Kaiser Permanente Manteca Medical Center — Pricing
770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Showing all 770 procedures
Procedures with negotiated rates only
These 770 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $35,458 – $142,329 · median $38,323 | 3 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $33,061 – $132,709 · median $35,732 | 3 plans |
| 003 | "ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES" | $29,242 – $117,381 · median $31,605 | 3 plans |
| 004 | "TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES" | $22,161 – $88,957 · median $23,952 | 3 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $23,139 – $92,883 · median $25,009 | 3 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $21,295 – $85,480 · median $23,016 | 3 plans |
| 007 | LUNG TRANSPLANT | $24,238 – $97,293 · median $26,197 | 3 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $21,383 – $85,832 · median $23,111 | 3 plans |
| 010 | PANCREAS TRANSPLANT | $39,545 – $158,735 · median $42,740 | 3 plans |
| 011 | "TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC" | $16,007 – $64,252 · median $17,300 | 3 plans |
| 012 | "TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC" | $16,336 – $65,575 · median $17,656 | 3 plans |
| 013 | "TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC" | $14,152 – $56,806 · median $15,295 | 3 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $10,035 – $40,280 · median $10,846 | 3 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $8,080 – $32,433 · median $8,733 | 3 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $10,777 – $43,261 · median $11,648 | 3 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $68,210 – $273,799 · median $73,721 | 3 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $23,910 – $95,975 · median $25,842 | 3 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $25,178 – $101,067 · median $27,213 | 3 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $24,311 – $97,584 · median $26,275 | 3 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $29,183 – $117,142 · median $31,541 | 3 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $21,862 – $87,754 · median $23,628 | 3 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $24,559 – $98,581 · median $26,543 | 3 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $19,440 – $78,032 · median $21,011 | 3 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $21,719 – $87,181 · median $23,474 | 3 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $25,025 – $100,453 · median $27,047 | 3 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $19,605 – $78,694 · median $21,189 | 3 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $18,391 – $73,825 · median $19,878 | 3 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,281 – $69,369 · median $18,678 | 3 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $16,339 – $65,587 · median $17,660 | 3 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $15,774 – $63,320 · median $17,049 | 3 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $16,831 – $67,562 · median $18,191 | 3 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $19,791 – $79,442 · median $21,390 | 3 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $20,800 – $83,492 · median $22,480 | 3 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $21,899 – $87,904 · median $23,669 | 3 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $16,007 – $64,255 · median $17,301 | 3 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $14,118 – $56,672 · median $15,259 | 3 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $13,250 – $53,187 · median $14,321 | 3 plans |
| 040 | "PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC" | $13,978 – $56,109 · median $15,107 | 3 plans |
| 041 | "PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR" | $13,980 – $56,118 · median $15,110 | 3 plans |
| 042 | "PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC" | $14,523 – $58,297 · median $15,697 | 3 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $6,704 – $26,910 · median $7,246 | 3 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,647 – $22,668 · median $6,103 | 3 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $5,651 – $22,685 · median $6,108 | 3 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $5,160 – $20,713 · median $5,577 | 3 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $5,704 – $22,895 · median $6,165 | 3 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $4,656 – $18,691 · median $5,033 | 3 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $5,807 – $23,310 · median $6,276 | 3 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $5,306 – $21,297 · median $5,734 | 3 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $4,958 – $19,904 · median $5,359 | 3 plans |
| 061 | "ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC" | $9,496 – $38,117 · median $10,263 | 3 plans |
| 062 | "ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC" | $9,473 – $38,025 · median $10,238 | 3 plans |
| 063 | "ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC" | $9,946 – $39,925 · median $10,750 | 3 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $6,831 – $27,422 · median $7,383 | 3 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $5,446 – $21,862 · median $5,886 | 3 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,143 – $20,644 · median $5,558 | 3 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $6,390 – $25,648 · median $6,906 | 3 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,125 – $24,584 · median $6,619 | 3 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,660 – $22,718 · median $6,117 | 3 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $5,655 – $22,701 · median $6,112 | 3 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $4,712 – $18,913 · median $5,092 | 3 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,808 – $19,301 · median $5,197 | 3 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $5,850 – $23,484 · median $6,323 | 3 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $5,439 – $21,831 · median $5,878 | 3 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $5,799 – $23,277 · median $6,267 | 3 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $4,872 – $19,557 · median $5,266 | 3 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $5,985 – $24,023 · median $6,468 | 3 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $4,828 – $19,380 · median $5,218 | 3 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $7,458 – $29,936 · median $8,061 | 3 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $6,531 – $26,215 · median $7,058 | 3 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,772 – $27,183 · median $7,319 | 3 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $7,718 – $30,979 · median $8,341 | 3 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $7,023 – $28,190 · median $7,590 | 3 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,874 – $27,591 · median $7,429 | 3 plans |
| 088 | CONCUSSION WITH MCC | $6,095 – $24,465 · median $6,587 | 3 plans |
| 089 | CONCUSSION WITH CC | $6,336 – $25,432 · median $6,848 | 3 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,186 – $24,831 · median $6,686 | 3 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $5,966 – $23,947 · median $6,448 | 3 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $5,074 – $20,366 · median $5,484 | 3 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,337 – $21,423 · median $5,768 | 3 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $7,589 – $30,463 · median $8,202 | 3 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $8,200 – $32,915 · median $8,862 | 3 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $8,200 – $32,915 · median $8,862 | 3 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $7,052 – $28,309 · median $7,622 | 3 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $6,541 – $26,257 · median $7,070 | 3 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $5,927 – $23,792 · median $6,406 | 3 plans |
| 100 | SEIZURES WITH MCC | $6,579 – $26,410 · median $7,111 | 3 plans |
| 101 | SEIZURES WITHOUT MCC | $5,087 – $20,420 · median $5,498 | 3 plans |
| 102 | HEADACHES WITH MCC | $5,559 – $22,315 · median $6,008 | 3 plans |
| 103 | HEADACHES WITHOUT MCC | $5,318 – $21,345 · median $5,747 | 3 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $12,287 – $49,319 · median $13,279 | 3 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,662 – $42,798 · median $11,524 | 3 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,181 – $36,852 · median $9,923 | 3 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $9,652 – $38,744 · median $10,432 | 3 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $9,793 – $39,309 · median $10,584 | 3 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $4,442 – $17,832 · median $4,801 | 3 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $3,901 – $15,659 · median $4,216 | 3 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,506 – $22,103 · median $5,951 | 3 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $5,865 – $23,542 · median $6,339 | 3 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,887 – $19,616 · median $5,282 | 3 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $12,510 – $50,217 · median $13,521 | 3 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $10,943 – $43,926 · median $11,827 | 3 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $9,371 – $37,616 · median $10,128 | 3 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $8,787 – $35,273 · median $9,497 | 3 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,384 – $41,682 · median $11,223 | 3 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $17,477 – $70,154 · median $18,889 | 3 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,231 – $61,137 · median $16,461 | 3 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $14,391 – $57,765 · median $15,554 | 3 plans |
| 143 | "OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC" | $14,860 – $59,650 · median $16,061 | 3 plans |
| 144 | "OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC" | $12,635 – $50,717 · median $13,656 | 3 plans |
| 145 | "OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC" | $12,165 – $48,832 · median $13,148 | 3 plans |
| 146 | "EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC" | $5,832 – $23,411 · median $6,304 | 3 plans |
| 147 | "EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC" | $5,434 – $21,814 · median $5,874 | 3 plans |
| 148 | "EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC" | $5,812 – $23,329 · median $6,281 | 3 plans |
| 149 | DYSEQUILIBRIUM | $5,480 – $21,997 · median $5,923 | 3 plans |
| 150 | EPISTAXIS WITH MCC | $6,001 – $24,090 · median $6,486 | 3 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,054 – $20,289 · median $5,463 | 3 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $5,427 – $21,785 · median $5,866 | 3 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,816 – $19,331 · median $5,205 | 3 plans |
| 154 | "OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC" | $5,873 – $23,573 · median $6,347 | 3 plans |
| 155 | "OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC" | $5,049 – $20,266 · median $5,457 | 3 plans |
| 156 | "OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC" | $5,039 – $20,226 · median $5,446 | 3 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $5,830 – $23,402 · median $6,301 | 3 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,012 – $20,118 · median $5,417 | 3 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,018 – $20,143 · median $5,424 | 3 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $19,011 – $76,312 · median $20,547 | 3 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $17,160 – $68,880 · median $18,546 | 3 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $17,593 – $70,618 · median $19,014 | 3 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $13,741 – $55,156 · median $14,851 | 3 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $11,777 – $47,272 · median $12,728 | 3 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,041 – $52,348 · median $14,095 | 3 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $19,436 – $78,019 · median $21,007 | 3 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $5,777 – $23,190 · median $6,244 | 3 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $4,994 – $20,046 · median $5,397 | 3 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $5,788 – $23,232 · median $6,255 | 3 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $4,943 – $19,840 · median $5,342 | 3 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,684 – $18,801 · median $5,062 | 3 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $5,843 – $23,454 · median $6,315 | 3 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $5,211 – $20,918 · median $5,632 | 3 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,922 – $19,759 · median $5,320 | 3 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $5,932 – $23,811 · median $6,411 | 3 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $5,618 – $22,552 · median $6,072 | 3 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,275 – $21,173 · median $5,701 | 3 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $5,860 – $23,521 · median $6,333 | 3 plans |
| 187 | PLEURAL EFFUSION WITH CC | $5,113 – $20,525 · median $5,526 | 3 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,944 – $19,844 · median $5,343 | 3 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $5,378 – $21,589 · median $5,813 | 3 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $5,286 – $21,218 · median $5,713 | 3 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $4,865 – $19,528 · median $5,258 | 3 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,552 – $18,271 · median $4,920 | 3 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $5,528 – $22,191 · median $5,975 | 3 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,545 – $18,244 · median $4,912 | 3 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,215 – $16,920 · median $4,556 | 3 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $6,244 – $25,064 · median $6,748 | 3 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $5,120 – $20,552 · median $5,534 | 3 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,803 – $19,281 · median $5,191 | 3 plans |
| 199 | PNEUMOTHORAX WITH MCC | $5,997 – $24,071 · median $6,481 | 3 plans |
| 200 | PNEUMOTHORAX WITH CC | $5,567 – $22,347 · median $6,017 | 3 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,670 – $18,745 · median $5,047 | 3 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $5,239 – $21,030 · median $5,662 | 3 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,618 – $18,538 · median $4,992 | 3 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,415 – $21,736 · median $5,852 | 3 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $6,491 – $26,055 · median $7,015 | 3 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,696 – $22,864 · median $6,156 | 3 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $9,917 – $39,810 · median $10,719 | 3 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $8,421 – $33,802 · median $9,101 | 3 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $41,302 – $165,791 · median $44,640 | 3 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $29,170 – $117,090 · median $31,527 | 3 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $48,002 – $192,685 · median $51,881 | 3 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $44,516 – $178,692 · median $48,113 | 3 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $29,246 – $117,396 · median $31,609 | 3 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $35,468 – $142,373 · median $38,334 | 3 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $35,468 – $142,373 · median $38,334 | 3 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $29,311 – $117,658 · median $31,680 | 3 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $29,082 – $116,738 · median $31,432 | 3 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $37,898 – $152,126 · median $40,961 | 3 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $21,350 – $85,700 · median $23,075 | 3 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $25,210 – $101,193 · median $27,247 | 3 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $27,890 – $111,952 · median $30,144 | 3 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $25,937 – $104,112 · median $28,032 | 3 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $24,798 – $99,540 · median $26,801 | 3 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $22,974 – $92,220 · median $24,831 | 3 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $24,069 – $96,616 · median $26,014 | 3 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $22,595 – $90,699 · median $24,421 | 3 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $14,539 – $58,359 · median $15,713 | 3 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $11,988 – $48,121 · median $12,957 | 3 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $8,808 – $35,356 · median $9,520 | 3 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $17,223 – $69,133 · median $18,614 | 3 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,269 – $65,305 · median $17,584 | 3 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $16,309 – $65,466 · median $17,627 | 3 plans |
| 245 | AICD GENERATOR PROCEDURES | $24,610 – $98,788 · median $26,599 | 3 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $14,837 – $59,557 · median $16,036 | 3 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $13,735 – $55,132 · median $14,844 | 3 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $16,029 – $64,341 · median $17,324 | 3 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $15,902 – $63,834 · median $17,187 | 3 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $17,004 – $68,254 · median $18,378 | 3 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $11,540 – $46,322 · median $12,472 | 3 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $9,259 – $37,168 · median $10,007 | 3 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,971 – $31,996 · median $8,615 | 3 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $15,287 – $61,365 · median $16,523 | 3 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $17,302 – $69,450 · median $18,700 | 3 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $15,086 – $60,558 · median $16,305 | 3 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,215 – $57,060 · median $15,364 | 3 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $14,979 – $60,127 · median $16,189 | 3 plans |
| 263 | VEIN LIGATION AND STRIPPING | $15,482 – $62,148 · median $16,733 | 3 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $13,054 – $52,399 · median $14,109 | 3 plans |
| 265 | AICD LEAD PROCEDURES | $19,307 – $77,501 · median $20,867 | 3 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $40,551 – $162,774 · median $43,827 | 3 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $52,503 – $210,750 · median $56,745 | 3 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $27,978 – $112,304 · median $30,238 | 3 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $41,917 – $168,256 · median $45,304 | 3 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $21,288 – $85,452 · median $23,008 | 3 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $22,061 – $88,554 · median $23,843 | 3 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $24,365 – $97,802 · median $26,333 | 3 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $23,806 – $95,560 · median $25,730 | 3 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $37,126 – $149,028 · median $40,126 | 3 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $26,606 – $106,798 · median $28,756 | 3 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $26,855 – $107,797 · median $29,025 | 3 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $32,282 – $129,581 · median $34,890 | 3 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $20,614 – $82,747 · median $22,280 | 3 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $22,372 – $89,801 · median $24,179 | 3 plans |
| 280 | "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC" | $6,318 – $25,361 · median $6,829 | 3 plans |
| 281 | "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC" | $5,848 – $23,473 · median $6,320 | 3 plans |
| 282 | "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC" | $5,981 – $24,007 · median $6,464 | 3 plans |
| 283 | "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC" | $7,801 – $31,316 · median $8,432 | 3 plans |
| 284 | "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC" | $5,725 – $22,982 · median $6,188 | 3 plans |
| 285 | "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC" | $6,461 – $25,936 · median $6,983 | 3 plans |
| 286 | "CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC" | $6,696 – $26,878 · median $7,237 | 3 plans |
| 287 | "CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC" | $7,176 – $28,807 · median $7,756 | 3 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $6,276 – $25,191 · median $6,783 | 3 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $5,723 – $22,974 · median $6,186 | 3 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,126 – $20,578 · median $5,541 | 3 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $5,309 – $21,312 · median $5,738 | 3 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $4,482 – $17,992 · median $4,845 | 3 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,013 – $16,107 · median $4,337 | 3 plans |
| 296 | "CARDIAC ARREST, UNEXPLAINED WITH MCC" | $9,228 – $37,040 · median $9,973 | 3 plans |
| 297 | "CARDIAC ARREST, UNEXPLAINED WITH CC" | $5,827 – $23,388 · median $6,297 | 3 plans |
| 298 | "CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC" | $5,133 – $20,604 · median $5,548 | 3 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $6,233 – $25,019 · median $6,736 | 3 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $5,406 – $21,699 · median $5,843 | 3 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,102 – $20,481 · median $5,515 | 3 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $5,938 – $23,837 · median $6,418 | 3 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,062 – $20,319 · median $5,471 | 3 plans |
| 304 | HYPERTENSION WITH MCC | $5,790 – $23,241 · median $6,258 | 3 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,205 – $20,892 · median $5,625 | 3 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $6,307 – $25,315 · median $6,816 | 3 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,963 – $23,936 · median $6,445 | 3 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $5,432 – $21,804 · median $5,871 | 3 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,804 – $19,284 · median $5,192 | 3 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,531 – $18,189 · median $4,897 | 3 plans |
| 311 | ANGINA PECTORIS | $5,123 – $20,562 · median $5,537 | 3 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,275 – $21,174 · median $5,701 | 3 plans |
| 313 | CHEST PAIN | $5,763 – $23,133 · median $6,229 | 3 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $6,720 – $26,973 · median $7,263 | 3 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $5,432 – $21,806 · median $5,871 | 3 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,289 – $21,231 · median $5,716 | 3 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $32,854 – $131,879 · median $35,509 | 3 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $17,941 – $72,017 · median $19,391 | 3 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $16,779 – $67,351 · median $18,135 | 3 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $19,895 – $79,858 · median $21,502 | 3 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $17,092 – $68,607 · median $18,473 | 3 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $16,508 – $66,264 · median $17,842 | 3 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $23,599 – $94,729 · median $25,506 | 3 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $26,504 – $106,389 · median $28,645 | 3 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $23,429 – $94,048 · median $25,323 | 3 plans |
| 326 | "STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC" | $16,171 – $64,912 · median $17,478 | 3 plans |
| 327 | "STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC" | $14,435 – $57,942 · median $15,601 | 3 plans |
| 328 | "STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC" | $14,452 – $58,012 · median $15,620 | 3 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $15,002 – $60,218 · median $16,214 | 3 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,068 – $52,457 · median $14,124 | 3 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,465 – $54,051 · median $14,553 | 3 plans |
| 332 | RECTAL RESECTION WITH MCC | $15,094 – $60,588 · median $16,314 | 3 plans |
| 333 | RECTAL RESECTION WITH CC | $15,492 – $62,187 · median $16,744 | 3 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $14,510 – $58,242 · median $15,682 | 3 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $12,930 – $51,903 · median $13,975 | 3 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $11,129 – $44,671 · median $12,028 | 3 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,198 – $44,951 · median $12,103 | 3 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $10,502 – $42,157 · median $11,351 | 3 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,103 – $36,541 · median $9,839 | 3 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,647 – $38,723 · median $10,426 | 3 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $11,056 – $44,381 · median $11,950 | 3 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,275 – $37,232 · median $10,025 | 3 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $8,638 – $34,673 · median $9,336 | 3 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $13,151 – $52,789 · median $14,214 | 3 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,459 – $45,996 · median $12,384 | 3 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $11,141 – $44,720 · median $12,041 | 3 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $13,455 – $54,007 · median $14,542 | 3 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $11,923 – $47,860 · median $12,886 | 3 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $12,831 – $51,506 · median $13,868 | 3 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $16,509 – $66,268 · median $17,843 | 3 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $13,260 – $53,228 · median $14,332 | 3 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,185 – $44,898 · median $12,089 | 3 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $20,560 – $82,528 · median $22,221 | 3 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $21,395 – $85,882 · median $23,124 | 3 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $6,267 – $25,158 · median $6,774 | 3 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $5,513 – $22,130 · median $5,959 | 3 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,828 – $19,382 · median $5,219 | 3 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $5,567 – $22,347 · median $6,017 | 3 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $4,690 – $18,825 · median $5,069 | 3 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,196 – $16,843 · median $4,535 | 3 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $6,169 – $24,761 · median $6,667 | 3 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $5,455 – $21,897 · median $5,896 | 3 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,732 – $23,007 · median $6,195 | 3 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $6,668 – $26,766 · median $7,207 | 3 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $5,406 – $21,699 · median $5,843 | 3 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,599 – $18,461 · median $4,971 | 3 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $6,321 – $25,372 · median $6,831 | 3 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $5,599 – $22,475 · median $6,051 | 3 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,092 – $20,439 · median $5,503 | 3 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $5,614 – $22,536 · median $6,068 | 3 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,301 – $21,277 · median $5,729 | 3 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $5,233 – $21,006 · median $5,656 | 3 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $4,657 – $18,693 · median $5,033 | 3 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,122 – $16,545 · median $4,455 | 3 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $5,233 – $21,005 · median $5,656 | 3 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,259 – $17,095 · median $4,603 | 3 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,748 – $15,045 · median $4,051 | 3 plans |
| 391 | "ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC" | $5,157 – $20,701 · median $5,574 | 3 plans |
| 392 | "ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC" | $4,604 – $18,481 · median $4,976 | 3 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $5,749 – $23,078 · median $6,214 | 3 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $4,938 – $19,822 · median $5,337 | 3 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,599 – $18,462 · median $4,971 | 3 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $12,506 – $50,200 · median $13,517 | 3 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,042 – $44,324 · median $11,934 | 3 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $10,921 – $43,836 · median $11,803 | 3 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $33,797 – $135,663 · median $36,528 | 3 plans |
| 405 | "PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC" | $18,332 – $73,584 · median $19,813 | 3 plans |
| 406 | "PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC" | $16,161 – $64,871 · median $17,467 | 3 plans |
| 407 | "PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC" | $15,954 – $64,039 · median $17,243 | 3 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $13,197 – $52,972 · median $14,263 | 3 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $12,855 – $51,601 · median $13,894 | 3 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,114 – $48,626 · median $13,093 | 3 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $14,498 – $58,195 · median $15,669 | 3 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $13,903 – $55,807 · median $15,026 | 3 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $13,071 – $52,470 · median $14,128 | 3 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $14,249 – $57,195 · median $15,400 | 3 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $11,918 – $47,840 · median $12,881 | 3 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,732 – $43,079 · median $11,599 | 3 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $13,006 – $52,206 · median $14,057 | 3 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,158 – $48,805 · median $13,141 | 3 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $12,096 – $48,553 · median $13,073 | 3 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $13,518 – $54,261 · median $14,610 | 3 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $11,489 – $46,119 · median $12,418 | 3 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,764 – $47,221 · median $12,714 | 3 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $14,403 – $57,815 · median $15,567 | 3 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $12,192 – $48,939 · median $13,177 | 3 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $12,001 – $48,173 · median $12,971 | 3 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $44,804 – $179,847 · median $48,424 | 3 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $45,899 – $184,243 · median $49,608 | 3 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $46,471 – $186,540 · median $50,227 | 3 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $29,205 – $117,232 · median $31,565 | 3 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $37,635 – $151,070 · median $40,676 | 3 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $6,338 – $25,443 · median $6,851 | 3 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $5,037 – $20,218 · median $5,444 | 3 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,417 – $17,730 · median $4,774 | 3 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $6,239 – $25,044 · median $6,743 | 3 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $5,292 – $21,243 · median $5,720 | 3 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,425 – $21,778 · median $5,864 | 3 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $5,538 – $22,228 · median $5,985 | 3 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $4,535 – $18,202 · median $4,901 | 3 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,165 – $16,717 · median $4,501 | 3 plans |
| 441 | "DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC" | $6,096 – $24,471 · median $6,589 | 3 plans |
| 442 | "DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC" | $4,787 – $19,217 · median $5,174 | 3 plans |
| 443 | "DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC" | $4,449 – $17,858 · median $4,808 | 3 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $6,184 – $24,823 · median $6,684 | 3 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $5,774 – $23,177 · median $6,241 | 3 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,861 – $23,528 · median $6,335 | 3 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $26,093 – $104,739 · median $28,201 | 3 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $29,623 – $118,911 · median $32,017 | 3 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $23,813 – $95,588 · median $25,738 | 3 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $26,265 – $105,429 · median $28,387 | 3 plans |
| 456 | "SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC" | $28,743 – $115,377 · median $31,066 | 3 plans |
| 457 | "SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC" | $33,230 – $133,387 · median $35,915 | 3 plans |
| 458 | "SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC" | $35,680 – $143,223 · median $38,563 | 3 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $25,841 – $103,729 · median $27,929 | 3 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $23,145 – $92,905 · median $25,015 | 3 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $16,340 – $65,588 · median $17,660 | 3 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $14,998 – $60,202 · median $16,210 | 3 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $15,075 – $60,511 · median $16,293 | 3 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $21,336 – $85,645 · median $23,060 | 3 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $24,635 – $98,885 · median $26,625 | 3 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $28,394 – $113,975 · median $30,688 | 3 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $20,329 – $81,602 · median $21,972 | 3 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $18,397 – $73,848 · median $19,884 | 3 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $19,313 – $77,525 · median $20,874 | 3 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $22,479 – $90,233 · median $24,296 | 3 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $24,216 – $97,204 · median $26,173 | 3 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $13,916 – $55,859 · median $15,040 | 3 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $10,958 – $43,986 · median $11,843 | 3 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,869 – $35,600 · median $9,585 | 3 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,598 – $50,570 · median $13,616 | 3 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $12,574 – $50,473 · median $13,590 | 3 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,985 – $52,123 · median $14,034 | 3 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $14,023 – $56,290 · median $15,156 | 3 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $13,318 – $53,459 · median $14,394 | 3 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,445 – $49,954 · median $13,450 | 3 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $23,703 – $95,144 · median $25,618 | 3 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $12,702 – $50,989 · median $13,729 | 3 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $11,523 – $46,256 · median $12,454 | 3 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,941 – $43,916 · median $11,825 | 3 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $14,382 – $57,731 · median $15,544 | 3 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,589 – $50,531 · median $13,606 | 3 plans |
| 492 | "LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC" | $15,973 – $64,119 · median $17,264 | 3 plans |
| 493 | "LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC" | $15,528 – $62,332 · median $16,783 | 3 plans |
| 494 | "LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC" | $15,549 – $62,415 · median $16,805 | 3 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $13,940 – $55,955 · median $15,066 | 3 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,966 – $52,047 · median $14,014 | 3 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $12,485 – $50,115 · median $13,494 | 3 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $16,811 – $67,482 · median $18,170 | 3 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $18,854 – $75,681 · median $20,377 | 3 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $12,168 – $48,842 · median $13,151 | 3 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $10,573 – $42,441 · median $11,427 | 3 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $11,125 – $44,658 · median $12,024 | 3 plans |
| 503 | FOOT PROCEDURES WITH MCC | $11,633 – $46,694 · median $12,573 | 3 plans |
| 504 | FOOT PROCEDURES WITH CC | $10,906 – $43,779 · median $11,788 | 3 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,341 – $57,567 · median $15,500 | 3 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $8,922 – $35,814 · median $9,643 | 3 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $9,531 – $38,258 · median $10,301 | 3 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,045 – $44,337 · median $11,938 | 3 plans |
| 510 | "SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC" | $15,132 – $60,740 · median $16,355 | 3 plans |
| 511 | "SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC" | $13,936 – $55,942 · median $15,063 | 3 plans |
| 512 | "SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC" | $14,404 – $57,818 · median $15,568 | 3 plans |
| 513 | "HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC" | $9,522 – $38,221 · median $10,291 | 3 plans |
| 514 | "HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC" | $9,054 – $36,343 · median $9,785 | 3 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $13,865 – $55,654 · median $14,985 | 3 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $12,724 – $51,076 · median $13,752 | 3 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $12,918 – $51,853 · median $13,962 | 3 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $17,486 – $70,192 · median $18,899 | 3 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $13,778 – $55,306 · median $14,891 | 3 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $13,231 – $53,109 · median $14,300 | 3 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $14,235 – $57,141 · median $15,385 | 3 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $14,004 – $56,213 · median $15,136 | 3 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $5,802 – $23,291 · median $6,271 | 3 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,442 – $17,831 · median $4,801 | 3 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $5,299 – $21,269 · median $5,727 | 3 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,450 – $17,864 · median $4,810 | 3 plans |
| 537 | "SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC" | $4,640 – $18,626 · median $5,015 | 3 plans |
| 538 | "SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC" | $4,580 – $18,384 · median $4,950 | 3 plans |
| 539 | OSTEOMYELITIS WITH MCC | $5,368 – $21,546 · median $5,801 | 3 plans |
| 540 | OSTEOMYELITIS WITH CC | $4,871 – $19,551 · median $5,264 | 3 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,245 – $17,039 · median $4,588 | 3 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $5,616 – $22,544 · median $6,070 | 3 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $4,721 – $18,950 · median $5,102 | 3 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,564 – $18,320 · median $4,933 | 3 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $6,617 – $26,563 · median $7,152 | 3 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $5,297 – $21,261 · median $5,725 | 3 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,184 – $20,809 · median $5,603 | 3 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $5,504 – $22,092 · median $5,948 | 3 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $5,074 – $20,367 · median $5,484 | 3 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $4,612 – $18,513 · median $4,985 | 3 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $6,024 – $24,180 · median $6,510 | 3 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,182 – $20,802 · median $5,601 | 3 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $5,185 – $20,812 · median $5,604 | 3 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $4,574 – $18,362 · median $4,944 | 3 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $5,287 – $21,222 · median $5,714 | 3 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $4,790 – $19,228 · median $5,177 | 3 plans |
| 557 | "TENDONITIS, MYOSITIS AND BURSITIS WITH MCC" | $5,193 – $20,846 · median $5,613 | 3 plans |
| 558 | "TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC" | $4,520 – $18,145 · median $4,886 | 3 plans |
| 559 | "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC" | $5,781 – $23,204 · median $6,248 | 3 plans |
| 560 | "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC" | $4,504 – $18,080 · median $4,868 | 3 plans |
| 561 | "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC" | $3,834 – $15,389 · median $4,144 | 3 plans |
| 562 | "FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC" | $5,699 – $22,875 · median $6,159 | 3 plans |
| 563 | "FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC" | $4,935 – $19,809 · median $5,334 | 3 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $5,317 – $21,341 · median $5,746 | 3 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $4,738 – $19,018 · median $5,121 | 3 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,764 – $19,125 · median $5,149 | 3 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $10,973 – $44,047 · median $11,860 | 3 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $9,015 – $36,185 · median $9,743 | 3 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,619 – $34,595 · median $9,315 | 3 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $16,502 – $66,241 · median $17,836 | 3 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $12,666 – $50,842 · median $13,689 | 3 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,287 – $45,308 · median $12,199 | 3 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $15,691 – $62,984 · median $16,959 | 3 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $13,701 – $54,998 · median $14,808 | 3 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,857 – $51,608 · median $13,896 | 3 plans |
| 579 | "OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC" | $12,083 – $48,501 · median $13,059 | 3 plans |
| 580 | "OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC" | $10,088 – $40,493 · median $10,903 | 3 plans |
| 581 | "OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC" | $12,787 – $51,330 · median $13,821 | 3 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $14,938 – $59,961 · median $16,145 | 3 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $16,778 – $67,348 · median $18,134 | 3 plans |
| 584 | "BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC" | $14,355 – $57,621 · median $15,515 | 3 plans |
| 585 | "BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC" | $18,061 – $72,500 · median $19,521 | 3 plans |
| 592 | SKIN ULCERS WITH MCC | $5,277 – $21,180 · median $5,703 | 3 plans |
| 593 | SKIN ULCERS WITH CC | $4,459 – $17,901 · median $4,820 | 3 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $4,217 – $16,927 · median $4,558 | 3 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $6,190 – $24,848 · median $6,690 | 3 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $4,883 – $19,602 · median $5,278 | 3 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $5,515 – $22,138 · median $5,961 | 3 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $4,924 – $19,767 · median $5,322 | 3 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,023 – $20,165 · median $5,429 | 3 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $5,169 – $20,747 · median $5,586 | 3 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,169 – $16,737 · median $4,506 | 3 plans |
| 602 | CELLULITIS WITH MCC | $5,186 – $20,816 · median $5,605 | 3 plans |
| 603 | CELLULITIS WITHOUT MCC | $4,502 – $18,070 · median $4,865 | 3 plans |
| 604 | "TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC" | $5,988 – $24,035 · median $6,472 | 3 plans |
| 605 | "TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC" | $5,285 – $21,216 · median $5,712 | 3 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $5,143 – $20,644 · median $5,558 | 3 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $4,685 – $18,806 · median $5,063 | 3 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $16,485 – $66,174 · median $17,818 | 3 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $15,101 – $60,616 · median $16,321 | 3 plans |
| 616 | "AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC" | $12,366 – $49,637 · median $13,365 | 3 plans |
| 617 | "AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC" | $9,572 – $38,421 · median $10,345 | 3 plans |
| 618 | "AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC" | $8,692 – $34,891 · median $9,394 | 3 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $18,144 – $72,830 · median $19,610 | 3 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $16,550 – $66,434 · median $17,888 | 3 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $17,414 – $69,901 · median $18,821 | 3 plans |
| 622 | "SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC" | $12,185 – $48,912 · median $13,170 | 3 plans |
| 623 | "SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC" | $9,576 – $38,437 · median $10,349 | 3 plans |
| 624 | "SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC" | $9,139 – $36,685 · median $9,878 | 3 plans |
| 625 | "THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC" | $13,507 – $54,216 · median $14,598 | 3 plans |
| 626 | "THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC" | $13,291 – $53,353 · median $14,365 | 3 plans |
| 627 | "THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC" | $14,653 – $58,819 · median $15,837 | 3 plans |
| 628 | "OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC" | $13,310 – $53,426 · median $14,385 | 3 plans |
| 629 | "OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC" | $10,709 – $42,986 · median $11,574 | 3 plans |
| 630 | "OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC" | $12,938 – $51,934 · median $13,983 | 3 plans |
| 637 | DIABETES WITH MCC | $5,660 – $22,721 · median $6,118 | 3 plans |
| 638 | DIABETES WITH CC | $4,733 – $18,998 · median $5,115 | 3 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,535 – $18,204 · median $4,902 | 3 plans |
| 640 | "MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC" | $5,525 – $22,178 · median $5,972 | 3 plans |
| 641 | "MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC" | $4,492 – $18,031 · median $4,855 | 3 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $6,303 – $25,301 · median $6,812 | 3 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $5,597 – $22,467 · median $6,049 | 3 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $4,892 – $19,639 · median $5,288 | 3 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,541 – $18,226 · median $4,907 | 3 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $22,010 – $88,350 · median $23,789 | 3 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $19,774 – $79,375 · median $21,372 | 3 plans |
| 652 | KIDNEY TRANSPLANT | $20,547 – $82,476 · median $22,207 | 3 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $16,745 – $67,215 · median $18,098 | 3 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $15,099 – $60,610 · median $16,319 | 3 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $15,223 – $61,105 · median $16,453 | 3 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $15,490 – $62,177 · median $16,741 | 3 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $14,647 – $58,796 · median $15,831 | 3 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $16,043 – $64,399 · median $17,340 | 3 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $11,784 – $47,303 · median $12,736 | 3 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,790 – $39,296 · median $10,581 | 3 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $10,075 – $40,441 · median $10,889 | 3 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $11,963 – $48,019 · median $12,929 | 3 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,797 – $39,327 · median $10,589 | 3 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,277 – $37,239 · median $10,027 | 3 plans |
| 665 | PROSTATECTOMY WITH MCC | $12,101 – $48,573 · median $13,078 | 3 plans |
| 666 | PROSTATECTOMY WITH CC | $10,851 – $43,557 · median $11,728 | 3 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $9,631 – $38,658 · median $10,409 | 3 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $11,686 – $46,908 · median $12,630 | 3 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $9,749 – $39,134 · median $10,537 | 3 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $8,818 – $35,396 · median $9,531 | 3 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $10,480 – $42,066 · median $11,327 | 3 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $10,504 – $42,164 · median $11,353 | 3 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $12,951 – $51,984 · median $13,997 | 3 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $11,490 – $46,123 · median $12,419 | 3 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,341 – $49,540 · median $13,339 | 3 plans |
| 682 | RENAL FAILURE WITH MCC | $5,485 – $22,016 · median $5,928 | 3 plans |
| 683 | RENAL FAILURE WITH CC | $4,624 – $18,559 · median $4,997 | 3 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,137 – $16,608 · median $4,472 | 3 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $5,665 – $22,740 · median $6,123 | 3 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $5,000 – $20,069 · median $5,404 | 3 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,942 – $23,852 · median $6,422 | 3 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $4,880 – $19,587 · median $5,274 | 3 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,464 – $17,917 · median $4,824 | 3 plans |
| 693 | URINARY STONES WITH MCC | $5,654 – $22,697 · median $6,111 | 3 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,242 – $21,042 · median $5,666 | 3 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $5,068 – $20,343 · median $5,477 | 3 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,383 – $17,596 · median $4,738 | 3 plans |
| 697 | URETHRAL STRICTURE | $5,814 – $23,336 · median $6,283 | 3 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $5,782 – $23,208 · median $6,249 | 3 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $5,037 – $20,219 · median $5,444 | 3 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,505 – $18,082 · median $4,869 | 3 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $16,243 – $65,199 · median $17,555 | 3 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $16,887 – $67,787 · median $18,252 | 3 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $12,133 – $48,704 · median $13,114 | 3 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $14,164 – $56,856 · median $15,309 | 3 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $10,532 – $42,277 · median $11,383 | 3 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $9,079 – $36,442 · median $9,812 | 3 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,456 – $45,987 · median $12,382 | 3 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $11,144 – $44,732 · median $12,044 | 3 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $10,865 – $43,611 · median $11,743 | 3 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $15,179 – $60,932 · median $16,406 | 3 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,420 – $45,839 · median $12,342 | 3 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $12,552 – $50,386 · median $13,567 | 3 plans |
| 722 | "MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC" | $5,533 – $22,211 · median $5,980 | 3 plans |
| 723 | "MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC" | $4,965 – $19,930 · median $5,366 | 3 plans |
| 724 | "MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC" | $5,239 – $21,028 · median $5,662 | 3 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $4,912 – $19,718 · median $5,309 | 3 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,361 – $17,506 · median $4,714 | 3 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $5,247 – $21,060 · median $5,671 | 3 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $4,367 – $17,531 · median $4,720 | 3 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $5,141 – $20,637 · median $5,556 | 3 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,369 – $21,550 · median $5,802 | 3 plans |
| 734 | "PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC" | $13,717 – $55,063 · median $14,826 | 3 plans |
| 735 | "PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC" | $13,617 – $54,658 · median $14,717 | 3 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $15,826 – $63,528 · median $17,105 | 3 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $13,624 – $54,689 · median $14,725 | 3 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $13,004 – $52,198 · median $14,055 | 3 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $15,723 – $63,112 · median $16,993 | 3 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,596 – $54,577 · median $14,695 | 3 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $14,733 – $59,140 · median $15,924 | 3 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,786 – $55,337 · median $14,900 | 3 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $13,090 – $52,546 · median $14,148 | 3 plans |
| 744 | "D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC" | $10,585 – $42,488 · median $11,440 | 3 plans |
| 745 | "D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC" | $10,073 – $40,433 · median $10,887 | 3 plans |
| 746 | "VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC" | $10,634 – $42,688 · median $11,494 | 3 plans |
| 747 | "VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC" | $9,268 – $37,201 · median $10,016 | 3 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $14,332 – $57,531 · median $15,490 | 3 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $12,606 – $50,603 · median $13,625 | 3 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,069 – $52,458 · median $14,125 | 3 plans |
| 754 | "MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC" | $5,637 – $22,629 · median $6,093 | 3 plans |
| 755 | "MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC" | $5,089 – $20,427 · median $5,500 | 3 plans |
| 756 | "MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC" | $7,217 – $28,968 · median $7,800 | 3 plans |
| 757 | "INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC" | $5,072 – $20,359 · median $5,482 | 3 plans |
| 758 | "INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC" | $4,495 – $18,044 · median $4,858 | 3 plans |
| 759 | "INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC" | $4,219 – $16,935 · median $4,560 | 3 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $5,204 – $20,890 · median $5,625 | 3 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,563 – $18,316 · median $4,932 | 3 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,597 – $27,657 · median $6,049 | 3 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $14,095 – $56,579 · median $15,234 | 3 plans |
| 770 | "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY" | $11,029 – $44,272 · median $11,920 | 3 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,708 – $14,885 · median $4,008 | 3 plans |
| 779 | ABORTION WITHOUT D&C | $5,680 – $22,799 · median $6,139 | 3 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $11,194 – $55,316 · median $12,099 | 3 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,432 – $41,669 · median $9,114 | 3 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,603 – $37,573 · median $8,218 | 3 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $8,563 – $42,315 · median $9,255 | 3 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,869 – $38,887 · median $8,505 | 3 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,093 – $35,051 · median $7,666 | 3 plans |
| 789 | "NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY" | $6,423 – $25,783 · median $6,942 | 3 plans |
| 790 | "EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE" | $4,120 – $16,539 · median $4,453 | 3 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $4,029 – $16,174 · median $4,355 | 3 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $2,744 – $11,014 · median $2,966 | 3 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $4,528 – $18,177 · median $4,894 | 3 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,782 – $11,168 · median $3,007 | 3 plans |
| 795 | NORMAL NEWBORN | $1,099 – $4,410 · median $1,188 | 3 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $8,532 – $42,164 · median $9,222 | 3 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,738 – $38,236 · median $8,363 | 3 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $7,387 – $36,505 · median $7,984 | 3 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $18,571 – $74,545 · median $20,071 | 3 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $16,999 – $68,236 · median $18,373 | 3 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $15,034 – $60,347 · median $16,249 | 3 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $13,540 – $54,349 · median $14,634 | 3 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $11,248 – $45,150 · median $12,157 | 3 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $12,939 – $51,936 · median $13,984 | 3 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,488 – $17,237 · median $3,770 | 3 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,513 – $17,360 · median $3,797 | 3 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,381 – $16,706 · median $3,654 | 3 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $6,762 – $27,144 · median $7,309 | 3 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $5,925 – $23,785 · median $6,404 | 3 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,038 – $24,238 · median $6,526 | 3 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $5,905 – $23,702 · median $6,382 | 3 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $4,952 – $19,878 · median $5,352 | 3 plans |
| 813 | COAGULATION DISORDERS | $6,639 – $26,648 · median $7,175 | 3 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $6,678 – $26,808 · median $7,218 | 3 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $5,241 – $21,037 · median $5,664 | 3 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,751 – $19,072 · median $5,135 | 3 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $14,463 – $58,057 · median $15,632 | 3 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $12,544 – $50,353 · median $13,558 | 3 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,282 – $41,274 · median $11,113 | 3 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $15,815 – $63,481 · median $17,092 | 3 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $13,545 – $54,372 · median $14,640 | 3 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,445 – $49,957 · median $13,451 | 3 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $13,704 – $55,008 · median $14,811 | 3 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $11,589 – $46,518 · median $12,525 | 3 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,159 – $44,792 · median $12,060 | 3 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $16,345 – $65,609 · median $17,665 | 3 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $13,984 – $56,135 · median $15,115 | 3 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $14,328 – $57,515 · median $15,486 | 3 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $13,066 – $52,447 · median $14,121 | 3 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,334 – $53,525 · median $14,412 | 3 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $4,178 – $16,771 · median $4,516 | 3 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $3,486 – $13,991 · median $3,767 | 3 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,908 – $11,674 · median $3,143 | 3 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $8,305 – $33,335 · median $8,976 | 3 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $6,634 – $26,629 · median $7,170 | 3 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $6,051 – $24,288 · median $6,540 | 3 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $7,496 – $30,089 · median $8,102 | 3 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $6,725 – $26,996 · median $7,269 | 3 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,513 – $26,143 · median $7,039 | 3 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $7,500 – $30,106 · median $8,106 | 3 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $6,324 – $25,384 · median $6,835 | 3 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $5,829 – $23,399 · median $6,300 | 3 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $5,822 – $23,370 · median $6,293 | 3 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $5,034 – $20,205 · median $5,440 | 3 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,030 – $20,191 · median $5,436 | 3 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $7,393 – $29,674 · median $7,990 | 3 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $6,124 – $24,580 · median $6,618 | 3 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,900 – $19,671 · median $5,296 | 3 plans |
| 849 | RADIOTHERAPY | $6,224 – $24,983 · median $6,727 | 3 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $16,525 – $66,333 · median $17,860 | 3 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $15,914 – $63,881 · median $17,200 | 3 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $10,778 – $43,263 · median $11,649 | 3 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,090 – $44,514 · median $11,986 | 3 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $14,949 – $60,006 · median $16,157 | 3 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $10,956 – $43,978 · median $11,841 | 3 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,600 – $38,537 · median $10,376 | 3 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $5,954 – $23,900 · median $6,435 | 3 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $4,855 – $19,488 · median $5,247 | 3 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,244 – $21,051 · median $5,668 | 3 plans |
| 865 | VIRAL ILLNESS WITH MCC | $5,549 – $22,273 · median $5,997 | 3 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $4,795 – $19,247 · median $5,182 | 3 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $6,257 – $25,118 · median $6,763 | 3 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $4,827 – $19,377 · median $5,217 | 3 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,526 – $18,169 · median $4,892 | 3 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $10,587 – $42,495 · median $11,442 | 3 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $6,513 – $26,145 · median $7,040 | 3 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $4,883 – $19,600 · median $5,277 | 3 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $12,566 – $50,440 · median $13,581 | 3 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $3,252 – $13,054 · median $3,515 | 3 plans |
| 881 | DEPRESSIVE NEUROSES | $1,694 – $6,799 · median $1,831 | 3 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,782 – $7,155 · median $1,926 | 3 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $2,103 – $8,440 · median $2,272 | 3 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $2,145 – $8,611 · median $2,319 | 3 plans |
| 885 | PSYCHOSES | $1,609 – $6,461 · median $1,740 | 3 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,771 – $7,109 · median $1,914 | 3 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $2,540 – $10,198 · median $2,746 | 3 plans |
| 894 | "ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA" | $1,910 – $7,665 · median $2,064 | 3 plans |
| 895 | "ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY" | $1,526 – $6,124 · median $1,649 | 3 plans |
| 896 | "ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC" | $4,739 – $19,022 · median $5,122 | 3 plans |
| 897 | "ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC" | $2,037 – $8,176 · median $2,201 | 3 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $13,444 – $53,967 · median $14,531 | 3 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $10,007 – $40,169 · median $10,816 | 3 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,219 – $37,005 · median $9,964 | 3 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $13,818 – $55,465 · median $14,934 | 3 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,523 – $42,240 · median $11,373 | 3 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $13,181 – $52,910 · median $14,246 | 3 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $15,375 – $61,715 · median $16,617 | 3 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,702 – $50,986 · median $13,728 | 3 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $11,436 – $45,904 · median $12,360 | 3 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $6,244 – $25,063 · median $6,748 | 3 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,362 – $21,525 · median $5,796 | 3 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $7,198 – $28,895 · median $7,780 | 3 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,170 – $20,752 · median $5,588 | 3 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $6,085 – $24,424 · median $6,576 | 3 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $4,837 – $19,414 · median $5,227 | 3 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $6,494 – $26,066 · median $7,018 | 3 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $5,295 – $21,254 · median $5,723 | 3 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,883 – $19,602 · median $5,278 | 3 plans |
| 922 | "OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC" | $5,171 – $20,756 · median $5,589 | 3 plans |
| 923 | "OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC" | $4,679 – $18,783 · median $5,057 | 3 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $30,220 – $121,307 · median $32,662 | 3 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $17,468 – $70,119 · median $18,880 | 3 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $14,547 – $58,392 · median $15,722 | 3 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $12,563 – $50,429 · median $13,578 | 3 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $6,537 – $26,241 · median $7,066 | 3 plans |
| 935 | NON-EXTENSIVE BURNS | $7,416 – $29,770 · median $8,016 | 3 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $13,344 – $53,564 · median $14,422 | 3 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $15,470 – $62,096 · median $16,720 | 3 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $18,643 – $74,833 · median $20,149 | 3 plans |
| 945 | REHABILITATION WITH CC/MCC | $4,470 – $17,943 · median $4,831 | 3 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $4,126 – $16,561 · median $4,459 | 3 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $5,082 – $20,401 · median $5,493 | 3 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,516 – $18,128 · median $4,881 | 3 plans |
| 949 | AFTERCARE WITH CC/MCC | $3,836 – $15,396 · median $4,145 | 3 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $2,940 – $11,801 · median $3,177 | 3 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,834 – $15,389 · median $4,144 | 3 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $21,121 – $84,783 · median $22,828 | 3 plans |
| 956 | "LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA" | $18,113 – $72,707 · median $19,576 | 3 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $22,354 – $89,731 · median $24,160 | 3 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $18,822 – $75,551 · median $20,342 | 3 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $19,206 – $77,093 · median $20,758 | 3 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $7,530 – $30,225 · median $8,138 | 3 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $6,439 – $25,848 · median $6,960 | 3 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,828 – $23,396 · median $6,299 | 3 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $16,057 – $64,455 · median $17,355 | 3 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $10,545 – $42,328 · median $11,397 | 3 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $6,879 – $27,613 · median $7,435 | 3 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $5,263 – $21,125 · median $5,688 | 3 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $4,662 – $18,713 · median $5,038 | 3 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $5,274 – $21,169 · median $5,700 | 3 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $15,719 – $63,096 · median $16,989 | 3 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $14,175 – $56,898 · median $15,320 | 3 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $15,176 – $60,919 · median $16,403 | 3 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $12,056 – $48,395 · median $13,031 | 3 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $9,588 – $38,486 · median $10,362 | 3 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,910 – $39,780 · median $10,711 | 3 plans |
No procedures match that keyword.