $6,905 | 7 plans |
| 139 | SALIVARY GLAND PROCEDURES | $7,068 – $9,303 · median $9,303 | 7 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $21,772 – $30,090 · median $30,090 | 7 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $11,061 – $15,790 · median $15,790 | 7 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $8,095 – $11,778 · median $11,778 | 7 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $16,999 – $26,531 · median $26,531 | 7 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $9,044 – $12,714 · median $12,714 | 7 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $6,099 – $9,074 · median $9,074 | 7 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $11,810 – $15,353 · median $15,353 | 7 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $6,408 – $9,548 · median $9,548 | 7 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,122 – $6,293 · median $6,293 | 7 plans |
| 149 | DYSEQUILIBRIUM | $3,848 – $5,981 · median $5,981 | 7 plans |
| 150 | EPISTAXIS WITH MCC | $7,116 – $9,960 · median $9,960 | 7 plans |
| 151 | EPISTAXIS WITHOUT MCC | $3,902 – $5,860 · median $5,860 | 7 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $5,842 – $8,936 · median $8,936 | 7 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $3,664 – $5,889 · median $5,889 | 7 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $8,372 – $11,552 · median $11,552 | 7 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $4,806 – $7,113 · median $7,113 | 7 plans |
| 156 | OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $3,462 – $5,566 · median $5,566 | 7 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $8,430 – $12,604 · median $12,604 | 7 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $4,842 – $7,067 · median $7,067 | 7 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $3,396 – $5,685 · median $5,685 | 7 plans |
| 163 | MAJOR CHEST PROCEDURES WITH COMORBITY | $23,729 – $31,576 · median $31,576 | 7 plans |
| 164 | MAJOR CHEST PROCEDURES WITH COMPLICATION | $12,958 – $18,142 · median $18,142 | 7 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $9,596 – $13,958 · median $13,958 | 7 plans |
| 166 | OTHER RESP SYSTEM O.R. PROCEDURES WITH COMORBITY | $19,822 – $26,470 · median $26,470 | 7 plans |
| 167 | OTHER RESP SYSTEM O.R. PROCEDURES WITH COMPLICATION | $9,407 – $13,198 · median $13,198 | 7 plans |
| 168 | OTHER RESP SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY | $6,970 – $10,200 · median $10,200 | 7 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $15,798 – $21,247 · median $21,247 | 7 plans |
| 175 | PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE | $7,254 – $10,249 · median $10,249 | 7 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $4,193 – $6,348 · median $6,348 | 7 plans |
| 177 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY | $8,322 – $11,546 · median $11,546 | 7 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $5,107 – $7,521 · median $7,521 | 7 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $3,963 – $6,004 · median $6,004 | 7 plans |
| 180 | RESPIRATORY NEOPLASMS WITH COMORBITY | $8,998 – $12,941 · median $12,941 | 7 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $5,716 – $8,173 · median $8,173 | 7 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,312 – $5,996 · median $5,996 | 7 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $8,172 – $11,321 · median $11,321 | 7 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $5,499 – $8,125 · median $8,125 | 7 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,004 – $6,221 · median $6,221 | 7 plans |
| 186 | PLEURAL EFFUSION WITH COMORBITY | $8,134 – $11,518 · median $11,518 | 7 plans |
| 187 | PLEURAL EFFUSION WITH CC | $5,169 – $7,611 · median $7,611 | 7 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $3,780 – $5,745 · median $5,745 | 7 plans |
| 189 | PULMONARY EDEMA & RESPIRATORY FAILURE | $6,370 – $9,301 · median $9,301 | 7 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY | $5,781 – $8,424 · median $8,424 | 7 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $4,423 – $6,608 · median $6,608 | 7 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $3,332 – $5,229 · median $5,229 | 7 plans |
| 193 | SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY | $6,784 – $9,843 · median $9,843 | 7 plans |
| 194 | SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION | $4,221 – $6,354 · median $6,354 | 7 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,206 – $5,136 · median $5,136 | 7 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $9,700 – $13,773 · median $13,773 | 7 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $5,097 – $7,336 · median $7,336 | 7 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $3,606 – $5,738 · median $5,738 | 7 plans |
| 199 | PNEUMOTHORAX WITH COMORBITY | $9,088 – $12,928 · median $12,928 | 7 plans |
| 200 | PNEUMOTHORAX WITH COMPLICATION | $5,702 – $8,367 · median $8,367 | 7 plans |
| 201 | PNEUMOTHORAX WITHOUT COMPLICATION/COMORBITY | $3,486 – $5,731 · median $5,731 | 7 plans |
| 202 | BRONCHITIS & ASTHMA WITH COMPLICATION/COMORBITY | $4,977 – $7,488 · median $7,488 | 7 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $3,586 – $5,421 · median $5,421 | 7 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,175 – $6,364 · median $6,364 | 7 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $9,719 – $13,387 · median $13,387 | 7 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $4,663 – $7,281 · median $7,281 | 7 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $33,294 – $44,976 · median $44,976 | 7 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $13,817 – $19,684 · median $19,684 | 7 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $56,083 – $75,437 · median $75,437 | 7 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $54,543 – $69,144 · median $69,144 | 7 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $49,685 – $67,949 · median $67,949 | 7 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $33,246 – $45,940 · median $45,940 | 7 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $30,628 – $45,940 · median $45,940 | 7 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $39,834 – $53,509 · median $53,509 | 7 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $27,268 – $37,415 · median $37,415 | 7 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $23,643 – $35,407 · median $35,407 | 7 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $25,655 – $34,771 · median $34,771 | 7 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT COMORBITY | $15,992 – $22,434 · median $22,434 | 7 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $43,625 – $58,666 · median $58,666 | 7 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $31,448 – $42,423 · median $42,423 | 7 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $40,240 – $53,282 · median $53,282 | 7 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $27,389 – $38,306 · median $38,306 | 7 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $30,293 – $41,091 · median $41,091 | 7 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $21,170 – $29,565 · median $29,565 | 7 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $25,931 – $34,594 · median $34,594 | 7 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $14,992 – $20,383 · median $20,383 | 7 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $7,773 – $10,323 · median $10,323 | 7 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMORBITY | $17,462 – $22,731 · median $22,731 | 7 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $11,598 – $15,445 · median $15,445 | 7 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION/COMORBITY | $9,291 – $13,226 · median $13,226 | 7 plans |
| 245 | AICD GENERATOR PROCEDURES | $25,158 – $32,129 · median $32,129 | 7 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $11,906 – $15,799 · median $15,799 | 7 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $8,044 – $11,079 · median $11,079 | 7 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH COMORBITY | $17,660 – $24,759 · median $24,759 | 7 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH COMPLICATION | $13,143 – $18,634 · median $18,634 | 7 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $9,006 – $13,049 · median $13,049 | 7 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $13,470 – $19,332 · median $19,332 | 7 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $8,719 – $12,474 · median $12,474 | 7 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $4,592 – $8,318 · median $8,318 | 7 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $14,443 – $22,384 · median $22,384 | 7 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $9,049 – $14,699 · median $14,699 | 7 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $17,536 – $23,143 · median $23,143 | 7 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $9,769 – $13,796 · median $13,796 | 7 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $7,814 – $12,008 · median $12,008 | 7 plans |
| 263 | VEIN LIGATION AND STRIPPING | $13,808 – $21,802 · median $21,802 | 7 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $17,993 – $23,746 · median $23,746 | 7 plans |
| 265 | AICD LEAD PROCEDURES | $18,364 – $25,650 · median $25,650 | 7 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $30,841 – $42,874 · median $42,874 | 7 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $24,220 – $33,490 · median $33,490 | 7 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $34,326 – $48,017 · median $48,017 | 7 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $21,420 – $29,802 · median $29,802 | 7 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMORBITY | $26,425 – $37,027 · median $37,027 | 7 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $17,732 – $25,226 · median $25,226 | 7 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $12,882 – $18,341 · median $18,341 | 7 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $20,131 – $29,131 · median $29,131 | 7 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $16,067 – $23,410 · median $23,410 | 7 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $36,382 – $49,749 · median $49,749 | 7 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $31,890 – $42,038 · median $42,038 | 7 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $23,949 – $32,514 · median $32,514 | 7 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $25,758 – $39,017 · median $39,017 | 7 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $16,497 – $25,569 · median $25,569 | 7 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMORBITY | $8,450 – $11,831 · median $11,831 | 7 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMPLICATION | $4,746 – $7,130 · median $7,130 | 7 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $3,733 – $5,786 · median $5,786 | 7 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMORBITY | $10,067 – $14,415 · median $14,415 | 7 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $3,815 – $5,574 · median $5,574 | 7 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $2,890 – $4,933 · median $4,933 | 7 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITH COMORBITY | $11,394 – $16,007 · median $16,007 | 7 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITHOUT COMORBITY | $5,610 – $8,167 · median $8,167 | 7 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $14,062 – $19,393 · median $19,393 | 7 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $8,117 – $12,536 · median $12,536 | 7 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,040 – $7,203 · median $7,203 | 7 plans |
| 291 | HEART FAILURE & SHOCK WITH COMORBITY | $6,717 – $9,633 · median $9,633 | 7 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $4,434 – $6,649 · median $6,649 | 7 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $2,825 – $4,708 · median $4,708 | 7 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $8,435 – $11,541 · median $11,541 | 7 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,626 – $5,174 · median $5,174 | 7 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,274 – $3,947 · median $3,947 | 7 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH COMORBITY | $8,328 – $12,027 · median $12,027 | 7 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION | $5,512 – $8,149 · median $8,149 | 7 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $3,673 – $5,762 · median $5,762 | 7 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $5,989 – $9,034 · median $9,034 | 7 plans |
| 303 | ATHEROSCLEROSIS WITHOUT COMORBITY | $3,462 – $5,443 · median $5,443 | 7 plans |
| 304 | HYPERTENSION WITH MCC | $6,048 – $8,989 · median $8,989 | 7 plans |
| 305 | HYPERTENSION WITHOUT COMORBITY | $3,865 – $6,005 · median $6,005 | 7 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $7,709 – $11,636 · median $11,636 | 7 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $4,769 – $7,090 · median $7,090 | 7 plans |
| 308 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY | $6,208 – $9,085 · median $9,085 | 7 plans |
| 309 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION | $3,806 – $5,872 · median $5,872 | 7 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $2,880 – $4,708 · median $4,708 | 7 plans |
| 311 | ANGINA PECTORIS | $3,595 – $5,640 · median $5,640 | 7 plans |
| 312 | SYNCOPE & COLLAPSE | $4,486 – $6,804 · median $6,804 | 7 plans |
| 313 | CHEST PAIN | $3,673 – $5,764 · median $5,764 | 7 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY | $11,086 – $15,132 · median $15,132 | 7 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION | $4,954 – $7,434 · median $7,434 | 7 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,515 – $5,504 · median $5,504 | 7 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $31,848 – $46,703 · median $46,703 | 7 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $22,615 – $31,446 · median $31,446 | 7 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $11,917 – $17,328 · median $17,328 | 7 plans |
| 321 | CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION | $14,656 – $19,493 · median $19,493 | 7 plans |
| 322 | SHOULDER AND ELBOW JOINT REPLACEMENT | $9,314 – $12,921 · median $12,921 | 7 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $21,928 – $30,516 · median $30,516 | 7 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $16,449 – $22,445 · median $22,445 | 7 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $14,734 – $22,852 · median $22,852 | 7 plans |
| 326 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMORBITY | $26,147 – $35,045 · median $35,045 | 7 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $12,500 – $17,595 · median $17,595 | 7 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $8,204 – $11,818 · median $11,818 | 7 plans |
| 329 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY | $23,640 – $32,363 · median $32,363 | 7 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,169 – $17,272 · median $17,272 | 7 plans |
| 331 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,500 – $12,371 · median $12,371 | 7 plans |
| 332 | RECTAL RESECTION WITH MCC | $17,857 – $25,667 · median $25,667 | 7 plans |
| 333 | RECTAL RESECTION WITH CC | $10,941 – $16,895 · median $16,895 | 7 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $8,539 – $12,062 · median $12,062 | 7 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $18,654 – $25,326 · median $25,326 | 7 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $10,874 – $15,293 · median $15,293 | 7 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION/COMORBITY | $7,903 – $11,356 · median $11,356 | 7 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $13,872 – $18,546 · median $18,546 | 7 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $7,664 – $11,149 · median $11,149 | 7 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $6,411 – $8,963 · median $8,963 | 7 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $12,185 – $16,575 · median $16,575 | 7 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $6,481 – $9,804 · median $9,804 | 7 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $4,535 – $6,798 · median $6,798 | 7 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $12,452 – $17,922 · median $17,922 | 7 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $7,745 – $11,284 · median $11,284 | 7 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $5,676 – $8,837 · median $8,837 | 7 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $15,099 – $20,736 · median $20,736 | 7 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $8,757 – $12,368 · median $12,368 | 7 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $6,863 – $10,053 · median $10,053 | 7 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $21,960 – $30,965 · median $30,965 | 7 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $11,594 – $16,780 · median $16,780 | 7 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $6,976 – $10,416 · median $10,416 | 7 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $8,597 – $11,747 · median $11,747 | 7 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $5,239 – $7,687 · median $7,687 | 7 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $3,593 – $5,633 · median $5,633 | 7 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $8,999 – $12,990 · median $12,990 | 7 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMPLICATION | $5,299 – $7,830 · median $7,830 | 7 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $3,734 – $5,815 · median $5,815 | 7 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $10,870 – $15,499 · median $15,499 | 7 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $6,326 – $9,124 · median $9,124 | 7 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $4,546 – $7,166 · median $7,166 | 7 plans |
| 377 | G.I. HEMORRHAGE WITH COMORBITY | $9,360 – $13,367 · median $13,367 | 7 plans |
| 378 | G.I. HEMORRHAGE WITH COMPLICATION | $5,076 – $7,553 · median $7,553 | 7 plans |
| 379 | G.I. HEMORRHAGE WITHOUT COMPLICATION/COMORBITY | $3,278 – $5,150 · median $5,150 | 7 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $9,907 – $14,288 · median $14,288 | 7 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $5,607 – $8,258 · median $8,258 | 7 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $3,857 – $6,317 · median $6,317 | 7 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $6,508 – $10,298 · median $10,298 | 7 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT COMORBITY | $4,477 – $6,689 · median $6,689 | 7 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH COMORBITY | $8,365 – $11,681 · median $11,681 | 7 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $5,110 – $7,523 · median $7,523 | 7 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $3,451 – $5,499 · median $5,499 | 7 plans |
| 388 | G.I. OBSTRUCTION WITH COMORBITY | $7,567 – $10,957 · median $10,957 | 7 plans |
| 389 | G.I. OBSTRUCTION WITH COMPLICATION | $4,127 – $6,243 · median $6,243 | 7 plans |
| 390 | G.I. OBSTRUCTION WITHOUT COMPLICATION/COMORBITY | $2,817 – $4,557 · median $4,557 | 7 plans |
| 391 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY | $6,613 – $9,526 · median $9,526 | 7 plans |
| 392 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY | $4,017 – $6,173 · median $6,173 | 7 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $8,525 – $11,798 · median $11,798 | 7 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $4,846 – $7,244 · median $7,244 | 7 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,276 – $5,277 · median $5,277 | 7 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $12,756 – $17,257 · median $17,257 | 7 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $7,790 – $11,210 · median $11,210 | 7 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $5,785 – $8,678 · median $8,678 | 7 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $20,140 – $28,411 · median $28,411 | 7 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $27,948 – $38,360 · median $38,360 | 7 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $14,458 – $20,724 · median $20,724 | 7 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $10,995 – $16,054 · median $16,054 | 7 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $18,025 – $25,289 · median $25,289 | 7 plans |
| 409 | BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITH COMPLICATION | $10,793 – $15,764 · median $15,764 | 7 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $7,985 – $11,718 · median $11,718 | 7 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $14,087 – $23,490 · median $23,490 | 7 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $10,974 – $15,250 · median $15,250 | 7 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $8,559 – $12,218 · median $12,218 | 7 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $18,038 – $25,269 · median $25,269 | 7 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $10,184 – $15,005 · median $15,005 | 7 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $7,054 – $10,178 · median $10,178 | 7 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMORBITY | $12,235 – $17,198 · median $17,198 | 7 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $8,538 – $12,431 · median $12,431 | 7 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY | $6,783 – $10,195 · median $10,195 | 7 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $18,170 – $24,202 · median $24,202 | 7 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $8,431 – $12,746 · median $12,746 | 7 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $7,565 – $10,427 · median $10,427 | 7 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $20,939 – $29,320 · median $29,320 | 7 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $11,755 – $15,836 · median $15,836 | 7 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $7,958 – $11,118 · median $11,118 | 7 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $53,929 – $76,446 · median $76,446 | 7 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $36,566 – $50,354 · median $50,354 | 7 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $28,336 – $39,399 · median $39,399 | 7 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $42,938 – $62,643 · median $62,643 | 7 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $28,163 – $40,395 · median $40,395 | 7 plans |
| 432 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMORBITY | $10,086 – $14,329 · median $14,329 | 7 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $5,507 – $8,071 · median $8,071 | 7 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,586 – $5,713 · median $5,713 | 7 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $9,393 – $13,427 · median $13,427 | 7 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $5,806 – $8,585 · median $8,585 | 7 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,042 – $6,679 · median $6,679 | 7 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMORBITY | $8,565 – $12,010 · median $12,010 | 7 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION | $4,428 – $6,596 · median $6,596 | 7 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $3,167 – $5,088 · median $5,088 | 7 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMORBITY | $9,732 – $13,138 · median $13,138 | 7 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMPLICATION | $4,974 – $7,447 · median $7,447 | 7 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,618 – $5,625 · median $5,625 | 7 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH COMORBITY | $8,671 – $12,289 · median $12,289 | 7 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH COMPLICATION | $5,583 – $8,333 · median $8,333 | 7 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,105 – $6,501 · median $6,501 | 7 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $34,517 – $46,670 · median $46,670 | 7 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $21,022 – $29,922 · median $29,922 | 7 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $26,513 – $37,393 · median $37,393 | 7 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $15,887 – $22,989 · median $22,989 | 7 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $43,600 – $58,484 · median $58,484 | 7 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $29,547 – $41,740 · median $41,740 | 7 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $22,230 – $29,454 · median $29,454 | 7 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $31,592 – $38,720 · median $38,720 | 7 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $14,743 – $19,076 · median $19,076 | 7 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $27,805 – $39,931 · median $39,931 | 7 plans |
| 464 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMPLICATION | $15,180 – $22,196 · median $22,196 | 7 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,938 – $13,337 · median $13,337 | 7 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $26,228 – $36,541 · median $36,541 | 7 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $17,633 – $25,022 · median $25,022 | 7 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $13,505 – $19,679 · median $19,679 | 7 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $16,828 – $21,636 · median $21,636 | 7 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $9,707 – $14,059 · median $14,059 | 7 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $25,006 – $33,956 · median $33,956 | 7 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $14,915 – $21,039 · median $21,039 | 7 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $12,188 – $17,575 · median $17,575 | 7 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMORBITY | $23,088 – $30,280 · median $30,280 | 7 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMPLICATION | $11,106 – $16,439 · median $16,439 | 7 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,988 – $8,922 · median $8,922 | 7 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $17,704 – $24,528 · median $24,528 | 7 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION | $12,039 – $17,698 · median $17,698 | 7 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $9,142 – $13,579 · median $13,579 | 7 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $15,141 – $20,807 · median $20,807 | 7 plans |
| 481 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION | $10,682 – $15,195 · median $15,195 | 7 plans |
| 482 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY | $8,167 – $12,015 · median $12,015 | 7 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $13,118 – $19,843 · median $19,843 | 7 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $16,573 – $22,967 · median $22,967 | 7 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $10,919 – $15,172 · median $15,172 | 7 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,135 – $11,570 · median $11,570 | 7 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $10,118 – $12,961 · median $12,961 | 7 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $6,375 – $8,487 · median $8,487 | 7 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $18,282 – $26,017 · median $26,017 | 7 plans |
| 493 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMPLICATION | $12,361 – $18,225 · median $18,225 | 7 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $9,706 – $14,592 · median $14,592 | 7 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $18,124 – $25,702 · median $25,702 | 7 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $10,157 – $13,201 · median $13,201 | 7 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $6,912 – $9,115 · median $9,115 | 7 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $12,998 – $21,524 · median $21,524 | 7 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $5,976 – $14,649 · median $14,649 | 7 plans |
| 500 | SOFT TISSUE PROCEDURES WITH COMORBITY | $16,313 – $22,539 · median $22,539 | 7 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $9,188 – $12,819 · median $12,819 | 7 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $7,193 – $10,059 · median $10,059 | 7 plans |
| 503 | FOOT PROCEDURES WITH MCC | $13,625 – $19,975 · median $19,975 | 7 plans |
| 504 | FOOT PROCEDURES WITH CC | $9,035 – $13,650 · median $13,650 | 7 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $9,035 – $13,125 · median $13,125 | 7 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $7,718 – $10,082 · median $10,082 | 7 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $9,978 – $13,219 · median $13,219 | 7 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $6,644 – $11,215 · median $11,215 | 7 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $14,714 – $21,549 · median $21,549 | 7 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $10,096 – $15,092 · median $15,092 | 7 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $8,277 – $12,183 · median $12,183 | 7 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $7,751 – $11,626 · median $11,626 | 7 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $5,249 – $7,839 · median $7,839 | 7 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $15,920 – $22,691 · median $22,691 | 7 plans |
| 516 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMPLICATION | $10,356 – $15,083 · median $15,083 | 7 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $7,685 – $11,368 · median $11,368 | 7 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $18,451 – $26,468 · median $26,468 | 7 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $10,152 – $14,548 · median $14,548 | 7 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $7,378 – $11,074 · median $11,074 | 7 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $15,005 – $20,518 · median $20,518 | 7 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $10,853 – $15,355 · median $15,355 | 7 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $7,850 – $11,581 · median $11,581 | 7 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,191 – $6,355 · median $6,355 | 7 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $6,846 – $9,620 · median $9,620 | 7 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,175 – $6,365 · median $6,365 | 7 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $4,731 – $7,372 · median $7,372 | 7 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $3,457 – $5,766 · median $5,766 | 7 plans |
| 539 | OSTEOMYELITIS WITH MCC | $10,412 – $14,339 · median $14,339 | 7 plans |
| 540 | OSTEOMYELITIS WITH CC | $6,662 – $9,719 · median $9,719 | 7 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,504 – $6,227 · median $6,227 | 7 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $9,602 – $12,945 · median $12,945 | 7 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $5,462 – $7,878 · median $7,878 | 7 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $3,890 – $6,002 · median $6,002 | 7 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $13,009 – $17,852 · median $17,852 | 7 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $5,960 – $8,738 · median $8,738 | 7 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,842 – $6,562 · median $6,562 | 7 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $10,371 – $14,073 · median $14,073 | 7 plans |
| 549 | SEPTIC ARTHRITIS WITH COMPLICATION | $6,204 – $9,107 · median $9,107 | 7 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $4,438 – $6,822 · median $6,822 | 7 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $8,785 – $12,325 · median $12,325 | 7 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT COMORBITY | $4,962 – $7,420 · median $7,420 | 7 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $6,723 – $9,719 · median $9,719 | 7 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $4,297 – $6,520 · median $6,520 | 7 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $6,932 – $9,894 · median $9,894 | 7 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $4,203 – $6,523 · median $6,523 | 7 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $7,978 – $11,026 · median $11,026 | 7 plans |
| 558 | TENDONITIS; MYOSITIS & BURSITIS WITHOUT COMORBITY | $4,447 – $6,953 · median $6,953 | 7 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,556 – $13,620 · median $13,620 | 7 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $5,862 – $8,551 · median $8,551 | 7 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $4,209 – $6,340 · median $6,340 | 7 plans |
| 562 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITH COMORBITY | $7,534 – $10,600 · median $10,600 | 7 plans |
| 563 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITHOUT COMORBITY | $4,601 – $6,968 · median $6,968 | 7 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $8,078 – $11,415 · median $11,415 | 7 plans |
| 565 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION | $5,250 – $7,510 · median $7,510 | 7 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $3,851 – $5,965 · median $5,965 | 7 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $15,497 – $21,004 · median $21,004 | 7 plans |
| 571 | SKIN DEBRIDEMENT WITH COMPLICATION | $8,620 – $12,417 · median $12,417 | 7 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $5,881 – $8,689 · median $8,689 | 7 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $31,703 – $45,776 · median $45,776 | 7 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $17,838 – $24,643 · median $24,643 | 7 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,279 – $13,154 · median $13,154 | 7 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $27,776 – $34,454 · median $34,454 | 7 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $13,708 – $19,012 · median $19,012 | 7 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $8,702 – $11,846 · median $11,846 | 7 plans |
| 579 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMORBITY | $16,780 – $23,045 · median $23,045 | 7 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $9,128 – $12,681 · median $12,681 | 7 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $7,409 – $10,726 · median $10,726 | 7 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $9,015 – $14,043 · median $14,043 | 7 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $8,457 – $12,656 · median $12,656 | 7 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $10,540 – $15,512 · median $15,512 | 7 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $10,220 – $14,061 · median $14,061 | 7 plans |
| 592 | SKIN ULCERS WITH MCC | $10,586 – $14,103 · median $14,103 | 7 plans |
| 593 | SKIN ULCERS WITH CC | $6,295 – $8,964 · median $8,964 | 7 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $4,369 – $6,772 · median $6,772 | 7 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $10,889 – $15,375 · median $15,375 | 7 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $5,566 – $8,252 · median $8,252 | 7 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $9,044 – $12,263 · median $12,263 | 7 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $5,554 – $8,586 · median $8,586 | 7 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,401 – $6,103 · median $6,103 | 7 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $4,925 – $7,971 · median $7,971 | 7 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,086 – $4,975 · median $4,975 | 7 plans |
| 602 | CELLULITIS WITH COMORBITY | $7,564 – $10,576 · median $10,576 | 7 plans |
| 603 | CELLULITIS WITHOUT COMORBITY | $4,534 – $6,800 · median $6,800 | 7 plans |
| 604 | TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITH COMORBITY | $7,649 – $10,925 · median $10,925 | 7 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $4,755 – $7,109 · median $7,109 | 7 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $8,290 – $11,207 · median $11,207 | 7 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT COMORBITY | $4,449 – $7,043 · median $7,043 | 7 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $11,733 – $15,863 · median $15,863 | 7 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $7,377 – $10,425 · median $10,425 | 7 plans |
| 616 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMORBITY | $19,897 – $24,753 · median $24,753 | 7 plans |
| 617 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMPLICATION | $9,944 – $13,657 · median $13,657 | 7 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,410 – $10,556 · median $10,556 | 7 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $14,036 – $20,636 · median $20,636 | 7 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $8,222 – $11,804 · median $11,804 | 7 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $7,526 – $11,174 · median $11,174 | 7 plans |
| 622 | SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMORBITY | $19,264 – $25,245 · median $25,245 | 7 plans |
| 623 | SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMPLICATION | $9,847 – $13,133 · median $13,133 | 7 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $5,164 – $9,414 · median $9,414 | 7 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $14,760 – $21,546 · median $21,546 | 7 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $7,770 – $11,112 · median $11,112 | 7 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $6,522 – $9,938 · median $9,938 | 7 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $20,313 – $26,395 · median $26,395 | 7 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $11,579 – $15,774 · median $15,774 | 7 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $7,214 – $10,838 · median $10,838 | 7 plans |
| 637 | DIABETES WITH COMORBITY | $7,497 – $10,682 · median $10,682 | 7 plans |
| 638 | DIABETES WITH COMPLICATION | $4,722 – $6,973 · median $6,973 | 7 plans |
| 639 | DIABETES WITHOUT COMPLICATION/COMORBITY | $3,226 – $5,086 · median $5,086 | 7 plans |
| 640 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY | $6,837 – $9,988 · median $9,988 | 7 plans |
| 641 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY | $4,023 – $6,164 · median $6,164 | 7 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $6,389 – $10,582 · median $10,582 | 7 plans |
| 643 | ENDOCRINE DISORDERS WITH COMORBITY | $8,532 – $12,119 · median $12,119 | 7 plans |
| 644 | ENDOCRINE DISORDERS WITH COMPLICATION | $5,320 – $7,857 · median $7,857 | 7 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,009 – $6,096 · median $6,096 | 7 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $28,699 – $36,479 · median $36,479 | 7 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $14,529 – $20,031 · median $20,031 | 7 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $10,694 – $15,347 · median $15,347 | 7 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $16,773 – $22,670 · median $22,670 | 7 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $9,411 – $13,381 · median $13,381 | 7 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $7,743 – $11,472 · median $11,472 | 7 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $13,304 – $18,258 · median $18,258 | 7 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $6,898 – $9,893 · median $9,893 | 7 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $5,285 – $7,928 · median $7,928 | 7 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $16,060 – $21,831 · median $21,831 | 7 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $7,863 – $11,255 · median $11,255 | 7 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $5,559 – $8,007 · median $8,007 | 7 plans |
| 665 | PROSTATECTOMY WITH MCC | $17,677 – $22,240 · median $22,240 | 7 plans |
| 666 | PROSTATECTOMY WITH CC | $8,481 – $12,827 · median $12,827 | 7 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $5,291 – $8,414 · median $8,414 | 7 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $15,013 – $20,860 · median $20,860 | 7 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $7,967 – $11,473 · median $11,473 | 7 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $4,920 – $7,530 · median $7,530 | 7 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $8,874 – $13,140 · median $13,140 | 7 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $5,634 – $8,231 · median $8,231 | 7 plans |
| 673 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMORBITY | $21,569 – $29,653 · median $29,653 | 7 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $11,884 – $16,870 · median $16,870 | 7 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $8,058 – $12,086 · median $12,086 | 7 plans |
| 682 | RENAL FAILURE WITH COMORBITY | $7,732 – $10,986 · median $10,986 | 7 plans |
| 683 | RENAL FAILURE WITH COMPLICATION | $4,576 – $6,833 · median $6,833 | 7 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,127 – $4,943 · median $4,943 | 7 plans |
| 686 | KIDNEY & URINARY TRACT NEOPLASMS WITH COMORBITY | $9,708 – $13,200 · median $13,200 | 7 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $5,419 – $8,013 · median $8,013 | 7 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $3,728 – $6,247 · median $6,247 | 7 plans |
| 689 | KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY | $6,025 – $8,785 · median $8,785 | 7 plans |
| 690 | KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY | $4,132 – $6,378 · median $6,378 | 7 plans |
| 693 | URINARY STONES WITH MCC | $7,570 – $10,049 · median $10,049 | 7 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,023 – $6,188 · median $6,188 | 7 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $5,806 – $8,672 · median $8,672 | 7 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $3,561 – $5,552 · median $5,552 | 7 plans |
| 697 | URETHRAL STRICTURE | $5,157 – $8,219 · median $8,219 | 7 plans |
| 698 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY | $8,653 – $12,176 · median $12,176 | 7 plans |
| 699 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION | $5,251 – $7,788 · median $7,788 | 7 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $3,574 – $5,558 · median $5,558 | 7 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $9,990 – $14,549 · median $14,549 | 7 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $7,632 – $11,351 · median $11,351 | 7 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $11,568 – $16,791 · median $16,791 | 7 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $7,729 – $10,438 · median $10,438 | 7 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $9,836 – $15,122 · median $15,122 | 7 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $5,506 – $8,370 · median $8,370 | 7 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $7,444 – $11,140 · median $11,140 | 7 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $4,838 – $8,079 · median $8,079 | 7 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $11,626 – $16,175 · median $16,175 | 7 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $7,307 – $10,917 · median $10,917 | 7 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $9,552 – $13,796 · median $13,796 | 7 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,342 – $10,040 · median $10,040 | 7 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $8,901 – $13,241 · median $13,241 | 7 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $5,781 – $8,665 · median $8,665 | 7 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,751 – $5,323 · median $5,323 | 7 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $6,500 – $8,853 · median $8,853 | 7 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $3,832 – $5,778 · median $5,778 | 7 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $7,565 – $10,999 · median $10,999 | 7 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $4,207 – $6,390 · median $6,390 | 7 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $5,668 – $8,088 · median $8,088 | 7 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,124 – $5,435 · median $5,435 | 7 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $10,825 – $15,439 · median $15,439 | 7 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $6,249 – $10,056 · median $10,056 | 7 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $20,271 – $25,350 · median $25,350 | 7 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $10,288 – $14,963 · median $14,963 | 7 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $7,809 – $10,900 · median $10,900 | 7 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $20,494 – $25,407 · median $25,407 | 7 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $9,361 – $13,241 · median $13,241 | 7 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $7,071 – $10,609 · median $10,609 | 7 plans |
| 742 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITH COMPLICATION/COMORBITY | $9,404 – $13,413 · median $13,413 | 7 plans |
| 743 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $6,171 – $9,337 · median $9,337 | 7 plans |
| 744 | D&C; CONIZATION; LAPAROSCOPY & TUBAL INTERRUPTION WITH COMPLICATION/COMORBITY | $10,059 – $14,884 · median $14,884 | 7 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $5,276 – $8,629 · median $8,629 | 7 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $8,621 – $12,743 · median $12,743 | 7 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $4,917 – $6,723 · median $6,723 | 7 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $7,013 – $10,343 · median $10,343 | 7 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $13,326 – $18,442 · median $18,442 | 7 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $6,639 – $10,950 · median $10,950 | 7 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,314 – $13,461 · median $13,461 | 7 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,715 – $8,288 · median $8,288 | 7 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,916 – $7,414 · median $7,414 | 7 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $7,286 – $10,649 · median $10,649 | 7 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,247 – $7,541 · median $7,541 | 7 plans |
| 759 | INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY | $3,295 – $5,377 · median $5,377 | 7 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $5,074 – $7,737 · median $7,737 | 7 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,263 – $4,738 · median $4,738 | 7 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROC EXCEPT STERIL &/OR D&C | $5,644 – $8,177 · median $8,177 | 7 plans |
| 769 | POSTPARTUM & POST ABORTION DIAGNOSES WITH O.R. PROCEDURE | $7,153 – $12,419 · median $12,419 | 7 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $5,539 – $7,704 · median $7,704 | 7 plans |
| 776 | POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE | $3,673 – $5,316 · median $5,316 | 7 plans |
| 779 | ABORTION WITHOUT D&C | $4,812 – $6,597 · median $6,597 | 7 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH COMORBITY | $9,483 – $17,670 · median $17,670 | 7 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH COMPLICATION | $5,575 – $8,098 · median $8,098 | 7 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT COMPLICATION/COMORBITY | $4,497 – $7,396 · median $7,396 | 7 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMORBITY | $8,319 – $12,142 · median $12,142 | 7 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMPLICATION | $5,466 – $8,487 · median $8,487 | 7 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT COMPLICATION/COMORBITY | $4,658 – $7,403 · median $7,403 | 7 plans |
| 789 | NEONATES; DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $9,280 – $13,190 · median $13,190 | 7 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $30,605 – $41,605 · median $41,605 | 7 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $20,901 – $28,675 · median $28,675 | 7 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $12,611 – $17,629 · median $17,629 | 7 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $21,470 – $29,434 · median $29,434 | 7 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $7,600 – $10,951 · median $10,951 | 7 plans |
| 795 | NORMAL NEWBORN | $1,029 – $2,195 · median $2,195 | 7 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION/D&C WITH COMORBITY | $6,572 – $8,831 · median $8,831 | 7 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION/D&C WITH COMPLICATION | $4,984 – $7,688 · median $7,688 | 7 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY | $4,984 – $7,391 · median $7,391 | 7 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $24,478 – $31,899 · median $31,899 | 7 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $15,001 – $20,101 · median $20,101 | 7 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $8,452 – $13,922 · median $13,922 | 7 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $18,455 – $28,161 · median $28,161 | 7 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $9,164 – $13,579 · median $13,579 | 7 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $5,692 – $10,128 · median $10,128 | 7 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMORBITY | $5,138 – $8,229 · median $8,229 | 7 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMPLICATION | $3,725 – $5,998 · median $5,998 | 7 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY | $3,281 – $5,450 · median $5,450 | 7 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $11,791 – $15,974 · median $15,974 | 7 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $6,376 – $9,510 · median $9,510 | 7 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $4,900 – $8,005 · median $8,005 | 7 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $7,243 – $10,460 · median $10,460 | 7 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT COMORBITY | $4,751 – $7,124 · median $7,124 | 7 plans |
| 813 | COAGULATION DISORDERS | $7,969 – $11,290 · median $11,290 | 7 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $10,762 – $15,416 · median $15,416 | 7 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $5,231 – $7,782 · median $7,782 | 7 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,395 – $5,160 · median $5,160 | 7 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $13,051 – $16,479 · median $16,479 | 7 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $6,631 – $8,778 · median $8,778 | 7 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,203 – $6,724 · median $6,724 | 7 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $29,974 – $41,065 · median $41,065 | 7 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $11,493 – $16,184 · median $16,184 | 7 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $5,888 – $9,085 · median $9,085 | 7 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $24,091 – $32,283 · median $32,283 | 7 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $11,323 – $16,369 · median $16,369 | 7 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $6,336 – $10,083 · median $10,083 | 7 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $24,585 – $32,921 · median $32,921 | 7 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $12,149 – $16,682 · median $16,682 | 7 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,252 – $12,515 · median $12,515 | 7 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $15,876 – $22,506 · median $22,506 | 7 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,529 – $11,151 · median $11,151 | 7 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $5,925 – $9,075 · median $9,075 | 7 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $3,848 – $5,775 · median $5,775 | 7 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY | $2,676 – $4,412 · median $4,412 | 7 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $28,455 – $38,493 · median $38,493 | 7 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $10,996 – $15,136 · median $15,136 | 7 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $6,542 – $9,192 · median $9,192 | 7 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $25,778 – $33,789 · median $33,789 | 7 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $10,441 – $15,147 · median $15,147 | 7 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,055 – $10,731 · median $10,731 | 7 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $16,417 – $23,020 · median $23,020 | 7 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $8,072 – $12,018 · median $12,018 | 7 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $5,415 – $7,757 · median $7,757 | 7 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $9,747 – $14,511 · median $14,511 | 7 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $6,153 – $9,177 · median $9,177 | 7 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $4,308 – $6,667 · median $6,667 | 7 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $13,147 – $18,612 · median $18,612 | 7 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $6,542 – $9,800 · median $9,800 | 7 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,216 – $6,652 · median $6,652 | 7 plans |
| 849 | RADIOTHERAPY | $13,751 – $19,415 · median $19,415 | 7 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $47,424 – $60,241 · median $60,241 | 7 plans |
| 853 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY | $25,747 – $34,710 · median $34,710 | 7 plans |
| 854 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION | $10,286 – $14,534 · median $14,534 | 7 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,369 – $11,097 · median $11,097 | 7 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $23,226 – $32,035 · median $32,035 | 7 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $11,217 – $15,518 · median $15,518 | 7 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,633 – $10,381 · median $10,381 | 7 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $9,466 – $13,337 · median $13,337 | 7 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $5,148 – $7,671 · median $7,671 | 7 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $4,623 – $6,915 · median $6,915 | 7 plans |
| 865 | VIRAL ILLNESS WITH MCC | $7,598 – $11,105 · median $11,105 | 7 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $4,555 – $6,791 · median $6,791 | 7 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $11,039 – $15,187 · median $15,187 | 7 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $5,406 – $7,899 · median $7,899 | 7 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $3,705 – $5,831 · median $5,831 | 7 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $35,813 – $48,249 · median $48,249 | 7 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY | $10,101 – $14,152 · median $14,152 | 7 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY | $5,308 – $7,845 · median $7,845 | 7 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $20,230 – $27,343 · median $27,343 | 7 plans |
| 880 | ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION | $4,935 – $7,412 · median $7,412 | 7 plans |
| 881 | DEPRESSIVE NEUROSES | $4,706 – $7,280 · median $7,280 | 7 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $4,952 – $8,192 · median $8,192 | 7 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $9,544 – $14,316 · median $14,316 | 7 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $8,598 – $11,863 · median $11,863 | 7 plans |
| 885 | PSYCHOSES | $7,257 – $10,408 · median $10,408 | 7 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $9,249 – $15,064 · median $15,064 | 7 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $6,123 – $8,172 · median $8,172 | 7 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,213 – $5,057 · median $5,057 | 7 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $7,454 – $10,537 · median $10,537 | 7 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH COMORBITY | $9,168 – $12,798 · median $12,798 | 7 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY | $4,542 – $6,881 · median $6,881 | 7 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $22,809 – $29,619 · median $29,619 | 7 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $9,769 – $13,960 · median $13,960 | 7 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $6,276 – $8,849 · median $8,849 | 7 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $19,877 – $26,027 · median $26,027 | 7 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $8,485 – $11,002 · median $11,002 | 7 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $11,236 – $14,302 · median $14,302 | 7 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $20,509 – $27,167 · median $27,167 | 7 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $10,384 – $14,514 · median $14,514 | 7 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $6,529 – $9,831 · median $9,831 | 7 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $8,331 – $12,040 · median $12,040 | 7 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $4,718 – $6,900 · median $6,900 | 7 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $8,947 – $12,362 · median $12,362 | 7 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $3,419 – $5,396 · median $5,396 | 7 plans |
| 917 | POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY | $8,441 – $11,586 · median $11,586 | 7 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $4,554 – $6,705 · median $6,705 | 7 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $9,388 – $13,386 · median $13,386 | 7 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH COMPLICATION | $5,230 – $7,701 · median $7,701 | 7 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $3,540 – $5,547 · median $5,547 | 7 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $8,697 – $12,828 · median $12,828 | 7 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $5,251 – $7,807 · median $7,807 | 7 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $122,128 – $147,321 · median $147,321 | 7 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $34,384 – $50,040 · median $50,040 | 7 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $16,373 – $22,924 · median $22,924 | 7 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $22,275 – $27,544 · median $27,544 | 7 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $11,047 – $15,992 · median $15,992 | 7 plans |
| 935 | NON-EXTENSIVE BURNS | $11,307 – $14,959 · median $14,959 | 7 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $16,340 – $25,721 · median $25,721 | 7 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $10,870 – $16,859 · median $16,859 | 7 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $10,061 – $14,737 · median $14,737 | 7 plans |
| 945 | REHABILITATION WITH CC/MCC | $7,859 – $11,450 · median $11,450 | 7 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $5,748 – $8,693 · median $8,693 | 7 plans |
| 947 | SIGNS & SYMPTOMS WITH COMORBITY | $6,622 – $9,534 · median $9,534 | 7 plans |
| 948 | SIGNS & SYMPTOMS WITHOUT COMORBITY | $4,090 – $6,317 · median $6,317 | 7 plans |
| 949 | AFTERCARE WITH CC/MCC | $5,555 – $8,987 · median $8,987 | 7 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,017 – $5,131 · median $5,131 | 7 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $2,919 – $4,639 · median $4,639 | 7 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $35,153 – $47,009 · median $47,009 | 7 plans |
| 956 | LIMB REATTACHMENT; HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA | $19,678 – $26,644 · median $26,644 | 7 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $38,427 – $53,108 · median $53,108 | 7 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $21,158 – $29,738 · median $29,738 | 7 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $13,611 – $21,025 · median $21,025 | 7 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $13,986 – $19,582 · median $19,582 | 7 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $7,723 – $11,340 · median $11,340 | 7 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $4,698 – $7,277 · median $7,277 | 7 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $32,558 – $42,825 · median $42,825 | 7 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $13,660 – $18,921 · median $18,921 | 7 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $15,373 – $20,626 · median $20,626 | 7 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $7,318 – $9,710 · median $9,710 | 7 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,164 – $7,018 · median $7,018 | 7 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $7,423 – $9,728 · median $9,728 | 7 plans |
| 981 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $24,474 – $33,017 · median $33,017 | 7 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,604 – $17,693 · median $17,693 | 7 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,588 – $12,585 · median $12,585 | 7 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $18,032 – $24,348 · median $24,348 | 7 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $8,834 – $12,102 · median $12,102 | 7 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $5,949 – $9,052 · median $9,052 | 7 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $54,824 – $71,570 · median $71,570 | 6 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $24,964 – $32,641 · median $32,641 | 6 plans |
| 007 | LUNG TRANSPLANT | $67,280 – $89,682 · median $89,682 | 6 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $28,011 – $39,280 · median $39,280 | 6 plans |
| 010 | PANCREAS TRANSPLANT | $41,046 – $50,060 · median $50,060 | 6 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $67,450 – $83,285 · median $83,285 | 6 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $31,074 – $41,511 · median $41,511 | 6 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $31,074 – $38,098 · median $38,098 | 6 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $40,811 – $49,778 · median $49,778 | 6 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $23,719 – $33,083 · median $33,083 | 6 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $17,877 – $26,251 · median $26,251 | 6 plans |
| 652 | KIDNEY TRANSPLANT | $15,812 – $22,983 · median $22,983 | 6 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $145,014 – $193,110 · median $193,110 | 5 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $56,731 – $78,577 · median $78,577 | 5 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $194,150 – $297,123 · median $297,123 | 5 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $78,488 – $78,488 · median $78,488 | 5 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $39,982 – $39,982 · median $39,982 | 5 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $17,444 – $17,444 · median $17,444 | 5 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $24,418 – $24,418 · median $24,418 | 5 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $17,390 – $17,390 · median $17,390 | 5 plans |
No procedures match that keyword.