Boulder Community Health — Pricing
789 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 789 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 789 procedures
Procedures with negotiated rates only
These 789 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 |
|---|---|---|---|
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $4,307 – $449,665 · median $138,054 | 31 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $4,307 – $297,777 · median $135,639 | 31 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $4,307 – $233,718 · median $106,460 | 31 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $4,307 – $196,908 · median $68,596 | 31 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $4,307 – $256,596 · median $116,881 | 31 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $4,307 – $107,180 · median $44,268 | 31 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $4,307 – $74,910 · median $29,545 | 31 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $4,307 – $66,433 · median $30,260 | 31 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $4,307 – $95,642 · median $43,565 | 31 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $4,307 – $105,658 · median $45,100 | 31 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $4,307 – $56,988 · median $30,680 | 31 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $4,307 – $27,559 · median $14,837 | 31 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $2,154 – $54,856 · median $29,532 | 31 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $2,154 – $92,058 · median $49,560 | 31 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $2,154 – $92,271 · median $49,676 | 31 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $2,154 – $46,604 · median $25,090 | 31 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $2,154 – $47,253 · median $25,440 | 31 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $2,154 – $31,953 · median $17,202 | 31 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $2,154 – $52,773 · median $28,411 | 31 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $2,154 – $29,295 · median $15,771 | 31 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $2,154 – $44,737 · median $24,085 | 31 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $2,154 – $35,729 · median $19,235 | 31 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $2,154 – $66,126 · median $35,600 | 31 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $2,154 – $47,431 · median $25,535 | 31 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $2,154 – $28,015 · median $15,082 | 31 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $2,154 – $36,877 · median $19,853 | 31 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $2,154 – $25,947 · median $13,969 | 31 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $3,461 – $21,691 · median $8,735 | 31 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $2,154 – $43,519 · median $23,429 | 31 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $2,154 – $25,824 · median $13,902 | 31 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $2,154 – $16,861 · median $9,077 | 31 plans |
| 779 | ABORTION WITHOUT D&C | $2,154 – $21,667 · median $11,665 | 31 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $4,230 – $54,101 · median $19,383 | 31 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $4,230 – $23,360 · median $10,858 | 31 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $4,230 – $21,106 · median $10,858 | 31 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $4,230 – $36,348 · median $13,446 | 31 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $4,230 – $24,610 · median $10,858 | 31 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $4,230 – $21,128 · median $10,858 | 31 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $3,461 – $23,622 · median $9,469 | 31 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $3,461 – $20,249 · median $8,201 | 31 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,461 – $19,373 · median $8,070 | 31 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,461 – $21,844 · median $8,794 | 31 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,461 – $15,262 · median $7,150 | 31 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,461 – $13,778 · median $7,150 | 31 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $1,126 – $91,886 · median $30,233 | 31 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,126 – $22,299 · median $7,878 | 31 plans |
| 881 | DEPRESSIVE NEUROSES | $1,126 – $21,851 · median $7,729 | 31 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,126 – $24,937 · median $8,752 | 31 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,126 – $45,663 · median $15,621 | 31 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,126 – $37,363 · median $12,870 | 31 plans |
| 885 | PSYCHOSES | $1,126 – $32,438 · median $11,238 | 31 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,126 – $48,195 · median $16,460 | 31 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,126 – $24,870 · median $8,730 | 31 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $1,012 – $14,403 · median $5,236 | 31 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $1,012 – $32,874 · median $11,383 | 31 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $1,012 – $40,526 · median $13,919 | 31 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $1,012 – $20,501 · median $7,282 | 31 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $216,168 – $721,728 · median $394,128 | 30 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $87,700 – $291,839 · median $159,370 | 30 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $163,843 – $546,634 · median $298,511 | 30 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $107,092 – $356,729 · median $194,806 | 30 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $79,840 – $265,537 · median $145,007 | 30 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $36,175 – $119,421 · median $65,215 | 30 plans |
| 007 | LUNG TRANSPLANT | $100,156 – $333,519 · median $182,132 | 30 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $43,622 – $144,341 · median $78,823 | 30 plans |
| 010 | PANCREAS TRANSPLANT | $55,714 – $184,803 · median $100,919 | 30 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $42,464 – $140,465 · median $76,706 | 30 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $32,935 – $108,579 · median $59,294 | 30 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $22,667 – $74,218 · median $40,530 | 30 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $92,981 – $309,509 · median $169,020 | 30 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $46,124 – $152,713 · median $83,395 | 30 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $42,296 – $139,903 · median $76,400 | 30 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $332,835 – $1,112,130 · median $607,323 | 30 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $55,398 – $183,744 · median $100,341 | 30 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $61,048 – $276,393 · median $110,667 | 30 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $41,230 – $202,679 · median $74,452 | 30 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $24,942 – $141,573 · median $44,687 | 30 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $44,590 – $151,512 · median $80,591 | 30 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $10,438 – $107,576 · median $54,010 | 30 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $35,480 – $121,709 · median $63,945 | 30 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $24,417 – $84,864 · median $43,728 | 30 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $19,905 – $64,975 · median $35,482 | 30 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $46,729 – $154,738 · median $85,450 | 30 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $26,744 – $87,862 · median $48,520 | 30 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,383 – $56,535 · median $31,220 | 30 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $34,971 – $115,391 · median $63,014 | 30 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,889 – $57,652 · median $29,970 | 30 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $13,286 – $44,568 · median $23,387 | 30 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $30,278 – $104,389 · median $54,438 | 30 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $18,886 – $65,290 · median $33,620 | 30 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $15,440 – $50,035 · median $27,324 | 30 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $25,825 – $87,497 · median $46,300 | 30 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,976 – $44,076 · median $22,820 | 30 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,535 – $30,354 · median $16,532 | 30 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $30,205 – $107,769 · median $54,304 | 30 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,410 – $60,493 · median $30,923 | 30 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,785 – $54,507 · median $24,298 | 30 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,428 – $46,648 · median $25,474 | 30 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,024 – $25,218 · median $13,771 | 30 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $12,239 – $39,324 · median $21,474 | 30 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,335 – $26,259 · median $14,340 | 30 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $18,367 – $59,829 · median $32,672 | 30 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,459 – $33,367 · median $18,221 | 30 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,645 – $44,026 · median $24,042 | 30 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $10,038 – $31,958 · median $17,452 | 30 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,567 – $23,689 · median $12,936 | 30 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $21,707 – $71,006 · median $38,776 | 30 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $14,012 – $45,255 · median $24,713 | 30 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $11,292 – $36,153 · median $19,743 | 30 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $15,965 – $51,791 · median $28,283 | 30 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $8,263 – $26,019 · median $14,209 | 30 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,755 – $17,626 · median $9,625 | 30 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,791 – $37,825 · median $20,656 | 30 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,140 – $22,262 · median $12,157 | 30 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,636 – $20,572 · median $11,234 | 30 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $13,301 – $42,875 · median $23,414 | 30 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $8,384 – $26,424 · median $14,430 | 30 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,308 – $19,475 · median $10,635 | 30 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,835 – $41,317 · median $22,563 | 30 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,421 – $26,547 · median $14,497 | 30 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $15,245 – $49,383 · median $26,968 | 30 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,839 – $21,252 · median $11,606 | 30 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $14,418 – $46,615 · median $25,456 | 30 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,381 – $23,065 · median $12,596 | 30 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $18,078 – $58,863 · median $32,145 | 30 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $11,230 – $35,947 · median $19,631 | 30 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,844 – $24,616 · median $13,442 | 30 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,973 – $58,511 · median $31,952 | 30 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,514 – $33,550 · median $18,321 | 30 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,528 – $23,557 · median $12,864 | 30 plans |
| 088 | CONCUSSION WITH MCC | $10,892 – $34,814 · median $19,012 | 30 plans |
| 089 | CONCUSSION WITH CC | $8,943 – $28,293 · median $15,451 | 30 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,823 – $21,201 · median $11,577 | 30 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $14,004 – $45,229 · median $24,699 | 30 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,361 – $26,346 · median $14,387 | 30 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,616 – $20,508 · median $11,199 | 30 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $27,574 – $90,639 · median $49,497 | 30 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $20,338 – $66,425 · median $36,274 | 30 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $20,338 – $66,425 · median $36,274 | 30 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $28,285 – $93,018 · median $50,796 | 30 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $18,150 – $59,103 · median $32,275 | 30 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,973 – $35,087 · median $19,161 | 30 plans |
| 100 | SEIZURES WITH MCC | $15,394 – $49,880 · median $27,239 | 30 plans |
| 101 | SEIZURES WITHOUT MCC | $7,434 – $23,246 · median $12,694 | 30 plans |
| 102 | HEADACHES WITH MCC | $9,114 – $28,868 · median $15,764 | 30 plans |
| 103 | HEADACHES WITHOUT MCC | $6,924 – $21,538 · median $11,762 | 30 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $18,582 – $60,550 · median $33,066 | 30 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,901 – $34,845 · median $19,029 | 30 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $12,301 – $39,530 · median $21,587 | 30 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $14,403 – $46,566 · median $25,429 | 30 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,837 – $27,941 · median $15,258 | 30 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,441 – $29,960 · median $16,361 | 30 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,535 – $20,237 · median $11,052 | 30 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,634 – $20,567 · median $11,232 | 30 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,671 – $34,075 · median $18,608 | 30 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,397 – $19,774 · median $10,798 | 30 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $17,189 – $55,886 · median $30,519 | 30 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,302 – $26,148 · median $14,279 | 30 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,980 – $38,456 · median $21,000 | 30 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,308 – $22,823 · median $12,464 | 30 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,998 – $31,824 · median $17,379 | 30 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $33,315 – $109,849 · median $59,987 | 30 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $17,274 – $56,172 · median $30,675 | 30 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,774 – $41,114 · median $22,452 | 30 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $29,323 – $96,490 · median $52,692 | 30 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,825 – $44,629 · median $24,372 | 30 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,741 – $30,964 · median $16,909 | 30 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $16,784 – $54,532 · median $29,779 | 30 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $10,274 – $32,746 · median $17,882 | 30 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,622 – $20,529 · median $11,210 | 30 plans |
| 149 | DYSEQUILIBRIUM | $6,272 – $19,357 · median $10,571 | 30 plans |
| 150 | EPISTAXIS WITH MCC | $10,735 – $34,291 · median $18,726 | 30 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,137 – $18,903 · median $10,323 | 30 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,586 – $30,446 · median $16,626 | 30 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,169 – $19,012 · median $10,382 | 30 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,521 – $40,266 · median $21,989 | 30 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,541 – $23,604 · median $12,890 | 30 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,807 – $17,799 · median $9,720 | 30 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $13,701 – $44,214 · median $24,145 | 30 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,490 – $23,431 · median $12,795 | 30 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,941 – $18,247 · median $9,964 | 30 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $34,981 – $115,424 · median $63,032 | 30 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $19,913 – $65,003 · median $35,498 | 30 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $15,220 – $49,298 · median $26,921 | 30 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $29,254 – $96,261 · median $52,567 | 30 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,367 – $46,445 · median $25,363 | 30 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,004 – $35,190 · median $19,217 | 30 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $23,395 – $76,654 · median $41,860 | 30 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $11,059 – $35,376 · median $19,318 | 30 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,683 – $20,732 · median $11,322 | 30 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,515 – $40,246 · median $21,978 | 30 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,999 – $25,136 · median $13,726 | 30 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,298 – $19,444 · median $10,618 | 30 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $14,079 – $45,482 · median $24,837 | 30 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,730 – $27,583 · median $15,063 | 30 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,289 – $19,413 · median $10,601 | 30 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $12,262 – $39,401 · median $21,517 | 30 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,677 – $27,405 · median $14,966 | 30 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,541 – $20,256 · median $11,061 | 30 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $12,482 – $40,138 · median $21,919 | 30 plans |
| 187 | PLEURAL EFFUSION WITH CC | $8,100 – $25,473 · median $13,911 | 30 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,008 – $18,471 · median $10,087 | 30 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,996 – $31,816 · median $17,375 | 30 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $9,013 – $28,528 · median $15,579 | 30 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,976 – $21,711 · median $11,856 | 30 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,429 – $16,534 · median $9,029 | 30 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,604 – $33,851 · median $18,486 | 30 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,690 – $20,755 · median $11,334 | 30 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,325 – $16,186 · median $8,839 | 30 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $15,012 – $48,603 · median $26,542 | 30 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,792 – $24,443 · median $13,348 | 30 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,000 – $18,445 · median $10,073 | 30 plans |
| 199 | PNEUMOTHORAX WITH MCC | $14,065 – $45,433 · median $24,810 | 30 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,948 – $28,311 · median $15,461 | 30 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,991 – $18,417 · median $10,057 | 30 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,962 – $25,012 · median $13,659 | 30 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,644 – $17,255 · median $9,423 | 30 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,702 – $20,794 · median $11,355 | 30 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $14,580 – $47,156 · median $25,751 | 30 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,731 – $24,237 · median $13,236 | 30 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $50,011 – $165,719 · median $90,498 | 30 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $21,643 – $70,790 · median $38,658 | 30 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $87,600 – $291,504 · median $159,188 | 30 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $84,178 – $280,052 · median $152,933 | 30 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $44,410 – $146,976 · median $80,262 | 30 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $51,093 – $200,144 · median $93,514 | 30 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $51,093 – $200,144 · median $93,514 | 30 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $41,530 – $162,324 · median $75,843 | 30 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $39,279 – $153,418 · median $71,682 | 30 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $24,727 – $121,831 · median $44,792 | 30 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $47,147 – $184,538 · median $86,222 | 30 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $59,327 – $232,711 · median $108,730 | 30 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $42,530 – $166,278 · median $77,691 | 30 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $45,654 – $178,633 · median $83,463 | 30 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $32,726 – $127,502 · median $59,573 | 30 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $38,367 – $126,753 · median $69,219 | 30 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $22,426 – $73,412 · median $40,089 | 30 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,142 – $35,654 · median $19,470 | 30 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $14,399 – $60,603 · median $25,706 | 30 plans |
| 245 | AICD GENERATOR PROCEDURES | $35,601 – $138,874 · median $64,886 | 30 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,990 – $45,491 · median $21,255 | 30 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $27,335 – $106,180 · median $49,611 | 30 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $20,464 – $79,007 · median $36,915 | 30 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $14,200 – $54,233 · median $25,339 | 30 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $21,248 – $69,469 · median $37,936 | 30 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,555 – $43,728 · median $23,879 | 30 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,894 – $28,129 · median $15,361 | 30 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $16,050 – $61,550 · median $28,758 | 30 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $15,038 – $57,545 · median $26,887 | 30 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $13,032 – $49,612 · median $23,180 | 30 plans |
| 263 | VEIN LIGATION AND STRIPPING | $24,018 – $78,740 · median $42,999 | 30 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $26,198 – $86,034 · median $46,982 | 30 plans |
| 265 | AICD LEAD PROCEDURES | $28,334 – $110,134 · median $51,458 | 30 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $47,654 – $243,578 · median $87,158 | 30 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $37,128 – $185,757 · median $67,708 | 30 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $53,422 – $209,355 · median $97,817 | 30 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $32,991 – $128,549 · median $60,062 | 30 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $41,096 – $160,604 · median $75,040 | 30 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $27,858 – $108,250 · median $50,578 | 30 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $20,136 – $77,710 · median $36,309 | 30 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $32,239 – $125,575 · median $58,673 | 30 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $25,822 – $100,196 · median $46,815 | 30 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $55,365 – $226,531 · median $100,282 | 30 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $46,716 – $154,694 · median $84,477 | 30 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $15,448 – $159,225 · median $63,765 | 30 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $43,327 – $143,352 · median $78,283 | 30 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $28,244 – $92,879 · median $50,720 | 30 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,833 – $41,312 · median $22,560 | 30 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,561 – $23,671 · median $12,926 | 30 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,053 – $18,623 · median $10,170 | 30 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $15,733 – $51,014 · median $27,858 | 30 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,815 – $17,827 · median $9,735 | 30 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,097 – $15,424 · median $8,423 | 30 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $21,315 – $69,695 · median $38,060 | 30 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $13,625 – $43,960 · median $24,006 | 30 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,643 – $23,943 · median $13,075 | 30 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $10,368 – $33,063 · median $18,055 | 30 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,022 – $21,865 · median $11,940 | 30 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,844 – $14,577 · median $7,960 | 30 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,509 – $40,225 · median $21,967 | 30 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,367 – $16,328 · median $8,917 | 30 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,990 – $11,721 · median $6,401 | 30 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $13,053 – $42,049 · median $22,962 | 30 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,704 – $27,492 · median $15,013 | 30 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,027 – $18,535 · median $10,122 | 30 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,697 – $30,817 · median $16,829 | 30 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,669 – $17,338 · median $9,468 | 30 plans |
| 304 | HYPERTENSION WITH MCC | $9,646 – $30,647 · median $16,736 | 30 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,299 – $19,447 · median $10,620 | 30 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,616 – $40,583 · median $22,162 | 30 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,516 – $23,519 · median $12,843 | 30 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,754 – $31,008 · median $16,933 | 30 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,150 – $18,947 · median $10,347 | 30 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,845 – $14,579 · median $7,962 | 30 plans |
| 311 | ANGINA PECTORIS | $5,890 – $18,077 · median $9,872 | 30 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,196 – $22,447 · median $12,258 | 30 plans |
| 313 | CHEST PAIN | $6,029 – $18,543 · median $10,126 | 30 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $16,536 – $53,702 · median $29,326 | 30 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,902 – $24,809 · median $13,548 | 30 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,737 – $17,567 · median $9,593 | 30 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $51,949 – $172,204 · median $94,039 | 30 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $19,130 – $62,381 · median $34,066 | 30 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $34,835 – $114,938 · median $62,766 | 30 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $19,000 – $61,946 · median $33,828 | 30 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $21,428 – $91,956 · median $38,265 | 30 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $14,056 – $60,289 · median $24,795 | 30 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $33,793 – $111,448 · median $60,861 | 30 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $24,739 – $81,151 · median $44,316 | 30 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $25,196 – $82,681 · median $45,151 | 30 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $38,872 – $128,446 · median $70,143 | 30 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $19,299 – $62,948 · median $34,375 | 30 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,819 – $41,266 · median $22,535 | 30 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $35,864 – $118,378 · median $64,645 | 30 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,937 – $61,737 · median $33,714 | 30 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,440 – $43,341 · median $23,668 | 30 plans |
| 332 | RECTAL RESECTION WITH MCC | $28,354 – $93,248 · median $50,922 | 30 plans |
| 333 | RECTAL RESECTION WITH CC | $18,514 – $60,321 · median $32,941 | 30 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $13,093 – $42,182 · median $23,035 | 30 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $27,970 – $91,965 · median $50,221 | 30 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $16,717 – $54,307 · median $29,657 | 30 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $12,302 – $39,532 · median $21,588 | 30 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $20,366 – $66,517 · median $36,325 | 30 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,068 – $38,752 · median $21,162 | 30 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,617 – $30,549 · median $16,683 | 30 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $18,155 – $59,121 · median $32,285 | 30 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,561 – $33,707 · median $18,407 | 30 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,188 – $22,421 · median $12,244 | 30 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $19,666 – $64,176 · median $35,046 | 30 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $12,221 – $39,262 · median $21,441 | 30 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,475 – $30,076 · median $16,424 | 30 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $22,822 – $74,738 · median $40,814 | 30 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,436 – $43,329 · median $23,661 | 30 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,839 – $34,639 · median $18,916 | 30 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $34,296 – $113,132 · median $61,780 | 30 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $18,385 – $59,891 · median $32,706 | 30 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,246 – $36,002 · median $19,660 | 30 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $26,952 – $88,558 · median $48,360 | 30 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $19,069 – $62,178 · median $33,955 | 30 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,739 – $40,998 · median $22,388 | 30 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,186 – $25,759 · median $14,067 | 30 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,881 – $18,048 · median $9,856 | 30 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $14,134 – $45,664 · median $24,937 | 30 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,346 – $26,295 · median $14,359 | 30 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,086 – $18,733 · median $10,230 | 30 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $16,948 – $55,080 · median $30,079 | 30 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,797 – $31,152 · median $17,012 | 30 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,601 – $23,804 · median $12,999 | 30 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $14,557 – $47,078 · median $25,709 | 30 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $8,035 – $25,257 · median $13,793 | 30 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,339 – $16,235 · median $8,866 | 30 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $15,589 – $50,535 · median $27,596 | 30 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,827 – $27,904 · median $15,238 | 30 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,649 – $20,619 · median $11,260 | 30 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $11,114 – $35,559 · median $19,418 | 30 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,067 – $22,015 · median $12,022 | 30 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,666 – $40,751 · median $22,253 | 30 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $8,002 – $25,144 · median $13,731 | 30 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,731 – $17,546 · median $9,582 | 30 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,854 – $38,034 · median $20,770 | 30 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,566 – $20,341 · median $11,108 | 30 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,675 – $14,010 · median $7,651 | 30 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $10,249 – $32,664 · median $17,837 | 30 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,488 – $20,078 · median $10,964 | 30 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,796 – $41,188 · median $22,493 | 30 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,689 – $24,098 · median $13,160 | 30 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,483 – $16,714 · median $9,128 | 30 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $18,920 – $61,678 · median $33,682 | 30 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $12,137 – $38,981 · median $21,287 | 30 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $9,298 – $29,481 · median $16,099 | 30 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $31,431 – $204,413 · median $56,544 | 30 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $42,590 – $140,887 · median $76,937 | 30 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $22,809 – $74,692 · median $40,788 | 30 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $17,570 – $57,164 · median $31,216 | 30 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $27,930 – $91,828 · median $50,147 | 30 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $17,245 – $56,074 · median $30,622 | 30 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,707 – $40,890 · median $22,329 | 30 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $25,911 – $85,073 · median $46,458 | 30 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $16,669 – $54,148 · median $29,570 | 30 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $13,267 – $42,765 · median $23,353 | 30 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $27,907 – $91,751 · median $50,104 | 30 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $16,394 – $53,226 · median $29,066 | 30 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,980 – $35,110 · median $19,173 | 30 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $18,854 – $61,459 · median $33,562 | 30 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $13,507 – $43,565 · median $23,791 | 30 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,999 – $35,175 · median $19,209 | 30 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $26,710 – $87,746 · median $47,917 | 30 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,860 – $44,748 · median $24,436 | 30 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,259 – $36,043 · median $19,683 | 30 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $32,450 – $106,956 · median $58,408 | 30 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,326 – $56,347 · median $30,771 | 30 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $12,034 – $38,639 · median $21,100 | 30 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $85,310 – $323,796 · median $155,002 | 30 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $56,044 – $228,596 · median $101,522 | 30 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $43,756 – $175,442 · median $79,068 | 30 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $69,828 – $323,796 · median $126,711 | 30 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $44,873 – $217,966 · median $81,108 | 30 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $15,636 – $50,689 · median $27,681 | 30 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,617 – $27,201 · median $14,854 | 30 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,971 – $18,350 · median $10,021 | 30 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $14,624 – $47,302 · median $25,831 | 30 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $9,193 – $29,130 · median $15,908 | 30 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,055 – $21,976 · median $12,001 | 30 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $13,034 – $41,984 · median $22,927 | 30 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,962 – $21,664 · median $11,831 | 30 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,270 – $16,004 · median $8,739 | 30 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $14,300 – $46,221 · median $25,241 | 30 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,917 – $24,860 · median $13,576 | 30 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,873 – $18,020 · median $9,841 | 30 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $13,347 – $43,032 · median $23,500 | 30 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,911 – $28,185 · median $15,392 | 30 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,855 – $21,306 · median $11,635 | 30 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $51,911 – $185,416 · median $93,970 | 30 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $33,126 – $112,507 · median $59,643 | 30 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $41,506 – $185,416 · median $74,955 | 30 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $25,350 – $112,507 · median $45,432 | 30 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $65,163 – $266,453 · median $119,513 | 30 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $46,381 – $200,390 · median $84,807 | 30 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $32,601 – $150,095 · median $59,343 | 30 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $42,994 – $142,239 · median $77,675 | 30 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $20,960 – $68,506 · median $37,410 | 30 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $44,353 – $146,785 · median $80,158 | 30 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $24,459 – $80,216 · median $43,805 | 30 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,523 – $46,968 · median $25,649 | 30 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $40,550 – $134,060 · median $73,209 | 30 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $27,629 – $90,824 · median $49,598 | 30 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $21,637 – $70,772 · median $38,648 | 30 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $23,832 – $78,117 · median $42,659 | 30 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $15,333 – $49,677 · median $27,128 | 30 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $37,651 – $138,899 · median $68,674 | 30 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $23,162 – $82,295 · median $41,899 | 30 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $19,277 – $64,162 · median $34,720 | 30 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $33,527 – $110,559 · median $60,375 | 30 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,002 – $58,608 · median $32,005 | 30 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,571 – $30,395 · median $16,598 | 30 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $27,075 – $88,970 · median $48,585 | 30 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $19,414 – $63,334 · median $34,586 | 30 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $14,794 – $47,874 · median $26,144 | 30 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $22,902 – $75,003 · median $40,959 | 30 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $16,608 – $53,942 · median $29,457 | 30 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $13,040 – $42,005 · median $22,938 | 30 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $21,821 – $71,388 · median $38,984 | 30 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $25,324 – $83,111 · median $45,386 | 30 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $16,581 – $53,854 · median $29,409 | 30 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,542 – $40,336 · median $22,027 | 30 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $14,102 – $45,556 · median $24,878 | 30 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,083 – $28,762 · median $15,707 | 30 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $28,745 – $94,558 · median $51,637 | 30 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $20,006 – $65,315 · median $35,668 | 30 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $15,930 – $51,675 · median $28,219 | 30 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $28,392 – $93,376 · median $50,992 | 30 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,371 – $46,458 · median $25,370 | 30 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,787 – $31,119 · median $16,994 | 30 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $23,706 – $77,695 · median $42,428 | 30 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $15,994 – $51,889 · median $28,336 | 30 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $24,845 – $81,506 · median $44,510 | 30 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,942 – $45,021 · median $24,585 | 30 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,846 – $34,662 · median $18,929 | 30 plans |
| 503 | FOOT PROCEDURES WITH MCC | $21,969 – $71,882 · median $39,254 | 30 plans |
| 504 | FOOT PROCEDURES WITH CC | $14,874 – $48,139 · median $26,288 | 30 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,286 – $46,172 · median $25,214 | 30 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,872 – $34,747 · median $18,975 | 30 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,390 – $46,522 · median $25,405 | 30 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $12,143 – $39,002 · median $21,299 | 30 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $23,734 – $77,790 · median $42,480 | 30 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $16,491 – $53,553 · median $29,245 | 30 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $13,228 – $42,633 · median $23,282 | 30 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,604 – $40,545 · median $22,141 | 30 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,356 – $26,328 · median $14,378 | 30 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $25,015 – $82,075 · median $44,821 | 30 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $16,481 – $53,519 · median $29,226 | 30 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $12,315 – $39,576 · median $21,612 | 30 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $29,251 – $96,250 · median $53,152 | 30 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $15,882 – $51,513 · median $28,447 | 30 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,985 – $38,474 · median $21,246 | 30 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $22,578 – $73,919 · median $40,366 | 30 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $16,786 – $54,539 · median $29,783 | 30 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $12,553 – $40,375 · median $22,048 | 30 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,692 – $20,760 · median $11,337 | 30 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,354 – $33,017 · median $18,030 | 30 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,703 – $20,799 · median $11,358 | 30 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,832 – $24,577 · median $13,421 | 30 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,031 – $18,551 · median $10,130 | 30 plans |
| 539 | OSTEOMYELITIS WITH MCC | $15,647 – $50,728 · median $27,702 | 30 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,464 – $33,385 · median $18,231 | 30 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,548 – $20,279 · median $11,074 | 30 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $14,083 – $45,494 · median $24,844 | 30 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,400 – $26,475 · median $14,458 | 30 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,295 – $19,434 · median $10,613 | 30 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $19,588 – $63,914 · median $34,903 | 30 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,365 – $29,705 · median $16,221 | 30 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,923 – $21,535 · median $11,760 | 30 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $15,348 – $49,728 · median $27,156 | 30 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,779 – $31,090 · median $16,978 | 30 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,215 – $22,512 · median $12,293 | 30 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,387 – $43,166 · median $23,573 | 30 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,886 – $24,757 · median $13,520 | 30 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,464 – $33,385 · median $18,231 | 30 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,876 – $21,378 · median $11,675 | 30 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,661 – $34,042 · median $18,590 | 30 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,880 – $21,391 · median $11,682 | 30 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,931 – $38,294 · median $20,912 | 30 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,362 – $23,003 · median $12,562 | 30 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,841 – $48,029 · median $26,228 | 30 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,155 – $29,002 · median $15,837 | 30 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,675 – $20,704 · median $11,306 | 30 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $11,453 – $36,694 · median $20,038 | 30 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,380 – $23,063 · median $12,594 | 30 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $12,368 – $39,754 · median $21,709 | 30 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,987 – $25,095 · median $13,704 | 30 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,255 – $19,297 · median $10,538 | 30 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $23,123 – $75,745 · median $41,364 | 30 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $13,491 – $43,511 · median $23,761 | 30 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $9,310 – $29,522 · median $16,122 | 30 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $50,909 – $168,725 · median $92,139 | 30 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $27,205 – $89,402 · median $48,822 | 30 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,318 – $46,280 · median $25,273 | 30 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $38,209 – $126,226 · median $68,930 | 30 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,888 – $68,266 · median $37,279 | 30 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,851 – $41,371 · median $22,592 | 30 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $25,412 – $83,404 · median $45,546 | 30 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,787 – $44,503 · median $24,303 | 30 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,594 – $37,166 · median $20,296 | 30 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $15,315 – $49,618 · median $27,096 | 30 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $13,759 – $44,410 · median $24,252 | 30 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $16,963 – $55,132 · median $30,107 | 30 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $15,335 – $49,682 · median $27,131 | 30 plans |
| 592 | SKIN ULCERS WITH MCC | $15,382 – $49,842 · median $27,218 | 30 plans |
| 593 | SKIN ULCERS WITH CC | $9,618 – $30,552 · median $16,684 | 30 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,159 – $22,324 · median $12,191 | 30 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $16,809 – $54,617 · median $29,826 | 30 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,819 – $27,879 · median $15,224 | 30 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $13,318 – $42,934 · median $23,446 | 30 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,195 – $29,136 · median $15,911 | 30 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,409 – $19,815 · median $10,821 | 30 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,504 – $26,825 · median $14,649 | 30 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,144 – $15,581 · median $8,509 | 30 plans |
| 602 | CELLULITIS WITH MCC | $11,426 – $36,604 · median $19,989 | 30 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,190 – $22,429 · median $12,248 | 30 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,817 – $37,912 · median $20,704 | 30 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,538 – $23,591 · median $12,883 | 30 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $12,134 – $38,971 · median $21,282 | 30 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,464 – $23,343 · median $12,748 | 30 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,356 – $56,448 · median $30,825 | 30 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,257 – $36,038 · median $19,680 | 30 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,328 – $89,815 · median $49,047 | 30 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,882 – $48,168 · median $26,304 | 30 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,403 – $36,527 · median $19,947 | 30 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $22,710 – $74,362 · median $40,608 | 30 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,804 – $41,214 · median $22,507 | 30 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $12,097 – $38,847 · median $21,214 | 30 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,880 – $91,664 · median $50,057 | 30 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,294 – $46,200 · median $25,229 | 30 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,123 – $32,241 · median $17,607 | 30 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $23,731 – $77,780 · median $42,475 | 30 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $12,028 – $38,616 · median $21,088 | 30 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,711 – $34,209 · median $18,681 | 30 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $29,170 – $95,980 · median $52,414 | 30 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $17,256 – $56,113 · median $30,643 | 30 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,720 – $37,588 · median $20,526 | 30 plans |
| 637 | DIABETES WITH MCC | $11,545 – $37,001 · median $20,206 | 30 plans |
| 638 | DIABETES WITH CC | $7,385 – $23,081 · median $12,604 | 30 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,269 – $15,998 · median $8,737 | 30 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,767 – $34,397 · median $18,784 | 30 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,477 – $20,042 · median $10,945 | 30 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $11,433 – $36,625 · median $20,000 | 30 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $13,157 – $42,394 · median $23,151 | 30 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,376 – $26,398 · median $14,416 | 30 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,401 – $19,787 · median $10,805 | 30 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $36,671 – $121,080 · median $66,120 | 30 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $29,009 – $95,439 · median $52,118 | 30 plans |
| 652 | KIDNEY TRANSPLANT | $25,343 – $83,173 · median $45,420 | 30 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $40,481 – $133,828 · median $73,082 | 30 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $22,032 – $72,093 · median $39,369 | 30 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,778 – $54,511 · median $29,768 | 30 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $24,991 – $81,996 · median $44,777 | 30 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $14,572 – $47,130 · median $25,737 | 30 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $12,431 – $39,965 · median $21,825 | 30 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $20,043 – $65,438 · median $35,735 | 30 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,660 – $34,039 · median $18,588 | 30 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,456 – $26,666 · median $14,562 | 30 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $24,050 – $78,846 · median $43,057 | 30 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $12,188 – $39,151 · median $21,380 | 30 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,545 – $26,962 · median $14,724 | 30 plans |
| 665 | PROSTATECTOMY WITH MCC | $24,509 – $80,383 · median $43,897 | 30 plans |
| 666 | PROSTATECTOMY WITH CC | $13,951 – $45,051 · median $24,602 | 30 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $9,001 – $28,489 · median $15,558 | 30 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $22,961 – $75,202 · median $41,067 | 30 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $12,432 – $39,970 · median $21,827 | 30 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $8,009 – $25,169 · median $13,745 | 30 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $14,303 – $46,228 · median $25,245 | 30 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,796 – $27,801 · median $15,182 | 30 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $32,824 – $108,208 · median $59,091 | 30 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $18,486 – $60,228 · median $32,890 | 30 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $13,120 – $42,273 · median $23,085 | 30 plans |
| 682 | RENAL FAILURE WITH MCC | $11,886 – $38,142 · median $20,829 | 30 plans |
| 683 | RENAL FAILURE WITH CC | $7,228 – $22,555 · median $12,317 | 30 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,108 – $15,460 · median $8,443 | 30 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $14,370 – $46,452 · median $25,367 | 30 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,552 – $26,985 · median $14,736 | 30 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,570 – $20,353 · median $11,115 | 30 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,418 – $29,882 · median $16,318 | 30 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,718 – $20,848 · median $11,385 | 30 plans |
| 693 | URINARY STONES WITH MCC | $10,835 – $34,626 · median $18,909 | 30 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,504 – $20,132 · median $10,994 | 30 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,291 – $29,457 · median $16,086 | 30 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,790 – $17,745 · median $9,690 | 30 plans |
| 697 | URETHRAL STRICTURE | $8,783 – $27,758 · median $15,158 | 30 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $13,220 – $42,607 · median $23,267 | 30 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,299 – $26,140 · median $14,275 | 30 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,797 – $17,768 · median $9,703 | 30 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $15,883 – $51,516 · median $28,132 | 30 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $12,295 – $39,512 · median $21,577 | 30 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $18,398 – $59,932 · median $32,728 | 30 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,272 – $36,087 · median $19,706 | 30 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $16,525 – $53,666 · median $29,307 | 30 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,951 – $28,322 · median $15,466 | 30 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $12,058 – $38,719 · median $21,144 | 30 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,626 – $27,232 · median $14,871 | 30 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $17,707 – $57,619 · median $31,465 | 30 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,809 – $37,884 · median $20,688 | 30 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $15,038 – $48,688 · median $26,588 | 30 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,825 – $34,590 · median $18,889 | 30 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $14,416 – $46,607 · median $25,452 | 30 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,282 – $29,429 · median $16,071 | 30 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,534 – $16,887 · median $9,222 | 30 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,494 – $30,137 · median $16,458 | 30 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,044 – $18,594 · median $10,154 | 30 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,901 – $38,191 · median $20,856 | 30 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,731 – $20,892 · median $11,409 | 30 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,636 – $27,266 · median $14,890 | 30 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,660 – $17,307 · median $9,451 | 30 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,843 – $34,652 · median $18,923 | 30 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $16,347 – $53,069 · median $28,980 | 30 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,790 – $37,820 · median $20,653 | 30 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,463 – $36,728 · median $20,057 | 30 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,104 – $22,141 · median $12,091 | 30 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,846 – $38,008 · median $20,756 | 30 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,880 – $24,737 · median $13,508 | 30 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,022 – $25,213 · median $13,769 | 30 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,595 – $17,090 · median $9,333 | 30 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,878 – $14,693 · median $8,024 | 30 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $4,954 – $46,414 · median $14,771 | 30 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $5,883 – $153,069 · median $47,560 | 30 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $3,802 – $104,535 · median $32,639 | 30 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $3,711 – $63,077 · median $19,893 | 30 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $3,711 – $107,384 · median $33,515 | 30 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,763 – $38,010 · median $12,187 | 30 plans |
| 795 | NORMAL NEWBORN | $1,070 – $5,146 · median $2,046 | 30 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $35,343 – $116,637 · median $63,694 | 30 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $22,110 – $72,353 · median $39,511 | 30 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $15,179 – $49,162 · median $26,847 | 30 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $31,150 – $102,607 · median $56,032 | 30 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $14,794 – $47,874 · median $26,144 | 30 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,924 – $34,922 · median $19,071 | 30 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $17,480 – $56,862 · median $31,052 | 30 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $10,230 – $32,602 · median $17,804 | 30 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,543 – $26,954 · median $14,719 | 30 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $11,296 – $36,166 · median $19,750 | 30 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,554 – $23,647 · median $12,914 | 30 plans |
| 813 | COAGULATION DISORDERS | $12,227 – $39,283 · median $21,452 | 30 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $16,855 – $54,771 · median $29,910 | 30 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $8,292 – $26,115 · median $14,261 | 30 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,352 – $16,277 · median $8,888 | 30 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $18,048 – $58,760 · median $32,088 | 30 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,409 – $29,854 · median $16,303 | 30 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,106 – $22,146 · median $12,094 | 30 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $45,625 – $151,042 · median $82,483 | 30 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,717 – $57,653 · median $31,484 | 30 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,754 – $31,008 · median $16,933 | 30 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $35,774 – $118,077 · median $64,481 | 30 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $17,924 – $58,348 · median $31,863 | 30 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,873 – $34,752 · median $18,978 | 30 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $36,489 – $120,472 · median $65,789 | 30 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $18,275 – $59,523 · median $32,505 | 30 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,601 – $43,880 · median $23,962 | 30 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $24,808 – $81,383 · median $44,442 | 30 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,071 – $38,760 · median $21,166 | 30 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,743 – $30,969 · median $16,912 | 30 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,041 – $18,584 · median $10,149 | 30 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,512 – $13,467 · median $7,354 | 30 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $42,740 – $141,387 · median $77,210 | 30 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $16,541 – $53,718 · median $29,335 | 30 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,873 – $31,407 · median $17,151 | 30 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $37,463 – $123,730 · median $67,568 | 30 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $16,553 – $53,759 · median $29,357 | 30 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,600 – $37,186 · median $20,307 | 30 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $25,384 – $83,312 · median $45,496 | 30 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $13,043 – $42,015 · median $22,944 | 30 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,264 – $26,022 · median $14,210 | 30 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $15,840 – $51,374 · median $28,055 | 30 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,857 – $31,353 · median $17,122 | 30 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,042 – $21,932 · median $11,977 | 30 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $20,440 – $66,767 · median $36,461 | 30 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $10,556 – $33,691 · median $18,399 | 30 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,025 – $21,875 · median $11,946 | 30 plans |
| 849 | RADIOTHERAPY | $21,341 – $69,780 · median $38,106 | 30 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $67,134 – $223,017 · median $121,787 | 30 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $38,497 – $127,189 · median $69,456 | 30 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,866 – $51,459 · median $28,101 | 30 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,011 – $38,559 · median $21,057 | 30 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $35,496 – $117,147 · median $63,973 | 30 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $16,969 – $55,152 · median $30,118 | 30 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,208 – $35,873 · median $19,590 | 30 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $14,523 – $46,968 · median $25,649 | 30 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,168 – $25,700 · median $14,034 | 30 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,320 – $22,862 · median $12,485 | 30 plans |
| 865 | VIRAL ILLNESS WITH MCC | $12,019 – $38,587 · median $21,072 | 30 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,180 – $22,396 · median $12,230 | 30 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $16,598 – $53,908 · median $29,439 | 30 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,423 – $26,555 · median $14,501 | 30 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,104 – $18,793 · median $10,263 | 30 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $53,683 – $178,007 · median $97,208 | 30 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $15,438 – $50,027 · median $27,319 | 30 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,363 – $26,354 · median $14,392 | 30 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $32,786 – $108,079 · median $59,021 | 30 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $15,222 – $49,306 · median $26,926 | 30 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,489 – $30,122 · median $16,449 | 30 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $28,757 – $94,597 · median $51,658 | 30 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,904 – $38,203 · median $20,863 | 30 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $15,606 – $50,589 · median $27,626 | 30 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $30,036 – $98,877 · median $53,996 | 30 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $15,843 – $51,384 · median $28,061 | 30 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,591 – $33,807 · median $18,462 | 30 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $13,068 – $42,097 · median $22,989 | 30 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,303 – $22,805 · median $12,454 | 30 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $13,430 – $43,308 · median $23,650 | 30 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,616 – $17,160 · median $9,371 | 30 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $12,559 – $40,393 · median $22,058 | 30 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,084 – $22,074 · median $12,054 | 30 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $14,578 – $47,150 · median $25,748 | 30 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $8,202 – $25,813 · median $14,096 | 30 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,786 – $17,729 · median $9,682 | 30 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,952 – $45,054 · median $24,604 | 30 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $8,320 – $26,210 · median $14,313 | 30 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $164,807 – $549,861 · median $300,273 | 30 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $55,691 – $184,726 · median $100,877 | 30 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $25,276 – $82,948 · median $45,297 | 30 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $30,459 – $100,291 · median $54,768 | 30 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $17,501 – $56,932 · median $31,090 | 30 plans |
| 935 | NON-EXTENSIVE BURNS | $16,342 – $53,053 · median $28,972 | 30 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $28,414 – $93,448 · median $51,031 | 30 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $18,473 – $60,185 · median $32,866 | 30 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $16,093 – $52,221 · median $28,518 | 30 plans |
| 945 | REHABILITATION WITH CC/MCC | $1,833 – $35,963 · median $12,406 | 30 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $1,833 – $26,632 · median $9,314 | 30 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $10,257 – $32,692 · median $17,853 | 30 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,649 – $20,616 · median $11,258 | 30 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,644 – $30,640 · median $16,732 | 30 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,319 – $16,166 · median $8,828 | 30 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,767 – $14,319 · median $7,820 | 30 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $52,292 – $173,353 · median $94,666 | 30 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $29,449 – $96,912 · median $52,923 | 30 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $59,133 – $196,243 · median $107,166 | 30 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $32,919 – $108,525 · median $59,264 | 30 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $23,146 – $75,822 · median $41,406 | 30 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $21,528 – $70,406 · median $38,448 | 30 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,283 – $39,471 · median $21,554 | 30 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,726 – $24,222 · median $13,227 | 30 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $47,599 – $157,648 · median $86,090 | 30 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $20,786 – $67,924 · median $37,092 | 30 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $22,699 – $74,326 · median $40,589 | 30 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,454 – $33,351 · median $18,213 | 30 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,435 – $23,248 · median $12,696 | 30 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,475 – $33,421 · median $18,251 | 30 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $36,597 – $120,833 · median $65,985 | 30 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $19,409 – $63,316 · median $34,576 | 30 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,679 – $44,142 · median $24,106 | 30 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $26,874 – $88,295 · median $48,217 | 30 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,137 – $42,329 · median $23,116 | 30 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,717 – $30,884 · median $16,866 | 30 plans |
| 226 | Inpatient Carve Out Services | $191,621 – $197,548 · median $194,584 | 2 plans |
| 222 | Cardiac Surgery | $4,307 – $4,307 · median $4,307 | 1 plans |
| 224 | Cardiac Surgery | $4,307 – $4,307 · median $4,307 | 1 plans |
| 237 | Cardiac Surgery | $4,307 – $4,307 · median $4,307 | 1 plans |
| 238 | Cardiac Surgery | $4,307 – $4,307 · median $4,307 | 1 plans |
| 246 | Cardiac Surgery | $4,307 – $4,307 · median $4,307 | 1 plans |
| 247 | Cardiac Surgery | $4,307 – $4,307 · median $4,307 | 1 plans |
| 248 | Cardiac Surgery | $4,307 – $4,307 · median $4,307 | 1 plans |
| 249 | Cardiac Surgery | $4,307 – $4,307 · median $4,307 | 1 plans |
| 453 | Inpatient Carve Out Services | $306,916 – $306,916 · median $306,916 | 1 plans |
| 454 | Inpatient Carve Out Services | $216,679 – $216,679 · median $216,679 | 1 plans |
| 455 | Inpatient Carve Out Services | $166,296 – $166,296 · median $166,296 | 1 plans |
| 459 | Inpatient Carve Out Services | $185,416 – $185,416 · median $185,416 | 1 plans |
| 460 | Inpatient Carve Out Services | $112,507 – $112,507 · median $112,507 | 1 plans |
| 777 | General Medical/Surgical - MS-DRG codes | $2,154 – $2,154 · median $2,154 | 1 plans |
| 778 | General Medical/Surgical - MS-DRG codes | $2,154 – $2,154 · median $2,154 | 1 plans |
| 780 | General Medical/Surgical - MS-DRG codes | $2,154 – $2,154 · median $2,154 | 1 plans |
| 781 | General Medical/Surgical - MS-DRG codes | $2,154 – $2,154 · median $2,154 | 1 plans |
| 782 | General Medical/Surgical - MS-DRG codes | $2,154 – $2,154 · median $2,154 | 1 plans |
No procedures match that keyword.