Russell Medical — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Showing all 771 procedures
Procedures with negotiated rates only
These 771 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $182,537 – $186,188 · median $182,537 | 5 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $72,256 – $73,702 · median $72,256 | 5 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $139,214 – $141,998 · median $139,214 | 5 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $92,258 – $94,104 · median $92,258 | 5 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $69,875 – $71,273 · median $69,875 | 5 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $32,575 – $33,226 · median $32,575 | 5 plans |
| 007 | LUNG TRANSPLANT | $85,434 – $87,143 · median $85,434 | 5 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $36,381 – $37,109 · median $36,381 | 5 plans |
| 010 | PANCREAS TRANSPLANT | $52,664 – $53,717 · median $52,664 | 5 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $36,091 – $36,812 · median $36,091 | 5 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $27,781 – $28,336 · median $27,781 | 5 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $18,432 – $18,801 · median $18,432 | 5 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $85,646 – $87,359 · median $85,646 | 5 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $40,206 – $41,010 · median $40,206 | 5 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $40,206 – $41,010 · median $40,206 | 5 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $243,917 – $248,795 · median $243,917 | 5 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $52,370 – $53,417 · median $52,370 | 5 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $53,230 – $54,295 · median $53,230 | 5 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $36,936 – $37,674 · median $36,936 | 5 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $24,094 – $24,576 · median $24,094 | 5 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $38,079 – $38,841 · median $38,079 | 5 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $25,838 – $26,355 · median $25,838 | 5 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $30,151 – $30,754 · median $30,151 | 5 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $21,060 – $21,481 · median $21,060 | 5 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $17,260 – $17,605 · median $17,260 | 5 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $40,487 – $41,296 · median $40,487 | 5 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $22,977 – $23,436 · median $22,977 | 5 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $15,701 – $16,015 · median $15,701 | 5 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $28,339 – $28,906 · median $28,339 | 5 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $15,124 – $15,426 · median $15,124 | 5 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,651 – $11,884 · median $11,651 | 5 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $26,398 – $26,926 · median $26,398 | 5 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $16,019 – $16,339 · median $16,019 | 5 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,179 – $13,442 · median $13,179 | 5 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $22,746 – $23,201 · median $22,746 | 5 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,752 – $11,987 · median $11,752 | 5 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,710 – $8,884 · median $8,710 | 5 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $25,648 – $26,161 · median $25,648 | 5 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $15,912 – $16,231 · median $15,912 | 5 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,693 – $12,947 · median $12,693 | 5 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,332 – $14,619 · median $14,332 | 5 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,316 – $7,462 · median $7,316 | 5 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,031 – $11,251 · median $11,031 | 5 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,406 – $8,574 · median $8,406 | 5 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $17,494 – $17,844 · median $17,494 | 5 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,972 – $10,171 · median $9,972 | 5 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,261 – $13,526 · median $13,261 | 5 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,259 – $9,444 · median $9,259 | 5 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,129 – $7,272 · median $7,129 | 5 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $18,775 – $19,151 · median $18,775 | 5 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $12,843 – $13,100 · median $12,843 | 5 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,424 – $10,633 · median $10,424 | 5 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,182 – $14,466 · median $14,182 | 5 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,930 – $8,088 · median $7,930 | 5 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,817 – $5,933 · median $5,817 | 5 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,746 – $10,961 · median $10,746 | 5 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,059 – $7,200 · median $7,059 | 5 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,535 – $6,666 · median $6,535 | 5 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $12,572 – $12,824 · median $12,572 | 5 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $8,168 – $8,331 · median $8,168 | 5 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,215 – $6,339 · median $6,215 | 5 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,330 – $11,556 · median $11,330 | 5 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,094 – $8,256 · median $8,094 | 5 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $12,467 – $12,716 · median $12,467 | 5 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,287 – $7,432 · median $7,287 | 5 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $14,173 – $14,457 · median $14,173 | 5 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,209 – $7,353 · median $7,209 | 5 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $16,311 – $16,637 · median $16,311 | 5 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,332 – $10,538 · median $10,332 | 5 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,539 – $7,689 · median $7,539 | 5 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $15,963 – $16,282 · median $15,963 | 5 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,825 – $10,021 · median $9,825 | 5 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,075 – $7,217 · median $7,075 | 5 plans |
| 088 | CONCUSSION WITH MCC | $10,462 – $10,671 · median $10,462 | 5 plans |
| 089 | CONCUSSION WITH CC | $8,285 – $8,450 · median $8,285 | 5 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,903 – $7,041 · median $6,903 | 5 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $13,113 – $13,375 · median $13,113 | 5 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,199 – $8,362 · median $8,199 | 5 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,466 – $6,595 · median $6,466 | 5 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $24,854 – $25,352 · median $24,854 | 5 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $16,806 – $17,142 · median $16,806 | 5 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $16,806 – $17,142 · median $16,806 | 5 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $24,442 – $24,931 · median $24,442 | 5 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $15,341 – $15,647 · median $15,341 | 5 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,350 – $10,557 · median $10,350 | 5 plans |
| 100 | SEIZURES WITH MCC | $14,157 – $14,441 · median $14,157 | 5 plans |
| 101 | SEIZURES WITHOUT MCC | $7,317 – $7,464 · median $7,317 | 5 plans |
| 102 | HEADACHES WITH MCC | $8,847 – $9,024 · median $8,847 | 5 plans |
| 103 | HEADACHES WITHOUT MCC | $6,858 – $6,995 · median $6,858 | 5 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $15,902 – $16,220 · median $15,902 | 5 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,992 – $9,172 · median $8,992 | 5 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,236 – $11,461 · median $11,236 | 5 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $12,121 – $12,363 · median $12,121 | 5 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,326 – $8,493 · median $8,326 | 5 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,871 – $9,048 · median $8,871 | 5 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,752 – $5,867 · median $5,752 | 5 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,555 – $6,687 · median $6,555 | 5 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,775 – $9,971 · median $9,775 | 5 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,700 – $6,834 · median $6,700 | 5 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $16,896 – $17,234 · median $16,896 | 5 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,681 – $7,834 · median $7,681 | 5 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,384 – $10,592 · median $10,384 | 5 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,622 – $6,754 · median $6,622 | 5 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,220 – $10,424 · median $10,220 | 5 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $28,588 – $29,159 · median $28,588 | 5 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,207 – $15,511 · median $15,207 | 5 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,502 – $11,732 · median $11,502 | 5 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $22,624 – $23,077 · median $22,624 | 5 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,687 – $12,941 · median $12,687 | 5 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,009 – $9,190 · median $9,009 | 5 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $16,143 – $16,466 · median $16,143 | 5 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,395 – $9,583 · median $9,395 | 5 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,539 – $6,670 · median $6,539 | 5 plans |
| 149 | DYSEQUILIBRIUM | $6,197 – $6,321 · median $6,197 | 5 plans |
| 150 | EPISTAXIS WITH MCC | $10,279 – $10,484 · median $10,279 | 5 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,265 – $6,390 · median $6,265 | 5 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,688 – $8,862 · median $8,688 | 5 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,967 – $6,086 · median $5,967 | 5 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,849 – $12,086 · median $11,849 | 5 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,394 – $7,542 · median $7,394 | 5 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,714 – $5,829 · median $5,714 | 5 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $11,921 – $12,159 · median $11,921 | 5 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,439 – $7,588 · median $7,439 | 5 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,632 – $5,745 · median $5,632 | 5 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $31,031 – $31,652 · median $31,031 | 5 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $17,577 – $17,928 · median $17,577 | 5 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,377 – $13,645 · median $13,377 | 5 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $26,151 – $26,674 · median $26,151 | 5 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,141 – $13,403 · median $13,141 | 5 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,097 – $10,299 · median $10,097 | 5 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $21,124 – $21,546 · median $21,124 | 5 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,452 – $10,661 · median $10,452 | 5 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,628 – $6,761 · median $6,628 | 5 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,786 – $12,021 · median $11,786 | 5 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,770 – $7,926 · median $7,770 | 5 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,340 – $6,467 · median $6,340 | 5 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $12,630 – $12,883 · median $12,630 | 5 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,530 – $8,701 · median $8,530 | 5 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,776 – $6,912 · median $6,776 | 5 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,598 – $11,830 · median $11,598 | 5 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,259 – $8,424 · median $8,259 | 5 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,391 – $6,519 · median $6,391 | 5 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,551 – $11,782 · median $11,551 | 5 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,847 – $8,004 · median $7,847 | 5 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,112 – $6,234 · median $6,112 | 5 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,348 – $9,535 · median $9,348 | 5 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,612 – $8,784 · median $8,612 | 5 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,915 – $7,053 · median $6,915 | 5 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,552 – $5,663 · median $5,552 | 5 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,864 – $10,061 · median $9,864 | 5 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,663 – $6,797 · median $6,663 | 5 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,395 – $5,503 · median $5,395 | 5 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,507 – $13,777 · median $13,507 | 5 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,757 – $7,912 · median $7,757 | 5 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,894 – $6,012 · median $5,894 | 5 plans |
| 199 | PNEUMOTHORAX WITH MCC | $12,743 – $12,997 · median $12,743 | 5 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,512 – $8,683 · median $8,512 | 5 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,744 – $5,859 · median $5,744 | 5 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,607 – $7,759 · median $7,607 | 5 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,870 – $5,987 · median $5,870 | 5 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,606 – $6,738 · median $6,606 | 5 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $13,530 – $13,801 · median $13,530 | 5 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,215 – $7,360 · median $7,215 | 5 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $42,980 – $43,840 · median $42,980 | 5 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $18,649 – $19,022 · median $18,649 | 5 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE?PROCEDURES | $71,447 – $72,876 · median $71,447 | 5 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $69,524 – $70,914 · median $69,524 | 5 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $63,455 – $64,724 · median $63,455 | 5 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $42,920 – $43,779 · median $42,920 | 5 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $39,649 – $40,442 · median $39,649 | 5 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $51,149 – $52,172 · median $51,149 | 5 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $35,453 – $36,162 · median $35,453 | 5 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $30,925 – $31,543 · median $30,925 | 5 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $33,437 – $34,106 · median $33,437 | 5 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $21,366 – $21,794 · median $21,366 | 5 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $55,885 – $57,002 · median $55,885 | 5 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $40,674 – $41,488 · median $40,674 | 5 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $51,656 – $52,690 · median $51,656 | 5 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $35,604 – $36,316 · median $35,604 | 5 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $39,231 – $40,015 · median $39,231 | 5 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $27,835 – $28,391 · median $27,835 | 5 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $33,782 – $34,457 · median $33,782 | 5 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $20,118 – $20,521 · median $20,118 | 5 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,100 – $11,322 · median $11,100 | 5 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $23,204 – $23,668 · median $23,204 | 5 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $15,878 – $16,195 · median $15,878 | 5 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $12,996 – $13,256 · median $12,996 | 5 plans |
| 245 | AICD GENERATOR PROCEDURES | $32,817 – $33,473 · median $32,817 | 5 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $16,262 – $16,587 · median $16,262 | 5 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,439 – $11,668 · median $11,439 | 5 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $23,451 – $23,920 · median $23,451 | 5 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $17,808 – $18,164 · median $17,808 | 5 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $12,640 – $12,893 · median $12,640 | 5 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $18,217 – $18,581 · median $18,217 | 5 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,282 – $12,528 · median $12,282 | 5 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,126 – $7,268 · median $7,126 | 5 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $19,432 – $19,821 · median $19,432 | 5 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $12,694 – $12,948 · median $12,694 | 5 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $23,295 – $23,761 · median $23,295 | 5 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $13,593 – $13,865 · median $13,593 | 5 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $11,151 – $11,374 · median $11,151 | 5 plans |
| 263 | VEIN LIGATION AND STRIPPING | $18,638 – $19,011 · median $18,638 | 5 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $23,867 – $24,344 · median $23,867 | 5 plans |
| 265 | AICD LEAD PROCEDURES | $24,330 – $24,817 · median $24,330 | 5 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $39,916 – $40,715 · median $39,916 | 5 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $31,645 – $32,278 · median $31,645 | 5 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $44,269 – $45,154 · median $44,269 | 5 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $28,147 – $28,710 · median $28,147 | 5 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $34,400 – $35,088 · median $34,400 | 5 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $23,541 – $24,011 · median $23,541 | 5 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $17,481 – $17,831 · median $17,481 | 5 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $26,537 – $27,068 · median $26,537 | 5 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $21,461 – $21,890 · median $21,461 | 5 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $46,837 – $47,774 · median $46,837 | 5 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC | $41,226 – $42,050 · median $41,226 | 5 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $31,306 – $31,932 · median $31,306 | 5 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $33,566 – $34,237 · median $33,566 | 5 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $21,997 – $22,437 · median $21,997 | 5 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $11,946 – $12,185 · median $11,946 | 5 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,318 – $7,464 · median $7,318 | 5 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,053 – $6,174 · median $6,053 | 5 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $13,965 – $14,244 · median $13,965 | 5 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,155 – $6,279 · median $6,155 | 5 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,000 – $5,100 · median $5,000 | 5 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $15,624 – $15,936 · median $15,624 | 5 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,398 – $8,566 · median $8,398 | 5 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $18,956 – $19,335 · median $18,956 | 5 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $11,530 – $11,760 · median $11,530 | 5 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,686 – $7,840 · median $7,686 | 5 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,781 – $9,977 · median $9,781 | 5 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,928 – $7,067 · median $6,928 | 5 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,919 – $5,017 · median $4,919 | 5 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,926 – $12,165 · median $11,926 | 5 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,920 – $6,038 · median $5,920 | 5 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,231 – $4,315 · median $4,231 | 5 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $11,793 – $12,029 · median $11,793 | 5 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,275 – $8,441 · median $8,275 | 5 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,978 – $6,097 · median $5,978 | 5 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,871 – $9,049 · median $8,871 | 5 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,714 – $5,829 · median $5,714 | 5 plans |
| 304 | HYPERTENSION WITH MCC | $8,945 – $9,124 · median $8,945 | 5 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,218 – $6,342 · median $6,218 | 5 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,020 – $11,240 · median $11,020 | 5 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,348 – $7,495 · median $7,348 | 5 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,145 – $9,328 · median $9,145 | 5 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,144 – $6,267 · median $6,144 | 5 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,988 – $5,088 · median $4,988 | 5 plans |
| 311 | ANGINA PECTORIS | $5,881 – $5,998 · median $5,881 | 5 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,993 – $7,133 · median $6,993 | 5 plans |
| 313 | CHEST PAIN | $5,978 – $6,097 · median $5,978 | 5 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $15,239 – $15,544 · median $15,239 | 5 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,579 – $7,730 · median $7,579 | 5 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,781 – $5,896 · median $5,781 | 5 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $41,174 – $41,998 · median $41,174 | 5 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $29,640 – $30,232 · median $29,640 | 5 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $16,276 – $16,602 · median $16,276 | 5 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $19,698 – $20,092 · median $19,698 | 5 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $13,025 – $13,285 · median $13,025 | 5 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $28,782 – $29,357 · median $28,782 | 5 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $21,937 – $22,376 · median $21,937 | 5 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $19,796 – $20,192 · median $19,796 | 5 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $34,053 – $34,734 · median $34,053 | 5 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,005 – $17,345 · median $17,005 | 5 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,638 – $11,871 · median $11,638 | 5 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $30,920 – $31,538 · median $30,920 | 5 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $16,591 – $16,923 · median $16,591 | 5 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,008 – $12,248 · median $12,008 | 5 plans |
| 332 | RECTAL RESECTION WITH MCC | $23,697 – $24,171 · median $23,697 | 5 plans |
| 333 | RECTAL RESECTION WITH CC | $15,058 – $15,359 · median $15,058 | 5 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,056 – $12,298 · median $12,056 | 5 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $24,692 – $25,186 · median $24,692 | 5 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $14,974 – $15,274 · median $14,974 | 5 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,262 – $11,487 · median $11,262 | 5 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $18,718 – $19,093 · median $18,718 | 5 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,964 – $11,183 · median $10,964 | 5 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,399 – $9,586 · median $9,399 | 5 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $16,611 – $16,943 · median $16,611 | 5 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,486 – $9,676 · median $9,486 | 5 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,055 – $7,196 · median $7,055 | 5 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $16,945 – $17,283 · median $16,945 | 5 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,065 – $11,287 · median $11,065 | 5 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,481 – $8,650 · median $8,481 | 5 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $20,252 – $20,657 · median $20,252 | 5 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,330 – $12,576 · median $12,330 | 5 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,964 – $10,163 · median $9,964 | 5 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $28,822 – $29,399 · median $28,822 | 5 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $15,872 – $16,190 · median $15,872 | 5 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,105 – $10,307 · median $10,105 | 5 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,130 – $12,372 · median $12,130 | 5 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,934 – $8,093 · median $7,934 | 5 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,879 – $5,996 · median $5,879 | 5 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $12,631 – $12,884 · median $12,631 | 5 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,009 – $8,170 · median $8,009 | 5 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,055 – $6,176 · median $6,055 | 5 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $14,968 – $15,268 · median $14,968 | 5 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,292 – $9,478 · median $9,292 | 5 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,069 – $7,210 · median $7,069 | 5 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,083 – $13,344 · median $13,083 | 5 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,730 – $7,885 · median $7,730 | 5 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,485 – $5,594 · median $5,485 | 5 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $13,765 – $14,040 · median $13,765 | 5 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,394 – $8,562 · median $8,394 | 5 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,209 – $6,333 · median $6,209 | 5 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,520 – $9,710 · median $9,520 | 5 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,982 – $7,122 · median $6,982 | 5 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,839 – $12,076 · median $11,839 | 5 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,773 – $7,928 · median $7,773 | 5 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,701 – $5,815 · median $5,701 | 5 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,843 – $11,060 · median $10,843 | 5 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,545 – $6,676 · median $6,545 | 5 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,909 – $5,007 · median $4,909 | 5 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,651 – $9,844 · median $9,651 | 5 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,408 – $6,536 · median $6,408 | 5 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,040 – $12,280 · median $12,040 | 5 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,444 – $7,592 · median $7,444 | 5 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,483 – $5,592 · median $5,483 | 5 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $17,325 – $17,671 · median $17,325 | 5 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,121 – $11,344 · median $11,121 | 5 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,617 – $8,790 · median $8,617 | 5 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $26,549 – $27,080 · median $26,549 | 5 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $36,301 – $37,027 · median $36,301 | 5 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $19,451 – $19,840 · median $19,451 | 5 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $15,125 – $15,428 · median $15,125 | 5 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $23,907 – $24,385 · median $23,907 | 5 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $14,872 – $15,170 · median $14,872 | 5 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,365 – $11,592 · median $11,365 | 5 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $18,988 – $19,367 · median $18,988 | 5 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $15,098 – $15,400 · median $15,098 | 5 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,081 – $12,323 · median $12,081 | 5 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $23,923 – $24,401 · median $23,923 | 5 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $14,111 – $14,393 · median $14,111 | 5 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,202 – $10,406 · median $10,202 | 5 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $16,673 – $17,007 · median $16,673 | 5 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,055 – $12,296 · median $12,055 | 5 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,863 – $10,061 · median $9,863 | 5 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $24,088 – $24,570 · median $24,088 | 5 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $11,921 – $12,160 · median $11,921 | 5 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,840 – $11,056 · median $10,840 | 5 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $27,547 – $28,098 · median $27,547 | 5 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $16,074 – $16,395 · median $16,074 | 5 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,331 – $11,558 · median $11,331 | 5 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $68,756 – $70,131 · median $68,756 | 5 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $47,067 – $48,008 · median $47,067 | 5 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $36,786 – $37,522 · median $36,786 | 5 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $55,028 – $56,128 · median $55,028 | 5 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $36,570 – $37,302 · median $36,570 | 5 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $13,989 – $14,269 · median $13,989 | 5 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,270 – $8,435 · median $8,270 | 5 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,869 – $5,987 · median $5,869 | 5 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,124 – $13,386 · median $13,124 | 5 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,642 – $8,815 · median $8,642 | 5 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,440 – $6,568 · median $6,440 | 5 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,089 – $12,331 · median $12,089 | 5 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,922 – $7,060 · median $6,922 | 5 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,346 – $5,453 · median $5,346 | 5 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,547 – $13,818 · median $13,547 | 5 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,604 – $7,756 · median $7,604 | 5 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,909 – $6,027 · median $5,909 | 5 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,222 – $12,467 · median $12,222 | 5 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,364 – $8,532 · median $8,364 | 5 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,517 – $6,648 · median $6,517 | 5 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $44,507 – $45,397 · median $44,507 | 5 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $27,651 – $28,204 · median $27,651 | 5 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $34,510 – $35,200 · median $34,510 | 5 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $21,236 – $21,661 · median $21,236 | 5 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $55,855 – $56,972 · median $55,855 | 5 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $38,300 – $39,066 · median $38,300 | 5 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $29,159 – $29,742 · median $29,159 | 5 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $40,855 – $41,672 · median $40,855 | 5 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $19,807 – $20,203 · median $19,807 | 5 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $36,123 – $36,846 · median $36,123 | 5 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $20,352 – $20,759 · median $20,352 | 5 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,555 – $12,806 · median $12,555 | 5 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $34,153 – $34,836 · median $34,153 | 5 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $23,417 – $23,886 · median $23,417 | 5 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $18,260 – $18,625 · median $18,260 | 5 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $22,411 – $22,859 · median $22,411 | 5 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $13,516 – $13,786 · median $13,516 | 5 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $32,627 – $33,279 · median $32,627 | 5 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $20,022 – $20,422 · median $20,022 | 5 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $16,615 – $16,947 · median $16,615 | 5 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $30,231 – $30,835 · median $30,231 | 5 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $15,263 – $15,569 · median $15,263 | 5 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,870 – $9,047 · median $8,870 | 5 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $23,506 – $23,976 · median $23,506 | 5 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $16,429 – $16,758 · median $16,429 | 5 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,810 – $13,066 · median $12,810 | 5 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $20,303 – $20,709 · median $20,303 | 5 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $14,734 – $15,028 · median $14,734 | 5 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,592 – $11,824 · median $11,592 | 5 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $17,777 – $18,133 · median $17,777 | 5 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $22,093 – $22,535 · median $22,093 | 5 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,029 – $15,330 · median $15,029 | 5 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,552 – $11,783 · median $11,552 | 5 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $14,029 – $14,310 · median $14,029 | 5 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,354 – $9,541 · median $9,354 | 5 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $24,227 – $24,712 · median $24,227 | 5 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $16,831 – $17,167 · median $16,831 | 5 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $13,515 – $13,785 · median $13,515 | 5 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $24,031 – $24,511 · median $24,031 | 5 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,078 – $14,360 · median $14,078 | 5 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $10,024 – $10,225 · median $10,024 | 5 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $17,627 – $17,980 · median $17,627 | 5 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $8,855 – $9,032 · median $8,855 | 5 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $21,768 – $22,203 · median $21,768 | 5 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $12,867 – $13,125 · median $12,867 | 5 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,375 – $10,583 · median $10,375 | 5 plans |
| 503 | FOOT PROCEDURES WITH MCC | $18,410 – $18,778 · median $18,410 | 5 plans |
| 504 | FOOT PROCEDURES WITH CC | $12,676 – $12,930 · median $12,676 | 5 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $12,676 – $12,930 · median $12,676 | 5 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $11,031 – $11,251 · median $11,031 | 5 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $13,854 – $14,132 · median $13,854 | 5 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,690 – $9,884 · median $9,690 | 5 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $19,770 – $20,166 · median $19,770 | 5 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $14,002 – $14,282 · median $14,002 | 5 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $11,730 – $11,964 · median $11,730 | 5 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,072 – $11,294 · median $11,072 | 5 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,947 – $8,106 · median $7,947 | 5 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $21,277 – $21,703 · median $21,277 | 5 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $14,327 – $14,614 · median $14,327 | 5 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $10,990 – $11,209 · median $10,990 | 5 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $24,438 – $24,927 · median $24,438 | 5 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $14,071 – $14,353 · median $14,071 | 5 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,607 – $10,819 · median $10,607 | 5 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $20,134 – $20,537 · median $20,134 | 5 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $14,947 – $15,246 · median $14,947 | 5 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,197 – $11,421 · median $11,197 | 5 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,625 – $6,757 · median $6,625 | 5 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,943 – $10,141 · median $9,943 | 5 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,605 – $6,737 · median $6,605 | 5 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,300 – $7,446 · median $7,300 | 5 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,708 – $5,823 · median $5,708 | 5 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,396 – $14,684 · median $14,396 | 5 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,712 – $9,907 · median $9,712 | 5 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $7,017 – $7,157 · median $7,017 | 5 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,384 – $13,652 · median $13,384 | 5 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,213 – $8,377 · median $8,213 | 5 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,250 – $6,375 · median $6,250 | 5 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $17,640 – $17,993 · median $17,640 | 5 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,835 – $9,012 · median $8,835 | 5 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,189 – $6,313 · median $6,189 | 5 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,346 – $14,633 · median $14,346 | 5 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,140 – $9,323 · median $9,140 | 5 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,934 – $7,073 · median $6,934 | 5 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,364 – $12,611 · median $12,364 | 5 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,588 – $7,740 · median $7,588 | 5 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,789 – $9,985 · median $9,789 | 5 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,757 – $6,893 · median $6,757 | 5 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,050 – $10,251 · median $10,050 | 5 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,641 – $6,774 · median $6,641 | 5 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,356 – $11,583 · median $11,356 | 5 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,945 – $7,084 · median $6,945 | 5 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,328 – $13,594 · median $13,328 | 5 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,713 – $8,887 · median $8,713 | 5 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,648 – $6,781 · median $6,648 | 5 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,802 – $11,018 · median $10,802 | 5 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,138 – $7,281 · median $7,138 | 5 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,481 – $11,711 · median $11,481 | 5 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,948 – $8,107 · median $7,948 | 5 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,201 – $6,325 · median $6,201 | 5 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $20,748 – $21,163 · median $20,748 | 5 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,157 – $12,401 · median $12,157 | 5 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,737 – $8,912 · median $8,737 | 5 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $40,993 – $41,813 · median $40,993 | 5 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $23,672 – $24,146 · median $23,672 | 5 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,231 – $14,515 · median $14,231 | 5 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $36,087 – $36,808 · median $36,087 | 5 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $18,514 – $18,885 · median $18,514 | 5 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,261 – $12,506 · median $12,261 | 5 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $22,351 – $22,798 · median $22,351 | 5 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,792 – $13,048 · median $12,792 | 5 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,645 – $10,858 · median $10,645 | 5 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $12,652 – $12,905 · median $12,652 | 5 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $11,954 – $12,193 · median $11,954 | 5 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $14,557 – $14,848 · median $14,557 | 5 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,156 – $14,439 · median $14,156 | 5 plans |
| 592 | SKIN ULCERS WITH MCC | $14,614 – $14,906 · median $14,614 | 5 plans |
| 593 | SKIN ULCERS WITH CC | $9,253 – $9,438 · median $9,253 | 5 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,848 – $6,985 · median $6,848 | 5 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $14,992 – $15,292 · median $14,992 | 5 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,343 – $8,509 · median $8,343 | 5 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,687 – $12,941 · median $12,687 | 5 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,328 – $8,495 · median $8,328 | 5 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,888 – $7,026 · median $6,888 | 5 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,542 – $7,693 · median $7,542 | 5 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,245 – $5,350 · median $5,245 | 5 plans |
| 602 | CELLULITIS WITH MCC | $10,838 – $11,055 · median $10,838 | 5 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,054 – $7,196 · median $7,054 | 5 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,945 – $11,163 · median $10,945 | 5 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,330 – $7,477 · median $7,330 | 5 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,746 – $11,981 · median $11,746 | 5 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,948 – $7,087 · median $6,948 | 5 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $16,046 – $16,367 · median $16,046 | 5 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,606 – $10,818 · median $10,606 | 5 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $26,245 – $26,770 · median $26,245 | 5 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,812 – $14,088 · median $13,812 | 5 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,397 – $9,585 · median $9,397 | 5 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $18,924 – $19,302 · median $18,924 | 5 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,660 – $11,893 · median $11,660 | 5 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,791 – $11,007 · median $10,791 | 5 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,454 – $25,964 · median $25,454 | 5 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,691 – $13,965 · median $13,691 | 5 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,841 – $7,998 · median $7,841 | 5 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $19,828 – $20,225 · median $19,828 | 5 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,096 – $11,318 · median $11,096 | 5 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,537 – $9,728 · median $9,537 | 5 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $26,764 – $27,300 · median $26,764 | 5 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $15,854 – $16,171 · median $15,854 | 5 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,402 – $10,610 · median $10,402 | 5 plans |
| 637 | DIABETES WITH MCC | $10,755 – $10,971 · median $10,755 | 5 plans |
| 638 | DIABETES WITH CC | $7,289 – $7,434 · median $7,289 | 5 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,420 – $5,528 · median $5,420 | 5 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $9,930 – $10,129 · median $9,930 | 5 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,415 – $6,544 · median $6,415 | 5 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $9,372 – $9,559 · median $9,372 | 5 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,048 – $12,289 · median $12,048 | 5 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,036 – $8,197 · median $8,036 | 5 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,398 – $6,526 · median $6,398 | 5 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $31,019 – $31,640 · median $31,019 | 5 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $23,721 – $24,196 · median $23,721 | 5 plans |
| 652 | KIDNEY TRANSPLANT | $21,142 – $21,565 · median $21,142 | 5 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $37,240 – $37,985 · median $37,240 | 5 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $19,539 – $19,929 · median $19,539 | 5 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $14,749 – $15,044 · median $14,749 | 5 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $22,342 – $22,789 · median $22,342 | 5 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,146 – $13,409 · median $13,146 | 5 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,062 – $11,283 · median $11,062 | 5 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,009 – $18,370 · median $18,009 | 5 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,008 – $10,208 · median $10,008 | 5 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,992 – $8,152 · median $7,992 | 5 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $21,452 – $21,881 · median $21,452 | 5 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,213 – $11,437 · median $11,213 | 5 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,334 – $8,501 · median $8,334 | 5 plans |
| 665 | PROSTATECTOMY WITH MCC | $23,471 – $23,941 · median $23,471 | 5 plans |
| 666 | PROSTATECTOMY WITH CC | $11,984 – $12,223 · median $11,984 | 5 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,000 – $8,160 · median $8,000 | 5 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $20,145 – $20,547 · median $20,145 | 5 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,342 – $11,569 · median $11,342 | 5 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,536 – $7,687 · median $7,536 | 5 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $12,475 – $12,725 · median $12,475 | 5 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,428 – $8,597 · median $8,428 | 5 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $28,333 – $28,900 · median $28,333 | 5 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $16,235 – $16,560 · median $16,235 | 5 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,456 – $11,686 · median $11,456 | 5 plans |
| 682 | RENAL FAILURE WITH MCC | $11,049 – $11,270 · median $11,049 | 5 plans |
| 683 | RENAL FAILURE WITH CC | $7,107 – $7,249 · median $7,107 | 5 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,296 – $5,402 · median $5,296 | 5 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,517 – $13,787 · median $13,517 | 5 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,160 – $8,323 · median $8,160 | 5 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,047 – $6,168 · median $6,047 | 5 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,916 – $9,095 · median $8,916 | 5 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,552 – $6,683 · median $6,552 | 5 plans |
| 693 | URINARY STONES WITH MCC | $10,846 – $11,063 · median $10,846 | 5 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,415 – $6,544 · median $6,415 | 5 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,643 – $8,816 · median $8,643 | 5 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,839 – $5,956 · median $5,839 | 5 plans |
| 697 | URETHRAL STRICTURE | $7,833 – $7,989 · median $7,833 | 5 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,200 – $12,444 · median $12,200 | 5 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,949 – $8,108 · median $7,949 | 5 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,854 – $5,972 · median $5,854 | 5 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $13,870 – $14,147 · median $13,870 | 5 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,924 – $11,142 · median $10,924 | 5 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $15,841 – $16,158 · median $15,841 | 5 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,045 – $11,266 · median $11,045 | 5 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $13,677 – $13,951 · median $13,677 | 5 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,269 – $8,434 · median $8,269 | 5 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,689 – $10,903 · median $10,689 | 5 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,433 – $7,582 · median $7,433 | 5 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $15,913 – $16,231 · median $15,913 | 5 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,517 – $10,728 · median $10,517 | 5 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,323 – $13,589 · median $13,323 | 5 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,312 – $9,499 · median $9,312 | 5 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $12,508 – $12,759 · median $12,508 | 5 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,611 – $8,784 · median $8,611 | 5 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,076 – $6,197 · median $6,076 | 5 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,510 – $9,700 · median $9,510 | 5 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,177 – $6,301 · median $6,177 | 5 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,840 – $11,056 · median $10,840 | 5 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,645 – $6,778 · median $6,645 | 5 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,470 – $8,639 · median $8,470 | 5 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,293 – $5,399 · median $5,293 | 5 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $14,913 – $15,211 · median $14,913 | 5 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,197 – $9,381 · median $9,197 | 5 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $26,712 – $27,247 · median $26,712 | 5 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $14,242 – $14,526 · median $14,242 | 5 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,145 – $11,368 · median $11,145 | 5 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $26,991 – $27,531 · median $26,991 | 5 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,083 – $13,345 · median $13,083 | 5 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,224 – $10,428 · median $10,224 | 5 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,137 – $13,400 · median $13,137 | 5 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,099 – $9,281 · median $9,099 | 5 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $13,956 – $14,235 · median $13,956 | 5 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,981 – $8,140 · median $7,981 | 5 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,159 – $12,402 · median $12,159 | 5 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,533 – $7,684 · median $7,533 | 5 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,151 – $10,354 · median $10,151 | 5 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $18,037 – $18,398 · median $18,037 | 5 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,683 – $9,876 · median $9,683 | 5 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,026 – $13,286 · median $13,026 | 5 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,529 – $8,700 · median $8,529 | 5 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,532 – $7,682 · median $7,532 | 5 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,492 – $10,702 · median $10,492 | 5 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,945 – $8,104 · median $7,945 | 5 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,506 – $5,616 · median $5,506 | 5 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,728 – $7,883 · median $7,728 | 5 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,467 – $5,576 · median $5,467 | 5 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $8,440 – $8,609 · median $8,440 | 5 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,326 – $10,532 · median $10,326 | 5 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,310 – $8,476 · median $8,310 | 5 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,979 – $6,098 · median $5,979 | 5 plans |
| 779 | ABORTION WITHOUT D&C | $7,402 – $7,550 · median $7,402 | 5 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $13,236 – $13,501 · median $13,236 | 5 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,355 – $8,522 · median $8,355 | 5 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,008 – $7,148 · median $7,008 | 5 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $11,782 – $12,017 · median $11,782 | 5 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,218 – $8,383 · median $8,218 | 5 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,208 – $7,352 · median $7,208 | 5 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $12,982 – $13,242 · median $12,982 | 5 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $39,620 – $40,413 · median $39,620 | 5 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $27,499 – $28,049 · median $27,499 | 5 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $17,144 – $17,487 · median $17,144 | 5 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $28,210 – $28,774 · median $28,210 | 5 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $10,883 – $11,101 · median $10,883 | 5 plans |
| 795 | NORMAL NEWBORN | $2,675 – $2,729 · median $2,675 | 5 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $9,600 – $9,792 · median $9,600 | 5 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,617 – $7,769 · median $7,617 | 5 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $7,617 – $7,769 · median $7,617 | 5 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $31,968 – $32,607 · median $31,968 | 5 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $20,128 – $20,531 · median $20,128 | 5 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $11,948 – $12,187 · median $11,948 | 5 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $24,444 – $24,932 · median $24,444 | 5 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $12,837 – $13,094 · median $12,837 | 5 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,500 – $8,670 · median $8,500 | 5 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,808 – $7,964 · median $7,808 | 5 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $6,044 – $6,164 · median $6,044 | 5 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,489 – $5,598 · median $5,489 | 5 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $16,119 – $16,441 · median $16,119 | 5 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,355 – $9,542 · median $9,355 | 5 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,511 – $7,661 · median $7,511 | 5 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,438 – $10,646 · median $10,438 | 5 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,325 – $7,472 · median $7,325 | 5 plans |
| 813 | COAGULATION DISORDERS | $11,345 – $11,572 · median $11,345 | 5 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $14,834 – $15,131 · median $14,834 | 5 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,925 – $8,083 · median $7,925 | 5 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,631 – $5,743 · median $5,631 | 5 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $17,693 – $18,047 · median $17,693 | 5 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,673 – $9,867 · median $9,673 | 5 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,641 – $6,774 · median $6,641 | 5 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $38,833 – $39,609 · median $38,833 | 5 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $15,746 – $16,061 · median $15,746 | 5 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,745 – $8,920 · median $8,745 | 5 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $31,483 – $32,113 · median $31,483 | 5 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $15,534 – $15,845 · median $15,534 | 5 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,305 – $9,491 · median $9,305 | 5 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $32,101 – $32,743 · median $32,101 | 5 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $16,566 – $16,898 · median $16,566 | 5 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,698 – $11,932 · median $11,698 | 5 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $21,222 – $21,646 · median $21,222 | 5 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,795 – $11,011 · median $10,795 | 5 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,792 – $8,968 · median $8,792 | 5 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,197 – $6,321 · median $6,197 | 5 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,733 – $4,828 · median $4,733 | 5 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $36,936 – $37,674 · median $36,936 | 5 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $15,126 – $15,428 · median $15,126 | 5 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,562 – $9,753 · median $9,562 | 5 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $33,591 – $34,263 · median $33,591 | 5 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $14,433 – $14,722 · median $14,433 | 5 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,203 – $10,407 · median $10,203 | 5 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $21,898 – $22,336 · median $21,898 | 5 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,474 – $11,703 · median $11,474 | 5 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,155 – $8,318 · median $8,155 | 5 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $13,566 – $13,837 · median $13,566 | 5 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,076 – $9,258 · median $9,076 | 5 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,772 – $6,907 · median $6,772 | 5 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $17,813 – $18,170 · median $17,813 | 5 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,562 – $9,753 · median $9,562 | 5 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,656 – $6,790 · median $6,656 | 5 plans |
| 849 | RADIOTHERAPY | $18,568 – $18,939 · median $18,568 | 5 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $60,631 – $61,843 · median $60,631 | 5 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $33,553 – $34,224 · median $33,553 | 5 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $14,240 – $14,524 · median $14,240 | 5 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,844 – $12,081 · median $11,844 | 5 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $30,404 – $31,012 · median $30,404 | 5 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,402 – $15,710 · median $15,402 | 5 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,676 – $9,869 · median $9,676 | 5 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,215 – $13,479 · median $13,215 | 5 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,820 – $7,977 · median $7,820 | 5 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,165 – $7,308 · median $7,165 | 5 plans |
| 865 | VIRAL ILLNESS WITH MCC | $10,881 – $11,099 · median $10,881 | 5 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,080 – $7,222 · median $7,080 | 5 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,180 – $15,483 · median $15,180 | 5 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,143 – $8,306 · median $8,143 | 5 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,018 – $6,138 · median $6,018 | 5 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $46,127 – $47,049 · median $46,127 | 5 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,008 – $14,288 · median $14,008 | 5 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,020 – $8,181 · median $8,020 | 5 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $26,661 – $27,194 · median $26,661 | 5 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,555 – $7,706 · median $7,555 | 5 plans |
| 881 | DEPRESSIVE NEUROSES | $7,269 – $7,414 · median $7,269 | 5 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,577 – $7,728 · median $7,577 | 5 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $13,312 – $13,579 · median $13,312 | 5 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,131 – $12,374 · median $12,131 | 5 plans |
| 885 | PSYCHOSES | $10,455 – $10,664 · median $10,455 | 5 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $12,943 – $13,202 · median $12,943 | 5 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,039 – $9,220 · median $9,039 | 5 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,404 – $5,512 · median $5,404 | 5 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $10,701 – $10,915 · median $10,701 | 5 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $12,842 – $13,099 · median $12,842 | 5 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $7,063 – $7,205 · median $7,063 | 5 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $29,882 – $30,480 · median $29,882 | 5 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $13,593 – $13,865 · median $13,593 | 5 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,230 – $9,415 · median $9,230 | 5 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $26,220 – $26,745 · median $26,220 | 5 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,990 – $12,229 · median $11,990 | 5 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $15,426 – $15,734 · median $15,426 | 5 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $27,009 – $27,549 · median $27,009 | 5 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,362 – $14,649 · median $14,362 | 5 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,546 – $9,737 · median $9,546 | 5 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $11,797 – $12,033 · median $11,797 | 5 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,283 – $7,429 · median $7,283 | 5 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,566 – $12,818 · median $12,566 | 5 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,661 – $5,774 · median $5,661 | 5 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $11,935 – $12,174 · median $11,935 | 5 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,079 – $7,220 · median $7,079 | 5 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,117 – $13,380 · median $13,117 | 5 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,923 – $8,082 · median $7,923 | 5 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,813 – $5,929 · median $5,813 | 5 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,254 – $12,500 · median $12,254 | 5 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,949 – $8,108 · median $7,949 | 5 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $153,949 – $157,028 · median $153,949 | 5 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $44,341 – $45,228 · median $44,341 | 5 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $21,843 – $22,280 · median $21,843 | 5 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $29,216 – $29,800 · median $29,216 | 5 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $15,190 – $15,493 · median $15,190 | 5 plans |
| 935 | NON-EXTENSIVE BURNS | $15,515 – $15,825 · median $15,515 | 5 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $21,802 – $22,238 · median $21,802 | 5 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $14,968 – $15,268 · median $14,968 | 5 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $13,958 – $14,237 · median $13,958 | 5 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,207 – $11,431 · median $11,207 | 5 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,570 – $8,742 · median $8,570 | 5 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,662 – $9,855 · median $9,662 | 5 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,499 – $6,629 · median $6,499 | 5 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,329 – $8,496 · median $8,329 | 5 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,159 – $5,262 · median $5,159 | 5 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,036 – $5,137 · median $5,036 | 5 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $45,302 – $46,208 · median $45,302 | 5 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $25,972 – $26,491 · median $25,972 | 5 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $49,392 – $50,379 · median $49,392 | 5 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $27,820 – $28,376 · median $27,820 | 5 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $18,393 – $18,761 · median $18,393 | 5 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $18,861 – $19,238 · median $18,861 | 5 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,037 – $11,258 · median $11,037 | 5 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,259 – $7,404 · median $7,259 | 5 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $42,061 – $42,902 · median $42,061 | 5 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $18,453 – $18,822 · median $18,453 | 5 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $20,594 – $21,006 · median $20,594 | 5 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,531 – $10,742 · median $10,531 | 5 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,840 – $7,997 · median $7,840 | 5 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,663 – $10,876 · median $10,663 | 5 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $31,962 – $32,601 · median $31,962 | 5 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,135 – $17,478 · median $17,135 | 5 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,118 – $12,360 · median $12,118 | 5 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $23,916 – $24,394 · median $23,916 | 5 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,426 – $12,674 · median $12,426 | 5 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,345 – $7,491 · median $7,345 | 5 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $11,334 – $11,334 · median $11,334 | 1 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,808 – $7,808 · median $7,808 | 1 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,678 – $5,678 · median $5,678 | 1 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $9,287 – $9,287 · median $9,287 | 1 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $6,469 – $6,469 · median $6,469 | 1 plans |
| 509 | ARTHROSCOPY | $12,687 – $12,687 · median $12,687 | 1 plans |
No procedures match that keyword.