Memorial Hospital of Gardena — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Showing all 771 procedures
Procedures with negotiated rates only
These 771 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $4,329 – $23,497 · median $11,748 | 21 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $6,133 – $38,668 · median $19,334 | 21 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,133 – $23,226 · median $11,613 | 21 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,133 – $18,964 · median $9,482 | 21 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $5,279 – $34,066 · median $17,033 | 21 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $5,279 – $22,795 · median $11,397 | 21 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $5,279 – $19,599 · median $9,800 | 21 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,329 – $27,164 · median $13,582 | 21 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,329 – $20,891 · median $10,445 | 21 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $4,329 – $20,891 · median $10,445 | 21 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,329 – $21,497 · median $10,748 | 21 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,329 – $15,915 · median $7,957 | 21 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,329 – $14,159 · median $7,080 | 21 plans |
| 795 | NORMAL NEWBORN | $774 – $5,260 · median $2,696 | 20 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $17,004 – $56,659 · median $31,162 | 18 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $16,336 – $33,682 · median $18,525 | 18 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $15,002 – $30,932 · median $17,012 | 18 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $5,788 – $49,539 · median $27,246 | 17 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $5,788 – $34,931 · median $19,212 | 17 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $5,788 – $27,998 · median $15,399 | 17 plans |
| 693 | URINARY STONES WITH MCC | $5,788 – $31,107 · median $17,109 | 17 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,788 – $17,091 · median $9,400 | 17 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $278,490 – $574,205 · median $315,813 | 16 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $109,301 – $225,362 · median $123,949 | 16 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $212,025 – $437,165 · median $240,441 | 16 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $139,987 – $288,633 · median $158,748 | 16 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $105,647 – $217,829 · median $119,806 | 16 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $48,422 – $99,839 · median $54,912 | 16 plans |
| 007 | LUNG TRANSPLANT | $129,517 – $267,046 · median $146,875 | 16 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $54,262 – $111,880 · median $61,534 | 16 plans |
| 010 | PANCREAS TRANSPLANT | $79,242 – $163,385 · median $89,862 | 16 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $53,816 – $110,961 · median $61,028 | 16 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $41,067 – $84,674 · median $46,571 | 16 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $26,725 – $55,103 · median $30,306 | 16 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $129,843 – $267,717 · median $147,244 | 16 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $60,130 – $123,980 · median $68,189 | 16 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $60,130 – $123,980 · median $68,189 | 16 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $372,656 – $768,363 · median $422,600 | 16 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $78,791 – $162,455 · median $89,350 | 16 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $80,111 – $165,177 · median $90,847 | 16 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $55,112 – $113,634 · median $62,499 | 16 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $35,411 – $73,012 · median $40,157 | 16 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $56,867 – $117,251 · median $64,488 | 16 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $38,087 – $78,531 · median $43,192 | 16 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $44,704 – $92,172 · median $50,695 | 16 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $30,756 – $63,414 · median $34,878 | 16 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $24,927 – $51,396 · median $28,268 | 16 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $60,560 – $124,867 · median $68,677 | 16 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $33,697 – $69,478 · median $38,213 | 16 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $22,536 – $46,465 · median $25,556 | 16 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $41,924 – $86,442 · median $47,543 | 16 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $21,650 – $44,638 · median $24,551 | 16 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $16,321 – $33,651 · median $18,508 | 16 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $38,946 – $80,301 · median $44,165 | 16 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $23,023 – $47,470 · median $26,109 | 16 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $18,665 – $38,485 · median $21,167 | 16 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $33,344 – $68,750 · median $37,813 | 16 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $16,477 – $33,973 · median $18,685 | 16 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $11,809 – $24,349 · median $13,392 | 16 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $37,795 – $77,929 · median $42,861 | 16 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $22,859 – $47,132 · median $25,923 | 16 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $17,920 – $36,949 · median $20,322 | 16 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $20,435 – $42,134 · median $23,174 | 16 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $9,670 – $19,939 · median $10,966 | 16 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $15,370 – $31,690 · median $17,430 | 16 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $11,344 – $23,389 · median $12,864 | 16 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $25,285 – $52,135 · median $28,674 | 16 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $13,745 – $28,340 · median $15,587 | 16 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $18,791 – $38,745 · median $21,310 | 16 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $12,652 – $26,086 · median $14,347 | 16 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $9,384 – $19,349 · median $10,642 | 16 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $27,252 – $56,189 · median $30,904 | 16 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $18,150 – $37,423 · median $20,583 | 16 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $14,440 – $29,772 · median $16,375 | 16 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $20,205 – $41,660 · median $22,913 | 16 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $10,612 – $21,881 · median $12,035 | 16 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $7,370 – $15,197 · median $8,358 | 16 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $14,934 – $30,791 · median $16,935 | 16 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $9,277 – $19,127 · median $10,520 | 16 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $8,474 – $17,471 · median $9,609 | 16 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $17,735 – $36,567 · median $20,112 | 16 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $10,978 – $22,634 · median $12,449 | 16 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $7,981 – $16,456 · median $9,051 | 16 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $15,829 – $32,636 · median $17,950 | 16 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $10,864 – $22,400 · median $12,320 | 16 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $17,573 – $36,233 · median $19,928 | 16 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $9,626 – $19,847 · median $10,916 | 16 plans |
| 077 | DRG | $15,836 – $32,651 · median $17,958 | 16 plans |
| 078 | DRG | $10,425 – $21,495 · median $11,822 | 16 plans |
| 079 | DRG | $7,157 – $14,758 · median $8,117 | 16 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $20,191 – $41,632 · median $22,898 | 16 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $9,506 – $19,601 · median $10,781 | 16 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $23,471 – $48,394 · median $26,616 | 16 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $14,297 – $29,479 · median $16,214 | 16 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $10,013 – $20,645 · median $11,355 | 16 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $22,936 – $47,291 · median $26,010 | 16 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $13,520 – $27,876 · median $15,332 | 16 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $9,301 – $19,178 · median $10,548 | 16 plans |
| 088 | CONCUSSION WITH MCC | $14,498 – $29,892 · median $16,441 | 16 plans |
| 089 | CONCUSSION WITH CC | $11,157 – $23,004 · median $12,652 | 16 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $9,038 – $18,635 · median $10,249 | 16 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $18,565 – $38,277 · median $21,053 | 16 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $11,025 – $22,732 · median $12,502 | 16 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $8,367 – $17,251 · median $9,488 | 16 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $36,578 – $75,418 · median $41,480 | 16 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $24,231 – $49,960 · median $27,478 | 16 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $24,231 – $49,960 · median $27,478 | 16 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $35,946 – $74,114 · median $40,763 | 16 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $21,982 – $45,324 · median $24,928 | 16 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $14,326 – $29,538 · median $16,246 | 16 plans |
| 100 | SEIZURES WITH MCC | $20,167 – $41,581 · median $22,870 | 16 plans |
| 101 | SEIZURES WITHOUT MCC | $9,673 – $19,945 · median $10,970 | 16 plans |
| 102 | HEADACHES WITH MCC | $12,019 – $24,782 · median $13,630 | 16 plans |
| 103 | HEADACHES WITHOUT MCC | $8,968 – $18,490 · median $10,170 | 16 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $22,843 – $47,100 · median $25,905 | 16 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $12,242 – $25,242 · median $13,883 | 16 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $15,685 – $32,339 · median $17,787 | 16 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $17,042 – $35,139 · median $19,326 | 16 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $11,221 – $23,137 · median $12,725 | 16 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $12,056 – $24,857 · median $13,672 | 16 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,272 – $14,993 · median $8,246 | 16 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $8,504 – $17,534 · median $9,644 | 16 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $13,444 – $27,720 · median $15,246 | 16 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $8,726 – $17,992 · median $9,896 | 16 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $24,368 – $50,243 · median $27,634 | 16 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $10,231 – $21,094 · median $11,602 | 16 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $14,378 – $29,646 · median $16,305 | 16 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $8,606 – $17,744 · median $9,759 | 16 plans |
| 139 | SALIVARY GLAND PROCEDURES | $14,126 – $29,125 · median $16,019 | 16 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $42,305 – $87,227 · median $47,975 | 16 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $21,777 – $44,901 · median $24,695 | 16 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $16,093 – $33,182 · median $18,250 | 16 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $33,156 – $68,364 · median $37,600 | 16 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $17,911 – $36,931 · median $20,312 | 16 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $12,269 – $25,297 · median $13,913 | 16 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $23,213 – $47,863 · median $26,324 | 16 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $12,861 – $26,517 · median $14,585 | 16 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $8,479 – $17,483 · median $9,616 | 16 plans |
| 149 | DYSEQUILIBRIUM | $7,955 – $16,401 · median $9,021 | 16 plans |
| 150 | EPISTAXIS WITH MCC | $14,217 – $29,312 · median $16,122 | 16 plans |
| 151 | EPISTAXIS WITHOUT MCC | $8,058 – $16,615 · median $9,138 | 16 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $11,776 – $24,280 · median $13,354 | 16 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $7,601 – $15,673 · median $8,620 | 16 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $16,625 – $34,278 · median $18,853 | 16 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $9,791 – $20,187 · median $11,103 | 16 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $7,214 – $14,873 · median $8,180 | 16 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $16,735 – $34,506 · median $18,978 | 16 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $9,860 – $20,329 · median $11,181 | 16 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $7,087 – $14,613 · median $8,037 | 16 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $46,054 – $94,957 · median $52,227 | 16 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $25,413 – $52,397 · median $28,818 | 16 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $18,970 – $39,113 · median $21,512 | 16 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $38,567 – $79,520 · median $43,736 | 16 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $18,607 – $38,365 · median $21,101 | 16 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,937 – $28,737 · median $15,805 | 16 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $30,855 – $63,618 · median $34,990 | 16 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $14,482 – $29,860 · median $16,423 | 16 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $8,616 – $17,764 · median $9,770 | 16 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $16,528 – $34,079 · median $18,743 | 16 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $10,368 – $21,377 · median $11,757 | 16 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $8,174 – $16,853 · median $9,269 | 16 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $17,824 – $36,750 · median $20,212 | 16 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $11,534 – $23,781 · median $13,080 | 16 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $8,843 – $18,232 · median $10,028 | 16 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $16,240 – $33,485 · median $18,417 | 16 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $11,118 – $22,923 · median $12,608 | 16 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $8,253 – $17,016 · median $9,359 | 16 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $16,168 – $33,336 · median $18,335 | 16 plans |
| 187 | PLEURAL EFFUSION WITH CC | $10,485 – $21,619 · median $11,890 | 16 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $7,823 – $16,131 · median $8,872 | 16 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $12,788 – $26,367 · median $14,502 | 16 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $11,659 – $24,040 · median $13,222 | 16 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $9,056 – $18,671 · median $10,269 | 16 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $6,965 – $14,361 · median $7,898 | 16 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $13,580 – $28,000 · median $15,400 | 16 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $8,670 – $17,876 · median $9,832 | 16 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $6,723 – $13,862 · median $7,624 | 16 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $19,168 – $39,522 · median $21,737 | 16 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $10,347 – $21,334 · median $11,734 | 16 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $7,490 – $15,443 · median $8,494 | 16 plans |
| 199 | PNEUMOTHORAX WITH MCC | $17,996 – $37,106 · median $20,408 | 16 plans |
| 200 | PNEUMOTHORAX WITH CC | $11,506 – $23,724 · median $13,048 | 16 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $7,260 – $14,969 · median $8,233 | 16 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $10,117 – $20,860 · median $11,473 | 16 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $7,452 – $15,366 · median $8,451 | 16 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $8,581 – $17,693 · median $9,731 | 16 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $19,205 – $39,598 · median $21,779 | 16 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $9,516 – $19,621 · median $10,792 | 16 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $64,385 – $132,753 · median $73,014 | 16 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $27,058 – $55,790 · median $30,685 | 16 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $108,059 – $222,803 · median $122,542 | 16 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $105,109 – $216,719 · median $119,195 | 16 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $95,798 – $197,522 · median $108,637 | 16 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $64,294 – $132,564 · median $72,910 | 16 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $59,276 – $122,218 · median $67,220 | 16 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $76,918 – $158,594 · median $87,227 | 16 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $52,837 – $108,943 · median $59,918 | 16 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $45,891 – $94,620 · median $52,041 | 16 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $49,745 – $102,567 · median $56,412 | 16 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $31,227 – $64,385 · median $35,412 | 16 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $84,184 – $173,575 · median $95,466 | 16 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $60,848 – $125,461 · median $69,003 | 16 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $77,697 – $160,199 · median $88,110 | 16 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $53,069 – $109,421 · median $60,181 | 16 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $58,634 – $120,894 · median $66,492 | 16 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $41,150 – $84,845 · median $46,665 | 16 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $50,274 – $103,658 · median $57,012 | 16 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $29,312 – $60,436 · median $33,240 | 16 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $15,476 – $31,910 · median $17,551 | 16 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $34,045 – $70,197 · median $38,608 | 16 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $22,806 – $47,023 · median $25,862 | 16 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $18,385 – $37,907 · median $20,849 | 16 plans |
| 245 | AICD GENERATOR PROCEDURES | $48,793 – $100,604 · median $55,332 | 16 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $23,396 – $48,239 · median $26,531 | 16 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $15,996 – $32,982 · median $18,140 | 16 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $34,424 – $70,978 · median $39,038 | 16 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $25,768 – $53,129 · median $29,221 | 16 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $17,839 – $36,782 · median $20,230 | 16 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $26,394 – $54,421 · median $29,932 | 16 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $17,290 – $35,649 · median $19,607 | 16 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $9,379 – $19,339 · median $10,636 | 16 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $28,259 – $58,266 · median $32,046 | 16 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $17,921 – $36,951 · median $20,323 | 16 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $34,185 – $70,485 · median $38,767 | 16 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $19,302 – $39,797 · median $21,888 | 16 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $15,554 – $32,071 · median $17,639 | 16 plans |
| 263 | VEIN LIGATION AND STRIPPING | $27,041 – $55,756 · median $30,666 | 16 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $35,063 – $72,294 · median $39,762 | 16 plans |
| 265 | AICD LEAD PROCEDURES | $35,774 – $73,761 · median $40,568 | 16 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $59,685 – $123,062 · median $67,684 | 16 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $46,997 – $96,900 · median $53,295 | 16 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $66,363 – $136,830 · median $75,257 | 16 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $41,629 – $85,834 · median $47,209 | 16 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $51,222 – $105,613 · median $58,087 | 16 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $34,562 – $71,263 · median $39,194 | 16 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $25,267 – $52,096 · median $28,653 | 16 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $39,159 – $80,740 · median $44,407 | 16 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $31,372 – $64,684 · median $35,576 | 16 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $70,303 – $144,955 · median $79,725 | 16 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $61,694 – $127,204 · median $69,962 | 16 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $46,476 – $95,826 · median $52,704 | 16 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $49,943 – $102,974 · median $56,636 | 16 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $32,194 – $66,380 · median $36,509 | 16 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $16,774 – $34,585 · median $19,022 | 16 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $9,674 – $19,947 · median $10,971 | 16 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $7,734 – $15,946 · median $8,770 | 16 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $19,872 – $40,973 · median $22,535 | 16 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $7,890 – $16,269 · median $8,948 | 16 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $6,118 – $12,615 · median $6,938 | 16 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $22,416 – $46,219 · median $25,420 | 16 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $11,331 – $23,362 · median $12,849 | 16 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $27,529 – $56,760 · median $31,218 | 16 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $16,135 – $33,269 · median $18,298 | 16 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $10,239 – $21,110 · median $11,611 | 16 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $13,453 – $27,738 · median $15,256 | 16 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $9,076 – $18,714 · median $10,293 | 16 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,993 – $12,357 · median $6,796 | 16 plans |
| 294 | DRG | $12,695 – $26,176 · median $14,397 | 16 plans |
| 295 | DRG | $8,372 – $17,262 · median $9,494 | 16 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $16,744 – $34,524 · median $18,988 | 16 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $7,529 – $15,524 · median $8,538 | 16 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,938 – $10,180 · median $5,599 | 16 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $16,539 – $34,101 · median $18,756 | 16 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $11,142 – $22,974 · median $12,636 | 16 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $7,618 – $15,707 · median $8,639 | 16 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $12,057 – $24,860 · median $13,673 | 16 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $7,214 – $14,873 · median $8,180 | 16 plans |
| 304 | HYPERTENSION WITH MCC | $12,170 – $25,093 · median $13,801 | 16 plans |
| 305 | HYPERTENSION WITHOUT MCC | $7,986 – $16,466 · median $9,056 | 16 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $15,353 – $31,656 · median $17,411 | 16 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $9,720 – $20,040 · median $11,022 | 16 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $12,477 – $25,726 · median $14,149 | 16 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $7,874 – $16,234 · median $8,929 | 16 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $6,100 – $12,577 · median $6,917 | 16 plans |
| 311 | ANGINA PECTORIS | $7,469 – $15,400 · median $8,470 | 16 plans |
| 312 | SYNCOPE AND COLLAPSE | $9,176 – $18,920 · median $10,406 | 16 plans |
| 313 | CHEST PAIN | $7,618 – $15,707 · median $8,639 | 16 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $21,826 – $45,003 · median $24,751 | 16 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $10,074 – $20,771 · median $11,424 | 16 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,315 – $15,083 · median $8,296 | 16 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $61,615 – $127,041 · median $69,873 | 16 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $43,919 – $90,555 · median $49,805 | 16 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $23,418 – $48,284 · median $26,556 | 16 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $28,666 – $59,106 · median $32,508 | 16 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $18,429 – $37,999 · median $20,899 | 16 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $42,603 – $87,842 · median $48,313 | 16 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $32,103 – $66,191 · median $36,405 | 16 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $28,817 – $59,417 · median $32,679 | 16 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $50,689 – $104,514 · median $57,483 | 16 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $24,535 – $50,589 · median $27,824 | 16 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $16,301 – $33,611 · median $18,486 | 16 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $45,884 – $94,605 · median $52,033 | 16 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $23,900 – $49,279 · median $27,103 | 16 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $16,869 – $34,780 · median $19,129 | 16 plans |
| 332 | RECTAL RESECTION WITH MCC | $34,802 – $71,757 · median $39,466 | 16 plans |
| 333 | RECTAL RESECTION WITH CC | $21,548 – $44,429 · median $24,436 | 16 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $16,944 – $34,935 · median $19,214 | 16 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $36,328 – $74,904 · median $41,197 | 16 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $21,420 – $44,164 · median $24,290 | 16 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $15,725 – $32,423 · median $17,833 | 16 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $27,164 – $56,008 · median $30,804 | 16 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $15,267 – $31,479 · median $17,313 | 16 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,866 – $26,528 · median $14,590 | 16 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $23,931 – $49,342 · median $27,138 | 16 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $13,000 – $26,804 · median $14,742 | 16 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $9,271 – $19,115 · median $10,513 | 16 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $24,443 – $50,397 · median $27,719 | 16 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $15,423 – $31,800 · median $17,490 | 16 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $11,458 – $23,625 · median $12,994 | 16 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $29,517 – $60,859 · median $33,473 | 16 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $17,363 – $35,800 · median $19,690 | 16 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $13,733 – $28,316 · median $15,574 | 16 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $42,665 – $87,970 · median $48,383 | 16 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $22,798 – $47,006 · median $25,853 | 16 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,949 – $28,761 · median $15,819 | 16 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $17,056 – $35,167 · median $19,342 | 16 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $10,619 – $21,896 · median $12,043 | 16 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $7,466 – $15,394 · median $8,467 | 16 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $17,826 – $36,754 · median $20,215 | 16 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $10,735 – $22,134 · median $12,173 | 16 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $7,737 – $15,952 · median $8,773 | 16 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $21,411 – $44,146 · median $24,280 | 16 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $12,702 – $26,190 · median $14,404 | 16 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $9,291 – $19,158 · median $10,537 | 16 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $18,518 – $38,182 · median $21,000 | 16 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $10,307 – $21,251 · median $11,688 | 16 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $6,861 – $14,147 · median $7,781 | 16 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $19,565 – $40,340 · median $22,187 | 16 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $11,325 – $23,350 · median $12,843 | 16 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $7,972 – $16,438 · median $9,041 | 16 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $13,052 – $26,912 · median $14,802 | 16 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $9,159 – $18,885 · median $10,387 | 16 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $16,610 – $34,248 · median $18,836 | 16 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $10,372 – $21,385 · median $11,762 | 16 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $7,193 – $14,831 · median $8,157 | 16 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $15,082 – $31,096 · median $17,103 | 16 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $8,488 – $17,502 · median $9,626 | 16 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,978 – $12,327 · median $6,780 | 16 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $13,253 – $27,325 · median $15,029 | 16 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $8,278 – $17,068 · median $9,388 | 16 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $16,918 – $34,882 · median $19,185 | 16 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $9,867 – $20,344 · median $11,189 | 16 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,858 – $14,141 · median $7,778 | 16 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $25,026 – $51,600 · median $28,380 | 16 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $15,509 – $31,977 · median $17,588 | 16 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $11,667 – $24,056 · median $13,231 | 16 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $39,178 – $80,779 · median $44,428 | 16 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $54,140 – $111,628 · median $61,395 | 16 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $28,288 – $58,325 · median $32,079 | 16 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $21,652 – $44,642 · median $24,553 | 16 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $35,124 – $72,420 · median $39,831 | 16 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $21,264 – $43,843 · median $24,114 | 16 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $15,883 – $32,748 · median $18,012 | 16 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $27,577 – $56,860 · median $31,273 | 16 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $21,610 – $44,557 · median $24,506 | 16 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $16,982 – $35,014 · median $19,258 | 16 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $35,148 – $72,471 · median $39,859 | 16 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $20,096 – $41,434 · median $22,789 | 16 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $14,098 – $29,068 · median $15,988 | 16 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $35,402 – $72,994 · median $40,147 | 16 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $16,736 – $34,508 · median $18,979 | 16 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $15,077 – $31,086 · median $17,097 | 16 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $40,709 – $83,936 · median $46,165 | 16 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $23,107 – $47,643 · median $26,204 | 16 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $15,831 – $32,640 · median $17,952 | 16 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $103,931 – $214,290 · median $117,859 | 16 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $70,655 – $145,681 · median $80,125 | 16 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $54,883 – $113,162 · median $62,239 | 16 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $82,868 – $170,863 · median $93,975 | 16 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $54,552 – $112,478 · median $61,863 | 16 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $19,908 – $41,048 · median $22,576 | 16 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $11,134 – $22,957 · median $12,627 | 16 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,451 – $15,364 · median $8,450 | 16 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $18,581 – $38,312 · median $21,072 | 16 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $11,706 – $24,135 · median $13,274 | 16 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $8,327 – $17,168 · median $9,442 | 16 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $16,994 – $35,039 · median $19,271 | 16 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $9,066 – $18,694 · median $10,282 | 16 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,648 – $13,708 · median $7,539 | 16 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $19,230 – $39,650 · median $21,808 | 16 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $10,112 – $20,850 · median $11,468 | 16 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,513 – $15,490 · median $8,519 | 16 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $17,198 – $35,460 · median $19,503 | 16 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $11,279 – $23,257 · median $12,791 | 16 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $8,446 – $17,414 · median $9,578 | 16 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $66,729 – $137,585 · median $75,672 | 16 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $40,868 – $84,263 · median $46,345 | 16 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $51,391 – $105,961 · median $58,278 | 16 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $31,026 – $63,972 · median $35,184 | 16 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $84,137 – $173,479 · median $95,413 | 16 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $57,205 – $117,948 · median $64,872 | 16 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $43,181 – $89,034 · median $48,968 | 16 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $61,125 – $126,030 · median $69,317 | 16 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $28,834 – $59,452 · median $32,698 | 16 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $53,866 – $111,064 · median $61,085 | 16 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $29,671 – $61,177 · median $33,647 | 16 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $17,708 – $36,512 · median $20,081 | 16 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $50,843 – $104,832 · median $57,657 | 16 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $34,373 – $70,872 · median $38,980 | 16 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $26,461 – $54,559 · median $30,008 | 16 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $32,829 – $67,688 · median $37,229 | 16 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $19,182 – $39,551 · median $21,753 | 16 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $48,502 – $100,004 · median $55,002 | 16 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $29,164 – $60,131 · median $33,072 | 16 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $23,937 – $49,354 · median $27,145 | 16 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $44,826 – $92,425 · median $50,834 | 16 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $21,864 – $45,080 · median $24,794 | 16 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,055 – $24,855 · median $13,671 | 16 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $34,509 – $71,153 · median $39,134 | 16 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $23,652 – $48,768 · median $26,822 | 16 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $18,100 – $37,319 · median $20,526 | 16 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $29,596 – $61,022 · median $33,562 | 16 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $21,051 – $43,404 · median $23,872 | 16 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $16,231 – $33,466 · median $18,407 | 16 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $25,720 – $53,032 · median $29,167 | 16 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $32,341 – $66,683 · median $36,676 | 16 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $21,505 – $44,339 · median $24,387 | 16 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $16,170 – $33,340 · median $18,337 | 16 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $19,970 – $41,176 · median $22,647 | 16 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,798 – $26,387 · median $14,513 | 16 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $35,616 – $73,435 · median $40,389 | 16 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $24,268 – $50,037 · median $27,521 | 16 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $19,181 – $39,549 · median $21,752 | 16 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $35,314 – $72,813 · median $40,047 | 16 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $20,045 – $41,331 · median $22,732 | 16 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $13,826 – $28,507 · median $15,679 | 16 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $25,490 – $52,558 · median $28,907 | 16 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $12,032 – $24,809 · median $13,645 | 16 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $31,842 – $65,654 · median $36,110 | 16 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $18,188 – $37,500 · median $20,625 | 16 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $14,365 – $29,618 · median $16,290 | 16 plans |
| 503 | FOOT PROCEDURES WITH MCC | $26,691 – $55,033 · median $30,268 | 16 plans |
| 504 | FOOT PROCEDURES WITH CC | $17,895 – $36,896 · median $20,293 | 16 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $17,895 – $36,896 · median $20,293 | 16 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $15,370 – $31,690 · median $17,430 | 16 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $19,702 – $40,623 · median $22,343 | 16 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $13,313 – $27,449 · median $15,097 | 16 plans |
| 509 | DRG | $17,911 – $36,931 · median $20,312 | 16 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $28,778 – $59,336 · median $32,635 | 16 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $19,929 – $41,091 · median $22,600 | 16 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $16,442 – $33,902 · median $18,646 | 16 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $15,434 – $31,823 · median $17,503 | 16 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $10,639 – $21,936 · median $12,065 | 16 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $31,089 – $64,102 · median $35,256 | 16 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $20,427 – $42,118 · median $23,165 | 16 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $15,307 – $31,560 · median $17,358 | 16 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $35,940 – $74,102 · median $40,756 | 16 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $20,035 – $41,308 · median $22,720 | 16 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $14,720 – $30,350 · median $16,692 | 16 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $29,336 – $60,487 · median $33,268 | 16 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $21,378 – $44,079 · median $24,243 | 16 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $15,624 – $32,215 · median $17,718 | 16 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $8,611 – $17,754 · median $9,765 | 16 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $13,701 – $28,249 · median $15,537 | 16 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $8,580 – $17,691 · median $9,730 | 16 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $9,647 – $19,890 · median $10,939 | 16 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $7,205 – $14,855 · median $8,170 | 16 plans |
| 539 | OSTEOMYELITIS WITH MCC | $20,533 – $42,336 · median $23,285 | 16 plans |
| 540 | OSTEOMYELITIS WITH CC | $13,347 – $27,520 · median $15,136 | 16 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $9,212 – $18,993 · median $10,446 | 16 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $18,981 – $39,136 · median $21,525 | 16 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $11,047 – $22,776 · median $12,527 | 16 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $8,035 – $16,568 · median $9,112 | 16 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $25,510 – $52,598 · median $28,929 | 16 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $12,002 – $24,746 · median $13,610 | 16 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,942 – $16,375 · median $9,006 | 16 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $20,456 – $42,177 · median $23,197 | 16 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $12,469 – $25,710 · median $14,140 | 16 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $9,085 – $18,732 · median $10,303 | 16 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $17,415 – $35,907 · median $19,749 | 16 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $10,089 – $20,801 · median $11,441 | 16 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $13,465 – $27,762 · median $15,269 | 16 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $8,814 – $18,173 · median $9,995 | 16 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,865 – $28,588 · median $15,724 | 16 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $8,635 – $17,805 · median $9,793 | 16 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $15,869 – $32,720 · median $17,996 | 16 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $9,102 – $18,767 · median $10,322 | 16 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $18,894 – $38,957 · median $21,426 | 16 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $11,814 – $24,359 · median $13,397 | 16 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $8,646 – $17,827 · median $9,805 | 16 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $15,019 – $30,966 · median $17,031 | 16 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $9,398 – $19,377 · median $10,657 | 16 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $16,061 – $33,116 · median $18,214 | 16 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $10,640 – $21,938 · median $12,066 | 16 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $7,960 – $16,413 · median $9,027 | 16 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $30,278 – $62,430 · median $34,336 | 16 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $17,098 – $35,254 · median $19,390 | 16 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $11,851 – $24,434 · median $13,439 | 16 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $61,337 – $126,468 · median $69,557 | 16 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $34,765 – $71,680 · median $39,424 | 16 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $20,279 – $41,813 · median $22,997 | 16 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $53,810 – $110,948 · median $61,022 | 16 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $26,851 – $55,363 · median $30,450 | 16 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $17,257 – $35,582 · median $19,570 | 16 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $32,737 – $67,499 · median $37,125 | 16 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $18,072 – $37,262 · median $20,494 | 16 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $14,779 – $30,472 · median $16,760 | 16 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $17,857 – $36,819 · median $20,250 | 16 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $16,787 – $34,612 · median $19,036 | 16 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $20,779 – $42,844 · median $23,564 | 16 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $20,165 – $41,577 · median $22,867 | 16 plans |
| 592 | SKIN ULCERS WITH MCC | $20,867 – $43,025 · median $23,664 | 16 plans |
| 593 | SKIN ULCERS WITH CC | $12,643 – $26,068 · median $14,337 | 16 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $8,953 – $18,460 · median $10,153 | 16 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $21,447 – $44,221 · median $24,322 | 16 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $11,246 – $23,187 · median $12,753 | 16 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $17,911 – $36,931 · median $20,312 | 16 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $11,224 – $23,143 · median $12,728 | 16 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $9,014 – $18,586 · median $10,222 | 16 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $10,018 – $20,655 · median $11,360 | 16 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,494 – $13,390 · median $7,365 | 16 plans |
| 602 | CELLULITIS WITH MCC | $15,075 – $31,082 · median $17,095 | 16 plans |
| 603 | CELLULITIS WITHOUT MCC | $9,270 – $19,113 · median $10,512 | 16 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $15,238 – $31,418 · median $17,280 | 16 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $9,693 – $19,985 · median $10,992 | 16 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $16,467 – $33,953 · median $18,674 | 16 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $9,106 – $18,775 · median $10,326 | 16 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $23,064 – $47,556 · median $26,156 | 16 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $14,718 – $30,346 · median $16,690 | 16 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $38,712 – $79,819 · median $43,900 | 16 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $19,637 – $40,489 · median $22,269 | 16 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $12,864 – $26,524 · median $14,588 | 16 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $37,498 – $77,316 · median $42,524 | 16 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $19,451 – $40,106 · median $22,058 | 16 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,476 – $21,601 · median $11,880 | 16 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $28,867 – $59,519 · median $32,735 | 16 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $15,471 – $31,898 · median $17,544 | 16 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $13,079 – $26,967 · median $14,832 | 16 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $39,508 – $81,460 · median $44,803 | 16 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $22,769 – $46,947 · median $25,821 | 16 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $14,405 – $29,701 · median $16,336 | 16 plans |
| 637 | DIABETES WITH MCC | $14,948 – $30,820 · median $16,951 | 16 plans |
| 638 | DIABETES WITH CC | $9,629 – $19,853 · median $10,919 | 16 plans |
| 639 | DIABETES WITHOUT CC/MCC | $6,762 – $13,942 · median $7,668 | 16 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $13,682 – $28,210 · median $15,515 | 16 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $8,289 – $17,091 · median $9,400 | 16 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $12,824 – $26,442 · median $14,543 | 16 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $16,931 – $34,909 · median $19,200 | 16 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $10,775 – $22,217 · median $12,219 | 16 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $8,262 – $17,036 · median $9,370 | 16 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $46,036 – $94,919 · median $52,205 | 16 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $34,840 – $71,834 · median $39,509 | 16 plans |
| 652 | KIDNEY TRANSPLANT | $30,882 – $63,675 · median $35,021 | 16 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $55,579 – $114,596 · median $63,028 | 16 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $28,423 – $58,603 · median $32,232 | 16 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $21,074 – $43,452 · median $23,899 | 16 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $32,723 – $67,471 · median $37,109 | 16 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $18,616 – $38,383 · median $21,111 | 16 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $15,418 – $31,790 · median $17,485 | 16 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $26,077 – $53,766 · median $29,571 | 16 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $13,800 – $28,454 · median $15,650 | 16 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $10,708 – $22,079 · median $12,143 | 16 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $31,358 – $64,655 · median $35,560 | 16 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $15,649 – $32,266 · median $17,746 | 16 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $11,233 – $23,161 · median $12,739 | 16 plans |
| 665 | PROSTATECTOMY WITH MCC | $34,456 – $71,043 · median $39,074 | 16 plans |
| 666 | PROSTATECTOMY WITH CC | $16,832 – $34,705 · median $19,088 | 16 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $10,720 – $22,103 · median $12,157 | 16 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $29,352 – $60,520 · median $33,286 | 16 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $15,847 – $32,675 · median $17,971 | 16 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $10,009 – $20,636 · median $11,350 | 16 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $17,586 – $36,259 · median $19,943 | 16 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $11,377 – $23,458 · median $12,902 | 16 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $41,915 – $86,422 · median $47,532 | 16 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $23,354 – $48,154 · median $26,484 | 16 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $16,023 – $33,037 · median $18,170 | 16 plans |
| 682 | RENAL FAILURE WITH MCC | $15,398 – $31,747 · median $17,461 | 16 plans |
| 683 | RENAL FAILURE WITH CC | $9,350 – $19,278 · median $10,603 | 16 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $6,572 – $13,551 · median $7,453 | 16 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $19,184 – $39,555 · median $21,755 | 16 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $10,966 – $22,610 · median $12,435 | 16 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,725 – $15,927 · median $8,760 | 16 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $12,126 – $25,002 · median $13,751 | 16 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $8,498 – $17,522 · median $9,637 | 16 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $11,707 – $24,137 · median $13,276 | 16 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $7,405 – $15,268 · median $8,397 | 16 plans |
| 697 | URETHRAL STRICTURE | $10,464 – $21,574 · median $11,866 | 16 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $17,164 – $35,389 · median $19,464 | 16 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $10,642 – $21,942 · median $12,068 | 16 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $7,429 – $15,317 · median $8,424 | 16 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $19,726 – $40,672 · median $22,369 | 16 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $15,206 – $31,353 · median $17,244 | 16 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $22,750 – $46,907 · median $25,799 | 16 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $15,393 – $31,737 · median $17,455 | 16 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $19,430 – $40,061 · median $22,034 | 16 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $11,132 – $22,953 · median $12,624 | 16 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $14,846 – $30,610 · median $16,836 | 16 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $9,851 – $20,311 · median $11,171 | 16 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $22,860 – $47,134 · median $25,924 | 16 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $14,583 – $30,067 · median $16,537 | 16 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $18,886 – $38,940 · median $21,417 | 16 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $12,734 – $26,255 · median $14,440 | 16 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $17,637 – $36,365 · median $20,001 | 16 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $11,658 – $24,038 · median $13,221 | 16 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,768 – $16,017 · median $8,809 | 16 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $13,037 – $26,879 · median $14,784 | 16 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $7,924 – $16,338 · median $8,986 | 16 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $15,077 – $31,086 · median $17,097 | 16 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $8,641 – $17,817 · median $9,799 | 16 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $11,441 – $23,590 · median $12,975 | 16 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,567 – $13,541 · median $7,448 | 16 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $21,326 – $43,971 · median $24,184 | 16 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $12,556 – $25,889 · median $14,239 | 16 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $39,428 – $81,295 · median $44,712 | 16 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $20,296 – $41,847 · median $23,016 | 16 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $15,546 – $32,053 · median $17,629 | 16 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $39,855 – $82,176 · median $45,197 | 16 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $18,519 – $38,184 · median $21,001 | 16 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $14,132 – $29,138 · median $16,026 | 16 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $18,602 – $38,355 · median $21,095 | 16 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $12,406 – $25,580 · median $14,069 | 16 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $19,858 – $40,944 · median $22,519 | 16 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $10,690 – $22,042 · median $12,123 | 16 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $17,101 – $35,261 · median $19,393 | 16 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $10,004 – $20,626 · median $11,344 | 16 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $14,020 – $28,908 · median $15,899 | 16 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $26,119 – $53,854 · median $29,619 | 16 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,302 – $27,427 · median $15,085 | 16 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $18,430 – $38,001 · median $20,900 | 16 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $11,532 – $23,777 · median $13,078 | 16 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $10,002 – $20,622 · median $11,342 | 16 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,543 – $29,986 · median $16,492 | 16 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,636 – $21,930 · median $12,062 | 16 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,894 – $14,214 · median $7,818 | 16 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $10,304 – $21,245 · median $11,685 | 16 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $6,834 – $14,090 · median $7,750 | 16 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $14,289 – $29,461 · median $16,204 | 16 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $11,196 – $23,084 · median $12,696 | 16 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $7,619 – $15,710 · median $8,640 | 16 plans |
| 779 | ABORTION WITHOUT D&C | $9,802 – $20,211 · median $11,116 | 16 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $1,082 – $37,864 · median $20,352 | 16 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $1,623 – $122,127 · median $65,643 | 16 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $1,299 – $83,783 · median $45,033 | 16 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $1,082 – $51,028 · median $27,428 | 16 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $1,299 – $86,033 · median $46,243 | 16 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,082 – $31,225 · median $16,783 | 16 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $47,491 – $97,919 · median $53,856 | 16 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $29,327 – $60,469 · median $33,258 | 16 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $16,777 – $34,591 · median $19,025 | 16 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $35,948 – $74,119 · median $40,765 | 16 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $18,141 – $37,405 · median $20,573 | 16 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $11,488 – $23,686 · median $13,027 | 16 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $23,176 – $47,785 · median $26,282 | 16 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $12,799 – $26,389 · median $14,514 | 16 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $9,970 – $20,557 · median $11,306 | 16 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $14,460 – $29,815 · median $16,398 | 16 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $9,685 – $19,969 · median $10,983 | 16 plans |
| 813 | COAGULATION DISORDERS | $15,852 – $32,685 · median $17,977 | 16 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $21,205 – $43,721 · median $24,047 | 16 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $10,605 – $21,865 · median $12,026 | 16 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $7,085 – $14,609 · median $8,035 | 16 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $25,591 – $52,765 · median $29,021 | 16 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $13,287 – $27,396 · median $15,068 | 16 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,635 – $17,805 · median $9,793 | 16 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $58,023 – $119,635 · median $65,799 | 16 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $22,605 – $46,608 · median $25,634 | 16 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,864 – $24,461 · median $13,453 | 16 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $46,748 – $96,387 · median $53,013 | 16 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $22,279 – $45,936 · median $25,265 | 16 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,723 – $26,233 · median $14,428 | 16 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $47,695 – $98,340 · median $54,087 | 16 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $23,863 – $49,201 · median $27,061 | 16 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $16,394 – $33,802 · median $18,591 | 16 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $31,005 – $63,927 · median $35,160 | 16 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $15,009 – $30,946 · median $17,020 | 16 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $11,936 – $24,609 · median $13,535 | 16 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $7,954 – $16,399 · median $9,020 | 16 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $5,708 – $11,769 · median $6,473 | 16 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $55,112 – $113,634 · median $62,499 | 16 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $21,653 – $44,644 · median $24,554 | 16 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $13,116 – $27,044 · median $14,874 | 16 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $49,981 – $103,054 · median $56,679 | 16 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $20,590 – $42,454 · median $23,350 | 16 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $14,100 – $29,072 · median $15,990 | 16 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $32,043 – $66,067 · median $36,337 | 16 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $16,050 – $33,092 · median $18,201 | 16 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $10,958 – $22,593 · median $12,426 | 16 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $19,259 – $39,709 · median $21,840 | 16 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $12,372 – $25,508 · median $14,030 | 16 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $8,836 – $18,218 · median $10,020 | 16 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $25,776 – $53,146 · median $29,230 | 16 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $13,116 – $27,044 · median $14,874 | 16 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,659 – $17,854 · median $9,819 | 16 plans |
| 849 | RADIOTHERAPY | $26,933 – $55,532 · median $30,542 | 16 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $91,465 – $188,587 · median $103,723 | 16 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $49,923 – $102,934 · median $56,613 | 16 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $20,293 – $41,841 · median $23,013 | 16 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $16,618 – $34,264 · median $18,845 | 16 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $45,091 – $92,972 · median $51,135 | 16 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $22,077 – $45,519 · median $25,036 | 16 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $13,291 – $27,404 · median $15,072 | 16 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $18,720 – $38,599 · median $21,229 | 16 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $10,445 – $21,536 · median $11,845 | 16 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $9,439 – $19,463 · median $10,704 | 16 plans |
| 865 | VIRAL ILLNESS WITH MCC | $15,141 – $31,219 · median $17,170 | 16 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $9,309 – $19,194 · median $10,557 | 16 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $21,735 – $44,815 · median $24,648 | 16 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $10,940 – $22,557 · median $12,406 | 16 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $7,679 – $15,834 · median $8,708 | 16 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $69,213 – $142,707 · median $78,489 | 16 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $19,938 – $41,109 · median $22,610 | 16 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $10,752 – $22,168 · median $12,193 | 16 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $39,349 – $81,133 · median $44,623 | 16 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $10,037 – $20,695 · median $11,382 | 16 plans |
| 881 | DEPRESSIVE NEUROSES | $9,598 – $19,790 · median $10,885 | 16 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $10,071 – $20,765 · median $11,421 | 16 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $18,870 – $38,908 · median $21,399 | 16 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $17,058 – $35,171 · median $19,344 | 16 plans |
| 885 | PSYCHOSES | $14,487 – $29,870 · median $16,428 | 16 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $18,304 – $37,740 · median $20,757 | 16 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $12,314 – $25,390 · median $13,965 | 16 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $6,737 – $13,891 · median $7,640 | 16 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $14,865 – $30,649 · median $16,857 | 16 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $18,149 – $37,421 · median $20,582 | 16 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $9,284 – $19,141 · median $10,528 | 16 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $44,291 – $91,322 · median $50,227 | 16 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $19,302 – $39,797 · median $21,888 | 16 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $12,607 – $25,995 · median $14,297 | 16 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $38,674 – $79,739 · median $43,857 | 16 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $16,841 – $34,724 · median $19,098 | 16 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $22,112 – $45,592 · median $25,076 | 16 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $39,883 – $82,233 · median $45,228 | 16 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $20,481 – $42,228 · median $23,225 | 16 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $13,093 – $26,995 · median $14,848 | 16 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $16,546 – $34,115 · median $18,763 | 16 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $9,621 – $19,837 · median $10,910 | 16 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $17,726 – $36,548 · median $20,102 | 16 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $7,132 – $14,705 · median $8,088 | 16 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $16,757 – $34,551 · median $19,003 | 16 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $9,307 – $19,190 · median $10,555 | 16 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $18,571 – $38,292 · median $21,060 | 16 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $10,603 – $21,861 · median $12,024 | 16 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $7,365 – $15,185 · median $8,352 | 16 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $17,247 – $35,562 · median $19,559 | 16 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $10,642 – $21,942 · median $12,068 | 16 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $234,630 – $483,773 · median $266,075 | 16 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $66,474 – $137,060 · median $75,383 | 16 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $31,958 – $65,892 · median $36,241 | 16 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $43,269 – $89,215 · median $49,068 | 16 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $21,750 – $44,846 · median $24,665 | 16 plans |
| 935 | NON-EXTENSIVE BURNS | $22,249 – $45,875 · median $25,231 | 16 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $31,895 – $65,762 · median $36,169 | 16 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $21,411 – $44,146 · median $24,280 | 16 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $19,861 – $40,950 · median $22,523 | 16 plans |
| 945 | REHABILITATION WITH CC/MCC | $15,640 – $32,248 · median $17,736 | 16 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $11,595 – $23,907 · median $13,149 | 16 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $13,269 – $27,360 · median $15,048 | 16 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $8,418 – $17,357 · median $9,546 | 16 plans |
| 949 | AFTERCARE WITH CC/MCC | $11,225 – $23,145 · median $12,730 | 16 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $6,362 – $13,118 · median $7,215 | 16 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $6,174 – $12,729 · median $7,001 | 16 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $67,948 – $140,099 · median $77,054 | 16 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $38,292 – $78,952 · median $43,424 | 16 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $74,222 – $153,035 · median $84,169 | 16 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $41,127 – $84,798 · median $46,639 | 16 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $26,665 – $54,978 · median $30,238 | 16 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $27,383 – $56,459 · median $31,053 | 16 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $15,380 – $31,711 · median $17,441 | 16 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $9,583 – $19,760 · median $10,868 | 16 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $62,976 – $129,847 · median $71,416 | 16 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $26,757 – $55,170 · median $30,343 | 16 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $30,042 – $61,942 · median $34,068 | 16 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $14,603 – $30,110 · median $16,560 | 16 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $10,475 – $21,599 · median $11,879 | 16 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $14,806 – $30,527 · median $16,790 | 16 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $47,482 – $97,901 · median $53,845 | 16 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $24,735 – $50,999 · median $28,050 | 16 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $17,038 – $35,130 · median $19,322 | 16 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $35,138 – $72,448 · median $39,847 | 16 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,510 – $36,103 · median $19,857 | 16 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,980 – $24,701 · median $13,585 | 16 plans |
No procedures match that keyword.