Valley Presbyterian Hospital — Pricing
784 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 784 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 784 procedures
Procedures with negotiated rates only
These 784 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 | $1,470 – $13,054 · median $7,168 | 25 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $1,575 – $21,729 · median $8,154 | 25 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $1,575 – $12,899 · median $8,154 | 25 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $1,575 – $11,228 · median $8,154 | 25 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $1,575 – $19,098 · median $8,154 | 25 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $1,575 – $12,652 · median $8,154 | 25 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $1,575 – $11,228 · median $8,154 | 25 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $1,470 – $15,151 · median $7,168 | 25 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $1,470 – $11,564 · median $7,168 | 25 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $1,470 – $11,564 · median $7,168 | 25 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $1,470 – $11,910 · median $7,168 | 25 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $1,470 – $10,860 · median $7,168 | 25 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $1,470 – $10,860 · median $7,168 | 25 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $2,500 – $34,977 · median $15,500 | 23 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $2,500 – $17,426 · median $12,359 | 23 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $6,964 – $101,279 · median $58,425 | 22 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $6,964 – $95,824 · median $58,425 | 22 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $6,964 – $92,317 · median $58,425 | 22 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $6,964 – $64,637 · median $45,383 | 22 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $3,700 – $36,528 · median $13,420 | 22 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $3,700 – $24,813 · median $13,420 | 22 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $11,530 – $151,157 · median $105,060 | 19 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $4,600 – $61,485 · median $42,734 | 19 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $4,600 – $49,156 · median $34,165 | 19 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $2,700 – $37,526 · median $26,348 | 18 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $2,700 – $26,309 · median $18,473 | 18 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $2,700 – $20,986 · median $14,735 | 18 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $6,964 – $93,334 · median $66,195 | 16 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $6,964 – $121,266 · median $86,005 | 16 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $6,964 – $83,140 · median $58,965 | 16 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $6,964 – $72,142 · median $51,165 | 16 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $6,964 – $78,245 · median $55,493 | 16 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $6,964 – $48,926 · median $34,699 | 16 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $6,964 – $132,769 · median $94,162 | 16 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $6,964 – $122,499 · median $86,879 | 16 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $6,964 – $83,508 · median $59,225 | 16 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $4,800 – $53,389 · median $37,864 | 16 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $4,800 – $35,594 · median $25,244 | 16 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $4,800 – $28,595 · median $20,280 | 16 plans |
| 245 | AICD GENERATOR PROCEDURES | $4,800 – $76,738 · median $54,424 | 16 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $4,800 – $27,861 · median $19,759 | 16 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $7,829 – $43,148 · median $30,601 | 15 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $7,829 – $33,701 · median $23,901 | 15 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $7,829 – $26,373 · median $18,705 | 15 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $4,800 – $44,227 · median $31,367 | 14 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $4,800 – $53,610 · median $38,022 | 14 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $4,800 – $30,046 · median $21,309 | 14 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $4,800 – $24,113 · median $17,102 | 14 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $6,964 – $80,583 · median $57,151 | 13 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $6,964 – $54,207 · median $38,445 | 13 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $6,964 – $39,490 · median $28,007 | 13 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $7,829 – $55,135 · median $39,103 | 13 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $7,829 – $31,303 · median $22,201 | 13 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $7,829 – $21,808 · median $15,466 | 13 plans |
| 246 | PTCA | $3,700 – $13,605 · median $10,690 | 12 plans |
| 247 | PTCA | $3,700 – $13,605 · median $10,690 | 12 plans |
| 248 | PTCA | $3,700 – $13,605 · median $10,690 | 12 plans |
| 249 | PTCA | $3,700 – $13,605 · median $10,690 | 12 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $8,603 – $37,909 · median $26,886 | 12 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $8,603 – $29,855 · median $21,174 | 12 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $37,524 – $53,988 · median $38,290 | 11 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $27,998 – $40,283 · median $28,570 | 11 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $19,274 – $39,411 · median $19,667 | 11 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $9,636 – $110,793 · median $78,577 | 11 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $9,636 – $97,163 · median $68,910 | 11 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $9,636 – $73,069 · median $51,822 | 11 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $1,201 – $40,004 · median $28,371 | 11 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $1,201 – $20,524 · median $14,556 | 11 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $1,201 – $13,159 · median $9,332 | 11 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $1,201 – $18,384 · median $13,038 | 11 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $1,201 – $12,079 · median $8,567 | 11 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $1,201 – $8,524 · median $6,046 | 11 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $306,094 – $440,400 · median $312,341 | 10 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $119,918 – $172,535 · median $122,365 | 10 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $232,956 – $335,171 · median $237,710 | 10 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $153,685 – $221,119 · median $156,822 | 10 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $115,898 – $166,751 · median $118,263 | 10 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $52,927 – $76,150 · median $54,007 | 10 plans |
| 007 | LUNG TRANSPLANT | $142,164 – $204,542 · median $145,066 | 10 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $59,353 – $85,396 · median $60,565 | 10 plans |
| 010 | PANCREAS TRANSPLANT | $86,841 – $124,945 · median $88,613 | 10 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $58,863 – $84,690 · median $60,064 | 10 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $44,834 – $64,506 · median $45,749 | 10 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $29,051 – $41,798 · median $29,644 | 10 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $142,523 – $205,058 · median $145,431 | 10 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $65,811 – $94,687 · median $67,154 | 10 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $65,811 – $94,687 · median $67,154 | 10 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $409,715 – $589,487 · median $418,076 | 10 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $86,345 – $124,231 · median $88,107 | 10 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $87,798 – $126,321 · median $89,589 | 10 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $60,289 – $86,743 · median $61,520 | 10 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $38,610 – $55,550 · median $39,398 | 10 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $62,219 – $89,520 · median $63,489 | 10 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $41,555 – $59,788 · median $42,403 | 10 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $48,835 – $70,263 · median $49,832 | 10 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $33,487 – $48,181 · median $34,171 | 10 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $27,073 – $38,952 · median $27,626 | 10 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $66,284 – $95,368 · median $67,637 | 10 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $36,724 – $52,837 · median $37,473 | 10 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $24,442 – $35,166 · median $24,940 | 10 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $45,777 – $65,863 · median $46,711 | 10 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $23,467 – $33,763 · median $23,946 | 10 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $17,603 – $25,327 · median $17,962 | 10 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $42,499 – $61,147 · median $43,367 | 10 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $24,978 – $35,938 · median $25,488 | 10 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $20,183 – $29,038 · median $20,595 | 10 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $36,335 – $52,278 · median $37,077 | 10 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $17,775 – $25,574 · median $18,137 | 10 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $12,638 – $18,184 · median $12,896 | 10 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $41,234 – $59,326 · median $42,075 | 10 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $24,798 – $35,678 · median $25,304 | 10 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $19,363 – $27,859 · median $19,758 | 10 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $22,130 – $31,841 · median $22,582 | 10 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $10,285 – $14,797 · median $10,495 | 10 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $16,557 – $23,821 · median $16,894 | 10 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $12,126 – $17,447 · median $12,373 | 10 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $27,467 – $39,519 · median $28,028 | 10 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $14,768 – $21,248 · median $15,070 | 10 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $20,322 – $29,238 · median $20,736 | 10 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $13,566 – $19,518 · median $13,842 | 10 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $9,970 – $14,344 · median $10,173 | 10 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $29,631 – $42,633 · median $30,236 | 10 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $19,616 – $28,223 · median $20,016 | 10 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $15,533 – $22,348 · median $15,850 | 10 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $21,877 – $31,477 · median $22,324 | 10 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $11,321 – $16,289 · median $11,553 | 10 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $7,754 – $11,156 · median $7,912 | 10 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $16,077 – $23,131 · median $16,405 | 10 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $9,851 – $14,174 · median $10,053 | 10 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $8,968 – $12,903 · median $9,151 | 10 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $19,159 – $27,565 · median $19,550 | 10 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $11,723 – $16,867 · median $11,962 | 10 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $8,426 – $12,123 · median $8,598 | 10 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $17,061 – $24,547 · median $17,410 | 10 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $11,598 – $16,687 · median $11,835 | 10 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $18,981 – $27,309 · median $19,368 | 10 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $10,236 – $14,727 · median $10,445 | 10 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $17,069 – $24,558 · median $17,417 | 10 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $11,115 – $15,992 · median $11,342 | 10 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $7,519 – $10,819 · median $7,673 | 10 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $21,862 – $31,455 · median $22,308 | 10 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $10,104 – $14,538 · median $10,311 | 10 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $25,471 – $36,647 · median $25,991 | 10 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $15,376 – $22,123 · median $15,690 | 10 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $10,661 – $15,339 · median $10,879 | 10 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $24,882 – $35,800 · median $25,390 | 10 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $14,521 – $20,892 · median $14,817 | 10 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $9,879 – $14,213 · median $10,080 | 10 plans |
| 088 | CONCUSSION WITH MCC | $15,597 – $22,440 · median $15,915 | 10 plans |
| 089 | CONCUSSION WITH CC | $11,921 – $17,151 · median $12,164 | 10 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $9,589 – $13,796 · median $9,784 | 10 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $20,072 – $28,879 · median $20,482 | 10 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $11,775 – $16,942 · median $12,016 | 10 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $8,851 – $12,734 · median $9,031 | 10 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $39,894 – $57,398 · median $40,708 | 10 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $26,307 – $37,850 · median $26,844 | 10 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $26,307 – $37,850 · median $26,844 | 10 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $39,198 – $56,397 · median $39,998 | 10 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $23,833 – $34,290 · median $24,319 | 10 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $15,408 – $22,169 · median $15,722 | 10 plans |
| 100 | SEIZURES WITH MCC | $21,835 – $31,416 · median $22,281 | 10 plans |
| 101 | SEIZURES WITHOUT MCC | $10,288 – $14,802 · median $10,498 | 10 plans |
| 102 | HEADACHES WITH MCC | $12,870 – $18,516 · median $13,132 | 10 plans |
| 103 | HEADACHES WITHOUT MCC | $9,512 – $13,685 · median $9,706 | 10 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $24,780 – $35,653 · median $25,286 | 10 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $13,115 – $18,870 · median $13,383 | 10 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $16,903 – $24,319 · median $17,248 | 10 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $18,397 – $26,469 · median $18,772 | 10 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $11,991 – $17,253 · median $12,236 | 10 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $12,910 – $18,574 · median $13,173 | 10 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,645 – $11,000 · median $7,801 | 10 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $9,001 – $12,951 · median $9,185 | 10 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $14,437 – $20,772 · median $14,732 | 10 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $9,246 – $13,302 · median $9,434 | 10 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $26,458 – $38,067 · median $26,998 | 10 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $10,901 – $15,685 · median $11,124 | 10 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $15,465 – $22,251 · median $15,781 | 10 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $9,113 – $13,112 · median $9,299 | 10 plans |
| 139 | SALIVARY GLAND PROCEDURES | $15,187 – $21,851 · median $15,497 | 10 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $46,196 – $66,466 · median $47,139 | 10 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $23,607 – $33,965 · median $24,089 | 10 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $17,352 – $24,966 · median $17,706 | 10 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $36,129 – $51,981 · median $36,866 | 10 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $19,353 – $27,845 · median $19,748 | 10 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $13,144 – $18,912 · median $13,413 | 10 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $25,188 – $36,239 · median $25,702 | 10 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $13,796 – $19,849 · median $14,077 | 10 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $8,974 – $12,912 · median $9,157 | 10 plans |
| 149 | DYSEQUILIBRIUM | $8,397 – $12,081 · median $8,568 | 10 plans |
| 150 | EPISTAXIS WITH MCC | $15,287 – $21,995 · median $15,599 | 10 plans |
| 151 | EPISTAXIS WITHOUT MCC | $8,511 – $12,245 · median $8,684 | 10 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $12,601 – $18,131 · median $12,859 | 10 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $8,008 – $11,522 · median $8,171 | 10 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $17,937 – $25,808 · median $18,304 | 10 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $10,417 – $14,988 · median $10,630 | 10 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $7,581 – $10,908 · median $7,736 | 10 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $18,059 – $25,983 · median $18,428 | 10 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $10,493 – $15,097 · median $10,707 | 10 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $7,442 – $10,708 · median $7,594 | 10 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $50,322 – $72,402 · median $51,349 | 10 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $27,607 – $39,721 · median $28,171 | 10 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $20,518 – $29,521 · median $20,937 | 10 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $42,083 – $60,547 · median $42,941 | 10 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $20,119 – $28,946 · median $20,529 | 10 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,980 – $21,553 · median $15,286 | 10 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $33,596 – $48,337 · median $34,282 | 10 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $15,579 – $22,415 · median $15,897 | 10 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $9,124 – $13,128 · median $9,310 | 10 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $17,831 – $25,655 · median $18,195 | 10 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $11,052 – $15,902 · median $11,278 | 10 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $8,638 – $12,428 · median $8,814 | 10 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $19,257 – $27,706 · median $19,650 | 10 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $12,335 – $17,748 · median $12,587 | 10 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $9,374 – $13,487 · median $9,565 | 10 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $17,514 – $25,199 · median $17,872 | 10 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $11,877 – $17,089 · median $12,120 | 10 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $8,725 – $12,553 · median $8,903 | 10 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $17,435 – $25,085 · median $17,791 | 10 plans |
| 187 | PLEURAL EFFUSION WITH CC | $11,181 – $16,088 · median $11,410 | 10 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $8,252 – $11,873 · median $8,421 | 10 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $13,715 – $19,733 · median $13,995 | 10 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $12,473 – $17,946 · median $12,728 | 10 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $9,608 – $13,824 · median $9,804 | 10 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $7,308 – $10,514 · median $7,457 | 10 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $14,587 – $20,988 · median $14,885 | 10 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $9,184 – $13,213 · median $9,371 | 10 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $7,042 – $10,132 · median $7,186 | 10 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $20,736 – $29,835 · median $21,160 | 10 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $11,029 – $15,869 · median $11,255 | 10 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $7,885 – $11,345 · median $8,046 | 10 plans |
| 199 | PNEUMOTHORAX WITH MCC | $19,447 – $27,979 · median $19,843 | 10 plans |
| 200 | PNEUMOTHORAX WITH CC | $12,305 – $17,704 · median $12,556 | 10 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $7,632 – $10,981 · median $7,788 | 10 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $10,776 – $15,505 · median $10,996 | 10 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $7,844 – $11,286 · median $8,004 | 10 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $9,086 – $13,073 · median $9,272 | 10 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $20,777 – $29,893 · median $21,201 | 10 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $10,115 – $14,554 · median $10,322 | 10 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $70,493 – $101,424 · median $71,932 | 10 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $29,418 – $42,326 · median $30,019 | 10 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $118,552 – $170,570 · median $120,972 | 10 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $115,305 – $165,898 · median $117,658 | 10 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $54,965 – $79,082 · median $56,087 | 10 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $31,898 – $45,894 · median $32,549 | 10 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $16,674 – $23,990 · median $17,014 | 10 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $28,688 – $41,275 · median $29,273 | 10 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $18,669 – $26,861 · median $19,050 | 10 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $9,964 – $14,337 · median $10,168 | 10 plans |
| 263 | VEIN LIGATION AND STRIPPING | $29,400 – $42,300 · median $30,000 | 10 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $38,226 – $54,999 · median $39,006 | 10 plans |
| 265 | AICD LEAD PROCEDURES | $39,009 – $56,125 · median $39,805 | 10 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $65,321 – $93,983 · median $66,654 | 10 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $51,359 – $73,893 · median $52,407 | 10 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $72,669 – $104,554 · median $74,152 | 10 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $45,452 – $65,396 · median $46,380 | 10 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $54,600 – $78,558 · median $55,715 | 10 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $35,070 – $50,458 · median $35,786 | 10 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $18,101 – $26,044 · median $18,471 | 10 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $10,289 – $14,804 · median $10,499 | 10 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $8,154 – $11,731 · median $8,320 | 10 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $21,510 – $30,949 · median $21,949 | 10 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $8,326 – $11,979 · median $8,496 | 10 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $6,376 – $9,174 · median $6,506 | 10 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $29,936 – $43,072 · median $30,547 | 10 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $17,399 – $25,033 · median $17,754 | 10 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $10,910 – $15,697 · median $11,133 | 10 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $14,447 – $20,786 · median $14,742 | 10 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $9,631 – $13,857 · median $9,828 | 10 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $6,238 – $8,976 · median $6,366 | 10 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $13,613 – $19,586 · median $13,891 | 10 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $8,856 – $12,742 · median $9,037 | 10 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $18,069 – $25,997 · median $18,438 | 10 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $7,929 – $11,408 · median $8,091 | 10 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $5,077 – $7,304 · median $5,180 | 10 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $17,843 – $25,672 · median $18,207 | 10 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $11,904 – $17,128 · median $12,147 | 10 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $8,026 – $11,548 · median $8,190 | 10 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $12,911 – $18,576 · median $13,174 | 10 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $7,581 – $10,908 · median $7,736 | 10 plans |
| 304 | HYPERTENSION WITH MCC | $13,036 – $18,756 · median $13,302 | 10 plans |
| 305 | HYPERTENSION WITHOUT MCC | $8,431 – $12,131 · median $8,604 | 10 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $16,538 – $23,795 · median $16,876 | 10 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $10,339 – $14,875 · median $10,550 | 10 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $13,373 – $19,241 · median $13,646 | 10 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $8,308 – $11,953 · median $8,477 | 10 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $6,356 – $9,144 · median $6,485 | 10 plans |
| 311 | ANGINA PECTORIS | $7,863 – $11,312 · median $8,023 | 10 plans |
| 312 | SYNCOPE AND COLLAPSE | $9,741 – $14,015 · median $9,940 | 10 plans |
| 313 | CHEST PAIN | $8,026 – $11,548 · median $8,190 | 10 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $23,661 – $34,043 · median $24,144 | 10 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $10,729 – $15,436 · median $10,948 | 10 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,693 – $11,069 · median $7,850 | 10 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $67,445 – $97,038 · median $68,821 | 10 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $47,972 – $69,021 · median $48,951 | 10 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $25,412 – $36,563 · median $25,931 | 10 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $31,188 – $44,873 · median $31,824 | 10 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $19,923 – $28,665 · median $20,330 | 10 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $46,524 – $66,938 · median $47,474 | 10 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $34,969 – $50,313 · median $35,683 | 10 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $31,354 – $45,112 · median $31,994 | 10 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $55,422 – $79,740 · median $56,553 | 10 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $26,642 – $38,332 · median $27,186 | 10 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $17,581 – $25,296 · median $17,940 | 10 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $50,134 – $72,131 · median $51,157 | 10 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $25,943 – $37,326 · median $26,473 | 10 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $18,206 – $26,194 · median $18,577 | 10 plans |
| 332 | RECTAL RESECTION WITH MCC | $37,940 – $54,587 · median $38,714 | 10 plans |
| 333 | RECTAL RESECTION WITH CC | $23,355 – $33,603 · median $23,832 | 10 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $18,288 – $26,313 · median $18,661 | 10 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $39,619 – $57,003 · median $40,428 | 10 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $23,214 – $33,399 · median $23,688 | 10 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $16,947 – $24,383 · median $17,293 | 10 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $29,535 – $42,494 · median $30,137 | 10 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $16,444 – $23,659 · median $16,779 | 10 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,801 – $19,857 · median $14,083 | 10 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $25,977 – $37,375 · median $26,507 | 10 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $13,949 – $20,069 · median $14,233 | 10 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $9,845 – $14,165 · median $10,046 | 10 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $26,540 – $38,185 · median $27,082 | 10 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $16,615 – $23,905 · median $16,954 | 10 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $12,252 – $17,628 · median $12,502 | 10 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $32,124 – $46,219 · median $32,779 | 10 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $18,750 – $26,976 · median $19,132 | 10 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $14,755 – $21,230 · median $15,057 | 10 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $46,592 – $67,036 · median $47,543 | 10 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $24,730 – $35,582 · median $25,235 | 10 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,993 – $21,572 · median $15,299 | 10 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $18,412 – $26,491 · median $18,788 | 10 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $11,329 – $16,300 · median $11,560 | 10 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $7,859 – $11,308 · median $8,020 | 10 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $19,259 – $27,709 · median $19,652 | 10 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $11,456 – $16,483 · median $11,690 | 10 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $8,157 – $11,736 · median $8,323 | 10 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $23,204 – $33,385 · median $23,678 | 10 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $13,621 – $19,597 · median $13,899 | 10 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $9,868 – $14,198 · median $10,069 | 10 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $20,021 – $28,806 · median $20,429 | 10 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $10,985 – $15,805 · median $11,209 | 10 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $7,194 – $10,350 · median $7,341 | 10 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $21,173 – $30,463 · median $21,605 | 10 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $12,105 – $17,417 · median $12,352 | 10 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $8,416 – $12,109 · median $8,588 | 10 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $14,006 – $20,152 · median $14,292 | 10 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $9,722 – $13,988 · median $9,921 | 10 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $17,921 – $25,785 · median $18,287 | 10 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $11,057 – $15,908 · median $11,282 | 10 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $7,559 – $10,875 · median $7,713 | 10 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $16,240 – $23,365 · median $16,571 | 10 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $8,984 – $12,926 · median $9,167 | 10 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $6,222 – $8,952 · median $6,349 | 10 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $14,227 – $20,469 · median $14,517 | 10 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $8,753 – $12,593 · median $8,931 | 10 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $18,260 – $26,272 · median $18,633 | 10 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $10,501 – $15,108 · median $10,715 | 10 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,191 – $10,346 · median $7,337 | 10 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $27,182 – $39,109 · median $27,737 | 10 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $16,710 – $24,041 · median $17,051 | 10 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $12,482 – $17,959 · median $12,737 | 10 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $42,755 – $61,514 · median $43,627 | 10 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $59,219 – $85,202 · median $60,427 | 10 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $30,771 – $44,273 · median $31,399 | 10 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $23,469 – $33,767 · median $23,948 | 10 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $38,294 – $55,096 · median $39,075 | 10 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $23,042 – $33,153 · median $23,513 | 10 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $17,121 – $24,633 · median $17,470 | 10 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $38,600 – $55,536 · median $39,388 | 10 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $18,060 – $25,985 · median $18,429 | 10 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $16,234 – $23,357 · median $16,565 | 10 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $44,440 – $63,939 · median $45,347 | 10 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $25,070 – $36,070 · median $25,582 | 10 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $17,064 – $24,551 · median $17,412 | 10 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $114,009 – $164,033 · median $116,335 | 10 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $77,393 – $111,351 · median $78,972 | 10 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $60,037 – $86,380 · median $61,263 | 10 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $90,832 – $130,687 · median $92,686 | 10 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $59,672 – $85,855 · median $60,890 | 10 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $21,551 – $31,006 · median $21,990 | 10 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $11,896 – $17,115 · median $12,139 | 10 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,843 – $11,284 · median $8,003 | 10 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $20,090 – $28,906 · median $20,500 | 10 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $12,524 – $18,020 · median $12,780 | 10 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $8,806 – $12,670 · median $8,986 | 10 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $18,344 – $26,392 · median $18,718 | 10 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $9,620 – $13,841 · median $9,817 | 10 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,959 – $10,013 · median $7,101 | 10 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $20,805 – $29,933 · median $21,229 | 10 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $10,771 – $15,497 · median $10,991 | 10 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,910 – $11,381 · median $8,072 | 10 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $18,568 – $26,716 · median $18,947 | 10 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $12,055 – $17,345 · median $12,301 | 10 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $8,937 – $12,859 · median $9,120 | 10 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $73,072 – $105,134 · median $74,563 | 10 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $44,614 – $64,190 · median $45,525 | 10 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $56,194 – $80,851 · median $57,341 | 10 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $33,785 – $48,609 · median $34,474 | 10 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $92,228 – $132,696 · median $94,110 | 10 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $62,592 – $90,056 · median $63,869 | 10 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $47,160 – $67,853 · median $48,123 | 10 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $66,905 – $96,262 · median $68,271 | 10 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $31,373 – $45,138 · median $32,013 | 10 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $58,918 – $84,770 · median $60,120 | 10 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $32,293 – $46,463 · median $32,952 | 10 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $19,130 – $27,523 · median $19,520 | 10 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $55,591 – $79,984 · median $56,726 | 10 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $37,467 – $53,907 · median $38,232 | 10 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $28,762 – $41,381 · median $29,349 | 10 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $35,768 – $51,463 · median $36,498 | 10 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $20,752 – $29,857 · median $21,175 | 10 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $53,015 – $76,277 · median $54,097 | 10 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $31,735 – $45,660 · median $32,383 | 10 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $25,983 – $37,384 · median $26,514 | 10 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $48,970 – $70,457 · median $49,969 | 10 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $23,702 – $34,102 · median $24,186 | 10 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,909 – $18,573 · median $13,172 | 10 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $37,617 – $54,123 · median $38,385 | 10 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $25,671 – $36,934 · median $26,195 | 10 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $19,561 – $28,143 · median $19,960 | 10 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $32,211 – $46,344 · median $32,868 | 10 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $22,808 – $32,815 · median $23,273 | 10 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $17,504 – $25,185 · median $17,862 | 10 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $27,946 – $40,208 · median $28,517 | 10 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $35,232 – $50,691 · median $35,951 | 10 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $23,307 – $33,534 · median $23,783 | 10 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $17,437 – $25,088 · median $17,793 | 10 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $21,619 – $31,105 · median $22,060 | 10 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,726 – $19,749 · median $14,006 | 10 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $38,835 – $55,875 · median $39,628 | 10 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $38,503 – $55,397 · median $39,289 | 10 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $21,701 – $31,224 · median $22,144 | 10 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $14,857 – $21,377 · median $15,161 | 10 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $27,693 – $39,844 · median $28,258 | 10 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $12,884 – $18,537 · median $13,147 | 10 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $34,683 – $49,901 · median $35,391 | 10 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $19,657 – $28,282 · median $20,058 | 10 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $15,450 – $22,229 · median $15,766 | 10 plans |
| 503 | FOOT PROCEDURES WITH MCC | $29,014 – $41,745 · median $29,607 | 10 plans |
| 504 | FOOT PROCEDURES WITH CC | $19,335 – $27,818 · median $19,729 | 10 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $19,335 – $27,818 · median $19,729 | 10 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $16,557 – $23,821 · median $16,894 | 10 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $21,324 – $30,680 · median $21,759 | 10 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $14,293 – $20,564 · median $14,585 | 10 plans |
| 509 | ARTHROSCOPY | $19,353 – $27,845 · median $19,748 | 10 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $31,311 – $45,049 · median $31,950 | 10 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $21,573 – $31,039 · median $22,014 | 10 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $17,737 – $25,519 · median $18,099 | 10 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $16,627 – $23,923 · median $16,966 | 10 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $11,351 – $16,331 · median $11,582 | 10 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $33,854 – $48,709 · median $34,545 | 10 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $22,122 – $31,828 · median $22,573 | 10 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $16,487 – $23,721 · median $16,824 | 10 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $39,191 – $56,388 · median $39,991 | 10 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $21,690 – $31,206 · median $22,132 | 10 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $15,841 – $22,792 · median $16,164 | 10 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $31,925 – $45,933 · median $32,577 | 10 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $23,168 – $33,334 · median $23,641 | 10 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $16,837 – $24,224 · median $17,180 | 10 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $9,119 – $13,120 · median $9,305 | 10 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $14,720 – $21,178 · median $15,020 | 10 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $9,085 – $13,071 · median $9,270 | 10 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $10,259 – $14,760 · median $10,468 | 10 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $7,572 – $10,894 · median $7,726 | 10 plans |
| 539 | OSTEOMYELITIS WITH MCC | $22,238 – $31,995 · median $22,692 | 10 plans |
| 540 | OSTEOMYELITIS WITH CC | $14,331 – $20,619 · median $14,623 | 10 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $9,780 – $14,071 · median $9,979 | 10 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $20,530 – $29,538 · median $20,949 | 10 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $11,799 – $16,976 · median $12,040 | 10 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $8,486 – $12,209 · median $8,659 | 10 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $27,715 – $39,876 · median $28,281 | 10 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $12,850 – $18,488 · median $13,112 | 10 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,383 – $12,061 · median $8,554 | 10 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $22,153 – $31,873 · median $22,605 | 10 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $13,365 – $19,229 · median $13,637 | 10 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $9,641 – $13,871 · median $9,838 | 10 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $18,807 – $27,059 · median $19,191 | 10 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $10,745 – $15,460 · median $10,964 | 10 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $14,460 – $20,805 · median $14,755 | 10 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $9,342 – $13,441 · median $9,533 | 10 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,901 – $21,439 · median $15,205 | 10 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $9,146 – $13,159 · median $9,332 | 10 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $17,106 – $24,611 · median $17,455 | 10 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $9,659 – $13,898 · median $9,856 | 10 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $20,435 – $29,401 · median $20,852 | 10 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $12,644 – $18,192 · median $12,902 | 10 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $9,158 – $13,176 · median $9,345 | 10 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $16,170 – $23,265 · median $16,500 | 10 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $9,985 – $14,366 · median $10,189 | 10 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $17,318 – $24,916 · median $17,671 | 10 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $11,352 – $16,333 · median $11,584 | 10 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $8,403 – $12,090 · median $8,575 | 10 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $32,962 – $47,425 · median $33,635 | 10 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $18,459 – $26,558 · median $18,835 | 10 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $12,684 – $18,249 · median $12,943 | 10 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $67,139 – $96,597 · median $68,509 | 10 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $37,898 – $54,527 · median $38,672 | 10 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $21,959 – $31,594 · median $22,407 | 10 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $58,856 – $84,681 · median $60,057 | 10 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $29,190 – $41,998 · median $29,786 | 10 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $18,633 – $26,809 · median $19,014 | 10 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $35,667 – $51,317 · median $36,395 | 10 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $19,530 – $28,100 · median $19,929 | 10 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $15,906 – $22,885 · median $16,231 | 10 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $19,293 – $27,759 · median $19,687 | 10 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $18,116 – $26,064 · median $18,485 | 10 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $22,509 – $32,386 · median $22,969 | 10 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $21,833 – $31,413 · median $22,278 | 10 plans |
| 592 | SKIN ULCERS WITH MCC | $22,606 – $32,525 · median $23,067 | 10 plans |
| 593 | SKIN ULCERS WITH CC | $13,556 – $19,504 · median $13,832 | 10 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $9,495 – $13,662 · median $9,689 | 10 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $23,244 – $33,443 · median $23,719 | 10 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $12,018 – $17,292 · median $12,264 | 10 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $19,353 – $27,845 · median $19,748 | 10 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $11,995 – $17,258 · median $12,239 | 10 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $9,563 – $13,759 · median $9,758 | 10 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $10,667 – $15,347 · median $10,885 | 10 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,790 – $9,769 · median $6,928 | 10 plans |
| 602 | CELLULITIS WITH MCC | $16,232 – $23,354 · median $16,563 | 10 plans |
| 603 | CELLULITIS WITHOUT MCC | $9,844 – $14,163 · median $10,045 | 10 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $16,411 – $23,612 · median $16,746 | 10 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $10,310 – $14,833 · median $10,520 | 10 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $17,764 – $25,558 · median $18,126 | 10 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $9,664 – $13,904 · median $9,861 | 10 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $25,024 – $36,003 · median $25,534 | 10 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $15,839 – $22,789 · median $16,162 | 10 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $42,242 – $60,777 · median $43,104 | 10 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $21,252 – $30,577 · median $21,686 | 10 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $13,799 – $19,854 · median $14,081 | 10 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $29,882 – $42,993 · median $30,492 | 10 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $17,619 – $25,350 · median $17,979 | 10 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $16,152 – $23,238 · median $16,481 | 10 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $40,907 – $58,856 · median $41,742 | 10 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $21,048 – $30,283 · median $21,477 | 10 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,172 – $16,074 · median $11,400 | 10 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $31,408 – $45,190 · median $32,049 | 10 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $16,667 – $23,980 · median $17,007 | 10 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $14,036 – $20,194 · median $14,322 | 10 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $43,118 – $62,038 · median $43,998 | 10 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $24,699 – $35,536 · median $25,203 | 10 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $15,495 – $22,293 · median $15,811 | 10 plans |
| 637 | DIABETES WITH MCC | $16,092 – $23,153 · median $16,420 | 10 plans |
| 638 | DIABETES WITH CC | $10,239 – $14,732 · median $10,448 | 10 plans |
| 639 | DIABETES WITHOUT CC/MCC | $7,084 – $10,192 · median $7,229 | 10 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $14,699 – $21,149 · median $14,999 | 10 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $8,765 – $12,610 · median $8,944 | 10 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $13,756 – $19,791 · median $14,036 | 10 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $18,274 – $26,292 · median $18,647 | 10 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $11,501 – $16,547 · median $11,735 | 10 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $8,735 – $12,568 · median $8,914 | 10 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $50,301 – $72,372 · median $51,328 | 10 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $37,981 – $54,646 · median $38,756 | 10 plans |
| 652 | KIDNEY TRANSPLANT | $33,626 – $48,381 · median $34,313 | 10 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $60,803 – $87,481 · median $62,044 | 10 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $30,920 – $44,487 · median $31,551 | 10 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $22,834 – $32,853 · median $23,300 | 10 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $35,652 – $51,296 · median $36,380 | 10 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $20,128 – $28,960 · median $20,539 | 10 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $16,610 – $23,898 · median $16,949 | 10 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $28,338 – $40,772 · median $28,916 | 10 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $14,829 – $21,336 · median $15,132 | 10 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $11,427 – $16,441 · median $11,660 | 10 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $34,150 – $49,134 · median $34,847 | 10 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $16,864 – $24,263 · median $17,208 | 10 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $12,004 – $17,272 · median $12,249 | 10 plans |
| 665 | PROSTATECTOMY WITH MCC | $37,559 – $54,038 · median $38,325 | 10 plans |
| 666 | PROSTATECTOMY WITH CC | $18,165 – $26,136 · median $18,536 | 10 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $11,440 – $16,459 · median $11,673 | 10 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $31,943 – $45,958 · median $32,594 | 10 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $17,082 – $24,577 · median $17,431 | 10 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $10,657 – $15,333 · median $10,875 | 10 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $18,995 – $27,329 · median $19,383 | 10 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $12,163 – $17,500 · median $12,411 | 10 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $45,766 – $65,847 · median $46,700 | 10 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $25,343 – $36,463 · median $25,860 | 10 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $17,275 – $24,855 · median $17,628 | 10 plans |
| 682 | RENAL FAILURE WITH MCC | $16,587 – $23,865 · median $16,925 | 10 plans |
| 683 | RENAL FAILURE WITH CC | $9,932 – $14,290 · median $10,135 | 10 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $6,876 – $9,893 · median $7,016 | 10 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $20,754 – $29,860 · median $21,177 | 10 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $11,710 – $16,848 · median $11,949 | 10 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $8,144 – $11,717 · median $8,310 | 10 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $12,987 – $18,685 · median $13,252 | 10 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $8,995 – $12,942 · median $9,178 | 10 plans |
| 693 | URINARY STONES WITH MCC | $16,245 – $23,373 · median $16,576 | 10 plans |
| 694 | URINARY STONES WITHOUT MCC | $8,765 – $12,610 · median $8,944 | 10 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $12,525 – $18,021 · median $12,781 | 10 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $7,792 – $11,211 · median $7,951 | 10 plans |
| 697 | URETHRAL STRICTURE | $11,158 – $16,053 · median $11,385 | 10 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $18,530 – $26,661 · median $18,908 | 10 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $11,354 – $16,336 · median $11,586 | 10 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $7,818 – $11,248 · median $7,978 | 10 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $21,350 – $30,717 · median $21,785 | 10 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $16,376 – $23,562 · median $16,711 | 10 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $24,677 – $35,505 · median $25,181 | 10 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $16,581 – $23,857 · median $16,920 | 10 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $21,024 – $30,249 · median $21,453 | 10 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $11,894 – $17,112 · median $12,136 | 10 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $15,980 – $22,992 · median $16,306 | 10 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $10,483 – $15,083 · median $10,697 | 10 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $24,799 – $35,680 · median $25,305 | 10 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $15,690 – $22,575 · median $16,010 | 10 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $20,426 – $29,388 · median $20,843 | 10 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $13,656 – $19,647 · median $13,934 | 10 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $19,051 – $27,411 · median $19,440 | 10 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $12,472 – $17,945 · median $12,727 | 10 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,192 – $11,786 · median $8,359 | 10 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $13,989 – $20,127 · median $14,274 | 10 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $8,363 – $12,033 · median $8,534 | 10 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $16,234 – $23,357 · median $16,565 | 10 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $9,152 – $13,168 · median $9,339 | 10 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $12,233 – $17,601 · median $12,483 | 10 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,870 – $9,885 · median $7,010 | 10 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $23,111 – $33,251 · median $23,582 | 10 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $13,460 – $19,366 · median $13,735 | 10 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $43,030 – $61,911 · median $43,909 | 10 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $21,977 – $31,620 · median $22,426 | 10 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $16,750 – $24,099 · median $17,092 | 10 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $43,500 – $62,587 · median $44,388 | 10 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $20,022 – $28,807 · median $20,431 | 10 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $15,194 – $21,861 · median $15,504 | 10 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $20,113 – $28,938 · median $20,524 | 10 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $13,295 – $19,129 · median $13,567 | 10 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $21,495 – $30,927 · median $21,934 | 10 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $11,407 – $16,412 · median $11,640 | 10 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $18,462 – $26,562 · median $18,839 | 10 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $10,652 – $15,325 · median $10,869 | 10 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $15,071 – $21,684 · median $15,379 | 10 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $28,385 – $40,839 · median $28,964 | 10 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,281 – $20,547 · median $14,572 | 10 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $19,924 – $28,667 · median $20,331 | 10 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $12,333 – $17,745 · median $12,585 | 10 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $10,649 – $15,322 · median $10,867 | 10 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $15,647 – $22,512 · median $15,966 | 10 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $11,348 – $16,327 · median $11,579 | 10 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,230 – $10,402 · median $7,377 | 10 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $10,982 – $15,800 · median $11,206 | 10 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $7,163 – $10,307 · median $7,310 | 10 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $15,367 – $22,109 · median $15,680 | 10 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $11,963 – $17,212 · median $12,207 | 10 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $8,028 – $11,550 · median $8,191 | 10 plans |
| 779 | ABORTION WITHOUT D&C | $10,430 – $15,007 · median $10,643 | 10 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $19,852 – $28,562 · median $20,257 | 10 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $64,822 – $93,264 · median $66,145 | 10 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $44,358 – $63,821 · median $45,263 | 10 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $26,877 – $38,670 · median $27,425 | 10 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $45,559 – $65,549 · median $46,489 | 10 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $16,308 – $23,463 · median $16,641 | 10 plans |
| 795 | NORMAL NEWBORN | $2,451 – $3,526 · median $2,501 | 10 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $51,902 – $74,676 · median $52,962 | 10 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $31,915 – $45,919 · median $32,567 | 10 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $18,105 – $26,049 · median $18,474 | 10 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $39,200 – $56,400 · median $40,000 | 10 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $19,606 – $28,209 · median $20,006 | 10 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $12,284 – $17,675 · median $12,535 | 10 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $25,146 – $36,180 · median $25,659 | 10 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $13,727 – $19,750 · median $14,007 | 10 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $10,615 – $15,272 · median $10,831 | 10 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $15,556 – $22,381 · median $15,873 | 10 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $10,301 – $14,821 · median $10,511 | 10 plans |
| 813 | COAGULATION DISORDERS | $17,087 – $24,585 · median $17,436 | 10 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $22,977 – $33,059 · median $23,446 | 10 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $11,313 – $16,277 · median $11,544 | 10 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $7,440 – $10,705 · median $7,592 | 10 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $63,492 – $91,350 · median $64,788 | 10 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $24,518 – $35,275 · median $25,018 | 10 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,698 – $18,270 · median $12,957 | 10 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $51,085 – $73,500 · median $52,127 | 10 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $24,159 – $34,760 · median $24,652 | 10 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,644 – $19,630 · median $13,922 | 10 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $52,127 – $74,999 · median $53,191 | 10 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $25,902 – $37,267 · median $26,431 | 10 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $17,683 – $25,443 · median $18,044 | 10 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $33,761 – $48,574 · median $34,450 | 10 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $16,159 – $23,249 · median $16,489 | 10 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $60,289 – $86,743 · median $61,520 | 10 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $23,470 – $33,768 · median $23,949 | 10 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $14,077 – $20,253 · median $14,364 | 10 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $54,643 – $78,618 · median $55,758 | 10 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $22,301 – $32,086 · median $22,756 | 10 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $15,159 – $21,811 · median $15,469 | 10 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $34,903 – $50,218 · median $35,615 | 10 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $17,305 – $24,897 · median $17,658 | 10 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $11,701 – $16,836 · median $11,940 | 10 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $20,836 – $29,979 · median $21,261 | 10 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $13,257 – $19,074 · median $13,528 | 10 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $9,366 – $13,476 · median $9,557 | 10 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $28,007 – $40,296 · median $28,579 | 10 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $14,077 – $20,253 · median $14,364 | 10 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,172 – $13,196 · median $9,359 | 10 plans |
| 849 | RADIOTHERAPY | $29,280 – $42,128 · median $29,878 | 10 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $100,291 – $144,297 · median $102,338 | 10 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $54,579 – $78,526 · median $55,692 | 10 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $21,974 – $31,616 · median $22,422 | 10 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $17,930 – $25,797 · median $18,296 | 10 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $49,262 – $70,877 · median $50,267 | 10 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $23,937 – $34,440 · median $24,425 | 10 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $14,269 – $20,530 · median $14,560 | 10 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $20,243 – $29,126 · median $20,657 | 10 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $11,137 – $16,023 · median $11,364 | 10 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $10,031 – $14,432 · median $10,235 | 10 plans |
| 865 | VIRAL ILLNESS WITH MCC | $16,305 – $23,459 · median $16,637 | 10 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $9,887 – $14,226 · median $10,089 | 10 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $23,561 – $33,899 · median $24,042 | 10 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $11,682 – $16,808 · median $11,920 | 10 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $8,094 – $11,645 · median $8,259 | 10 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $75,805 – $109,067 · median $77,352 | 10 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $21,583 – $31,053 · median $22,024 | 10 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $11,475 – $16,509 · median $11,709 | 10 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $42,944 – $61,786 · median $43,820 | 10 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $10,689 – $15,378 · median $10,907 | 10 plans |
| 881 | DEPRESSIVE NEUROSES | $10,205 – $14,683 · median $10,414 | 10 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $10,725 – $15,431 · median $10,944 | 10 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $20,408 – $29,363 · median $20,825 | 10 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $18,414 – $26,494 · median $18,790 | 10 plans |
| 885 | PSYCHOSES | $15,585 – $22,423 · median $15,903 | 10 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $19,785 – $28,467 · median $20,189 | 10 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $13,194 – $18,984 · median $13,464 | 10 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $7,057 – $10,153 · median $7,201 | 10 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $16,001 – $23,021 · median $16,327 | 10 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $19,615 – $28,221 · median $20,015 | 10 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $9,859 – $14,185 · median $10,060 | 10 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $48,382 – $69,610 · median $49,369 | 10 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $20,883 – $30,046 · median $21,309 | 10 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $13,517 – $19,447 · median $13,793 | 10 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $42,200 – $60,716 · median $43,061 | 10 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $18,175 – $26,150 · median $18,546 | 10 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $23,976 – $34,496 · median $24,465 | 10 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $43,531 – $62,631 · median $44,419 | 10 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $22,180 – $31,912 · median $22,633 | 10 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $14,051 – $20,216 · median $14,338 | 10 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $17,851 – $25,683 · median $18,215 | 10 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $10,230 – $14,719 · median $10,439 | 10 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $19,149 – $27,551 · median $19,540 | 10 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $7,491 – $10,778 · median $7,644 | 10 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $18,083 – $26,017 · median $18,452 | 10 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $9,885 – $14,223 · median $10,087 | 10 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $20,079 – $28,890 · median $20,489 | 10 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $11,311 – $16,273 · median $11,541 | 10 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $7,747 – $11,147 · median $7,906 | 10 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $18,623 – $26,794 · median $19,003 | 10 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $11,354 – $16,336 · median $11,586 | 10 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $257,831 – $370,960 · median $263,092 | 10 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $72,792 – $104,731 · median $74,277 | 10 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $34,810 – $50,083 · median $35,520 | 10 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $47,257 – $67,992 · median $48,221 | 10 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $23,577 – $33,923 · median $24,059 | 10 plans |
| 935 | NON-EXTENSIVE BURNS | $24,127 – $34,713 · median $24,619 | 10 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $34,740 – $49,983 · median $35,449 | 10 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $23,204 – $33,385 · median $23,678 | 10 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $21,498 – $30,931 · median $21,937 | 10 plans |
| 945 | REHABILITATION WITH CC/MCC | $16,854 – $24,249 · median $17,198 | 10 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $12,403 – $17,845 · median $12,656 | 10 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $14,245 – $20,496 · median $14,536 | 10 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $8,907 – $12,815 · median $9,089 | 10 plans |
| 949 | AFTERCARE WITH CC/MCC | $11,996 – $17,259 · median $12,240 | 10 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $6,644 – $9,560 · median $6,780 | 10 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $6,437 – $9,261 · median $6,568 | 10 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $74,414 – $107,064 · median $75,932 | 10 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $41,780 – $60,112 · median $42,632 | 10 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $81,317 – $116,997 · median $82,977 | 10 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $44,900 – $64,601 · median $45,816 | 10 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $28,985 – $41,703 · median $29,577 | 10 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $29,776 – $42,840 · median $30,383 | 10 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $16,567 – $23,837 · median $16,906 | 10 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $10,189 – $14,660 · median $10,397 | 10 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $68,942 – $99,192 · median $70,349 | 10 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $29,087 – $41,850 · median $29,681 | 10 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $32,701 – $47,050 · median $33,369 | 10 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $15,713 – $22,607 · median $16,034 | 10 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $11,171 – $16,072 · median $11,399 | 10 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $15,936 – $22,928 · median $16,261 | 10 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $51,893 – $74,662 · median $52,952 | 10 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $26,862 – $38,648 · median $27,410 | 10 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $18,392 – $26,463 · median $18,768 | 10 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $38,309 – $55,118 · median $39,091 | 10 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,911 – $27,209 · median $19,297 | 10 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,826 – $18,454 · median $13,088 | 10 plans |
| 222 | AICD/Pacemaker | $6,964 – $12,623 · median $10,000 | 4 plans |
| 223 | AICD/Pacemaker | $6,964 – $12,623 · median $10,000 | 4 plans |
| 224 | AICD/Pacemaker | $6,964 – $12,623 · median $10,000 | 4 plans |
| 225 | AICD/Pacemaker | $6,964 – $12,623 · median $10,000 | 4 plans |
| 226 | AICD/Pacemaker | $6,964 – $12,623 · median $10,000 | 4 plans |
| 227 | AICD/Pacemaker | $6,964 – $12,623 · median $10,000 | 4 plans |
| 230 | Cardiovascular Surgery | $30,000 – $42,800 · median $41,160 | 3 plans |
| 237 | Cardiovascular Surgery | $30,000 – $42,800 · median $41,160 | 3 plans |
| 238 | Cardiovascular Surgery | $30,000 – $42,800 · median $41,160 | 3 plans |
No procedures match that keyword.