East Los Angeles Doctors 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 |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $4,329 – $25,419 · median $12,709 | 21 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $6,133 – $41,215 · median $20,607 | 21 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,133 – $25,137 · median $12,569 | 21 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,133 – $20,700 · median $10,350 | 21 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $5,279 – $36,424 · median $18,212 | 21 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $5,279 – $24,688 · median $12,344 | 21 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $5,279 – $21,361 · median $10,680 | 21 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,329 – $29,238 · median $14,619 | 21 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,329 – $22,706 · median $11,353 | 21 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $4,329 – $22,706 · median $11,353 | 21 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,329 – $23,337 · median $11,668 | 21 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,329 – $17,525 · median $8,763 | 21 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,329 – $15,697 · median $7,849 | 21 plans |
| 795 | NORMAL NEWBORN | $774 – $6,431 · median $3,296 | 20 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $17,021 – $59,946 · median $32,970 | 18 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $17,021 – $36,024 · median $19,813 | 18 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $16,083 – $33,160 · median $18,238 | 18 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $5,788 – $52,533 · median $28,893 | 17 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $5,788 – $37,324 · median $20,528 | 17 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $5,788 – $30,106 · median $16,558 | 17 plans |
| 693 | URINARY STONES WITH MCC | $5,788 – $33,342 · median $18,338 | 17 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,788 – $18,749 · median $10,312 | 17 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $290,418 – $598,800 · median $329,340 | 16 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $114,264 – $235,595 · median $129,577 | 16 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $221,217 – $456,117 · median $250,865 | 16 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $146,213 – $301,471 · median $165,809 | 16 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $110,460 – $227,752 · median $125,264 | 16 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $50,879 – $104,905 · median $57,698 | 16 plans |
| 007 | LUNG TRANSPLANT | $135,312 – $278,995 · median $153,447 | 16 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $56,959 – $117,441 · median $64,593 | 16 plans |
| 010 | PANCREAS TRANSPLANT | $82,967 – $171,066 · median $94,086 | 16 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $56,495 – $116,484 · median $64,066 | 16 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $43,221 – $89,115 · median $49,013 | 16 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $28,288 – $58,326 · median $32,079 | 16 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $135,651 – $279,693 · median $153,831 | 16 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $63,069 – $130,039 · median $71,521 | 16 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $63,069 – $130,039 · median $71,521 | 16 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $388,461 – $800,951 · median $440,523 | 16 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $82,498 – $170,098 · median $93,554 | 16 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $83,872 – $172,932 · median $95,113 | 16 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $57,844 – $119,267 · median $65,597 | 16 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $37,332 – $76,973 · median $42,335 | 16 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $59,671 – $123,033 · median $67,668 | 16 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $40,119 – $82,719 · median $45,495 | 16 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $47,007 – $96,922 · median $53,307 | 16 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $32,485 – $66,980 · median $36,839 | 16 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $26,417 – $54,467 · median $29,957 | 16 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $63,517 – $130,962 · median $72,029 | 16 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $35,548 – $73,294 · median $40,312 | 16 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $23,927 – $49,333 · median $27,133 | 16 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $44,114 – $90,956 · median $50,026 | 16 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $23,004 – $47,431 · median $26,087 | 16 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $17,456 – $35,992 · median $19,796 | 16 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $41,012 – $84,562 · median $46,509 | 16 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $24,434 – $50,379 · median $27,709 | 16 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $19,897 – $41,024 · median $22,563 | 16 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $35,180 – $72,536 · median $39,895 | 16 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $17,618 – $36,327 · median $19,980 | 16 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $12,759 – $26,306 · median $14,469 | 16 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $39,815 – $82,092 · median $45,151 | 16 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $24,263 – $50,028 · median $27,515 | 16 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $19,121 – $39,425 · median $21,684 | 16 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $21,740 – $44,824 · median $24,653 | 16 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $10,532 – $21,715 · median $11,943 | 16 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $16,466 – $33,950 · median $18,673 | 16 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $12,274 – $25,307 · median $13,919 | 16 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $26,789 – $55,236 · median $30,380 | 16 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $14,774 – $30,462 · median $16,754 | 16 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $20,028 – $41,295 · median $22,712 | 16 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $13,636 – $28,115 · median $15,463 | 16 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $10,234 – $21,100 · median $11,605 | 16 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $28,837 – $59,457 · median $32,701 | 16 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $19,361 – $39,919 · median $21,955 | 16 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $15,497 – $31,953 · median $17,574 | 16 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $21,500 – $44,330 · median $24,382 | 16 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $11,513 – $23,737 · median $13,055 | 16 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $8,137 – $16,778 · median $9,228 | 16 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $16,012 – $33,014 · median $18,158 | 16 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $10,122 – $20,870 · median $11,478 | 16 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $9,286 – $19,145 · median $10,530 | 16 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $18,928 – $39,027 · median $21,465 | 16 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $11,893 – $24,521 · median $13,487 | 16 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $8,773 – $18,089 · median $9,949 | 16 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $16,943 – $34,935 · median $19,214 | 16 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $11,775 – $24,277 · median $13,353 | 16 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $18,760 – $38,680 · median $21,274 | 16 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $10,485 – $21,619 · median $11,891 | 16 plans |
| 077 | DRG | $16,951 – $34,950 · median $19,222 | 16 plans |
| 078 | Other DRG | $11,317 – $23,335 · median $12,834 | 16 plans |
| 079 | DRG | $7,915 – $16,320 · median $8,976 | 16 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $21,486 – $44,301 · median $24,365 | 16 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $10,361 – $21,363 · median $11,750 | 16 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $24,900 – $51,341 · median $28,238 | 16 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $15,349 – $31,648 · median $17,406 | 16 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $10,888 – $22,450 · median $12,347 | 16 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $24,344 – $50,193 · median $27,606 | 16 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $14,540 – $29,979 · median $16,488 | 16 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $10,147 – $20,922 · median $11,507 | 16 plans |
| 088 | CONCUSSION WITH MCC | $15,558 – $32,078 · median $17,643 | 16 plans |
| 089 | CONCUSSION WITH CC | $12,080 – $24,906 · median $13,699 | 16 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $9,873 – $20,357 · median $11,196 | 16 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $19,792 – $40,808 · median $22,445 | 16 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $11,942 – $24,623 · median $13,542 | 16 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $9,175 – $18,917 · median $10,404 | 16 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $38,547 – $79,478 · median $43,713 | 16 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $25,691 – $52,972 · median $29,134 | 16 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $25,691 – $52,972 · median $29,134 | 16 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $37,889 – $78,121 · median $42,966 | 16 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $23,350 – $48,145 · median $26,480 | 16 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $15,379 – $31,709 · median $17,440 | 16 plans |
| 100 | SEIZURES WITH MCC | $21,460 – $44,248 · median $24,336 | 16 plans |
| 101 | SEIZURES WITHOUT MCC | $10,535 – $21,721 · median $11,947 | 16 plans |
| 102 | HEADACHES WITH MCC | $12,977 – $26,758 · median $14,717 | 16 plans |
| 103 | HEADACHES WITHOUT MCC | $9,800 – $20,207 · median $11,114 | 16 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $24,247 – $49,994 · median $27,497 | 16 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $13,210 – $27,236 · median $14,980 | 16 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $16,794 – $34,626 · median $19,044 | 16 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $18,207 – $37,540 · median $20,647 | 16 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $12,146 – $25,044 · median $13,774 | 16 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $13,015 – $26,836 · median $14,760 | 16 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $8,034 – $16,566 · median $9,111 | 16 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $9,317 – $19,211 · median $10,566 | 16 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $14,461 – $29,816 · median $16,399 | 16 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $9,549 – $19,688 · median $10,828 | 16 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $25,834 – $53,266 · median $29,296 | 16 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $11,115 – $22,918 · median $12,605 | 16 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $15,433 – $31,822 · median $17,502 | 16 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $9,423 – $19,429 · median $10,686 | 16 plans |
| 139 | SALIVARY GLAND PROCEDURES | $15,171 – $31,279 · median $17,204 | 16 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $44,510 – $91,773 · median $50,475 | 16 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $23,137 – $47,704 · median $26,237 | 16 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $17,219 – $35,503 · median $19,526 | 16 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $34,985 – $72,133 · median $39,673 | 16 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $19,112 – $39,406 · median $21,673 | 16 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $13,237 – $27,293 · median $15,011 | 16 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $24,632 – $50,788 · median $27,933 | 16 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $13,854 – $28,564 · median $15,710 | 16 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $9,292 – $19,158 · median $10,537 | 16 plans |
| 149 | DYSEQUILIBRIUM | $8,745 – $18,031 · median $9,917 | 16 plans |
| 150 | EPISTAXIS WITH MCC | $15,265 – $31,474 · median $17,311 | 16 plans |
| 151 | EPISTAXIS WITHOUT MCC | $8,853 – $18,254 · median $10,040 | 16 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $12,724 – $26,234 · median $14,429 | 16 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $8,377 – $17,273 · median $9,500 | 16 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $17,772 – $36,644 · median $20,154 | 16 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $10,657 – $21,973 · median $12,085 | 16 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $7,974 – $16,441 · median $9,042 | 16 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $17,888 – $36,881 · median $20,285 | 16 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $10,729 – $22,121 · median $12,167 | 16 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $7,842 – $16,170 · median $8,893 | 16 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $48,413 – $99,822 · median $54,902 | 16 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $26,922 – $55,509 · median $30,530 | 16 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $20,214 – $41,679 · median $22,923 | 16 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $40,618 – $83,748 · median $46,062 | 16 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $19,836 – $40,899 · median $22,495 | 16 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,974 – $30,875 · median $16,981 | 16 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $32,588 – $67,192 · median $36,956 | 16 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $15,541 – $32,044 · median $17,624 | 16 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $9,433 – $19,450 · median $10,698 | 16 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $17,672 – $36,437 · median $20,040 | 16 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $11,258 – $23,212 · median $12,767 | 16 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $8,973 – $18,502 · median $10,176 | 16 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $19,021 – $39,218 · median $21,570 | 16 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $12,472 – $25,715 · median $14,143 | 16 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $9,670 – $19,938 · median $10,966 | 16 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $17,372 – $35,818 · median $19,700 | 16 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $12,039 – $24,822 · median $13,652 | 16 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $9,055 – $18,671 · median $10,269 | 16 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $17,297 – $35,664 · median $19,615 | 16 plans |
| 187 | PLEURAL EFFUSION WITH CC | $11,380 – $23,464 · median $12,905 | 16 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $8,609 – $17,750 · median $9,762 | 16 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $13,778 – $28,407 · median $15,624 | 16 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $12,602 – $25,984 · median $14,291 | 16 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $9,892 – $20,395 · median $11,217 | 16 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $7,715 – $15,907 · median $8,749 | 16 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $14,602 – $30,108 · median $16,559 | 16 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $9,490 – $19,567 · median $10,762 | 16 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $7,463 – $15,388 · median $8,463 | 16 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $20,421 – $42,104 · median $23,157 | 16 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $11,236 – $23,168 · median $12,742 | 16 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $8,261 – $17,034 · median $9,369 | 16 plans |
| 199 | PNEUMOTHORAX WITH MCC | $19,200 – $39,588 · median $21,774 | 16 plans |
| 200 | PNEUMOTHORAX WITH CC | $12,443 – $25,656 · median $14,111 | 16 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $8,022 – $16,540 · median $9,097 | 16 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $10,997 – $22,674 · median $12,471 | 16 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $8,222 – $16,953 · median $9,324 | 16 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $9,398 – $19,376 · median $10,657 | 16 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $20,459 – $42,183 · median $23,201 | 16 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $10,371 – $21,384 · median $11,761 | 16 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $67,499 – $139,174 · median $76,546 | 16 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $28,635 – $59,042 · median $32,473 | 16 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $112,971 – $232,930 · median $128,112 | 16 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $109,899 – $226,596 · median $124,628 | 16 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $100,205 – $206,608 · median $113,635 | 16 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $67,404 – $138,977 · median $76,437 | 16 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $62,179 – $128,205 · median $70,513 | 16 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $80,548 – $166,078 · median $91,343 | 16 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $55,476 – $114,383 · median $62,910 | 16 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $48,243 – $99,470 · median $54,708 | 16 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $52,256 – $107,745 · median $59,260 | 16 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $32,975 – $67,990 · median $37,395 | 16 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $88,113 – $181,675 · median $99,921 | 16 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $63,817 – $131,581 · median $72,369 | 16 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $81,359 – $167,750 · median $92,262 | 16 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $55,717 – $114,880 · median $63,184 | 16 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $61,511 – $126,826 · median $69,754 | 16 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $43,307 – $89,293 · median $49,111 | 16 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $52,807 – $108,880 · median $59,884 | 16 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $30,982 – $63,879 · median $35,134 | 16 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $16,577 – $34,179 · median $18,798 | 16 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $35,910 – $74,041 · median $40,723 | 16 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $24,208 – $49,913 · median $27,452 | 16 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $19,605 – $40,423 · median $22,232 | 16 plans |
| 245 | AICD GENERATOR PROCEDURES | $51,265 – $105,701 · median $58,136 | 16 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $24,822 – $51,180 · median $28,149 | 16 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $17,118 – $35,295 · median $19,412 | 16 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $36,305 – $74,855 · median $41,170 | 16 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $27,292 – $56,272 · median $30,949 | 16 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $19,037 – $39,252 · median $21,588 | 16 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $27,944 – $57,617 · median $31,689 | 16 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $18,465 – $38,072 · median $20,939 | 16 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $10,229 – $21,090 · median $11,599 | 16 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $29,885 – $61,620 · median $33,891 | 16 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $19,122 – $39,427 · median $21,685 | 16 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $36,056 – $74,342 · median $40,888 | 16 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $20,559 – $42,390 · median $23,315 | 16 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $16,658 – $34,346 · median $18,890 | 16 plans |
| 263 | VEIN LIGATION AND STRIPPING | $28,618 – $59,006 · median $32,453 | 16 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $36,969 – $76,225 · median $41,924 | 16 plans |
| 265 | AICD LEAD PROCEDURES | $37,710 – $77,752 · median $42,764 | 16 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $62,606 – $129,084 · median $70,996 | 16 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $49,394 – $101,844 · median $56,014 | 16 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $69,558 – $143,418 · median $78,880 | 16 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $43,806 – $90,322 · median $49,677 | 16 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $53,794 – $110,916 · median $61,004 | 16 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $36,448 – $75,151 · median $41,333 | 16 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $26,770 – $55,196 · median $30,358 | 16 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $41,234 – $85,019 · median $46,760 | 16 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $33,126 – $68,302 · median $37,566 | 16 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $73,661 – $151,877 · median $83,533 | 16 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $64,697 – $133,396 · median $73,368 | 16 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $48,852 – $100,726 · median $55,399 | 16 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $52,462 – $108,169 · median $59,493 | 16 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $33,983 – $70,068 · median $38,537 | 16 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $17,928 – $36,964 · median $20,330 | 16 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $10,536 – $21,723 · median $11,948 | 16 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $8,515 – $17,557 · median $9,656 | 16 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $21,153 – $43,615 · median $23,988 | 16 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $8,678 – $17,894 · median $9,842 | 16 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $6,834 – $14,090 · median $7,749 | 16 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $23,802 – $49,077 · median $26,992 | 16 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $12,260 – $25,279 · median $13,904 | 16 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $29,125 – $60,052 · median $33,029 | 16 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $17,263 – $35,594 · median $19,577 | 16 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $11,123 – $22,935 · median $12,614 | 16 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $14,470 – $29,835 · median $16,409 | 16 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $9,913 – $20,440 · median $11,242 | 16 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $6,703 – $13,821 · median $7,601 | 16 plans |
| 294 | Other DRG | $13,681 – $28,208 · median $15,515 | 16 plans |
| 295 | Other DRG | $9,180 – $18,927 · median $10,410 | 16 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $17,897 – $36,901 · median $20,295 | 16 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $8,302 – $17,119 · median $9,415 | 16 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $5,490 – $11,555 · median $6,355 | 16 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $17,683 – $36,460 · median $20,053 | 16 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $12,064 – $24,875 · median $13,681 | 16 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $8,395 – $17,309 · median $9,520 | 16 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $13,016 – $26,838 · median $14,761 | 16 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $7,974 – $16,441 · median $9,042 | 16 plans |
| 304 | HYPERTENSION WITH MCC | $13,135 – $27,082 · median $14,895 | 16 plans |
| 305 | HYPERTENSION WITHOUT MCC | $8,778 – $18,099 · median $9,955 | 16 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $16,448 – $33,914 · median $18,653 | 16 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $10,583 – $21,820 · median $12,001 | 16 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $13,454 – $27,740 · median $15,257 | 16 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $8,661 – $17,858 · median $9,822 | 16 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $6,814 – $14,050 · median $7,727 | 16 plans |
| 311 | ANGINA PECTORIS | $8,240 – $16,989 · median $9,344 | 16 plans |
| 312 | SYNCOPE AND COLLAPSE | $10,017 – $20,653 · median $11,359 | 16 plans |
| 313 | CHEST PAIN | $8,395 – $17,309 · median $9,520 | 16 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $23,188 – $47,810 · median $26,296 | 16 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $10,952 – $22,581 · median $12,419 | 16 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,080 – $16,659 · median $9,162 | 16 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $64,615 – $133,226 · median $73,275 | 16 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $46,191 – $95,238 · median $52,381 | 16 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $24,845 – $51,227 · median $28,175 | 16 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $30,310 – $62,494 · median $34,372 | 16 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $19,651 – $40,518 · median $22,285 | 16 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $44,820 – $92,413 · median $50,827 | 16 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $33,888 – $69,871 · median $38,429 | 16 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $30,467 – $62,818 · median $34,550 | 16 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $53,239 – $109,772 · median $60,375 | 16 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $26,009 – $53,626 · median $29,494 | 16 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $17,436 – $35,950 · median $19,772 | 16 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $48,236 – $99,455 · median $54,700 | 16 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $25,347 – $52,262 · median $28,744 | 16 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $18,026 – $37,167 · median $20,442 | 16 plans |
| 332 | RECTAL RESECTION WITH MCC | $36,698 – $75,666 · median $41,616 | 16 plans |
| 333 | RECTAL RESECTION WITH CC | $22,898 – $47,213 · median $25,967 | 16 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $18,104 – $37,328 · median $20,531 | 16 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $38,287 – $78,943 · median $43,418 | 16 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $22,765 – $46,938 · median $25,816 | 16 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $16,836 – $34,713 · median $19,092 | 16 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $28,745 – $59,269 · median $32,598 | 16 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $16,359 – $33,730 · median $18,551 | 16 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,859 – $28,575 · median $15,716 | 16 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $25,379 – $52,328 · median $28,780 | 16 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $13,998 – $28,863 · median $15,875 | 16 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $10,116 – $20,857 · median $11,471 | 16 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $25,912 – $53,427 · median $29,385 | 16 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $16,521 – $34,065 · median $18,736 | 16 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $12,393 – $25,552 · median $14,054 | 16 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $31,195 – $64,320 · median $35,376 | 16 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $18,541 – $38,229 · median $21,026 | 16 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $14,762 – $30,436 · median $16,740 | 16 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $44,885 – $92,546 · median $50,900 | 16 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $24,200 – $49,896 · median $27,443 | 16 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,987 – $30,900 · median $16,995 | 16 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $18,221 – $37,570 · median $20,663 | 16 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $11,520 – $23,752 · median $13,064 | 16 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $8,237 – $16,983 · median $9,341 | 16 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $19,023 – $39,222 · median $21,572 | 16 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $11,640 – $24,000 · median $13,200 | 16 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $8,518 – $17,563 · median $9,660 | 16 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $22,756 – $46,919 · median $25,805 | 16 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $13,688 – $28,223 · median $15,523 | 16 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $10,137 – $20,901 · median $11,496 | 16 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $19,744 – $40,709 · median $22,390 | 16 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $11,194 – $23,081 · median $12,694 | 16 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $7,607 – $15,685 · median $8,627 | 16 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $20,834 – $42,956 · median $23,626 | 16 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $12,254 – $25,266 · median $13,897 | 16 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $8,764 – $18,070 · median $9,938 | 16 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $14,053 – $28,975 · median $15,936 | 16 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $9,999 – $20,617 · median $11,340 | 16 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $17,757 – $36,612 · median $20,137 | 16 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $11,262 – $23,220 · median $12,771 | 16 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $7,952 – $16,396 · median $9,018 | 16 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $16,166 – $33,332 · median $18,332 | 16 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $9,301 – $19,177 · median $10,547 | 16 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $6,688 – $13,789 · median $7,584 | 16 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $14,261 – $29,405 · median $16,173 | 16 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $9,082 – $18,726 · median $10,299 | 16 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $18,078 – $37,273 · median $20,500 | 16 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $10,736 – $22,136 · median $12,175 | 16 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,604 – $15,678 · median $8,623 | 16 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $26,519 – $54,679 · median $30,073 | 16 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $16,611 – $34,249 · median $18,837 | 16 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $12,611 – $26,001 · median $14,301 | 16 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $41,254 – $85,059 · median $46,783 | 16 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $56,832 – $117,178 · median $64,448 | 16 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $29,915 – $61,681 · median $33,925 | 16 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $23,006 – $47,435 · median $26,089 | 16 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $37,033 – $76,356 · median $41,996 | 16 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $22,602 – $46,603 · median $25,632 | 16 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $17,000 – $35,052 · median $19,278 | 16 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $29,176 – $60,156 · median $33,086 | 16 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $22,963 – $47,346 · median $26,041 | 16 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $18,144 – $37,411 · median $20,576 | 16 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $37,059 – $76,409 · median $42,025 | 16 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $21,386 – $44,095 · median $24,252 | 16 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $15,142 – $31,220 · median $17,171 | 16 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $37,323 – $76,954 · median $42,325 | 16 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $17,889 – $36,884 · median $20,286 | 16 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $16,161 – $33,321 · median $18,327 | 16 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $42,848 – $88,346 · median $48,590 | 16 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $24,521 – $50,559 · median $27,808 | 16 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $16,946 – $34,939 · median $19,217 | 16 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $108,672 – $224,067 · median $123,237 | 16 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $74,027 – $152,633 · median $83,948 | 16 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $57,606 – $118,775 · median $65,326 | 16 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $86,743 – $178,852 · median $98,369 | 16 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $57,261 – $118,064 · median $64,935 | 16 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $21,191 – $43,693 · median $24,031 | 16 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $12,056 – $24,858 · median $13,672 | 16 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,221 – $16,951 · median $9,323 | 16 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $19,809 – $40,844 · median $22,464 | 16 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $12,651 – $26,084 · median $14,346 | 16 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $9,132 – $18,830 · median $10,356 | 16 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $18,157 – $37,436 · median $20,590 | 16 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $9,903 – $20,418 · median $11,230 | 16 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,385 – $15,227 · median $8,375 | 16 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $20,485 – $42,238 · median $23,231 | 16 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $10,992 – $22,663 · median $12,465 | 16 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,285 – $17,083 · median $9,395 | 16 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $18,369 – $37,875 · median $20,831 | 16 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $12,207 – $25,169 · median $13,843 | 16 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $9,257 – $19,086 · median $10,497 | 16 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $69,939 – $144,204 · median $79,312 | 16 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $43,013 – $88,687 · median $48,778 | 16 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $53,970 – $111,278 · median $61,203 | 16 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $32,767 – $67,560 · median $37,158 | 16 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $88,064 – $181,576 · median $99,867 | 16 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $60,023 – $123,759 · median $68,067 | 16 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $45,422 – $93,654 · median $51,510 | 16 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $64,104 – $132,174 · median $72,696 | 16 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $30,484 – $62,854 · median $34,570 | 16 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $56,547 – $116,592 · median $64,125 | 16 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $31,355 – $64,650 · median $35,558 | 16 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $18,900 – $38,970 · median $21,433 | 16 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $53,400 – $110,102 · median $60,556 | 16 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $36,251 – $74,745 · median $41,110 | 16 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $28,014 – $57,761 · median $31,768 | 16 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $34,644 – $71,430 · median $39,287 | 16 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $20,435 – $42,134 · median $23,174 | 16 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $50,962 – $105,076 · median $57,792 | 16 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $30,827 – $63,562 · median $34,959 | 16 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $25,385 – $52,341 · median $28,787 | 16 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $47,135 – $97,185 · median $53,452 | 16 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $23,227 – $47,891 · median $26,340 | 16 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,014 – $26,834 · median $14,759 | 16 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $36,393 – $75,037 · median $41,270 | 16 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $25,089 – $51,731 · median $28,452 | 16 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $19,308 – $39,811 · median $21,896 | 16 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $31,277 – $64,489 · median $35,469 | 16 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $22,381 – $46,146 · median $25,380 | 16 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $17,363 – $35,799 · median $19,690 | 16 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $27,242 – $56,170 · median $30,893 | 16 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $34,136 – $70,384 · median $38,711 | 16 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $22,853 – $47,120 · median $25,916 | 16 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $17,299 – $35,668 · median $19,617 | 16 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $21,256 – $43,826 · median $24,104 | 16 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,788 – $28,429 · median $15,636 | 16 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $37,545 – $77,413 · median $42,577 | 16 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $25,730 – $53,052 · median $29,179 | 16 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $20,434 – $42,132 · median $23,173 | 16 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $37,231 – $76,765 · median $42,221 | 16 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $21,334 – $43,987 · median $24,193 | 16 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $14,858 – $30,636 · median $16,850 | 16 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $27,003 – $55,676 · median $30,622 | 16 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $12,991 – $26,785 · median $14,732 | 16 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $33,616 – $69,312 · median $38,122 | 16 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $19,400 – $39,999 · median $22,000 | 16 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $15,419 – $31,792 · median $17,486 | 16 plans |
| 503 | FOOT PROCEDURES WITH MCC | $28,253 – $58,254 · median $32,040 | 16 plans |
| 504 | FOOT PROCEDURES WITH CC | $19,094 – $39,370 · median $21,654 | 16 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $19,094 – $39,370 · median $21,654 | 16 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $16,466 – $33,950 · median $18,673 | 16 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $20,976 – $43,250 · median $23,788 | 16 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $14,324 – $29,534 · median $16,244 | 16 plans |
| 509 | Other DRG | $19,112 – $39,406 · median $21,673 | 16 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $30,426 – $62,734 · median $34,503 | 16 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $21,213 – $43,737 · median $24,056 | 16 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $17,582 – $36,252 · median $19,939 | 16 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $16,533 – $34,088 · median $18,748 | 16 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $11,540 – $23,794 · median $13,087 | 16 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $32,833 – $67,696 · median $37,233 | 16 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $21,731 – $44,807 · median $24,644 | 16 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $16,400 – $33,815 · median $18,598 | 16 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $37,882 – $78,108 · median $42,959 | 16 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $21,323 – $43,964 · median $24,180 | 16 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $15,789 – $32,554 · median $17,905 | 16 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $31,007 – $63,932 · median $35,163 | 16 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $22,722 – $46,849 · median $25,767 | 16 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $16,731 – $34,497 · median $18,973 | 16 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $9,428 – $19,440 · median $10,692 | 16 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $14,728 – $30,367 · median $16,702 | 16 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $9,396 – $19,374 · median $10,656 | 16 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $10,507 – $21,664 · median $11,915 | 16 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $7,965 – $16,422 · median $9,032 | 16 plans |
| 539 | OSTEOMYELITIS WITH MCC | $21,841 – $45,034 · median $24,768 | 16 plans |
| 540 | OSTEOMYELITIS WITH CC | $14,360 – $29,608 · median $16,285 | 16 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $10,054 – $20,730 · median $11,401 | 16 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $20,225 – $41,702 · median $22,936 | 16 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $11,965 – $24,669 · median $13,568 | 16 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $8,829 – $18,205 · median $10,013 | 16 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $27,024 – $55,719 · median $30,645 | 16 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $12,959 – $26,719 · median $14,696 | 16 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,732 – $18,004 · median $9,902 | 16 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $21,761 – $44,868 · median $24,678 | 16 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $13,446 – $27,723 · median $15,248 | 16 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $9,922 – $20,459 · median $11,252 | 16 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $18,595 – $38,341 · median $21,087 | 16 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $10,967 – $22,613 · median $12,437 | 16 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $14,482 – $29,860 · median $16,423 | 16 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $9,640 – $19,876 · median $10,932 | 16 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,899 – $30,720 · median $16,896 | 16 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $9,454 – $19,493 · median $10,721 | 16 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $16,986 – $35,022 · median $19,262 | 16 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $9,940 – $20,495 · median $11,272 | 16 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $20,135 – $41,516 · median $22,834 | 16 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $12,764 – $26,317 · median $14,474 | 16 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $9,465 – $19,516 · median $10,734 | 16 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $16,100 – $33,196 · median $18,258 | 16 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $10,248 – $21,130 · median $11,622 | 16 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $17,186 – $35,435 · median $19,489 | 16 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $11,541 – $23,797 · median $13,088 | 16 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $8,751 – $18,044 · median $9,924 | 16 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $31,988 – $65,955 · median $36,275 | 16 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $18,266 – $37,661 · median $20,713 | 16 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $12,802 – $26,395 · median $14,517 | 16 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $64,325 – $132,629 · median $72,946 | 16 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $36,659 – $75,586 · median $41,572 | 16 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $21,577 – $44,489 · median $24,469 | 16 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $56,488 – $116,471 · median $64,059 | 16 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $28,420 – $58,597 · median $32,228 | 16 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $18,431 – $38,002 · median $20,901 | 16 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $34,548 – $71,233 · median $39,178 | 16 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $19,279 – $39,751 · median $21,863 | 16 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $15,851 – $32,681 · median $17,975 | 16 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $19,055 – $39,290 · median $21,609 | 16 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $17,941 – $36,992 · median $20,345 | 16 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $22,098 – $45,563 · median $25,060 | 16 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $21,458 – $44,244 · median $24,334 | 16 plans |
| 592 | SKIN ULCERS WITH MCC | $22,190 – $45,752 · median $25,163 | 16 plans |
| 593 | SKIN ULCERS WITH CC | $13,627 – $28,096 · median $15,453 | 16 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $9,785 – $20,175 · median $11,096 | 16 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $22,794 – $46,997 · median $25,848 | 16 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $12,172 – $25,097 · median $13,803 | 16 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $19,112 – $39,406 · median $21,673 | 16 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $12,149 – $25,050 · median $13,778 | 16 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $9,848 – $20,306 · median $11,168 | 16 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $10,893 – $22,460 · median $12,353 | 16 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,225 – $14,897 · median $8,193 | 16 plans |
| 602 | CELLULITIS WITH MCC | $16,159 – $33,317 · median $18,324 | 16 plans |
| 603 | CELLULITIS WITHOUT MCC | $10,115 – $20,855 · median $11,470 | 16 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $16,328 – $33,666 · median $18,516 | 16 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $10,555 – $21,763 · median $11,970 | 16 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $17,608 – $36,305 · median $19,968 | 16 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $9,944 – $20,503 · median $11,277 | 16 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $24,477 – $50,468 · median $27,758 | 16 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $15,787 – $32,550 · median $17,903 | 16 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $40,769 – $84,060 · median $46,233 | 16 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $20,909 – $43,110 · median $23,711 | 16 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $13,857 – $28,570 · median $15,714 | 16 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $39,505 – $81,454 · median $44,800 | 16 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $20,715 – $42,712 · median $23,492 | 16 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,371 – $23,445 · median $12,895 | 16 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $30,518 – $62,924 · median $34,608 | 16 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $16,571 – $34,166 · median $18,791 | 16 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $14,081 – $29,032 · median $15,968 | 16 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $41,598 – $85,769 · median $47,173 | 16 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $24,170 – $49,835 · median $27,409 | 16 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $15,461 – $31,879 · median $17,533 | 16 plans |
| 637 | DIABETES WITH MCC | $16,026 – $33,044 · median $18,174 | 16 plans |
| 638 | DIABETES WITH CC | $10,488 – $21,626 · median $11,894 | 16 plans |
| 639 | DIABETES WITHOUT CC/MCC | $7,503 – $15,471 · median $8,509 | 16 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $14,708 – $30,326 · median $16,679 | 16 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $9,093 – $18,749 · median $10,312 | 16 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $13,816 – $28,486 · median $15,667 | 16 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $18,091 – $37,301 · median $20,515 | 16 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $11,682 – $24,087 · median $13,248 | 16 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $9,066 – $18,692 · median $10,281 | 16 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $48,394 – $99,781 · median $54,880 | 16 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $36,737 – $75,746 · median $41,661 | 16 plans |
| 652 | KIDNEY TRANSPLANT | $32,617 – $67,251 · median $36,988 | 16 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $58,330 – $120,269 · median $66,148 | 16 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $30,056 – $61,971 · median $34,084 | 16 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $22,405 – $46,196 · median $25,408 | 16 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $34,534 – $71,203 · median $39,162 | 16 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $19,845 – $40,918 · median $22,505 | 16 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $16,516 – $34,054 · median $18,730 | 16 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $27,613 – $56,935 · median $31,314 | 16 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $14,832 – $30,580 · median $16,819 | 16 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $11,612 – $23,943 · median $13,168 | 16 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $33,112 – $68,272 · median $37,550 | 16 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $16,757 – $34,550 · median $19,002 | 16 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $12,159 – $25,069 · median $13,788 | 16 plans |
| 665 | PROSTATECTOMY WITH MCC | $36,337 – $74,923 · median $41,207 | 16 plans |
| 666 | PROSTATECTOMY WITH CC | $17,988 – $37,089 · median $20,399 | 16 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $11,625 – $23,968 · median $13,182 | 16 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $31,024 – $63,966 · median $35,181 | 16 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $16,963 – $34,975 · median $19,236 | 16 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $10,884 – $22,441 · median $12,343 | 16 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $18,773 – $38,707 · median $21,289 | 16 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $12,309 – $25,379 · median $13,958 | 16 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $44,103 – $90,935 · median $50,014 | 16 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $24,779 – $51,091 · median $28,100 | 16 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $17,146 – $35,352 · median $19,444 | 16 plans |
| 682 | RENAL FAILURE WITH MCC | $16,495 – $34,009 · median $18,705 | 16 plans |
| 683 | RENAL FAILURE WITH CC | $10,198 – $21,026 · median $11,564 | 16 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $7,306 – $15,064 · median $8,285 | 16 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $20,437 – $42,138 · median $23,176 | 16 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $11,880 – $24,496 · median $13,473 | 16 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $8,506 – $17,538 · median $9,646 | 16 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $13,088 – $26,986 · median $14,842 | 16 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $9,311 – $19,198 · median $10,559 | 16 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $12,652 – $26,086 · median $14,347 | 16 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $8,173 – $16,852 · median $9,268 | 16 plans |
| 697 | URETHRAL STRICTURE | $11,357 – $23,417 · median $12,880 | 16 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $18,333 – $37,801 · median $20,790 | 16 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $11,543 – $23,801 · median $13,090 | 16 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $8,198 – $16,903 · median $9,296 | 16 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $21,001 – $43,301 · median $23,816 | 16 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $16,295 – $33,599 · median $18,479 | 16 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $24,149 – $49,793 · median $27,386 | 16 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $16,489 – $33,999 · median $18,699 | 16 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $20,693 – $42,666 · median $23,466 | 16 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $12,054 – $24,853 · median $13,669 | 16 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $15,920 – $32,826 · median $18,054 | 16 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $10,720 – $22,102 · median $12,156 | 16 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $24,265 – $50,030 · median $27,516 | 16 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $15,646 – $32,260 · median $17,743 | 16 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $20,127 – $41,499 · median $22,824 | 16 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $13,721 – $28,291 · median $15,560 | 16 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $18,826 – $38,817 · median $21,350 | 16 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $12,601 – $25,982 · median $14,290 | 16 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,551 – $17,631 · median $9,697 | 16 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $14,036 – $28,941 · median $15,918 | 16 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $8,713 – $17,966 · median $9,881 | 16 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $16,161 – $33,321 · median $18,327 | 16 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $9,460 – $19,506 · median $10,728 | 16 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $12,375 – $25,516 · median $14,034 | 16 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,301 – $15,053 · median $8,279 | 16 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $22,667 – $46,736 · median $25,705 | 16 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $13,536 – $27,910 · median $15,350 | 16 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $41,515 – $85,597 · median $47,078 | 16 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $21,595 – $44,525 · median $24,489 | 16 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $16,649 – $34,327 · median $18,880 | 16 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $41,959 – $86,514 · median $47,583 | 16 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $19,745 – $40,711 · median $22,391 | 16 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $15,177 – $31,292 · median $17,211 | 16 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $19,831 – $40,889 · median $22,489 | 16 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $13,380 – $27,588 · median $15,173 | 16 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $21,139 – $43,585 · median $23,972 | 16 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $11,594 – $23,905 · median $13,148 | 16 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $18,269 – $37,667 · median $20,717 | 16 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $10,879 – $22,430 · median $12,337 | 16 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $15,061 – $31,053 · median $17,079 | 16 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $27,657 – $57,026 · median $31,364 | 16 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,313 – $29,511 · median $16,231 | 16 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $19,652 – $40,520 · median $22,286 | 16 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $12,470 – $25,711 · median $14,141 | 16 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $10,877 – $22,426 · median $12,334 | 16 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $15,605 – $32,175 · median $17,696 | 16 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $11,537 – $23,788 · median $13,083 | 16 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,641 – $15,755 · median $8,665 | 16 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $11,191 – $23,074 · median $12,691 | 16 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $7,578 – $15,625 · median $8,594 | 16 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $15,340 – $31,629 · median $17,396 | 16 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $12,120 – $24,989 · median $13,744 | 16 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $8,396 – $17,311 · median $9,521 | 16 plans |
| 779 | ABORTION WITHOUT D&C | $10,669 – $21,998 · median $12,099 | 16 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $1,082 – $40,378 · median $21,703 | 16 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $1,623 – $128,109 · median $68,859 | 16 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $1,299 – $88,188 · median $47,401 | 16 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $1,082 – $54,084 · median $29,070 | 16 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $1,299 – $90,530 · median $48,660 | 16 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,082 – $33,465 · median $17,988 | 16 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $49,909 – $102,905 · median $56,598 | 16 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $30,998 – $63,913 · median $35,152 | 16 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $17,931 – $36,970 · median $20,334 | 16 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $37,891 – $78,125 · median $42,969 | 16 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $19,351 – $39,900 · median $21,945 | 16 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $12,424 – $25,616 · median $14,089 | 16 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $24,593 – $50,708 · median $27,889 | 16 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $13,789 – $28,431 · median $15,637 | 16 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $10,844 – $22,358 · median $12,297 | 16 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $15,519 – $31,997 · median $17,599 | 16 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $10,547 – $21,746 · median $11,961 | 16 plans |
| 813 | COAGULATION DISORDERS | $16,968 – $34,986 · median $19,242 | 16 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $22,541 – $46,476 · median $25,562 | 16 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $11,504 – $23,720 · median $13,046 | 16 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $7,840 – $16,165 · median $8,891 | 16 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $27,108 – $55,892 · median $30,741 | 16 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $14,297 – $29,479 · median $16,214 | 16 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,454 – $19,493 · median $10,721 | 16 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $60,875 – $125,515 · median $69,033 | 16 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $23,998 – $49,481 · median $27,215 | 16 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,815 – $26,423 · median $14,533 | 16 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $49,136 – $101,311 · median $55,721 | 16 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $23,659 – $48,782 · median $26,830 | 16 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,710 – $28,268 · median $15,547 | 16 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $50,122 – $103,344 · median $56,839 | 16 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $25,308 – $52,182 · median $28,700 | 16 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $17,532 – $36,149 · median $19,882 | 16 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $32,744 – $67,514 · median $37,133 | 16 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $16,090 – $33,175 · median $18,246 | 16 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $12,890 – $26,577 · median $14,618 | 16 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $8,744 – $18,029 · median $9,916 | 16 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $6,406 – $13,209 · median $7,265 | 16 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $57,844 – $119,267 · median $65,597 | 16 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $23,007 – $47,437 · median $26,091 | 16 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $14,120 – $29,113 · median $16,012 | 16 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $52,502 – $108,251 · median $59,538 | 16 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $21,901 – $45,156 · median $24,836 | 16 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $15,144 – $31,224 · median $17,173 | 16 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $33,825 – $69,742 · median $38,358 | 16 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $17,174 – $35,409 · median $19,475 | 16 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $11,872 – $24,479 · median $13,463 | 16 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $20,515 – $42,299 · median $23,265 | 16 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $13,344 – $27,514 · median $15,132 | 16 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $9,663 – $19,923 · median $10,958 | 16 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $27,300 – $56,289 · median $30,959 | 16 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $14,120 – $29,113 · median $16,012 | 16 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,479 – $19,544 · median $10,749 | 16 plans |
| 849 | RADIOTHERAPY | $28,505 – $58,773 · median $32,325 | 16 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $95,693 – $197,306 · median $108,518 | 16 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $52,441 – $108,126 · median $59,469 | 16 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $21,592 – $44,519 · median $24,485 | 16 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $17,765 – $36,629 · median $20,146 | 16 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $47,411 – $97,754 · median $53,765 | 16 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $23,449 – $48,348 · median $26,592 | 16 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $14,301 – $29,488 · median $16,218 | 16 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $19,954 – $41,143 · median $22,629 | 16 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $11,338 – $23,377 · median $12,857 | 16 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $10,291 – $21,219 · median $11,670 | 16 plans |
| 865 | VIRAL ILLNESS WITH MCC | $16,228 – $33,459 · median $18,402 | 16 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $10,156 – $20,939 · median $11,517 | 16 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $23,093 – $47,615 · median $26,188 | 16 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $11,854 – $24,440 · median $13,442 | 16 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $8,459 – $17,440 · median $9,592 | 16 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $72,525 – $149,537 · median $82,245 | 16 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $21,222 – $43,756 · median $24,066 | 16 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $11,657 – $24,036 · median $13,220 | 16 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $41,432 – $85,428 · median $46,985 | 16 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $10,914 – $22,502 · median $12,376 | 16 plans |
| 881 | DEPRESSIVE NEUROSES | $10,457 – $21,560 · median $11,858 | 16 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $10,949 – $22,574 · median $12,416 | 16 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $20,110 – $41,465 · median $22,806 | 16 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $18,223 – $37,574 · median $20,666 | 16 plans |
| 885 | PSYCHOSES | $15,546 – $32,055 · median $17,630 | 16 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $19,521 – $40,249 · median $22,137 | 16 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $13,285 – $27,391 · median $15,065 | 16 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $7,478 – $15,418 · median $8,480 | 16 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $15,940 – $32,866 · median $18,076 | 16 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $19,360 – $39,917 · median $21,954 | 16 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $10,129 – $20,884 · median $11,486 | 16 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $46,578 – $96,037 · median $52,820 | 16 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $20,559 – $42,390 · median $23,315 | 16 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $13,590 – $28,020 · median $15,411 | 16 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $40,729 – $83,977 · median $46,187 | 16 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $17,997 – $37,108 · median $20,409 | 16 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $23,486 – $48,424 · median $26,633 | 16 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $41,988 – $86,574 · median $47,615 | 16 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $21,787 – $44,921 · median $24,707 | 16 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $14,095 – $29,062 · median $15,984 | 16 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $17,690 – $36,475 · median $20,061 | 16 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $10,480 – $21,609 · median $11,885 | 16 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $18,919 – $39,008 · median $21,454 | 16 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $7,889 – $16,265 · median $8,946 | 16 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $17,910 – $36,928 · median $20,310 | 16 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $10,154 – $20,935 · median $11,514 | 16 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $19,799 – $40,823 · median $22,453 | 16 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $11,502 – $23,716 · median $13,044 | 16 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $8,131 – $16,765 · median $9,221 | 16 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $18,421 – $37,981 · median $20,889 | 16 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $11,543 – $23,801 · median $13,090 | 16 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $244,753 – $504,645 · median $277,555 | 16 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $69,674 – $143,657 · median $79,012 | 16 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $33,737 – $69,560 · median $38,258 | 16 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $45,514 – $93,843 · median $51,613 | 16 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $23,109 – $47,647 · median $26,206 | 16 plans |
| 935 | NON-EXTENSIVE BURNS | $23,629 – $48,719 · median $26,795 | 16 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $33,671 – $69,424 · median $38,183 | 16 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $22,756 – $46,919 · median $25,805 | 16 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $21,142 – $43,591 · median $23,975 | 16 plans |
| 945 | REHABILITATION WITH CC/MCC | $16,747 – $34,530 · median $18,992 | 16 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $12,536 – $25,847 · median $14,216 | 16 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $14,279 – $29,441 · median $16,193 | 16 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $9,228 – $19,027 · median $10,465 | 16 plans |
| 949 | AFTERCARE WITH CC/MCC | $12,150 – $25,053 · median $13,779 | 16 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $7,087 – $14,613 · median $8,037 | 16 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $6,891 – $14,208 · median $7,815 | 16 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $71,209 – $146,822 · median $80,752 | 16 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $40,331 – $83,157 · median $45,737 | 16 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $77,741 – $160,290 · median $88,160 | 16 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $43,284 – $89,244 · median $49,084 | 16 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $28,225 – $58,197 · median $32,008 | 16 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $28,973 – $59,739 · median $32,856 | 16 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $16,476 – $33,971 · median $18,684 | 16 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $10,441 – $21,528 · median $11,841 | 16 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $66,031 – $136,147 · median $74,881 | 16 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $28,322 – $58,396 · median $32,118 | 16 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $31,742 – $65,447 · median $35,996 | 16 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $15,668 – $32,305 · median $17,767 | 16 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $11,370 – $23,443 · median $12,894 | 16 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $15,878 – $32,739 · median $18,006 | 16 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $49,900 – $102,886 · median $56,587 | 16 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $26,216 – $54,054 · median $29,730 | 16 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $18,203 – $37,532 · median $20,642 | 16 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $37,047 – $76,386 · median $42,012 | 16 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,694 – $38,544 · median $21,199 | 16 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,936 – $26,673 · median $14,670 | 16 plans |
No procedures match that keyword.