Martin Luther King, Jr. Community Hospital — 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 | $304,413 – $400,543 · median $336,456 | 16 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $125,248 – $164,801 · median $138,432 | 16 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $231,439 – $304,525 · median $255,801 | 16 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $152,293 – $200,385 · median $168,323 | 16 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $114,286 – $150,377 · median $126,316 | 16 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $53,390 – $70,250 · median $58,006 | 16 plans |
| 007 | LUNG TRANSPLANT | $142,620 – $187,657 · median $157,632 | 16 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $63,776 – $83,915 · median $69,693 | 16 plans |
| 010 | PANCREAS TRANSPLANT | $36,569 – $98,006 · median $40,419 | 16 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $62,160 – $81,790 · median $67,875 | 16 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $48,871 – $64,304 · median $52,921 | 16 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $34,550 – $45,461 · median $37,201 | 16 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $132,613 – $174,490 · median $146,572 | 16 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $67,265 – $88,507 · median $73,620 | 16 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $55,551 – $74,194 · median $61,398 | 16 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $467,121 – $614,633 · median $516,291 | 16 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $74,752 – $98,357 · median $82,620 | 16 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $88,078 – $115,893 · median $97,040 | 16 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $60,440 – $79,526 · median $65,939 | 16 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $36,625 – $48,191 · median $39,770 | 16 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $65,125 – $85,691 · median $71,211 | 16 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $45,607 – $60,009 · median $49,248 | 16 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $52,421 – $68,975 · median $56,916 | 16 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $36,991 – $48,673 · median $39,912 | 16 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $30,698 – $40,392 · median $32,806 | 16 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $68,109 – $89,617 · median $74,569 | 16 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $40,237 – $52,943 · median $43,414 | 16 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $26,986 – $35,764 · median $28,792 | 16 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $51,710 – $68,040 · median $56,116 | 16 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $26,196 – $34,858 · median $28,005 | 16 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $20,442 – $28,247 · median $22,597 | 16 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $45,165 – $59,427 · median $48,751 | 16 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $29,277 – $38,522 · median $31,184 | 16 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $23,883 – $32,200 · median $25,760 | 16 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $38,954 – $51,256 · median $42,030 | 16 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $19,947 – $27,677 · median $22,142 | 16 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $14,450 – $21,363 · median $17,090 | 16 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $45,063 – $59,293 · median $48,636 | 16 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $27,029 – $35,814 · median $28,835 | 16 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $21,239 – $29,162 · median $23,329 | 16 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $22,266 – $29,912 · median $23,929 | 16 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $12,037 – $18,591 · median $14,873 | 16 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $18,770 – $26,326 · median $21,061 | 16 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $12,534 – $19,161 · median $15,329 | 16 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $28,554 – $37,571 · median $30,358 | 16 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $15,927 – $23,059 · median $18,447 | 16 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $21,015 – $28,905 · median $23,124 | 16 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $15,254 – $22,287 · median $17,829 | 16 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $11,307 – $17,752 · median $14,201 | 16 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $33,212 – $43,700 · median $35,674 | 16 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $21,601 – $29,578 · median $23,663 | 16 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $17,257 – $24,587 · median $19,670 | 16 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $24,721 – $33,163 · median $26,536 | 16 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $12,420 – $19,030 · median $15,224 | 16 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $8,413 – $14,427 · median $11,542 | 16 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $18,055 – $25,504 · median $20,403 | 16 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $10,626 – $16,969 · median $13,575 | 16 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $9,820 – $16,043 · median $12,834 | 16 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $20,465 – $28,273 · median $22,619 | 16 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $12,613 – $19,252 · median $15,401 | 16 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $9,296 – $15,441 · median $12,353 | 16 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $19,722 – $27,419 · median $21,935 | 16 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $12,672 – $19,319 · median $15,456 | 16 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $23,572 – $31,842 · median $25,474 | 16 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $10,144 – $15,337 · median $12,269 | 16 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $22,250 – $30,324 · median $24,259 | 16 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $11,010 – $17,410 · median $13,928 | 16 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $28,097 – $37,041 · median $29,899 | 16 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $17,159 – $24,474 · median $19,579 | 16 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $11,750 – $18,260 · median $14,608 | 16 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $27,928 – $36,848 · median $29,731 | 16 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $16,014 – $23,159 · median $18,528 | 16 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $11,244 – $17,680 · median $14,144 | 16 plans |
| 088 | CONCUSSION WITH MCC | $16,618 – $23,853 · median $19,082 | 16 plans |
| 089 | CONCUSSION WITH CC | $13,505 – $20,277 · median $16,222 | 16 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $10,120 – $16,388 · median $13,110 | 16 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $21,589 – $29,564 · median $23,651 | 16 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $12,576 – $19,209 · median $15,367 | 16 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $9,789 – $16,008 · median $12,806 | 16 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $41,394 – $54,466 · median $44,662 | 16 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $31,303 – $41,188 · median $33,495 | 16 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $31,303 – $41,188 · median $33,495 | 16 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $42,386 – $55,771 · median $45,732 | 16 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $28,211 – $37,172 · median $30,013 | 16 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $16,748 – $24,003 · median $19,202 | 16 plans |
| 100 | SEIZURES WITH MCC | $23,809 – $32,115 · median $25,692 | 16 plans |
| 101 | SEIZURES WITHOUT MCC | $11,096 – $17,509 · median $14,007 | 16 plans |
| 102 | HEADACHES WITH MCC | $13,779 – $20,592 · median $16,474 | 16 plans |
| 103 | HEADACHES WITHOUT MCC | $10,281 – $16,573 · median $13,258 | 16 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $28,854 – $37,966 · median $30,701 | 16 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $16,632 – $23,870 · median $19,096 | 16 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $18,869 – $26,439 · median $21,151 | 16 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $22,227 – $30,297 · median $24,238 | 16 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $13,337 – $20,083 · median $16,067 | 16 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $14,300 – $21,191 · median $16,953 | 16 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $9,660 – $15,859 · median $12,687 | 16 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $9,817 – $16,040 · median $12,832 | 16 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $16,265 – $23,448 · median $18,758 | 16 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $9,439 – $15,605 · median $12,484 | 16 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $26,322 – $34,634 · median $28,174 | 16 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $12,481 – $19,101 · median $15,280 | 16 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $18,356 – $25,850 · median $20,680 | 16 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $10,894 – $17,277 · median $13,822 | 16 plans |
| 139 | SALIVARY GLAND PROCEDURES | $15,190 – $21,831 · median $17,464 | 16 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $49,400 – $65,000 · median $53,517 | 16 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $26,812 – $35,565 · median $28,619 | 16 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $19,625 – $27,307 · median $21,846 | 16 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $43,833 – $57,675 · median $47,293 | 16 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $21,303 – $29,235 · median $23,388 | 16 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $14,780 – $21,742 · median $17,393 | 16 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $26,029 – $34,666 · median $27,839 | 16 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $15,631 – $22,719 · median $18,175 | 16 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $9,799 – $16,019 · median $12,815 | 16 plans |
| 149 | DYSEQUILIBRIUM | $9,239 – $15,376 · median $12,301 | 16 plans |
| 150 | EPISTAXIS WITH MCC | $16,368 – $23,566 · median $18,853 | 16 plans |
| 151 | EPISTAXIS WITHOUT MCC | $9,023 – $15,128 · median $12,102 | 16 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $14,533 – $21,458 · median $17,166 | 16 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $9,075 – $15,187 · median $12,150 | 16 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $19,220 – $26,843 · median $21,474 | 16 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $11,267 – $17,705 · median $14,164 | 16 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $8,496 – $14,522 · median $11,617 | 16 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $21,105 – $29,008 · median $23,206 | 16 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $11,184 – $17,611 · median $14,088 | 16 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $8,710 – $14,768 · median $11,814 | 16 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $51,724 – $68,058 · median $56,132 | 16 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $30,710 – $40,408 · median $32,819 | 16 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $23,531 – $31,796 · median $25,437 | 16 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $43,737 – $57,549 · median $47,190 | 16 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $22,169 – $30,231 · median $24,185 | 16 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $16,797 – $24,059 · median $19,247 | 16 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $35,566 – $46,797 · median $38,360 | 16 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $16,886 – $24,161 · median $19,329 | 16 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $9,896 – $16,130 · median $12,904 | 16 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $19,210 – $26,831 · median $21,465 | 16 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $11,998 – $18,546 · median $14,836 | 16 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $9,281 – $15,424 · median $12,339 | 16 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $21,709 – $29,703 · median $23,762 | 16 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $13,166 – $19,887 · median $15,910 | 16 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $9,266 – $15,269 · median $12,215 | 16 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $18,807 – $26,368 · median $21,095 | 16 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $13,081 – $19,790 · median $15,832 | 16 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $9,668 – $15,869 · median $12,695 | 16 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $19,159 – $26,772 · median $21,418 | 16 plans |
| 187 | PLEURAL EFFUSION WITH CC | $12,159 – $18,731 · median $14,984 | 16 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $8,817 – $14,890 · median $11,912 | 16 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $15,187 – $22,209 · median $17,767 | 16 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $13,617 – $20,405 · median $16,324 | 16 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $10,363 – $16,667 · median $13,334 | 16 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $7,892 – $13,828 · median $11,063 | 16 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $16,158 – $23,325 · median $18,660 | 16 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $9,907 – $16,143 · median $12,915 | 16 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $7,726 – $13,638 · median $10,910 | 16 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $23,199 – $31,414 · median $25,132 | 16 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $11,667 – $18,166 · median $14,532 | 16 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $8,804 – $14,876 · median $11,901 | 16 plans |
| 199 | PNEUMOTHORAX WITH MCC | $21,686 – $29,676 · median $23,741 | 16 plans |
| 200 | PNEUMOTHORAX WITH CC | $13,514 – $20,287 · median $16,229 | 16 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $8,791 – $14,861 · median $11,889 | 16 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $11,939 – $18,478 · median $14,782 | 16 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $8,236 – $14,224 · median $11,379 | 16 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $9,925 – $16,164 · median $12,931 | 16 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $22,508 – $30,621 · median $24,497 | 16 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $11,569 – $18,053 · median $14,442 | 16 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $72,685 – $95,639 · median $79,719 | 16 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $33,122 – $43,581 · median $35,571 | 16 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $125,109 – $164,617 · median $138,278 | 16 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $120,336 – $158,336 · median $133,003 | 16 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $64,874 – $85,360 · median $70,929 | 16 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $110,492 – $145,384 · median $122,123 | 16 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $108,622 – $142,924 · median $120,056 | 16 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $74,195 – $97,624 · median $81,417 | 16 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $74,195 – $97,624 · median $81,417 | 16 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $86,034 – $113,202 · median $94,740 | 16 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $60,858 – $80,077 · median $66,410 | 16 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $57,718 – $75,944 · median $62,876 | 16 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $56,722 – $74,634 · median $61,755 | 16 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $37,424 – $49,242 · median $40,378 | 16 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $94,101 – $123,817 · median $103,818 | 16 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $68,692 – $90,384 · median $75,225 | 16 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $85,678 – $112,735 · median $94,340 | 16 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $62,253 – $81,911 · median $67,979 | 16 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $66,609 – $87,644 · median $72,882 | 16 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $48,579 – $63,920 · median $52,593 | 16 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $56,446 – $74,271 · median $61,445 | 16 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $34,215 – $45,019 · median $36,818 | 16 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $17,018 – $24,313 · median $19,451 | 16 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $37,889 – $49,853 · median $40,880 | 16 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $26,195 – $34,856 · median $28,004 | 16 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $22,220 – $30,289 · median $24,231 | 16 plans |
| 245 | AICD GENERATOR PROCEDURES | $52,589 – $69,196 · median $57,105 | 16 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $26,829 – $35,585 · median $28,636 | 16 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $18,372 – $25,868 · median $20,695 | 16 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $41,060 – $54,027 · median $44,302 | 16 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $31,479 – $41,419 · median $33,696 | 16 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $21,902 – $29,924 · median $23,940 | 16 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $32,571 – $42,857 · median $34,943 | 16 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $20,872 – $28,741 · median $22,993 | 16 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $13,426 – $20,187 · median $16,149 | 16 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $37,344 – $49,137 · median $40,293 | 16 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $24,858 – $33,320 · median $26,672 | 16 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $38,533 – $50,701 · median $41,575 | 16 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $23,240 – $31,461 · median $25,169 | 16 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $20,036 – $27,781 · median $22,224 | 16 plans |
| 263 | VEIN LIGATION AND STRIPPING | $36,435 – $47,941 · median $39,312 | 16 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $39,475 – $51,941 · median $42,591 | 16 plans |
| 265 | AICD LEAD PROCEDURES | $42,455 – $55,861 · median $45,806 | 16 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $69,398 – $91,313 · median $76,020 | 16 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $54,719 – $71,998 · median $59,502 | 16 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $77,443 – $101,898 · median $85,072 | 16 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $48,948 – $64,406 · median $53,008 | 16 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $60,252 – $79,279 · median $65,728 | 16 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $41,790 – $54,987 · median $45,089 | 16 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $31,021 – $40,817 · median $33,174 | 16 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $47,900 – $63,026 · median $51,828 | 16 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $38,950 – $51,250 · median $42,025 | 16 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $80,153 – $105,464 · median $88,122 | 16 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $68,090 – $89,593 · median $74,549 | 16 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $53,191 – $69,989 · median $57,783 | 16 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $63,363 – $83,373 · median $69,229 | 16 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $42,328 – $55,695 · median $45,670 | 16 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $19,719 – $27,416 · median $21,933 | 16 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $11,299 – $17,742 · median $14,194 | 16 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $8,889 – $14,974 · median $11,979 | 16 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $24,350 – $32,736 · median $26,189 | 16 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $8,509 – $14,537 · median $11,630 | 16 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $7,362 – $13,220 · median $10,576 | 16 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $27,202 – $36,013 · median $29,007 | 16 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $13,155 – $19,874 · median $15,900 | 16 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $32,666 – $42,981 · median $35,051 | 16 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $20,983 – $28,868 · median $23,094 | 16 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $11,429 – $17,892 · median $14,313 | 16 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $15,782 – $22,893 · median $18,314 | 16 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $10,437 – $16,752 · median $13,401 | 16 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $6,958 – $12,755 · median $10,204 | 16 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $19,200 – $26,820 · median $21,456 | 16 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $7,794 – $13,567 · median $10,854 | 16 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $5,595 – $11,189 · median $8,951 | 16 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $20,071 – $27,820 · median $22,256 | 16 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $13,123 – $19,838 · median $15,870 | 16 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $8,847 – $14,926 · median $11,941 | 16 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $14,710 – $21,661 · median $17,329 | 16 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $8,276 – $14,269 · median $11,415 | 16 plans |
| 304 | HYPERTENSION WITH MCC | $14,629 – $21,568 · median $17,254 | 16 plans |
| 305 | HYPERTENSION WITHOUT MCC | $9,282 – $15,426 · median $12,341 | 16 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $19,371 – $27,016 · median $21,613 | 16 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $11,226 – $17,659 · median $14,127 | 16 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $14,801 – $21,766 · median $17,412 | 16 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $9,044 – $15,152 · median $12,121 | 16 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $6,959 – $12,756 · median $10,205 | 16 plans |
| 311 | ANGINA PECTORIS | $8,628 – $14,674 · median $11,740 | 16 plans |
| 312 | SYNCOPE AND COLLAPSE | $10,715 – $17,071 · median $13,657 | 16 plans |
| 313 | CHEST PAIN | $8,851 – $14,930 · median $11,944 | 16 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $25,633 – $34,211 · median $27,445 | 16 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $11,842 – $18,366 · median $14,693 | 16 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,385 – $14,395 · median $11,516 | 16 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $75,388 – $99,195 · median $82,760 | 16 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $29,617 – $38,970 · median $31,572 | 16 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $51,521 – $67,791 · median $55,903 | 16 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $29,436 – $38,732 · median $31,365 | 16 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $32,822 – $43,187 · median $35,229 | 16 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $21,673 – $29,660 · median $23,728 | 16 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $50,067 – $65,877 · median $54,267 | 16 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $37,440 – $49,263 · median $40,396 | 16 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $38,077 – $50,102 · median $41,084 | 16 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $57,151 – $75,199 · median $62,238 | 16 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $29,853 – $39,281 · median $31,842 | 16 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $19,697 – $27,391 · median $21,913 | 16 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $52,955 – $69,678 · median $57,517 | 16 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $29,349 – $38,617 · median $31,266 | 16 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $20,688 – $28,529 · median $22,823 | 16 plans |
| 332 | RECTAL RESECTION WITH MCC | $42,481 – $55,897 · median $45,835 | 16 plans |
| 333 | RECTAL RESECTION WITH CC | $28,759 – $37,840 · median $30,592 | 16 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $20,135 – $27,894 · median $22,315 | 16 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $41,947 – $55,193 · median $45,259 | 16 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $25,922 – $34,543 · median $27,732 | 16 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $18,870 – $26,440 · median $21,152 | 16 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $31,341 – $41,238 · median $33,539 | 16 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,497 – $26,012 · median $20,810 | 16 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $14,582 – $21,514 · median $17,211 | 16 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $28,220 – $37,182 · median $30,022 | 16 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $16,089 – $23,246 · median $18,597 | 16 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $10,702 – $17,057 · median $13,646 | 16 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $30,365 – $39,955 · median $32,426 | 16 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $18,741 – $26,292 · median $21,034 | 16 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $14,356 – $21,254 · median $17,003 | 16 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $34,767 – $45,746 · median $37,449 | 16 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $20,682 – $28,522 · median $22,818 | 16 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $16,534 – $23,757 · median $19,006 | 16 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $50,769 – $66,801 · median $55,057 | 16 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $28,579 – $37,605 · median $30,388 | 16 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $17,184 – $24,504 · median $19,603 | 16 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $40,527 – $53,325 · median $43,726 | 16 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $29,533 – $38,859 · median $31,475 | 16 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $19,569 – $27,244 · median $21,795 | 16 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $12,295 – $18,887 · median $15,110 | 16 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $8,615 – $14,659 · median $11,727 | 16 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $21,797 – $29,803 · median $23,842 | 16 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $12,551 – $19,181 · median $15,345 | 16 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $8,942 – $15,035 · median $12,028 | 16 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $26,291 – $34,966 · median $28,100 | 16 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $14,870 – $21,845 · median $17,476 | 16 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $11,362 – $17,815 · median $14,252 | 16 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $22,472 – $30,578 · median $24,463 | 16 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $12,056 – $18,612 · median $14,890 | 16 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $7,750 – $13,665 · median $10,932 | 16 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $24,121 – $32,474 · median $25,979 | 16 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $13,319 – $20,064 · median $16,051 | 16 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $9,842 – $16,068 · median $12,855 | 16 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $16,973 – $24,261 · median $19,409 | 16 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $10,508 – $16,834 · median $13,467 | 16 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $19,451 – $27,108 · median $21,687 | 16 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $12,002 – $18,550 · median $14,840 | 16 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $8,375 – $14,383 · median $11,507 | 16 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $18,154 – $25,618 · median $20,495 | 16 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $9,709 – $15,916 · median $12,733 | 16 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $6,687 – $12,444 · median $9,955 | 16 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $15,591 – $22,674 · median $18,139 | 16 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $9,584 – $15,772 · median $12,617 | 16 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $19,660 – $27,348 · median $21,879 | 16 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $11,503 – $17,976 · median $14,381 | 16 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,978 – $13,927 · median $11,142 | 16 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $29,324 – $38,585 · median $31,238 | 16 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $18,607 – $26,138 · median $20,910 | 16 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $14,072 – $20,928 · median $16,742 | 16 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $46,773 – $61,543 · median $50,560 | 16 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $62,336 – $82,021 · median $68,073 | 16 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $34,748 – $45,721 · median $37,427 | 16 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $27,286 – $36,109 · median $29,091 | 16 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $41,890 – $55,118 · median $45,197 | 16 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $26,766 – $35,511 · median $28,573 | 16 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $19,518 – $27,185 · median $21,748 | 16 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $39,075 – $51,414 · median $42,159 | 16 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $25,846 – $34,455 · median $27,656 | 16 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $20,413 – $28,213 · median $22,570 | 16 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $41,858 – $55,076 · median $45,162 | 16 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $25,406 – $33,949 · median $27,218 | 16 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $16,759 – $24,015 · median $19,212 | 16 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $29,233 – $38,465 · median $31,134 | 16 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $20,795 – $28,652 · median $22,922 | 16 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $16,790 – $24,051 · median $19,241 | 16 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $40,189 – $52,880 · median $43,362 | 16 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $21,359 – $29,300 · median $23,440 | 16 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $17,204 – $24,527 · median $19,621 | 16 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $48,195 – $63,414 · median $52,160 | 16 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $26,896 – $35,661 · median $28,702 | 16 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $18,443 – $25,950 · median $20,760 | 16 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $121,915 – $160,414 · median $134,748 | 16 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $81,099 – $106,710 · median $89,187 | 16 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $63,962 – $84,161 · median $69,903 | 16 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $100,323 – $132,004 · median $110,819 | 16 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $65,520 – $86,210 · median $71,656 | 16 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $24,195 – $32,558 · median $26,047 | 16 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $12,984 – $19,678 · median $15,743 | 16 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,759 – $14,824 · median $11,859 | 16 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $22,579 – $30,701 · median $24,561 | 16 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $13,905 – $20,736 · median $16,589 | 16 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $10,490 – $16,813 · median $13,450 | 16 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $20,040 – $27,785 · median $22,228 | 16 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $10,341 – $16,642 · median $13,313 | 16 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,639 – $13,537 · median $10,830 | 16 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $22,062 – $30,108 · median $24,086 | 16 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $11,866 – $18,394 · median $14,716 | 16 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,601 – $14,643 · median $11,715 | 16 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $20,540 – $28,360 · median $22,688 | 16 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $13,453 – $20,218 · median $16,174 | 16 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $10,170 – $16,445 · median $13,156 | 16 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $75,336 – $99,126 · median $82,701 | 16 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $49,137 – $64,654 · median $53,221 | 16 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $60,824 – $80,031 · median $66,372 | 16 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $38,292 – $50,384 · median $41,315 | 16 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $93,816 – $123,443 · median $103,497 | 16 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $67,624 – $88,978 · median $74,023 | 16 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $48,405 – $63,691 · median $52,397 | 16 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $61,157 – $80,469 · median $67,594 | 16 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $32,170 – $42,329 · median $34,485 | 16 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $64,794 – $85,256 · median $70,839 | 16 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $37,050 – $48,750 · median $39,975 | 16 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $22,419 – $30,518 · median $24,414 | 16 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $59,491 – $78,277 · median $64,871 | 16 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $41,471 – $54,568 · median $44,745 | 16 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $33,114 – $43,571 · median $35,563 | 16 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $36,176 – $47,599 · median $39,031 | 16 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $23,712 – $32,003 · median $25,603 | 16 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $55,447 – $72,957 · median $60,322 | 16 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $35,241 – $46,369 · median $37,989 | 16 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $29,822 – $39,240 · median $31,806 | 16 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $49,696 – $65,390 · median $53,850 | 16 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $27,975 – $36,901 · median $29,778 | 16 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,508 – $21,429 · median $17,144 | 16 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $40,699 – $53,551 · median $43,912 | 16 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $30,014 – $39,493 · median $32,025 | 16 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $22,851 – $31,015 · median $24,812 | 16 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $34,878 – $45,892 · median $37,575 | 16 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $25,748 – $34,342 · median $27,558 | 16 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $20,050 – $27,796 · median $22,237 | 16 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $33,371 – $43,909 · median $35,855 | 16 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $38,257 – $50,338 · median $41,277 | 16 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $25,706 – $34,294 · median $27,517 | 16 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $19,253 – $26,881 · median $21,505 | 16 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $19,972 – $26,279 · median $21,910 | 16 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,729 – $20,534 · median $16,427 | 16 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $43,028 – $56,615 · median $46,425 | 16 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $30,840 – $40,579 · median $32,967 | 16 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $24,666 – $33,099 · median $26,481 | 16 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $42,535 – $55,967 · median $45,893 | 16 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $22,175 – $30,238 · median $24,190 | 16 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $14,854 – $21,027 · median $16,822 | 16 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $35,999 – $47,368 · median $38,842 | 16 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $24,768 – $33,216 · median $26,582 | 16 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $37,588 – $49,458 · median $40,556 | 16 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $21,489 – $29,450 · median $23,560 | 16 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $16,545 – $23,770 · median $19,016 | 16 plans |
| 503 | FOOT PROCEDURES WITH MCC | $33,577 – $44,180 · median $36,091 | 16 plans |
| 504 | FOOT PROCEDURES WITH CC | $22,978 – $31,160 · median $24,928 | 16 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $22,039 – $30,081 · median $24,065 | 16 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $16,495 – $21,703 · median $17,585 | 16 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $22,206 – $30,273 · median $24,219 | 16 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $18,617 – $26,149 · median $20,919 | 16 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $36,039 – $47,420 · median $38,884 | 16 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $25,562 – $34,129 · median $27,373 | 16 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $20,350 – $28,141 · median $22,513 | 16 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $19,353 – $26,995 · median $21,596 | 16 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $12,567 – $19,199 · median $15,360 | 16 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $37,825 – $49,770 · median $40,811 | 16 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $25,546 – $34,110 · median $27,358 | 16 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $18,891 – $26,464 · median $21,171 | 16 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $43,733 – $57,543 · median $47,186 | 16 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $24,588 – $33,010 · median $26,408 | 16 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $18,365 – $25,860 · median $20,688 | 16 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $34,426 – $45,297 · median $37,059 | 16 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $26,033 – $34,670 · median $27,843 | 16 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $19,272 – $26,902 · median $21,522 | 16 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $9,909 – $16,146 · median $12,917 | 16 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $15,760 – $22,867 · median $18,294 | 16 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $9,928 – $16,167 · median $12,934 | 16 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $11,731 – $18,239 · median $14,591 | 16 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $8,855 – $14,934 · median $11,947 | 16 plans |
| 539 | OSTEOMYELITIS WITH MCC | $24,214 – $32,580 · median $26,064 | 16 plans |
| 540 | OSTEOMYELITIS WITH CC | $15,935 – $23,069 · median $18,455 | 16 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $9,680 – $15,657 · median $12,526 | 16 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $21,716 – $29,710 · median $23,768 | 16 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $12,637 – $19,280 · median $15,424 | 16 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $9,276 – $15,419 · median $12,335 | 16 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $30,256 – $39,811 · median $32,301 | 16 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $14,179 – $21,051 · median $16,841 | 16 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,279 – $16,571 · median $13,257 | 16 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $23,737 – $32,032 · median $25,625 | 16 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $14,840 – $21,811 · median $17,449 | 16 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $10,745 – $17,106 · median $13,685 | 16 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $20,604 – $28,433 · median $22,746 | 16 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $11,817 – $18,338 · median $14,670 | 16 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $15,935 – $23,069 · median $18,455 | 16 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $10,204 – $16,485 · median $13,188 | 16 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $16,249 – $23,429 · median $18,743 | 16 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $10,211 – $16,492 · median $13,194 | 16 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $18,278 – $25,761 · median $20,609 | 16 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $10,980 – $17,376 · median $13,901 | 16 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $22,925 – $31,099 · median $24,880 | 16 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $13,843 – $20,665 · median $16,532 | 16 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $9,882 – $16,115 · median $12,892 | 16 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $17,515 – $24,884 · median $19,907 | 16 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $11,008 – $17,409 · median $13,927 | 16 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $18,975 – $26,562 · median $21,249 | 16 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $11,978 – $18,523 · median $14,818 | 16 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $9,211 – $15,344 · median $12,275 | 16 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $35,187 – $46,299 · median $37,928 | 16 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $20,769 – $28,622 · median $22,898 | 16 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $14,091 – $20,951 · median $16,761 | 16 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $73,938 – $97,287 · median $81,129 | 16 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $40,879 – $53,788 · median $44,106 | 16 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $21,153 – $27,833 · median $22,823 | 16 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $56,226 – $73,981 · median $61,197 | 16 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $32,070 – $42,197 · median $34,371 | 16 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $19,747 – $27,449 · median $21,959 | 16 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $38,379 – $50,499 · median $41,409 | 16 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $21,242 – $29,166 · median $23,333 | 16 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $17,740 – $25,142 · median $20,114 | 16 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $23,684 – $31,971 · median $25,577 | 16 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $21,198 – $29,115 · median $23,292 | 16 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $26,316 – $34,995 · median $28,124 | 16 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $23,714 – $32,006 · median $25,605 | 16 plans |
| 592 | SKIN ULCERS WITH MCC | $23,791 – $32,094 · median $25,675 | 16 plans |
| 593 | SKIN ULCERS WITH CC | $14,583 – $21,516 · median $17,212 | 16 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $10,656 – $17,003 · median $13,603 | 16 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $26,070 – $34,712 · median $27,879 | 16 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $13,307 – $20,050 · median $16,040 | 16 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $20,494 – $28,306 · median $22,645 | 16 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $13,907 – $20,739 · median $16,591 | 16 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $9,458 – $15,116 · median $12,093 | 16 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $12,804 – $19,472 · median $15,578 | 16 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,437 – $13,306 · median $10,645 | 16 plans |
| 602 | CELLULITIS WITH MCC | $17,472 – $24,834 · median $19,868 | 16 plans |
| 603 | CELLULITIS WITHOUT MCC | $10,706 – $17,061 · median $13,649 | 16 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $18,097 – $25,552 · median $20,442 | 16 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $11,260 – $17,698 · median $14,158 | 16 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $18,602 – $26,132 · median $20,906 | 16 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $11,142 – $17,563 · median $14,050 | 16 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $26,944 – $35,716 · median $28,750 | 16 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $17,202 – $24,524 · median $19,619 | 16 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $41,051 – $54,014 · median $44,292 | 16 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $22,992 – $31,176 · median $24,941 | 16 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $17,435 – $24,792 · median $19,834 | 16 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $34,611 – $45,540 · median $37,270 | 16 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $19,672 – $27,362 · median $21,890 | 16 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $18,543 – $26,065 · median $20,852 | 16 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $41,821 – $55,028 · median $45,123 | 16 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $22,052 – $30,097 · median $24,077 | 16 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $15,390 – $22,442 · median $17,954 | 16 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $36,035 – $47,414 · median $38,880 | 16 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $18,432 – $25,937 · median $20,750 | 16 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $16,329 – $23,521 · median $18,817 | 16 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $43,620 – $57,395 · median $47,064 | 16 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $26,784 – $35,533 · median $28,591 | 16 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $17,942 – $25,374 · median $20,299 | 16 plans |
| 637 | DIABETES WITH MCC | $17,661 – $25,052 · median $20,042 | 16 plans |
| 638 | DIABETES WITH CC | $11,017 – $17,418 · median $13,935 | 16 plans |
| 639 | DIABETES WITHOUT CC/MCC | $7,636 – $13,535 · median $10,828 | 16 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $16,419 – $23,624 · median $18,899 | 16 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $9,566 – $15,752 · median $12,602 | 16 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $17,482 – $24,846 · median $19,877 | 16 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $20,236 – $28,009 · median $22,407 | 16 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $12,600 – $19,238 · median $15,390 | 16 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $9,445 – $15,612 · median $12,490 | 16 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $54,081 – $71,159 · median $58,784 | 16 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $43,395 – $57,098 · median $46,821 | 16 plans |
| 652 | KIDNEY TRANSPLANT | $38,282 – $50,372 · median $41,305 | 16 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $59,394 – $78,150 · median $64,763 | 16 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $33,665 – $44,296 · median $36,191 | 16 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $26,019 – $34,654 · median $27,829 | 16 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $37,792 – $49,726 · median $40,776 | 16 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $22,496 – $30,607 · median $24,485 | 16 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $19,076 – $26,678 · median $21,342 | 16 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $30,891 – $40,647 · median $33,026 | 16 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $16,248 – $23,428 · median $18,742 | 16 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $12,728 – $19,384 · median $15,508 | 16 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $36,479 – $47,999 · median $39,359 | 16 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $18,688 – $26,231 · median $20,985 | 16 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $12,870 – $19,547 · median $15,637 | 16 plans |
| 665 | PROSTATECTOMY WITH MCC | $37,120 – $48,842 · median $40,051 | 16 plans |
| 666 | PROSTATECTOMY WITH CC | $21,504 – $29,467 · median $23,573 | 16 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $13,599 – $20,384 · median $16,307 | 16 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $34,960 – $46,001 · median $37,669 | 16 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $19,079 – $26,680 · median $21,344 | 16 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $12,014 – $18,564 · median $14,851 | 16 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $22,066 – $30,112 · median $24,090 | 16 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $13,270 – $20,007 · median $16,006 | 16 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $48,717 – $64,101 · median $52,747 | 16 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $28,720 – $37,790 · median $30,548 | 16 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $20,178 – $27,943 · median $22,354 | 16 plans |
| 682 | RENAL FAILURE WITH MCC | $18,206 – $25,678 · median $20,542 | 16 plans |
| 683 | RENAL FAILURE WITH CC | $10,766 – $17,130 · median $13,704 | 16 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $7,379 – $13,239 · median $10,592 | 16 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $22,173 – $30,235 · median $24,188 | 16 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $12,881 – $19,560 · median $15,648 | 16 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $9,715 – $15,923 · median $12,738 | 16 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $14,264 – $21,148 · median $16,919 | 16 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $9,951 – $16,194 · median $12,955 | 16 plans |
| 693 | URINARY STONES WITH MCC | $16,528 – $23,750 · median $19,000 | 16 plans |
| 694 | URINARY STONES WITHOUT MCC | $9,609 – $15,801 · median $12,641 | 16 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $14,061 – $20,915 · median $16,732 | 16 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $8,470 – $14,492 · median $11,594 | 16 plans |
| 697 | URETHRAL STRICTURE | $13,249 – $19,983 · median $15,987 | 16 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $20,338 – $28,127 · median $22,501 | 16 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $12,477 – $19,096 · median $15,277 | 16 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $8,481 – $14,505 · median $11,604 | 16 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $24,590 – $33,012 · median $26,409 | 16 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $18,860 – $26,429 · median $21,143 | 16 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $28,597 – $37,627 · median $30,407 | 16 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $17,225 – $24,551 · median $19,640 | 16 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $25,616 – $34,191 · median $27,427 | 16 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $13,519 – $20,293 · median $16,234 | 16 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $18,481 – $25,994 · median $20,795 | 16 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $12,999 – $19,695 · median $15,756 | 16 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $27,503 – $36,359 · median $29,307 | 16 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $18,083 – $25,536 · median $20,429 | 16 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $23,240 – $31,461 · median $25,169 | 16 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $16,511 – $23,730 · median $18,984 | 16 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $22,247 – $30,320 · median $24,256 | 16 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $14,047 – $20,900 · median $16,720 | 16 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,061 – $13,400 · median $10,720 | 16 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $14,385 – $21,288 · median $17,031 | 16 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $8,876 – $14,958 · median $11,967 | 16 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $18,229 – $25,704 · median $20,564 | 16 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $9,972 – $16,218 · median $12,974 | 16 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $13,015 – $19,713 · median $15,771 | 16 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,261 – $14,252 · median $11,402 | 16 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $26,184 – $34,843 · median $27,993 | 16 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $16,540 – $23,764 · median $19,011 | 16 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $41,986 – $55,244 · median $45,300 | 16 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $25,331 – $33,863 · median $27,143 | 16 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $18,052 – $25,501 · median $20,401 | 16 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $41,468 – $54,563 · median $44,938 | 16 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $22,245 – $30,318 · median $24,255 | 16 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $17,531 – $24,902 · median $19,922 | 16 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $22,555 – $30,674 · median $24,539 | 16 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $15,252 – $22,284 · median $17,827 | 16 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $25,190 – $33,701 · median $27,002 | 16 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $13,983 – $20,826 · median $16,661 | 16 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $21,354 – $29,295 · median $23,436 | 16 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $10,568 – $16,618 · median $13,294 | 16 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $17,054 – $24,354 · median $19,483 | 16 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $31,178 – $41,024 · median $33,353 | 16 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $18,142 – $25,604 · median $20,483 | 16 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $22,640 – $30,772 · median $24,617 | 16 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $13,372 – $20,124 · median $16,100 | 16 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $11,807 – $18,327 · median $14,661 | 16 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $17,602 – $24,984 · median $19,987 | 16 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $12,035 – $18,588 · median $14,870 | 16 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,158 – $14,133 · median $11,307 | 16 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $12,385 – $18,990 · median $15,192 | 16 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $7,013 – $12,806 · median $10,245 | 16 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $8,132 – $19,896 · median $15,917 | 16 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $20,773 – $28,627 · median $22,901 | 16 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $12,326 – $18,923 · median $15,138 | 16 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $8,048 – $14,008 · median $11,206 | 16 plans |
| 779 | ABORTION WITHOUT D&C | $10,342 – $14,833 · median $11,866 | 16 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $7,651 – $39,435 · median $31,548 | 16 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,651 – $19,733 · median $15,787 | 16 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,651 – $18,288 · median $14,631 | 16 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $7,651 – $28,057 · median $22,446 | 16 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,651 – $20,534 · median $16,427 | 16 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,651 – $18,303 · median $14,642 | 16 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $927 – $30,214 · median $24,171 | 16 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $927 – $88,702 · median $70,961 | 16 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $927 – $62,087 · median $49,669 | 16 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $927 – $39,352 · median $31,481 | 16 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $927 – $63,649 · median $50,919 | 16 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $927 – $25,606 · median $20,484 | 16 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $8,132 – $21,243 · median $16,994 | 16 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $8,132 – $18,890 · median $15,112 | 16 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $8,132 – $18,279 · median $14,623 | 16 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $52,230 – $68,723 · median $56,701 | 16 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $33,773 – $44,439 · median $36,315 | 16 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $23,466 – $31,721 · median $25,377 | 16 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $46,382 – $61,029 · median $50,120 | 16 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $22,851 – $31,015 · median $24,812 | 16 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $16,669 – $23,912 · median $19,130 | 16 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $8,132 – $20,003 · median $16,002 | 16 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $8,132 – $15,410 · median $12,328 | 16 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $8,132 – $14,841 · median $11,427 | 16 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $27,142 – $35,944 · median $28,947 | 16 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $15,562 – $22,640 · median $18,112 | 16 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $12,866 – $19,543 · median $15,634 | 16 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $17,263 – $24,594 · median $19,676 | 16 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $11,287 – $17,729 · median $14,183 | 16 plans |
| 813 | COAGULATION DISORDERS | $18,751 – $26,303 · median $21,043 | 16 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $26,144 – $34,797 · median $27,953 | 16 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $12,465 – $19,082 · median $15,266 | 16 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $7,769 – $13,687 · median $10,950 | 16 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $21,737 – $31,162 · median $24,025 | 16 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $14,250 – $19,650 · median $15,720 | 16 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,571 – $16,906 · median $13,525 | 16 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $66,568 – $87,590 · median $72,836 | 16 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $27,519 – $36,377 · median $29,323 | 16 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $14,801 – $21,766 · median $17,412 | 16 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $52,830 – $69,513 · median $57,376 | 16 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $27,851 – $36,759 · median $29,654 | 16 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $16,588 – $23,819 · median $19,055 | 16 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $53,828 – $70,826 · median $58,499 | 16 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $28,412 – $37,403 · median $30,213 | 16 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $20,945 – $28,824 · median $23,059 | 16 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $37,537 – $49,390 · median $40,500 | 16 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $18,501 – $26,017 · median $20,813 | 16 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $14,782 – $21,744 · median $17,395 | 16 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $8,871 – $14,953 · median $11,962 | 16 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $6,428 – $12,146 · median $9,717 | 16 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $62,544 – $82,295 · median $68,308 | 16 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $25,641 – $34,219 · median $27,452 | 16 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $14,991 – $21,984 · median $17,588 | 16 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $55,186 – $72,613 · median $60,027 | 16 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $25,660 – $34,242 · median $27,471 | 16 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $17,750 – $25,154 · median $20,123 | 16 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $38,340 – $50,448 · median $41,367 | 16 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $20,055 – $27,802 · median $22,241 | 16 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $12,421 – $19,031 · median $15,225 | 16 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $24,522 – $32,934 · median $26,347 | 16 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $14,966 – $21,955 · median $17,564 | 16 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $10,469 – $16,789 · median $13,431 | 16 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $31,445 – $41,375 · median $33,658 | 16 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $16,082 – $23,237 · median $18,590 | 16 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,442 – $16,758 · median $13,406 | 16 plans |
| 849 | RADIOTHERAPY | $32,701 – $43,028 · median $35,091 | 16 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $96,565 – $127,060 · median $106,591 | 16 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $56,627 – $74,509 · median $61,649 | 16 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $24,563 – $32,981 · median $26,385 | 16 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $18,405 – $25,906 · median $20,725 | 16 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $52,442 – $69,003 · median $56,940 | 16 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $26,325 – $35,006 · median $28,134 | 16 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $17,123 – $24,433 · median $19,547 | 16 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $22,419 – $30,518 · median $24,414 | 16 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $12,267 – $18,855 · median $15,084 | 16 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $10,913 – $17,298 · median $13,839 | 16 plans |
| 865 | VIRAL ILLNESS WITH MCC | $18,419 – $25,922 · median $20,738 | 16 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $10,690 – $17,043 · median $13,634 | 16 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $25,732 – $34,324 · median $27,543 | 16 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $12,675 – $19,324 · median $15,459 | 16 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $8,970 – $15,067 · median $12,054 | 16 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $77,806 – $102,377 · median $85,482 | 16 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $23,879 – $32,195 · median $25,756 | 16 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $12,579 – $19,214 · median $15,371 | 16 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $45,103 – $59,345 · median $48,681 | 16 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $11,804 – $18,322 · median $14,658 | 16 plans |
| 881 | DEPRESSIVE NEUROSES | $11,566 – $18,050 · median $14,440 | 16 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $13,200 – $19,927 · median $15,941 | 16 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $24,172 – $32,532 · median $26,025 | 16 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $19,778 – $27,484 · median $21,987 | 16 plans |
| 885 | PSYCHOSES | $17,171 – $24,488 · median $19,591 | 16 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $25,512 – $34,071 · median $27,323 | 16 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $13,165 – $19,886 · median $15,909 | 16 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $7,584 – $13,474 · median $10,779 | 16 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $17,402 – $24,754 · median $19,803 | 16 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $21,453 – $29,408 · median $23,526 | 16 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $10,852 – $17,229 · median $13,783 | 16 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $48,663 – $64,030 · median $52,687 | 16 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $23,535 – $31,800 · median $25,440 | 16 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $14,378 – $21,280 · median $17,024 | 16 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $43,044 – $56,637 · median $46,442 | 16 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $18,235 – $24,983 · median $19,986 | 16 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $22,535 – $29,652 · median $24,527 | 16 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $44,828 – $58,984 · median $48,372 | 16 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $24,527 – $32,940 · median $26,352 | 16 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $16,137 – $23,301 · median $18,641 | 16 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $20,094 – $27,847 · median $22,278 | 16 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $10,885 – $17,267 · median $13,814 | 16 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $20,672 – $28,511 · median $22,809 | 16 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $8,191 – $14,172 · median $11,337 | 16 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $19,280 – $26,912 · median $21,530 | 16 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $10,536 – $16,866 · median $13,493 | 16 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $22,506 – $30,618 · median $24,494 | 16 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $12,321 – $18,917 · median $15,134 | 16 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $8,463 – $14,484 · median $11,587 | 16 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $21,505 – $29,468 · median $23,575 | 16 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $12,511 – $19,134 · median $15,308 | 16 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $201,439 – $291,605 · median $222,643 | 16 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $80,607 – $106,062 · median $88,633 | 16 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $38,189 – $50,249 · median $41,204 | 16 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $44,585 – $58,665 · median $48,575 | 16 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $27,175 – $35,982 · median $28,980 | 16 plans |
| 935 | NON-EXTENSIVE BURNS | $25,324 – $33,855 · median $27,136 | 16 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $42,565 – $56,007 · median $45,926 | 16 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $28,702 – $37,765 · median $30,527 | 16 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $24,927 – $33,399 · median $26,740 | 16 plans |
| 945 | REHABILITATION WITH CC/MCC | $19,037 – $26,632 · median $21,306 | 16 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $14,098 – $20,958 · median $16,766 | 16 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $15,605 – $22,689 · median $18,151 | 16 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $9,841 – $16,067 · median $12,854 | 16 plans |
| 949 | AFTERCARE WITH CC/MCC | $14,625 – $21,564 · median $17,251 | 16 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $7,716 – $13,626 · median $10,901 | 16 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $6,835 – $12,614 · median $10,091 | 16 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $75,867 – $99,825 · median $83,299 | 16 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $44,009 – $57,906 · median $47,483 | 16 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $85,407 – $112,377 · median $94,034 | 16 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $48,849 – $64,274 · median $52,896 | 16 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $35,219 – $46,341 · median $37,965 | 16 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $32,962 – $43,371 · median $35,389 | 16 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $18,840 – $26,406 · median $21,125 | 16 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $11,562 – $18,044 · median $14,435 | 16 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $69,322 – $91,213 · median $75,934 | 16 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $31,927 – $42,009 · median $34,208 | 16 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $34,596 – $45,520 · median $37,253 | 16 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $15,919 – $23,051 · median $18,441 | 16 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $11,097 – $17,394 · median $13,916 | 16 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $15,953 – $22,664 · median $18,131 | 16 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $53,978 – $71,024 · median $58,668 | 16 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $30,007 – $39,483 · median $32,017 | 16 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $21,070 – $28,968 · median $23,175 | 16 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $40,417 – $53,181 · median $43,608 | 16 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $20,205 – $27,974 · median $22,379 | 16 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $14,742 – $21,698 · median $17,358 | 16 plans |
| 795 | NORMAL NEWBORN | $927 – $7,583 · median $6,067 | 14 plans |
No procedures match that keyword.