Coast Plaza Hospital — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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 |
|---|---|---|---|
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $16,982 – $54,876 · median $30,182 | 17 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $15,757 – $32,489 · median $17,869 | 17 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $14,457 – $29,809 · median $16,395 | 17 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $5,788 – $47,939 · median $26,366 | 16 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $5,788 – $33,706 · median $18,538 | 16 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $5,788 – $26,951 · median $14,823 | 16 plans |
| 693 | URINARY STONES WITH MCC | $5,788 – $29,979 · median $16,489 | 16 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,788 – $16,323 · median $8,978 | 16 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $4,329 – $22,564 · median $11,846 | 16 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $7,319 – $37,347 · median $19,607 | 16 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,319 – $22,301 · median $11,708 | 16 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,319 – $18,148 · median $9,528 | 16 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $7,319 – $32,863 · median $17,253 | 16 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,319 – $21,881 · median $11,487 | 16 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,319 – $18,767 · median $9,853 | 16 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,329 – $26,138 · median $13,723 | 16 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,329 – $20,025 · median $10,513 | 16 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $4,329 – $20,025 · median $10,513 | 16 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,329 – $20,616 · median $10,823 | 16 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,329 – $15,177 · median $7,968 | 16 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,329 – $13,467 · median $7,070 | 16 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $271,190 – $559,154 · median $307,535 | 15 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $106,338 – $219,254 · median $120,590 | 15 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $206,429 – $425,627 · median $234,095 | 15 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $136,238 – $280,903 · median $154,497 | 15 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $102,779 – $211,915 · median $116,553 | 15 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $47,021 – $96,950 · median $53,322 | 15 plans |
| 007 | LUNG TRANSPLANT | $126,037 – $259,869 · median $142,928 | 15 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $52,711 – $108,682 · median $59,775 | 15 plans |
| 010 | PANCREAS TRANSPLANT | $77,050 – $158,866 · median $87,376 | 15 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $52,276 – $107,786 · median $59,282 | 15 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $39,854 – $82,174 · median $45,195 | 15 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $25,880 – $53,360 · median $29,348 | 15 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $126,354 – $260,523 · median $143,288 | 15 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $58,429 – $120,471 · median $66,259 | 15 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $58,429 – $120,471 · median $66,259 | 15 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $362,942 – $748,333 · median $411,583 | 15 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $76,611 – $157,960 · median $86,878 | 15 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $77,897 – $160,612 · median $88,337 | 15 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $53,539 – $110,390 · median $60,715 | 15 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $34,343 – $70,810 · median $38,946 | 15 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $55,249 – $113,915 · median $62,653 | 15 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $36,951 – $76,188 · median $41,903 | 15 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $43,398 – $89,480 · median $49,214 | 15 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $29,808 – $61,459 · median $33,802 | 15 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $24,128 – $49,749 · median $27,362 | 15 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $58,848 – $121,336 · median $66,735 | 15 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $32,673 – $67,367 · median $37,052 | 15 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $21,798 – $44,944 · median $24,719 | 15 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $40,690 – $83,896 · median $46,143 | 15 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $20,935 – $43,164 · median $23,740 | 15 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $15,743 – $32,459 · median $17,852 | 15 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $37,787 – $77,912 · median $42,852 | 15 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $22,273 – $45,923 · median $25,258 | 15 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $18,027 – $37,168 · median $20,443 | 15 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $32,329 – $66,658 · median $36,662 | 15 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $15,894 – $32,772 · median $18,025 | 15 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $11,347 – $23,395 · median $12,867 | 15 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $36,666 – $75,601 · median $41,581 | 15 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $22,113 – $45,594 · median $25,077 | 15 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $17,301 – $35,672 · median $19,620 | 15 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $19,751 – $40,724 · median $22,398 | 15 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $9,262 – $19,098 · median $10,504 | 15 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $14,816 – $30,548 · median $16,802 | 15 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $10,893 – $22,459 · median $12,353 | 15 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $24,477 – $50,468 · median $27,757 | 15 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $13,233 – $27,284 · median $15,006 | 15 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $18,150 – $37,422 · median $20,582 | 15 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $12,167 – $25,088 · median $13,798 | 15 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $8,984 – $18,523 · median $10,188 | 15 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $26,393 – $54,418 · median $29,930 | 15 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $17,525 – $36,134 · median $19,874 | 15 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $13,909 – $28,679 · median $15,774 | 15 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $19,527 – $40,262 · median $22,144 | 15 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $10,180 – $20,991 · median $11,545 | 15 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $7,022 – $14,478 · median $7,963 | 15 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $14,391 – $29,672 · median $16,320 | 15 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $8,879 – $18,307 · median $10,069 | 15 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $8,096 – $16,693 · median $9,181 | 15 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $17,120 – $35,299 · median $19,415 | 15 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $10,536 – $21,724 · median $11,948 | 15 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $7,617 – $15,704 · median $8,637 | 15 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $15,263 – $31,470 · median $17,308 | 15 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $10,426 – $21,496 · median $11,823 | 15 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $16,963 – $34,974 · median $19,236 | 15 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $9,219 – $19,009 · median $10,455 | 15 plans |
| 077 | DRG | $15,270 – $31,484 · median $17,316 | 15 plans |
| 078 | DRG | $9,998 – $20,614 · median $11,338 | 15 plans |
| 079 | DRG | $6,814 – $14,049 · median $7,727 | 15 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $19,514 – $40,235 · median $22,129 | 15 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $9,103 – $18,769 · median $10,323 | 15 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $22,709 – $46,823 · median $25,753 | 15 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $13,771 – $28,394 · median $15,617 | 15 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $9,596 – $19,786 · median $10,882 | 15 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $22,188 – $45,749 · median $25,162 | 15 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $13,013 – $26,832 · median $14,758 | 15 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $8,903 – $18,356 · median $10,096 | 15 plans |
| 088 | CONCUSSION WITH MCC | $13,966 – $28,796 · median $15,838 | 15 plans |
| 089 | CONCUSSION WITH CC | $10,711 – $22,085 · median $12,147 | 15 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $8,646 – $17,827 · median $9,805 | 15 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $17,929 – $36,966 · median $20,331 | 15 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $10,582 – $21,819 · median $12,001 | 15 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,993 – $16,479 · median $9,064 | 15 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $35,480 – $73,155 · median $40,235 | 15 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $23,449 – $48,349 · median $26,592 | 15 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $23,449 – $48,349 · median $26,592 | 15 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $34,864 – $71,885 · median $39,537 | 15 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $21,259 – $43,832 · median $24,108 | 15 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $13,799 – $28,451 · median $15,648 | 15 plans |
| 100 | SEIZURES WITH MCC | $19,490 – $40,185 · median $22,102 | 15 plans |
| 101 | SEIZURES WITHOUT MCC | $9,265 – $19,104 · median $10,507 | 15 plans |
| 102 | HEADACHES WITH MCC | $11,551 – $23,817 · median $13,099 | 15 plans |
| 103 | HEADACHES WITHOUT MCC | $8,578 – $17,687 · median $9,728 | 15 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $22,098 – $45,563 · median $25,059 | 15 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $11,769 – $24,265 · median $13,346 | 15 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $15,123 – $31,181 · median $17,149 | 15 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $16,445 – $33,908 · median $18,649 | 15 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $10,774 – $22,214 · median $12,217 | 15 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $11,587 – $23,890 · median $13,140 | 15 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,925 – $14,279 · median $7,854 | 15 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $8,126 – $16,755 · median $9,215 | 15 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $12,939 – $26,679 · median $14,674 | 15 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $8,342 – $17,201 · median $9,461 | 15 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $23,583 – $48,625 · median $26,744 | 15 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $9,808 – $20,224 · median $11,123 | 15 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $13,850 – $28,556 · median $15,706 | 15 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $8,225 – $16,959 · median $9,328 | 15 plans |
| 139 | SALIVARY GLAND PROCEDURES | $13,604 – $28,049 · median $15,427 | 15 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $41,061 – $84,661 · median $46,564 | 15 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $21,059 – $43,420 · median $23,881 | 15 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $15,521 – $32,001 · median $17,601 | 15 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $32,146 – $66,281 · median $36,455 | 15 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $17,292 – $35,654 · median $19,610 | 15 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $11,794 – $24,319 · median $13,375 | 15 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $22,458 – $46,306 · median $25,468 | 15 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $12,371 – $25,508 · median $14,029 | 15 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $8,102 – $16,705 · median $9,188 | 15 plans |
| 149 | DYSEQUILIBRIUM | $7,591 – $15,651 · median $8,608 | 15 plans |
| 150 | EPISTAXIS WITH MCC | $13,692 – $28,231 · median $15,527 | 15 plans |
| 151 | EPISTAXIS WITHOUT MCC | $7,692 – $15,859 · median $8,722 | 15 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $11,314 – $23,328 · median $12,830 | 15 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $7,247 – $14,941 · median $8,218 | 15 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $16,039 – $33,069 · median $18,188 | 15 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $9,380 – $19,340 · median $10,637 | 15 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,869 – $14,162 · median $7,789 | 15 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $16,146 – $33,291 · median $18,310 | 15 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $9,447 – $19,478 · median $10,713 | 15 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,746 – $13,909 · median $7,650 | 15 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $44,714 – $92,193 · median $50,706 | 15 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $24,601 – $50,724 · median $27,898 | 15 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $18,324 – $37,781 · median $20,779 | 15 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $37,418 – $77,151 · median $42,433 | 15 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $17,970 – $37,051 · median $20,378 | 15 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,420 – $27,670 · median $15,219 | 15 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $29,904 – $61,657 · median $33,911 | 15 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $13,951 – $28,764 · median $15,820 | 15 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $8,235 – $16,979 · median $9,338 | 15 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $15,944 – $32,875 · median $18,081 | 15 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $9,942 – $20,499 · median $11,274 | 15 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $7,804 – $16,091 · median $8,850 | 15 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $17,207 – $35,478 · median $19,513 | 15 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $11,078 – $22,842 · median $12,563 | 15 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $8,456 – $17,435 · median $9,589 | 15 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $15,664 – $32,296 · median $17,763 | 15 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $10,673 – $22,005 · median $12,103 | 15 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $7,881 – $16,250 · median $8,937 | 15 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $15,594 – $32,152 · median $17,683 | 15 plans |
| 187 | PLEURAL EFFUSION WITH CC | $10,056 – $20,735 · median $11,404 | 15 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $7,463 – $15,387 · median $8,463 | 15 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $12,300 – $25,361 · median $13,949 | 15 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $11,200 – $23,094 · median $12,702 | 15 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $8,664 – $17,863 · median $9,825 | 15 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $6,627 – $13,663 · median $7,515 | 15 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $13,072 – $26,953 · median $14,824 | 15 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $8,288 – $17,088 · median $9,398 | 15 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $6,391 – $13,177 · median $7,247 | 15 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $18,517 – $38,179 · median $20,999 | 15 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $9,922 – $20,457 · median $11,252 | 15 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $7,138 – $14,717 · median $8,095 | 15 plans |
| 199 | PNEUMOTHORAX WITH MCC | $17,375 – $35,825 · median $19,704 | 15 plans |
| 200 | PNEUMOTHORAX WITH CC | $11,051 – $22,786 · median $12,533 | 15 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,914 – $14,256 · median $7,841 | 15 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $9,698 – $19,996 · median $10,998 | 15 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $7,101 – $14,642 · median $8,053 | 15 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $8,201 – $16,910 · median $9,300 | 15 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $18,553 – $38,253 · median $21,039 | 15 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $9,112 – $18,789 · median $10,334 | 15 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $62,575 – $129,020 · median $70,961 | 15 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $26,205 – $54,030 · median $29,716 | 15 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $105,129 – $216,761 · median $119,218 | 15 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $102,254 – $210,832 · median $115,958 | 15 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $93,182 – $192,128 · median $105,670 | 15 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $62,485 – $128,836 · median $70,860 | 15 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $57,596 – $118,755 · median $65,315 | 15 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $74,786 – $154,198 · median $84,809 | 15 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $51,323 – $105,820 · median $58,201 | 15 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $44,554 – $91,864 · median $50,525 | 15 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $48,310 – $99,608 · median $54,784 | 15 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $30,266 – $62,404 · median $34,322 | 15 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $81,865 – $168,795 · median $92,837 | 15 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $59,128 – $121,914 · median $67,053 | 15 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $75,545 – $155,762 · median $85,669 | 15 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $51,549 – $106,286 · median $58,457 | 15 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $56,970 – $117,465 · median $64,605 | 15 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $39,935 – $82,340 · median $45,287 | 15 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $48,825 – $100,670 · median $55,369 | 15 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $28,400 – $58,557 · median $32,206 | 15 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $14,920 – $30,762 · median $16,919 | 15 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $33,013 – $68,067 · median $37,437 | 15 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $22,061 – $45,487 · median $25,018 | 15 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $17,754 – $36,605 · median $20,133 | 15 plans |
| 245 | AICD GENERATOR PROCEDURES | $47,382 – $97,695 · median $53,732 | 15 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $22,636 – $46,672 · median $25,670 | 15 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $15,426 – $31,807 · median $17,494 | 15 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $33,382 – $68,828 · median $37,856 | 15 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $24,947 – $51,437 · median $28,291 | 15 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $17,222 – $35,509 · median $19,530 | 15 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $25,558 – $52,696 · median $28,983 | 15 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $16,687 – $34,405 · median $18,923 | 15 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,979 – $18,513 · median $10,182 | 15 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $27,374 – $56,442 · median $31,043 | 15 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $17,302 – $35,674 · median $19,621 | 15 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $33,149 – $68,349 · median $37,592 | 15 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $18,647 – $38,447 · median $21,146 | 15 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $14,996 – $30,919 · median $17,005 | 15 plans |
| 263 | VEIN LIGATION AND STRIPPING | $26,188 – $53,996 · median $29,698 | 15 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $34,004 – $70,111 · median $38,561 | 15 plans |
| 265 | AICD LEAD PROCEDURES | $34,697 – $71,540 · median $39,347 | 15 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $57,995 – $119,577 · median $65,768 | 15 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $45,632 – $94,086 · median $51,747 | 15 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $64,501 – $132,992 · median $73,146 | 15 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $40,402 – $83,303 · median $45,817 | 15 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $49,749 – $102,575 · median $56,416 | 15 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $33,516 – $69,106 · median $38,008 | 15 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $24,459 – $50,430 · median $27,737 | 15 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $37,995 – $78,340 · median $43,087 | 15 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $30,407 – $62,696 · median $34,483 | 15 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $68,341 – $140,909 · median $77,500 | 15 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $59,952 – $123,613 · median $67,987 | 15 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $45,124 – $93,039 · median $51,172 | 15 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $48,502 – $100,004 · median $55,002 | 15 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $31,209 – $64,349 · median $35,392 | 15 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $16,184 – $33,369 · median $18,353 | 15 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $9,266 – $19,106 · median $10,508 | 15 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $7,375 – $15,207 · median $8,364 | 15 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $19,202 – $39,592 · median $21,776 | 15 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $7,528 – $15,522 · median $8,537 | 15 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,802 – $11,962 · median $6,579 | 15 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $21,682 – $44,704 · median $24,587 | 15 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $10,880 – $22,434 · median $12,338 | 15 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $26,663 – $54,975 · median $30,236 | 15 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $15,562 – $32,086 · median $17,647 | 15 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $9,816 – $20,239 · median $11,132 | 15 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $12,948 – $26,697 · median $14,683 | 15 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $8,684 – $17,905 · median $9,848 | 15 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,680 – $11,711 · median $6,441 | 15 plans |
| 294 | DRG | $12,210 – $25,175 · median $13,846 | 15 plans |
| 295 | DRG | $7,997 – $16,489 · median $9,069 | 15 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $16,155 – $33,309 · median $18,320 | 15 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $7,176 – $14,797 · median $8,138 | 15 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,651 – $9,590 · median $5,274 | 15 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $15,955 – $32,897 · median $18,093 | 15 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $10,697 – $22,055 · median $12,130 | 15 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $7,263 – $14,975 · median $8,236 | 15 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $11,588 – $23,892 · median $13,141 | 15 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $6,869 – $14,162 · median $7,789 | 15 plans |
| 304 | HYPERTENSION WITH MCC | $11,698 – $24,120 · median $13,266 | 15 plans |
| 305 | HYPERTENSION WITHOUT MCC | $7,621 – $15,714 · median $8,643 | 15 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $14,800 – $30,515 · median $16,783 | 15 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $9,310 – $19,197 · median $10,558 | 15 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $11,997 – $24,737 · median $13,605 | 15 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $7,512 – $15,488 · median $8,519 | 15 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,783 – $11,925 · median $6,559 | 15 plans |
| 311 | ANGINA PECTORIS | $7,118 – $14,676 · median $8,072 | 15 plans |
| 312 | SYNCOPE AND COLLAPSE | $8,781 – $18,105 · median $9,958 | 15 plans |
| 313 | CHEST PAIN | $7,263 – $14,975 · median $8,236 | 15 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $21,107 – $43,519 · median $23,935 | 15 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $9,656 – $19,908 · median $10,950 | 15 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,968 – $14,367 · median $7,902 | 15 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $59,875 – $123,454 · median $67,900 | 15 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $42,633 – $87,904 · median $48,347 | 15 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $22,657 – $46,716 · median $25,694 | 15 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $27,771 – $57,261 · median $31,493 | 15 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $17,797 – $36,695 · median $20,182 | 15 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $41,351 – $85,260 · median $46,893 | 15 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $31,120 – $64,164 · median $35,290 | 15 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $27,919 – $57,564 · median $31,660 | 15 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $49,230 – $101,505 · median $55,828 | 15 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $23,746 – $48,962 · median $26,929 | 15 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $15,723 – $32,419 · median $17,831 | 15 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $44,547 – $91,850 · median $50,518 | 15 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $23,127 – $47,685 · median $26,227 | 15 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $16,276 – $33,559 · median $18,457 | 15 plans |
| 332 | RECTAL RESECTION WITH MCC | $33,750 – $69,587 · median $38,273 | 15 plans |
| 333 | RECTAL RESECTION WITH CC | $20,836 – $42,960 · median $23,628 | 15 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $16,349 – $33,710 · median $18,540 | 15 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $35,237 – $72,654 · median $39,959 | 15 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $20,711 – $42,702 · median $23,486 | 15 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $15,162 – $31,262 · median $17,194 | 15 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $26,307 – $54,242 · median $29,833 | 15 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $14,716 – $30,342 · median $16,688 | 15 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,376 – $25,518 · median $14,035 | 15 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $23,157 – $47,747 · median $26,261 | 15 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $12,507 – $25,787 · median $14,183 | 15 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $8,873 – $18,295 · median $10,062 | 15 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $23,656 – $48,775 · median $26,827 | 15 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $14,868 – $30,655 · median $16,860 | 15 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $11,004 – $22,689 · median $12,479 | 15 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $28,600 – $58,969 · median $32,433 | 15 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $16,758 – $34,552 · median $19,004 | 15 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $13,221 – $27,260 · median $14,993 | 15 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $41,411 – $85,385 · median $46,961 | 15 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $22,054 – $45,471 · median $25,009 | 15 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,432 – $27,694 · median $15,232 | 15 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $16,459 – $33,936 · median $18,665 | 15 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $10,187 – $21,005 · median $11,552 | 15 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $7,115 – $14,670 · median $8,068 | 15 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $17,209 – $35,482 · median $19,515 | 15 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $10,300 – $21,236 · median $11,680 | 15 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $7,378 – $15,213 · median $8,367 | 15 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $20,702 – $42,685 · median $23,476 | 15 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $12,217 – $25,189 · median $13,854 | 15 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $8,893 – $18,337 · median $10,085 | 15 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $17,883 – $36,873 · median $20,280 | 15 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $9,882 – $20,376 · median $11,207 | 15 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $6,526 – $13,455 · median $7,400 | 15 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $18,903 – $38,976 · median $21,437 | 15 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $10,875 – $22,422 · median $12,332 | 15 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $7,608 – $15,687 · median $8,628 | 15 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $12,558 – $25,892 · median $14,241 | 15 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $8,764 – $18,071 · median $9,939 | 15 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $16,024 – $33,040 · median $18,172 | 15 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $9,946 – $20,507 · median $11,279 | 15 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,849 – $14,121 · median $7,766 | 15 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $14,535 – $29,969 · median $16,483 | 15 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $8,111 – $16,723 · median $9,198 | 15 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,665 – $11,681 · median $6,424 | 15 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $12,753 – $26,295 · median $14,462 | 15 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $7,906 – $16,301 · median $8,966 | 15 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $16,324 – $33,658 · median $18,512 | 15 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $9,454 – $19,492 · median $10,721 | 15 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,523 – $13,449 · median $7,397 | 15 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $24,224 – $49,947 · median $27,471 | 15 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $14,951 – $30,828 · median $16,955 | 15 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $11,208 – $23,109 · median $12,710 | 15 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $38,013 – $78,378 · median $43,108 | 15 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $52,592 – $108,436 · median $59,640 | 15 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $27,402 – $56,500 · median $31,075 | 15 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $20,937 – $43,168 · median $23,742 | 15 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $34,063 – $70,234 · median $38,628 | 15 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $20,559 – $42,389 · median $23,314 | 15 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $15,316 – $31,579 · median $17,368 | 15 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $26,710 – $55,073 · median $30,290 | 15 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $20,896 – $43,085 · median $23,697 | 15 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $16,387 – $33,787 · median $18,583 | 15 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $34,087 – $70,283 · median $38,656 | 15 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $19,421 – $40,042 · median $22,023 | 15 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $13,577 – $27,993 · median $15,396 | 15 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $34,334 – $70,792 · median $38,936 | 15 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $16,147 – $33,293 · median $18,311 | 15 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $14,530 – $29,960 · median $16,478 | 15 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $39,505 – $81,454 · median $44,800 | 15 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $22,354 – $46,092 · median $25,350 | 15 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $15,265 – $31,474 · median $17,311 | 15 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $101,106 – $208,466 · median $114,656 | 15 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $68,684 – $141,616 · median $77,889 | 15 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $53,316 – $109,931 · median $60,462 | 15 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $80,584 – $166,152 · median $91,384 | 15 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $52,993 – $109,265 · median $60,096 | 15 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $19,238 – $39,666 · median $21,816 | 15 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $10,689 – $22,039 · median $12,122 | 15 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,100 – $14,640 · median $8,052 | 15 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $17,945 – $37,000 · median $20,350 | 15 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $11,246 – $23,187 · median $12,753 | 15 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,953 – $16,398 · median $9,019 | 15 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $16,398 – $33,811 · median $18,596 | 15 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $8,674 – $17,885 · median $9,837 | 15 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,318 – $13,027 · median $7,165 | 15 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $18,578 – $38,304 · median $21,067 | 15 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $9,693 – $19,986 · median $10,992 | 15 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,160 – $14,763 · median $8,120 | 15 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $16,597 – $34,221 · median $18,822 | 15 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $10,830 – $22,331 · median $12,282 | 15 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $8,069 – $16,638 · median $9,151 | 15 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $64,858 – $133,728 · median $73,550 | 15 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $39,660 – $81,773 · median $44,975 | 15 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $49,913 – $102,914 · median $56,603 | 15 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $30,071 – $62,002 · median $34,101 | 15 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $81,820 – $168,701 · median $92,786 | 15 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $55,578 – $114,594 · median $63,027 | 15 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $41,914 – $86,421 · median $47,532 | 15 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $59,398 – $122,469 · median $67,358 | 15 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $27,935 – $57,598 · median $31,679 | 15 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $52,325 – $107,887 · median $59,338 | 15 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $28,750 – $59,279 · median $32,603 | 15 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $17,094 – $35,246 · median $19,385 | 15 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $49,380 – $101,814 · median $55,998 | 15 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $33,332 – $68,725 · median $37,799 | 15 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $25,623 – $52,831 · median $29,057 | 15 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $31,827 – $65,623 · median $36,093 | 15 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $18,530 – $38,207 · median $21,014 | 15 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $47,099 – $97,111 · median $53,411 | 15 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $28,256 – $58,260 · median $32,043 | 15 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $23,163 – $47,759 · median $26,267 | 15 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $43,517 – $89,725 · median $49,349 | 15 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $21,143 – $43,594 · median $23,977 | 15 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,586 – $23,888 · median $13,139 | 15 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $33,464 – $68,999 · median $37,949 | 15 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $22,886 – $47,188 · median $25,953 | 15 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $17,476 – $36,033 · median $19,818 | 15 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $28,677 – $59,128 · median $32,520 | 15 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $20,351 – $41,961 · median $23,079 | 15 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $15,655 – $32,279 · median $17,753 | 15 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $24,901 – $51,342 · median $28,238 | 15 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $31,352 – $64,644 · median $35,554 | 15 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $20,793 – $42,873 · median $23,580 | 15 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $15,596 – $32,156 · median $17,686 | 15 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $19,298 – $39,791 · median $21,885 | 15 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,310 – $25,381 · median $13,960 | 15 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $34,543 – $71,223 · median $39,172 | 15 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $23,486 – $48,425 · median $26,634 | 15 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $18,529 – $38,205 · median $21,013 | 15 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $34,249 – $70,616 · median $38,839 | 15 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $19,372 – $39,941 · median $21,968 | 15 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $13,311 – $27,446 · median $15,095 | 15 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $24,677 – $50,880 · median $27,984 | 15 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $11,564 – $23,843 · median $13,114 | 15 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $30,866 – $63,641 · median $35,003 | 15 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $17,561 – $36,209 · median $19,915 | 15 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $13,836 – $28,529 · median $15,691 | 15 plans |
| 503 | FOOT PROCEDURES WITH MCC | $25,847 – $53,293 · median $29,311 | 15 plans |
| 504 | FOOT PROCEDURES WITH CC | $17,276 – $35,620 · median $19,591 | 15 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $17,276 – $35,620 · median $19,591 | 15 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $14,816 – $30,548 · median $16,802 | 15 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $19,037 – $39,252 · median $21,588 | 15 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $12,812 – $26,416 · median $14,529 | 15 plans |
| 509 | DRG | $17,292 – $35,654 · median $19,610 | 15 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $27,880 – $57,485 · median $31,617 | 15 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $19,258 – $39,707 · median $21,839 | 15 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $15,861 – $32,703 · median $17,987 | 15 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $14,878 – $30,677 · median $16,872 | 15 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $10,206 – $21,044 · median $11,574 | 15 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $30,132 – $62,129 · median $34,171 | 15 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $19,744 – $40,708 · median $22,390 | 15 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $14,754 – $30,421 · median $16,732 | 15 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $34,858 – $71,873 · median $39,530 | 15 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $19,361 – $39,920 · median $21,956 | 15 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $14,182 – $29,242 · median $16,083 | 15 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $28,424 – $58,607 · median $32,234 | 15 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $20,670 – $42,619 · median $23,441 | 15 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $15,064 – $31,060 · median $17,083 | 15 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $8,230 – $16,969 · median $9,333 | 15 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $13,189 – $27,195 · median $14,957 | 15 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $8,200 – $16,908 · median $9,299 | 15 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $9,239 – $19,050 · median $10,478 | 15 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,860 – $14,145 · median $7,779 | 15 plans |
| 539 | OSTEOMYELITIS WITH MCC | $19,846 – $40,920 · median $22,506 | 15 plans |
| 540 | OSTEOMYELITIS WITH CC | $12,845 – $26,485 · median $14,567 | 15 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $8,815 – $18,176 · median $9,997 | 15 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $18,334 – $37,803 · median $20,791 | 15 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $10,603 – $21,863 · median $12,025 | 15 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $7,670 – $15,813 · median $8,697 | 15 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $24,696 – $50,920 · median $28,006 | 15 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $11,534 – $23,781 · median $13,080 | 15 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,578 – $15,625 · median $8,594 | 15 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $19,771 – $40,766 · median $22,421 | 15 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $11,990 – $24,721 · median $13,597 | 15 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $8,692 – $17,922 · median $9,857 | 15 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $16,809 – $34,657 · median $19,061 | 15 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $9,670 – $19,938 · median $10,966 | 15 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $12,960 – $26,721 · median $14,696 | 15 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $8,428 – $17,377 · median $9,558 | 15 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,350 – $27,526 · median $15,139 | 15 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $8,254 – $17,019 · median $9,360 | 15 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $15,302 – $31,551 · median $17,353 | 15 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $8,709 – $17,956 · median $9,876 | 15 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $18,250 – $37,628 · median $20,696 | 15 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $11,351 – $23,405 · median $12,873 | 15 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $8,265 – $17,040 · median $9,372 | 15 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $14,474 – $29,843 · median $16,413 | 15 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $8,997 – $18,551 · median $10,203 | 15 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $15,490 – $31,938 · median $17,566 | 15 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $10,207 – $21,046 · median $11,575 | 15 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $7,596 – $15,663 · median $8,615 | 15 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $29,342 – $60,499 · median $33,275 | 15 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $16,500 – $34,021 · median $18,711 | 15 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $11,387 – $23,478 · median $12,913 | 15 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $59,604 – $122,895 · median $67,592 | 15 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $33,713 – $69,512 · median $38,232 | 15 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $19,599 – $40,411 · median $22,226 | 15 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $52,270 – $107,774 · median $59,276 | 15 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $26,003 – $53,614 · median $29,488 | 15 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $16,655 – $34,340 · median $18,887 | 15 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $31,738 – $65,439 · median $35,991 | 15 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $17,449 – $35,977 · median $19,787 | 15 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $14,240 – $29,361 · median $16,149 | 15 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $17,239 – $35,545 · median $19,550 | 15 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $16,196 – $33,395 · median $18,367 | 15 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $20,087 – $41,416 · median $22,779 | 15 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $19,488 – $40,181 · median $22,100 | 15 plans |
| 592 | SKIN ULCERS WITH MCC | $20,172 – $41,592 · median $22,876 | 15 plans |
| 593 | SKIN ULCERS WITH CC | $12,159 – $25,070 · median $13,788 | 15 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $8,564 – $17,657 · median $9,711 | 15 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $20,738 – $42,758 · median $23,517 | 15 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $10,798 – $22,263 · median $12,245 | 15 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $17,292 – $35,654 · median $19,610 | 15 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $10,776 – $22,220 · median $12,221 | 15 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $8,623 – $17,780 · median $9,779 | 15 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $9,601 – $19,795 · median $10,887 | 15 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,168 – $12,717 · median $6,995 | 15 plans |
| 602 | CELLULITIS WITH MCC | $14,528 – $29,956 · median $16,476 | 15 plans |
| 603 | CELLULITIS WITHOUT MCC | $8,872 – $18,293 · median $10,061 | 15 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $14,687 – $30,283 · median $16,655 | 15 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $9,285 – $19,143 · median $10,529 | 15 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $15,885 – $32,752 · median $18,014 | 15 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $8,713 – $17,964 · median $9,880 | 15 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $22,313 – $46,006 · median $25,304 | 15 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $14,180 – $29,238 · median $16,081 | 15 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $37,560 – $77,442 · median $42,593 | 15 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $18,974 – $39,121 · median $21,516 | 15 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $12,374 – $25,514 · median $14,033 | 15 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $36,377 – $75,004 · median $41,252 | 15 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $18,793 – $38,748 · median $21,311 | 15 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,048 – $20,717 · median $11,394 | 15 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $27,967 – $57,663 · median $31,715 | 15 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $14,914 – $30,750 · median $16,913 | 15 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $12,584 – $25,946 · median $14,270 | 15 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $38,335 – $79,042 · median $43,473 | 15 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $22,026 – $45,414 · median $24,978 | 15 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $13,876 – $28,610 · median $15,735 | 15 plans |
| 637 | DIABETES WITH MCC | $14,404 – $29,700 · median $16,335 | 15 plans |
| 638 | DIABETES WITH CC | $9,222 – $19,015 · median $10,458 | 15 plans |
| 639 | DIABETES WITHOUT CC/MCC | $6,428 – $13,255 · median $7,290 | 15 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $13,171 – $27,157 · median $14,936 | 15 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $7,917 – $16,323 · median $8,978 | 15 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $12,336 – $25,434 · median $13,989 | 15 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $16,337 – $33,684 · median $18,526 | 15 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $10,339 – $21,318 · median $11,725 | 15 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $7,891 – $16,269 · median $8,948 | 15 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $44,695 – $92,155 · median $50,685 | 15 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $33,786 – $69,663 · median $38,314 | 15 plans |
| 652 | KIDNEY TRANSPLANT | $29,931 – $61,713 · median $33,942 | 15 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $53,994 – $111,328 · median $61,230 | 15 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $27,534 – $56,771 · median $31,224 | 15 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $20,374 – $42,009 · median $23,105 | 15 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $31,724 – $65,411 · median $35,976 | 15 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $17,979 – $37,069 · median $20,388 | 15 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $14,863 – $30,645 · median $16,855 | 15 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $25,248 – $52,058 · median $28,632 | 15 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $13,286 – $27,395 · median $15,067 | 15 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $10,274 – $21,183 · median $11,651 | 15 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $30,394 – $62,668 · median $34,467 | 15 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $15,088 – $31,109 · median $17,110 | 15 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $10,785 – $22,237 · median $12,231 | 15 plans |
| 665 | PROSTATECTOMY WITH MCC | $33,412 – $68,892 · median $37,890 | 15 plans |
| 666 | PROSTATECTOMY WITH CC | $16,241 – $33,486 · median $18,417 | 15 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $10,285 – $21,207 · median $11,664 | 15 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $28,440 – $58,638 · median $32,251 | 15 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $15,281 – $31,508 · median $17,329 | 15 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $9,592 – $19,778 · median $10,878 | 15 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $16,975 – $35,000 · median $19,250 | 15 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $10,925 – $22,527 · median $12,390 | 15 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $40,680 – $83,876 · median $46,132 | 15 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $22,596 – $46,589 · median $25,624 | 15 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $15,452 – $31,860 · median $17,523 | 15 plans |
| 682 | RENAL FAILURE WITH MCC | $14,843 – $30,604 · median $16,832 | 15 plans |
| 683 | RENAL FAILURE WITH CC | $8,950 – $18,454 · median $10,149 | 15 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $6,244 – $12,874 · median $7,081 | 15 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $18,532 – $38,211 · median $21,016 | 15 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $10,525 – $21,700 · median $11,935 | 15 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,367 – $15,189 · median $8,354 | 15 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $11,655 – $24,031 · median $13,217 | 15 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $8,120 – $16,743 · median $9,209 | 15 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $11,247 – $23,189 · median $12,754 | 15 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $7,055 – $14,547 · median $8,001 | 15 plans |
| 697 | URETHRAL STRICTURE | $10,035 – $20,691 · median $11,380 | 15 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $16,564 – $34,152 · median $18,783 | 15 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $10,209 – $21,050 · median $11,578 | 15 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $7,078 – $14,594 · median $8,027 | 15 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $19,060 – $39,299 · median $21,615 | 15 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $14,656 – $30,219 · median $16,621 | 15 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $22,006 – $45,374 · median $24,956 | 15 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $14,838 – $30,594 · median $16,827 | 15 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $18,772 – $38,705 · median $21,287 | 15 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $10,687 – $22,035 · median $12,119 | 15 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $14,305 – $29,496 · median $16,223 | 15 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $9,438 – $19,460 · median $10,703 | 15 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $22,114 – $45,596 · median $25,078 | 15 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $14,049 – $28,967 · median $15,932 | 15 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $18,242 – $37,612 · median $20,687 | 15 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $12,247 – $25,252 · median $13,889 | 15 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $17,025 – $35,103 · median $19,307 | 15 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $11,199 – $23,092 · median $12,700 | 15 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,409 – $15,276 · median $8,402 | 15 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $12,542 – $25,861 · median $14,223 | 15 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $7,561 – $15,589 · median $8,574 | 15 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $14,530 – $29,960 · median $16,478 | 15 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $8,260 – $17,030 · median $9,367 | 15 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $10,988 – $22,656 · median $12,461 | 15 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,239 – $12,864 · median $7,075 | 15 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $20,619 – $42,514 · median $23,383 | 15 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $12,074 – $24,895 · median $13,692 | 15 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $38,257 – $78,881 · median $43,385 | 15 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $19,616 – $40,445 · median $22,245 | 15 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $14,987 – $30,901 · median $16,996 | 15 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $38,674 – $79,740 · median $43,857 | 15 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $17,884 – $36,875 · median $20,281 | 15 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $13,609 – $28,061 · median $15,433 | 15 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $17,965 – $37,042 · median $20,373 | 15 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $11,928 – $24,594 · median $13,527 | 15 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $19,189 – $39,565 · median $21,761 | 15 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $10,256 – $21,147 · median $11,631 | 15 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $16,503 – $34,027 · median $18,715 | 15 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $9,587 – $19,768 · median $10,872 | 15 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $13,501 – $27,837 · median $15,310 | 15 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $25,289 – $52,143 · median $28,679 | 15 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,801 – $26,394 · median $14,517 | 15 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $17,798 – $36,697 · median $20,183 | 15 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $11,076 – $22,838 · median $12,561 | 15 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,585 – $19,764 · median $10,870 | 15 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,010 – $28,887 · median $15,888 | 15 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,204 – $21,038 · median $11,571 | 15 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,557 – $13,520 · median $7,436 | 15 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $9,880 – $20,370 · median $11,204 | 15 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $6,499 – $13,399 · median $7,370 | 15 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $13,762 – $28,376 · median $15,607 | 15 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $10,749 – $22,162 · median $12,189 | 15 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $7,264 – $14,977 · median $8,237 | 15 plans |
| 779 | ABORTION WITHOUT D&C | $9,391 – $19,363 · median $10,650 | 15 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $1,082 – $36,564 · median $19,196 | 15 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $1,623 – $118,666 · median $62,299 | 15 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $1,299 – $81,305 · median $42,685 | 15 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $1,082 – $49,390 · median $25,930 | 15 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $1,299 – $83,498 · median $43,836 | 15 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,082 – $30,094 · median $15,800 | 15 plans |
| 795 | NORMAL NEWBORN | $920 – $4,795 · median $2,517 | 15 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $46,113 – $95,079 · median $52,293 | 15 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $28,416 – $58,589 · median $32,224 | 15 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $16,187 – $33,375 · median $18,356 | 15 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $34,866 – $71,889 · median $39,539 | 15 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $17,516 – $36,116 · median $19,864 | 15 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $11,033 – $22,749 · median $12,512 | 15 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $22,422 – $46,230 · median $25,427 | 15 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $12,311 – $25,383 · median $13,961 | 15 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $9,555 – $19,700 · median $10,835 | 15 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $13,930 – $28,721 · median $15,796 | 15 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $9,277 – $19,127 · median $10,520 | 15 plans |
| 813 | COAGULATION DISORDERS | $15,286 – $31,517 · median $17,335 | 15 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $20,501 – $42,270 · median $23,249 | 15 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $10,173 – $20,975 · median $11,536 | 15 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $6,744 – $13,905 · median $7,648 | 15 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $24,775 – $51,083 · median $28,095 | 15 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $12,787 – $26,364 · median $14,500 | 15 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,254 – $17,019 · median $9,360 | 15 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $56,375 – $116,238 · median $63,931 | 15 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $21,865 – $45,083 · median $24,796 | 15 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,399 – $23,504 · median $12,927 | 15 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $45,389 – $93,586 · median $51,473 | 15 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $21,548 – $44,429 · median $24,436 | 15 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,237 – $25,230 · median $13,877 | 15 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $46,312 – $95,489 · median $52,519 | 15 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $23,091 – $47,610 · median $26,186 | 15 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $15,814 – $32,606 · median $17,933 | 15 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $30,050 – $61,958 · median $34,077 | 15 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $14,464 – $29,823 · median $16,403 | 15 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $11,470 – $23,649 · median $13,007 | 15 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $7,590 – $15,649 · median $8,607 | 15 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $5,402 – $11,138 · median $6,126 | 15 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $53,539 – $110,390 · median $60,715 | 15 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $20,938 – $43,170 · median $23,744 | 15 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $12,620 – $26,021 · median $14,312 | 15 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $48,540 – $100,082 · median $55,045 | 15 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $19,902 – $41,035 · median $22,570 | 15 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $13,579 – $27,997 · median $15,399 | 15 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $31,061 – $64,043 · median $35,224 | 15 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $15,478 – $31,914 · median $17,553 | 15 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $10,517 – $21,684 · median $11,926 | 15 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $18,605 – $38,362 · median $21,099 | 15 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $11,894 – $24,525 · median $13,489 | 15 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $8,449 – $17,421 · median $9,582 | 15 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $24,955 – $51,453 · median $28,299 | 15 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $12,620 – $26,021 · median $14,312 | 15 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,277 – $17,066 · median $9,386 | 15 plans |
| 849 | RADIOTHERAPY | $26,082 – $53,778 · median $29,578 | 15 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $88,960 – $183,422 · median $100,882 | 15 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $48,483 – $99,965 · median $54,981 | 15 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $19,613 – $40,439 · median $22,241 | 15 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $16,032 – $33,056 · median $18,181 | 15 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $43,775 – $90,258 · median $49,642 | 15 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $21,351 – $44,022 · median $24,212 | 15 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,790 – $26,372 · median $14,505 | 15 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $18,081 – $37,279 · median $20,504 | 15 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $10,017 – $20,654 · median $11,360 | 15 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $9,037 – $18,634 · median $10,249 | 15 plans |
| 865 | VIRAL ILLNESS WITH MCC | $14,593 – $30,088 · median $16,549 | 15 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $8,911 – $18,372 · median $10,105 | 15 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $21,018 – $43,337 · median $23,835 | 15 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $10,500 – $21,649 · median $11,907 | 15 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $7,322 – $15,098 · median $8,304 | 15 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $67,278 – $138,718 · median $76,295 | 15 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $19,267 – $39,725 · median $21,849 | 15 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $10,316 – $21,270 · median $11,699 | 15 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $38,181 – $78,723 · median $43,298 | 15 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $9,620 – $19,835 · median $10,909 | 15 plans |
| 881 | DEPRESSIVE NEUROSES | $9,192 – $18,953 · median $10,424 | 15 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $9,653 – $19,903 · median $10,946 | 15 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $18,227 – $37,581 · median $20,669 | 15 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $16,461 – $33,940 · median $18,667 | 15 plans |
| 885 | PSYCHOSES | $13,956 – $28,774 · median $15,826 | 15 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $17,675 – $36,443 · median $20,044 | 15 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $11,839 – $24,410 · median $13,425 | 15 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $6,404 – $13,205 · median $7,263 | 15 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $14,324 – $29,533 · median $16,243 | 15 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $17,524 – $36,132 · median $19,872 | 15 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $8,886 – $18,321 · median $10,076 | 15 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $42,996 – $88,651 · median $48,758 | 15 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $18,647 – $38,447 · median $21,146 | 15 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $12,124 – $24,998 · median $13,749 | 15 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $37,522 – $77,365 · median $42,551 | 15 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $16,249 – $33,504 · median $18,427 | 15 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $21,385 – $44,094 · median $24,252 | 15 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $38,701 – $79,795 · median $43,887 | 15 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $19,795 – $40,815 · median $22,448 | 15 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $12,597 – $25,974 · median $14,285 | 15 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $15,962 – $32,911 · median $18,101 | 15 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $9,214 – $18,999 · median $10,449 | 15 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $17,112 – $35,281 · median $19,405 | 15 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,789 – $13,998 · median $7,699 | 15 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $16,167 – $33,335 · median $18,334 | 15 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $8,909 – $18,368 · median $10,103 | 15 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $17,935 – $36,980 · median $20,339 | 15 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $10,171 – $20,971 · median $11,534 | 15 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $7,016 – $14,466 · median $7,956 | 15 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $16,645 – $34,320 · median $18,876 | 15 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $10,209 – $21,050 · median $11,578 | 15 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $228,455 – $471,040 · median $259,072 | 15 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $64,610 – $133,216 · median $73,269 | 15 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $30,978 – $63,873 · median $35,130 | 15 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $42,000 – $86,598 · median $47,629 | 15 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $21,033 – $43,366 · median $23,852 | 15 plans |
| 935 | NON-EXTENSIVE BURNS | $21,519 – $44,369 · median $24,403 | 15 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $30,917 – $63,746 · median $35,060 | 15 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $20,702 – $42,685 · median $23,476 | 15 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $19,192 – $39,571 · median $21,764 | 15 plans |
| 945 | REHABILITATION WITH CC/MCC | $15,079 – $31,091 · median $17,100 | 15 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $11,138 – $22,965 · median $12,631 | 15 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $12,769 – $26,328 · median $14,481 | 15 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $8,043 – $16,582 · median $9,120 | 15 plans |
| 949 | AFTERCARE WITH CC/MCC | $10,777 – $22,222 · median $12,222 | 15 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $6,039 – $12,452 · median $6,849 | 15 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,856 – $12,073 · median $6,640 | 15 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $66,046 – $136,177 · median $74,898 | 15 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $37,150 – $76,598 · median $42,129 | 15 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $72,159 – $148,781 · median $81,830 | 15 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $39,913 – $82,294 · median $45,262 | 15 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $25,821 – $53,239 · median $29,282 | 15 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $26,521 – $54,682 · median $30,075 | 15 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $14,826 – $30,568 · median $16,812 | 15 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $9,178 – $18,923 · median $10,408 | 15 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $61,201 – $126,188 · median $69,403 | 15 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $25,911 – $53,425 · median $29,384 | 15 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $29,112 – $60,024 · median $33,013 | 15 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $14,069 – $29,008 · median $15,954 | 15 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $10,047 – $20,715 · median $11,393 | 15 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $14,266 – $29,414 · median $16,178 | 15 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $46,105 – $95,061 · median $52,284 | 15 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $23,941 – $49,362 · median $27,149 | 15 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $16,441 – $33,900 · median $18,645 | 15 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $34,077 – $70,261 · median $38,644 | 15 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $16,901 – $34,847 · median $19,166 | 15 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,513 – $23,738 · median $13,056 | 15 plans |
No procedures match that keyword.