UCHealth Highlands Ranch Hospital — Pricing
773 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 773 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Procedures published 773
Lowest published price —
Average published price —
Highest published price —
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 773 procedures
Procedures with negotiated rates only
These 773 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $341,731 – $540,469 · median $341,731 | 11 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $138,183 – $218,545 · median $138,183 | 11 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $258,826 – $409,349 · median $258,826 | 11 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $168,908 – $267,138 · median $168,908 | 11 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $125,729 – $198,848 · median $125,729 | 11 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $56,545 – $89,429 · median $56,545 | 11 plans |
| 007 | LUNG TRANSPLANT | $157,918 – $249,758 · median $157,918 | 11 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $68,344 – $108,090 · median $68,344 | 11 plans |
| 010 | PANCREAS TRANSPLANT | $87,502 – $138,391 · median $87,502 | 11 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $66,509 – $105,188 · median $66,509 | 11 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $51,411 – $81,310 · median $51,411 | 11 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $35,141 – $55,578 · median $35,141 | 11 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $146,549 – $231,777 · median $146,549 | 11 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $72,308 – $114,360 · median $72,308 | 11 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $66,243 – $104,767 · median $66,243 | 11 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $526,582 – $832,823 · median $526,582 | 11 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $87,001 – $137,598 · median $87,001 | 11 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $95,954 – $151,758 · median $95,954 | 11 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $64,554 – $102,096 · median $64,554 | 11 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $38,746 – $61,279 · median $38,746 | 11 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $69,877 – $110,515 · median $69,877 | 11 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $47,703 – $75,445 · median $47,703 | 11 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $55,444 – $87,688 · median $55,444 | 11 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $37,914 – $59,964 · median $37,914 | 11 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $30,765 – $48,657 · median $30,765 | 11 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $73,267 – $115,876 · median $73,267 | 11 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $41,602 – $65,796 · median $41,602 | 11 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $26,769 – $42,337 · median $26,769 | 11 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $54,636 – $86,411 · median $54,636 | 11 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $25,986 – $41,098 · median $25,986 | 11 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $20,278 – $32,071 · median $20,278 | 11 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $47,200 – $74,650 · median $47,200 | 11 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $29,150 – $46,103 · median $29,150 | 11 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $23,691 – $37,469 · median $23,691 | 11 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $40,145 – $63,491 · median $40,145 | 11 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $19,786 – $31,293 · median $19,786 | 11 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $14,334 – $22,671 · median $14,334 | 11 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $47,084 – $74,467 · median $47,084 | 11 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $26,812 – $42,404 · median $26,812 | 11 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $21,068 – $33,320 · median $21,068 | 11 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $22,087 – $34,933 · median $22,087 | 11 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $11,941 – $18,885 · median $11,941 | 11 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $18,619 – $29,448 · median $18,619 | 11 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $12,433 – $19,664 · median $12,433 | 11 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $28,328 – $44,803 · median $28,328 | 11 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $15,799 – $24,987 · median $15,799 | 11 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $20,846 – $32,969 · median $20,846 | 11 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $15,132 – $23,932 · median $15,132 | 11 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $11,216 – $17,739 · median $11,216 | 11 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $33,621 – $53,173 · median $33,621 | 11 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $21,428 – $33,889 · median $21,428 | 11 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $17,118 – $27,074 · median $17,118 | 11 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $24,523 – $38,784 · median $24,523 | 11 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $12,320 – $19,485 · median $12,320 | 11 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $8,346 – $13,199 · median $8,346 | 11 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $17,910 – $28,325 · median $17,910 | 11 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $10,541 – $16,671 · median $10,541 | 11 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $9,741 – $15,406 · median $9,741 | 11 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $20,301 – $32,107 · median $20,301 | 11 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $12,511 – $19,787 · median $12,511 | 11 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $9,221 – $14,584 · median $9,221 | 11 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $19,563 – $30,941 · median $19,563 | 11 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $12,570 – $19,880 · median $12,570 | 11 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $23,383 – $36,981 · median $23,383 | 11 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $10,063 – $15,915 · median $10,063 | 11 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $22,072 – $34,908 · median $22,072 | 11 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $10,921 – $17,273 · median $10,921 | 11 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $27,871 – $44,080 · median $27,871 | 11 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $17,021 – $26,919 · median $17,021 | 11 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $11,655 – $18,434 · median $11,655 | 11 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $27,704 – $43,816 · median $27,704 | 11 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $15,885 – $25,124 · median $15,885 | 11 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $11,154 – $17,641 · median $11,154 | 11 plans |
| 088 | CONCUSSION WITH MCC | $16,484 – $26,071 · median $16,484 | 11 plans |
| 089 | CONCUSSION WITH CC | $13,397 – $21,188 · median $13,397 | 11 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $10,038 – $15,876 · median $10,038 | 11 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $21,416 – $33,870 · median $21,416 | 11 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $12,475 – $19,730 · median $12,475 | 11 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $9,710 – $15,357 · median $9,710 | 11 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $42,916 – $67,875 · median $42,916 | 11 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $31,451 – $49,742 · median $31,451 | 11 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $31,451 – $49,742 · median $31,451 | 11 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $44,043 – $69,657 · median $44,043 | 11 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $27,985 – $44,259 · median $27,985 | 11 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $16,613 – $26,275 · median $16,613 | 11 plans |
| 100 | SEIZURES WITH MCC | $23,618 – $37,353 · median $23,618 | 11 plans |
| 101 | SEIZURES WITHOUT MCC | $11,007 – $17,408 · median $11,007 | 11 plans |
| 102 | HEADACHES WITH MCC | $13,669 – $21,618 · median $13,669 | 11 plans |
| 103 | HEADACHES WITHOUT MCC | $10,198 – $16,129 · median $10,198 | 11 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $28,670 – $45,343 · median $28,670 | 11 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $16,499 – $26,094 · median $16,499 | 11 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $18,717 – $29,602 · median $18,717 | 11 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $22,048 – $34,871 · median $22,048 | 11 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $13,230 – $20,923 · median $13,230 | 11 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $14,186 – $22,435 · median $14,186 | 11 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $9,582 – $15,155 · median $9,582 | 11 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $9,738 – $15,402 · median $9,738 | 11 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $16,134 – $25,517 · median $16,134 | 11 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $9,363 – $14,808 · median $9,363 | 11 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $26,462 – $41,851 · median $26,462 | 11 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $12,381 – $19,581 · median $12,381 | 11 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $18,208 – $28,798 · median $18,208 | 11 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $10,807 – $17,091 · median $10,807 | 11 plans |
| 139 | SALIVARY GLAND PROCEDURES | $15,068 – $23,832 · median $15,068 | 11 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $52,012 – $82,261 · median $52,012 | 11 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $26,597 – $42,065 · median $26,597 | 11 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $19,467 – $30,788 · median $19,467 | 11 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $45,687 – $72,257 · median $45,687 | 11 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $21,131 – $33,421 · median $21,131 | 11 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $14,661 – $23,188 · median $14,661 | 11 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $25,820 – $40,836 · median $25,820 | 11 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $15,505 – $24,522 · median $15,505 | 11 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $9,720 – $15,373 · median $9,720 | 11 plans |
| 149 | DYSEQUILIBRIUM | $9,165 – $14,495 · median $9,165 | 11 plans |
| 150 | EPISTAXIS WITH MCC | $16,237 – $25,679 · median $16,237 | 11 plans |
| 151 | EPISTAXIS WITHOUT MCC | $8,951 – $14,156 · median $8,951 | 11 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $14,416 – $22,800 · median $14,416 | 11 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $9,002 – $14,237 · median $9,002 | 11 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $19,066 – $30,154 · median $19,066 | 11 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $11,176 – $17,676 · median $11,176 | 11 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $8,427 – $13,329 · median $8,427 | 11 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $20,935 – $33,110 · median $20,935 | 11 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $11,094 – $17,546 · median $11,094 | 11 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $8,640 – $13,664 · median $8,640 | 11 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $54,652 – $86,436 · median $54,652 | 11 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $30,778 – $48,678 · median $30,778 | 11 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $23,342 – $36,917 · median $23,342 | 11 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $45,579 – $72,085 · median $45,579 | 11 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $21,991 – $34,780 · median $21,991 | 11 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $16,662 – $26,352 · median $16,662 | 11 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $36,295 – $57,403 · median $36,295 | 11 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $16,750 – $26,491 · median $16,750 | 11 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $9,816 – $15,525 · median $9,816 | 11 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $19,056 – $30,138 · median $19,056 | 11 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $11,902 – $18,823 · median $11,902 | 11 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $9,207 – $14,561 · median $9,207 | 11 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $21,535 – $34,059 · median $21,535 | 11 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $13,060 – $20,655 · median $13,060 | 11 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $9,192 – $14,538 · median $9,192 | 11 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $18,656 – $29,506 · median $18,656 | 11 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $12,976 – $20,522 · median $12,976 | 11 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $9,591 – $15,168 · median $9,591 | 11 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $19,005 – $30,057 · median $19,005 | 11 plans |
| 187 | PLEURAL EFFUSION WITH CC | $12,061 – $19,076 · median $12,061 | 11 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $8,746 – $13,832 · median $8,746 | 11 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $15,065 – $23,826 · median $15,065 | 11 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $13,508 – $21,363 · median $13,508 | 11 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $10,280 – $16,258 · median $10,280 | 11 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $7,829 – $12,382 · median $7,829 | 11 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $16,028 – $25,350 · median $16,028 | 11 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $9,827 – $15,543 · median $9,827 | 11 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $7,664 – $12,121 · median $7,664 | 11 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $23,013 – $36,397 · median $23,013 | 11 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $11,574 – $18,304 · median $11,574 | 11 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $8,734 – $13,813 · median $8,734 | 11 plans |
| 199 | PNEUMOTHORAX WITH MCC | $21,512 – $34,022 · median $21,512 | 11 plans |
| 200 | PNEUMOTHORAX WITH CC | $13,405 – $21,201 · median $13,405 | 11 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $8,720 – $13,791 · median $8,720 | 11 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $11,843 – $18,731 · median $11,843 | 11 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $8,170 – $12,922 · median $8,170 | 11 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $9,846 – $15,572 · median $9,846 | 11 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $22,328 – $35,313 · median $22,328 | 11 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $11,476 – $18,150 · median $11,476 | 11 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $78,466 – $124,100 · median $78,466 | 11 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $33,518 – $53,011 · median $33,518 | 11 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $138,024 – $218,294 · median $138,024 | 11 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $132,602 – $209,718 · median $132,602 | 11 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $69,591 – $110,063 · median $69,591 | 11 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $121,418 – $192,031 · median $121,418 | 11 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $119,294 – $188,671 · median $119,294 | 11 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $80,181 – $126,811 · median $80,181 | 11 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $80,181 – $126,811 · median $80,181 | 11 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $93,631 – $148,084 · median $93,631 | 11 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $65,030 – $102,848 · median $65,030 | 11 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $61,462 – $97,205 · median $61,462 | 11 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $60,330 – $95,416 · median $60,330 | 11 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $38,406 – $60,741 · median $38,406 | 11 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $102,796 – $162,579 · median $102,796 | 11 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $73,929 – $116,923 · median $73,929 | 11 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $93,228 – $147,445 · median $93,228 | 11 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $66,614 – $105,354 · median $66,614 | 11 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $71,563 – $113,182 · median $71,563 | 11 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $51,079 – $80,785 · median $51,079 | 11 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $60,017 – $94,920 · median $60,017 | 11 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $34,760 – $54,975 · median $34,760 | 11 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $16,882 – $26,700 · median $16,882 | 11 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $38,934 – $61,576 · median $38,934 | 11 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $25,985 – $41,097 · median $25,985 | 11 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $22,041 – $34,859 · median $22,041 | 11 plans |
| 245 | AICD GENERATOR PROCEDURES | $55,635 – $87,990 · median $55,635 | 11 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $26,614 – $42,092 · median $26,614 | 11 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $18,224 – $28,823 · median $18,224 | 11 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $42,537 – $67,275 · median $42,537 | 11 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $31,651 – $50,059 · median $31,651 | 11 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $21,727 – $34,362 · median $21,727 | 11 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $32,893 – $52,022 · median $32,893 | 11 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $20,705 – $32,746 · median $20,705 | 11 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $13,319 – $21,064 · median $13,319 | 11 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $38,316 – $60,599 · median $38,316 | 11 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $24,658 – $38,998 · median $24,658 | 11 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $39,666 – $62,734 · median $39,666 | 11 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $23,053 – $36,460 · median $23,053 | 11 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $19,875 – $31,434 · median $19,875 | 11 plans |
| 263 | VEIN LIGATION AND STRIPPING | $37,283 – $58,965 · median $37,283 | 11 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $40,736 – $64,427 · median $40,736 | 11 plans |
| 265 | AICD LEAD PROCEDURES | $44,121 – $69,781 · median $44,121 | 11 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $74,731 – $118,192 · median $74,731 | 11 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $58,054 – $91,817 · median $58,054 | 11 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $83,871 – $132,647 · median $83,871 | 11 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $51,499 – $81,449 · median $51,499 | 11 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $64,341 – $101,759 · median $64,341 | 11 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $43,366 – $68,587 · median $43,366 | 11 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $31,132 – $49,237 · median $31,132 | 11 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $50,307 – $79,564 · median $50,307 | 11 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $40,140 – $63,484 · median $40,140 | 11 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $86,950 – $137,517 · median $86,950 | 11 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $73,246 – $115,843 · median $73,246 | 11 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $56,319 – $89,072 · median $56,319 | 11 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $67,876 – $107,350 · median $67,876 | 11 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $43,977 – $69,553 · median $43,977 | 11 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $19,561 – $30,937 · median $19,561 | 11 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $11,208 – $17,726 · median $11,208 | 11 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $8,818 – $13,946 · median $8,818 | 11 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $24,154 – $38,202 · median $24,154 | 11 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $8,441 – $13,350 · median $8,441 | 11 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $7,303 – $11,550 · median $7,303 | 11 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $26,983 – $42,676 · median $26,983 | 11 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $13,049 – $20,638 · median $13,049 | 11 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $33,000 – $52,192 · median $33,000 | 11 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $20,814 – $32,919 · median $20,814 | 11 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $11,337 – $17,930 · median $11,337 | 11 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $15,655 – $24,759 · median $15,655 | 11 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $10,353 – $16,374 · median $10,353 | 11 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $6,902 – $10,916 · median $6,902 | 11 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $19,046 – $30,123 · median $19,046 | 11 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $7,731 – $12,227 · median $7,731 | 11 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $5,950 – $8,777 · median $5,950 | 11 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $19,910 – $31,488 · median $19,910 | 11 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $13,017 – $20,588 · median $13,017 | 11 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $8,776 – $13,880 · median $8,776 | 11 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $14,592 – $23,078 · median $14,592 | 11 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $8,209 – $12,983 · median $8,209 | 11 plans |
| 304 | HYPERTENSION WITH MCC | $14,511 – $22,950 · median $14,511 | 11 plans |
| 305 | HYPERTENSION WITHOUT MCC | $9,208 – $14,563 · median $9,208 | 11 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $19,216 – $30,391 · median $19,216 | 11 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $11,136 – $17,612 · median $11,136 | 11 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $14,682 – $23,220 · median $14,682 | 11 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $8,971 – $14,189 · median $8,971 | 11 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $6,903 – $10,918 · median $6,903 | 11 plans |
| 311 | ANGINA PECTORIS | $8,559 – $13,537 · median $8,559 | 11 plans |
| 312 | SYNCOPE AND COLLAPSE | $10,629 – $16,810 · median $10,629 | 11 plans |
| 313 | CHEST PAIN | $8,780 – $13,886 · median $8,780 | 11 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $25,427 – $40,215 · median $25,427 | 11 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $11,747 – $18,578 · median $11,747 | 11 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,318 – $13,155 · median $8,318 | 11 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $81,537 – $128,956 · median $81,537 | 11 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $29,537 – $46,715 · median $29,537 | 11 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $54,422 – $86,071 · median $54,422 | 11 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $29,331 – $46,389 · median $29,331 | 11 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $33,178 – $52,473 · median $33,178 | 11 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $21,498 – $34,001 · median $21,498 | 11 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $52,769 – $83,458 · median $52,769 | 11 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $38,424 – $60,770 · median $38,424 | 11 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $39,148 – $61,916 · median $39,148 | 11 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $60,818 – $96,187 · median $60,818 | 11 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $29,805 – $47,139 · median $29,805 | 11 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $19,539 – $30,902 · median $19,539 | 11 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $56,051 – $88,648 · median $56,051 | 11 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $29,232 – $46,232 · median $29,232 | 11 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $20,522 – $32,456 · median $20,522 | 11 plans |
| 332 | RECTAL RESECTION WITH MCC | $44,152 – $69,829 · median $44,152 | 11 plans |
| 333 | RECTAL RESECTION WITH CC | $28,561 – $45,172 · median $28,561 | 11 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $19,973 – $31,589 · median $19,973 | 11 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $43,544 – $68,868 · median $43,544 | 11 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $25,714 – $40,668 · median $25,714 | 11 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $18,718 – $29,604 · median $18,718 | 11 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $31,495 – $49,812 · median $31,495 | 11 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,349 – $29,020 · median $18,349 | 11 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $14,465 – $22,877 · median $14,465 | 11 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $27,993 – $44,273 · median $27,993 | 11 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $15,960 – $25,242 · median $15,960 | 11 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $10,616 – $16,790 · median $10,616 | 11 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $30,387 – $48,059 · median $30,387 | 11 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $18,590 – $29,402 · median $18,590 | 11 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $14,240 – $22,522 · median $14,240 | 11 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $35,388 – $55,968 · median $35,388 | 11 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $20,516 – $32,447 · median $20,516 | 11 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $16,401 – $25,940 · median $16,401 | 11 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $53,567 – $84,720 · median $53,567 | 11 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $28,358 – $44,850 · median $28,358 | 11 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $17,046 – $26,960 · median $17,046 | 11 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $41,931 – $66,317 · median $41,931 | 11 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $29,441 – $46,562 · median $29,441 | 11 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $19,412 – $30,701 · median $19,412 | 11 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $12,197 – $19,290 · median $12,197 | 11 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $8,546 – $13,516 · median $8,546 | 11 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $21,622 – $34,196 · median $21,622 | 11 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $12,450 – $19,691 · median $12,450 | 11 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $8,870 – $14,029 · median $8,870 | 11 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $26,080 – $41,247 · median $26,080 | 11 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $14,750 – $23,328 · median $14,750 | 11 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $11,271 – $17,826 · median $11,271 | 11 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $22,291 – $35,255 · median $22,291 | 11 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $11,959 – $18,914 · median $11,959 | 11 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $7,687 – $12,158 · median $7,687 | 11 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $23,928 – $37,843 · median $23,928 | 11 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $13,212 – $20,896 · median $13,212 | 11 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $9,763 – $15,440 · median $9,763 | 11 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $16,837 – $26,628 · median $16,837 | 11 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $10,424 – $16,486 · median $10,424 | 11 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $19,295 – $30,516 · median $19,295 | 11 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $11,905 – $18,829 · median $11,905 | 11 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $8,308 – $13,140 · median $8,308 | 11 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $18,008 – $28,482 · median $18,008 | 11 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $9,631 – $15,232 · median $9,631 | 11 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $6,638 – $10,492 · median $6,638 | 11 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $15,466 – $24,460 · median $15,466 | 11 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $9,507 – $15,035 · median $9,507 | 11 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $19,502 – $30,844 · median $19,502 | 11 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $11,410 – $18,046 · median $11,410 | 11 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,914 – $12,517 · median $7,914 | 11 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $29,204 – $46,188 · median $29,204 | 11 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $18,457 – $29,191 · median $18,457 | 11 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $13,959 – $22,077 · median $13,959 | 11 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $49,027 – $77,539 · median $49,027 | 11 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $66,709 – $105,504 · median $66,709 | 11 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $35,366 – $55,933 · median $35,366 | 11 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $27,066 – $42,807 · median $27,066 | 11 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $43,480 – $68,766 · median $43,480 | 11 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $26,551 – $41,991 · median $26,551 | 11 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $19,361 – $30,620 · median $19,361 | 11 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $40,281 – $63,707 · median $40,281 | 11 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $25,638 – $40,549 · median $25,638 | 11 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $20,249 – $32,024 · median $20,249 | 11 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $43,443 – $68,708 · median $43,443 | 11 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $25,202 – $39,858 · median $25,202 | 11 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $16,624 – $26,293 · median $16,624 | 11 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $29,100 – $46,024 · median $29,100 | 11 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $20,628 – $32,624 · median $20,628 | 11 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $16,655 – $26,341 · median $16,655 | 11 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $41,547 – $65,709 · median $41,547 | 11 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $21,188 – $33,509 · median $21,188 | 11 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $17,066 – $26,991 · median $17,066 | 11 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $50,643 – $80,095 · median $50,643 | 11 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $26,680 – $42,196 · median $26,680 | 11 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $18,295 – $28,935 · median $18,295 | 11 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $134,395 – $212,555 · median $134,395 | 11 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $88,026 – $139,218 · median $88,026 | 11 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $68,556 – $108,426 · median $68,556 | 11 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $109,865 – $173,759 · median $109,865 | 11 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $70,326 – $111,224 · median $70,326 | 11 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $24,001 – $37,959 · median $24,001 | 11 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $12,880 – $20,370 · median $12,880 | 11 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,688 – $13,741 · median $8,688 | 11 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $22,397 – $35,423 · median $22,397 | 11 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $13,793 – $21,814 · median $13,793 | 11 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $10,405 – $16,457 · median $10,405 | 11 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $19,879 – $31,440 · median $19,879 | 11 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $10,258 – $16,223 · median $10,258 | 11 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,578 – $11,984 · median $7,578 | 11 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $21,885 – $34,613 · median $21,885 | 11 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $11,771 – $18,617 · median $11,771 | 11 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,532 – $13,494 · median $8,532 | 11 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $20,375 – $32,225 · median $20,375 | 11 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $13,345 – $21,107 · median $13,345 | 11 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $10,088 – $15,955 · median $10,088 | 11 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $81,477 – $128,861 · median $81,477 | 11 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $51,713 – $81,788 · median $51,713 | 11 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $64,991 – $102,787 · median $64,991 | 11 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $39,392 – $62,301 · median $39,392 | 11 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $102,473 – $162,068 · median $102,473 | 11 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $72,716 – $115,004 · median $72,716 | 11 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $50,882 – $80,473 · median $50,882 | 11 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $67,349 – $106,517 · median $67,349 | 11 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $32,437 – $51,301 · median $32,437 | 11 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $69,501 – $109,921 · median $69,501 | 11 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $37,981 – $60,070 · median $37,981 | 11 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $22,239 – $35,172 · median $22,239 | 11 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $63,476 – $100,391 · median $63,476 | 11 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $43,004 – $68,014 · median $43,004 | 11 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $33,510 – $52,998 · median $33,510 | 11 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $36,988 – $58,498 · median $36,988 | 11 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $23,522 – $37,201 · median $23,522 | 11 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $58,882 – $93,126 · median $58,882 | 11 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $35,926 – $56,818 · median $35,926 | 11 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $29,770 – $47,083 · median $29,770 | 11 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $52,349 – $82,793 · median $52,349 | 11 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $27,750 – $43,889 · median $27,750 | 11 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,392 – $22,761 · median $14,392 | 11 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $42,126 – $66,625 · median $42,126 | 11 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $29,988 – $47,428 · median $29,988 | 11 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $22,668 – $35,851 · median $22,668 | 11 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $35,513 – $56,167 · median $35,513 | 11 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $25,541 – $40,395 · median $25,541 | 11 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $19,889 – $31,455 · median $19,889 | 11 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $33,801 – $53,459 · median $33,801 | 11 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $39,352 – $62,238 · median $39,352 | 11 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $25,499 – $40,329 · median $25,499 | 11 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $19,099 – $30,206 · median $19,099 | 11 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $21,570 – $34,115 · median $21,570 | 11 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,619 – $21,539 · median $13,619 | 11 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $44,772 – $70,810 · median $44,772 | 11 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $30,926 – $48,911 · median $30,926 | 11 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $24,468 – $38,697 · median $24,468 | 11 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $44,213 – $69,925 · median $44,213 | 11 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $21,997 – $34,790 · median $21,997 | 11 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $14,734 – $23,303 · median $14,734 | 11 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $36,788 – $58,182 · median $36,788 | 11 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $24,569 – $38,857 · median $24,569 | 11 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $38,592 – $61,036 · median $38,592 | 11 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $21,317 – $33,714 · median $21,317 | 11 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $16,412 – $25,957 · median $16,412 | 11 plans |
| 503 | FOOT PROCEDURES WITH MCC | $34,035 – $53,829 · median $34,035 | 11 plans |
| 504 | FOOT PROCEDURES WITH CC | $22,794 – $36,049 · median $22,794 | 11 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $21,862 – $34,576 · median $21,862 | 11 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $16,453 – $26,021 · median $16,453 | 11 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $22,028 – $34,838 · median $22,028 | 11 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $18,467 – $29,207 · median $18,467 | 11 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $36,833 – $58,253 · median $36,833 | 11 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $25,357 – $40,103 · median $25,357 | 11 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $20,186 – $31,926 · median $20,186 | 11 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $19,197 – $30,362 · median $19,197 | 11 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $12,466 – $19,716 · median $12,466 | 11 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $38,862 – $61,463 · median $38,862 | 11 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $25,341 – $40,078 · median $25,341 | 11 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $18,739 – $29,637 · median $18,739 | 11 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $45,574 – $72,078 · median $45,574 | 11 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $24,391 – $38,576 · median $24,391 | 11 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $18,217 – $28,811 · median $18,217 | 11 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $35,000 – $55,355 · median $35,000 | 11 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $25,824 – $40,842 · median $25,824 | 11 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $19,117 – $30,235 · median $19,117 | 11 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $9,830 – $15,546 · median $9,830 | 11 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $15,633 – $24,725 · median $15,633 | 11 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $9,848 – $15,575 · median $9,848 | 11 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $11,637 – $18,405 · median $11,637 | 11 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $8,784 – $13,892 · median $8,784 | 11 plans |
| 539 | OSTEOMYELITIS WITH MCC | $24,019 – $37,988 · median $24,019 | 11 plans |
| 540 | OSTEOMYELITIS WITH CC | $15,807 – $25,000 · median $15,807 | 11 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $9,602 – $15,186 · median $9,602 | 11 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $21,541 – $34,069 · median $21,541 | 11 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $12,536 – $19,826 · median $12,536 | 11 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $9,202 – $14,553 · median $9,202 | 11 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $30,263 – $47,862 · median $30,263 | 11 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $14,065 – $22,244 · median $14,065 | 11 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,197 – $16,127 · median $10,197 | 11 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $23,546 – $37,239 · median $23,546 | 11 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $14,721 – $23,282 · median $14,721 | 11 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $10,659 – $16,858 · median $10,659 | 11 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $20,439 – $32,325 · median $20,439 | 11 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $11,722 – $18,540 · median $11,722 | 11 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $15,807 – $25,000 · median $15,807 | 11 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $10,122 – $16,009 · median $10,122 | 11 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $16,118 – $25,492 · median $16,118 | 11 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $10,129 – $16,019 · median $10,129 | 11 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $18,132 – $28,676 · median $18,132 | 11 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $10,892 – $17,226 · median $10,892 | 11 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $22,741 – $35,966 · median $22,741 | 11 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $13,732 – $21,718 · median $13,732 | 11 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $9,803 – $15,504 · median $9,803 | 11 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $17,374 – $27,479 · median $17,374 | 11 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $10,920 – $17,271 · median $10,920 | 11 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $18,823 – $29,770 · median $18,823 | 11 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $11,882 – $18,792 · median $11,882 | 11 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $9,137 – $14,451 · median $9,137 | 11 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $35,865 – $56,722 · median $35,865 | 11 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $20,602 – $32,584 · median $20,602 | 11 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $13,978 – $22,108 · median $13,978 | 11 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $79,890 – $126,350 · median $79,890 | 11 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $42,331 – $66,949 · median $42,331 | 11 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $21,913 – $34,657 · median $21,913 | 11 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $59,767 – $94,525 · median $59,767 | 11 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $32,323 – $51,121 · median $32,323 | 11 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $19,589 – $30,981 · median $19,589 | 11 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $39,491 – $62,458 · median $39,491 | 11 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $21,072 – $33,326 · median $21,072 | 11 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $17,598 – $27,832 · median $17,598 | 11 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $23,493 – $37,156 · median $23,493 | 11 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $21,028 – $33,257 · median $21,028 | 11 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $26,104 – $41,286 · median $26,104 | 11 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $23,524 – $37,205 · median $23,524 | 11 plans |
| 592 | SKIN ULCERS WITH MCC | $23,600 – $37,324 · median $23,600 | 11 plans |
| 593 | SKIN ULCERS WITH CC | $14,466 – $22,879 · median $14,466 | 11 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $10,570 – $16,717 · median $10,570 | 11 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $25,860 – $40,900 · median $25,860 | 11 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $13,200 – $20,877 · median $13,200 | 11 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $20,329 – $32,152 · median $20,329 | 11 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $13,795 – $21,818 · median $13,795 | 11 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $9,382 – $14,839 · median $9,382 | 11 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $12,702 – $20,088 · median $12,702 | 11 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,378 – $11,668 · median $7,378 | 11 plans |
| 602 | CELLULITIS WITH MCC | $17,332 – $27,411 · median $17,332 | 11 plans |
| 603 | CELLULITIS WITHOUT MCC | $10,620 – $16,796 · median $10,620 | 11 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $17,951 – $28,391 · median $17,951 | 11 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $11,170 – $17,666 · median $11,170 | 11 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $18,452 – $29,184 · median $18,452 | 11 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $11,053 – $17,481 · median $11,053 | 11 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $26,727 – $42,271 · median $26,727 | 11 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $17,063 – $26,987 · median $17,063 | 11 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $42,526 – $67,258 · median $42,526 | 11 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $22,807 – $36,071 · median $22,807 | 11 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $17,295 – $27,353 · median $17,295 | 11 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $35,210 – $55,686 · median $35,210 | 11 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $19,514 – $30,863 · median $19,514 | 11 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $18,394 – $29,091 · median $18,394 | 11 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $43,402 – $68,643 · median $43,402 | 11 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $21,875 – $34,597 · median $21,875 | 11 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $15,266 – $24,144 · median $15,266 | 11 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $36,828 – $58,246 · median $36,828 | 11 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $18,284 – $28,917 · median $18,284 | 11 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $16,198 – $25,618 · median $16,198 | 11 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $45,446 – $71,875 · median $45,446 | 11 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $26,569 – $42,020 · median $26,569 | 11 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $17,798 – $28,148 · median $17,798 | 11 plans |
| 637 | DIABETES WITH MCC | $17,520 – $27,708 · median $17,520 | 11 plans |
| 638 | DIABETES WITH CC | $10,929 – $17,284 · median $10,929 | 11 plans |
| 639 | DIABETES WITHOUT CC/MCC | $7,575 – $11,980 · median $7,575 | 11 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $16,287 – $25,758 · median $16,287 | 11 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $9,490 – $15,008 · median $9,490 | 11 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $17,341 – $27,427 · median $17,341 | 11 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $20,073 – $31,747 · median $20,073 | 11 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $12,499 – $19,768 · median $12,499 | 11 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $9,369 – $14,817 · median $9,369 | 11 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $57,330 – $90,671 · median $57,330 | 11 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $45,190 – $71,470 · median $45,190 | 11 plans |
| 652 | KIDNEY TRANSPLANT | $39,381 – $62,284 · median $39,381 | 11 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $63,366 – $100,218 · median $63,366 | 11 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $34,135 – $53,987 · median $34,135 | 11 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $25,810 – $40,821 · median $25,810 | 11 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $38,824 – $61,403 · median $38,824 | 11 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $22,316 – $35,293 · median $22,316 | 11 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $18,923 – $29,928 · median $18,923 | 11 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $30,984 – $49,004 · median $30,984 | 11 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $16,117 – $25,490 · median $16,117 | 11 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $12,626 – $19,969 · median $12,626 | 11 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $37,333 – $59,044 · median $37,333 | 11 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $18,538 – $29,319 · median $18,538 | 11 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $12,766 – $20,191 · median $12,766 | 11 plans |
| 665 | PROSTATECTOMY WITH MCC | $38,061 – $60,195 · median $38,061 | 11 plans |
| 666 | PROSTATECTOMY WITH CC | $21,331 – $33,737 · median $21,331 | 11 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $13,489 – $21,334 · median $13,489 | 11 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $35,607 – $56,315 · median $35,607 | 11 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $18,926 – $29,932 · median $18,926 | 11 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $11,917 – $18,848 · median $11,917 | 11 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $21,889 – $34,618 · median $21,889 | 11 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $13,164 – $20,819 · median $13,164 | 11 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $51,235 – $81,032 · median $51,235 | 11 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $28,518 – $45,102 · median $28,518 | 11 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $20,016 – $31,656 · median $20,016 | 11 plans |
| 682 | RENAL FAILURE WITH MCC | $18,060 – $28,563 · median $18,060 | 11 plans |
| 683 | RENAL FAILURE WITH CC | $10,680 – $16,891 · median $10,680 | 11 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $7,320 – $11,577 · median $7,320 | 11 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $21,995 – $34,786 · median $21,995 | 11 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $12,777 – $20,208 · median $12,777 | 11 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $9,637 – $15,242 · median $9,637 | 11 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $14,149 – $22,378 · median $14,149 | 11 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $9,871 – $15,612 · median $9,871 | 11 plans |
| 693 | URINARY STONES WITH MCC | $16,395 – $25,930 · median $16,395 | 11 plans |
| 694 | URINARY STONES WITHOUT MCC | $9,532 – $15,076 · median $9,532 | 11 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $13,948 – $22,059 · median $13,948 | 11 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $8,402 – $13,288 · median $8,402 | 11 plans |
| 697 | URETHRAL STRICTURE | $13,143 – $20,786 · median $13,143 | 11 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $20,174 – $31,907 · median $20,174 | 11 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $12,377 – $19,575 · median $12,377 | 11 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $8,413 – $13,305 · median $8,413 | 11 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $24,392 – $38,578 · median $24,392 | 11 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $18,708 – $29,589 · median $18,708 | 11 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $28,377 – $44,880 · median $28,377 | 11 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $17,087 – $27,024 · median $17,087 | 11 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $25,410 – $40,188 · median $25,410 | 11 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $13,410 – $21,209 · median $13,410 | 11 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $18,333 – $28,995 · median $18,333 | 11 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $12,894 – $20,393 · median $12,894 | 11 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $27,282 – $43,149 · median $27,282 | 11 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $17,938 – $28,370 · median $17,938 | 11 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $23,053 – $36,460 · median $23,053 | 11 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $16,378 – $25,903 · median $16,378 | 11 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $22,068 – $34,902 · median $22,068 | 11 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $13,934 – $22,038 · median $13,934 | 11 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,996 – $12,646 · median $7,996 | 11 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $14,270 – $22,568 · median $14,270 | 11 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $8,804 – $13,924 · median $8,804 | 11 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $18,083 – $28,599 · median $18,083 | 11 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $9,892 – $15,645 · median $9,892 | 11 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $12,910 – $20,418 · median $12,910 | 11 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,195 – $12,960 · median $8,195 | 11 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $25,974 – $41,079 · median $25,974 | 11 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $16,407 – $25,949 · median $16,407 | 11 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $43,588 – $68,938 · median $43,588 | 11 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $25,128 – $39,741 · median $25,128 | 11 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $17,907 – $28,321 · median $17,907 | 11 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $43,690 – $69,098 · median $43,690 | 11 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $22,067 – $34,900 · median $22,067 | 11 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $17,390 – $27,504 · median $17,390 | 11 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $22,374 – $35,386 · median $22,374 | 11 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $15,129 – $23,928 · median $15,129 | 11 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $24,987 – $39,519 · median $24,987 | 11 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $13,871 – $21,938 · median $13,871 | 11 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $21,183 – $33,502 · median $21,183 | 11 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $10,483 – $16,580 · median $10,483 | 11 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $16,917 – $26,755 · median $16,917 | 11 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $31,310 – $49,519 · median $31,310 | 11 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $17,996 – $28,462 · median $17,996 | 11 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $22,458 – $35,519 · median $22,458 | 11 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $13,265 – $20,979 · median $13,265 | 11 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $11,713 – $18,524 · median $11,713 | 11 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $17,461 – $27,616 · median $17,461 | 11 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $11,938 – $18,881 · median $11,938 | 11 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,092 – $12,798 · median $8,092 | 11 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $12,286 – $19,431 · median $12,286 | 11 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $6,957 – $11,003 · median $6,957 | 11 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $6,998 – $13,067 · median $13,067 | 11 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $20,606 – $32,589 · median $20,606 | 11 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $12,227 – $19,338 · median $12,227 | 11 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $7,984 – $12,627 · median $7,984 | 11 plans |
| 779 | ABORTION WITHOUT D&C | $10,259 – $16,225 · median $10,259 | 11 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $10,627 – $29,938 · median $29,938 | 11 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $10,627 – $12,927 · median $12,927 | 11 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $10,627 – $11,808 · median $11,680 | 11 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $10,627 – $20,114 · median $20,114 | 11 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $10,627 – $13,619 · median $13,619 | 11 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $10,627 – $11,808 · median $11,692 | 11 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $21,977 – $34,757 · median $21,977 | 11 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $72,477 – $114,626 · median $72,477 | 11 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $49,497 – $78,282 · median $49,497 | 11 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $29,866 – $47,235 · median $29,866 | 11 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $50,845 – $80,415 · median $50,845 | 11 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $17,998 – $28,464 · median $17,998 | 11 plans |
| 795 | NORMAL NEWBORN | $1,426 – $3,972 · median $3,972 | 11 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $6,998 – $14,231 · median $14,231 | 11 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,998 – $12,199 · median $12,199 | 11 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,998 – $11,671 · median $11,671 | 11 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $55,227 – $87,344 · median $55,227 | 11 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $34,259 – $54,182 · median $34,259 | 11 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $23,278 – $36,815 · median $23,278 | 11 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $48,583 – $76,837 · median $48,583 | 11 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $22,668 – $35,851 · median $22,668 | 11 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $16,535 – $26,152 · median $16,535 | 11 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $6,998 – $13,160 · median $13,160 | 11 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $6,998 – $9,194 · median $9,194 | 11 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $6,998 – $8,221 · median $8,221 | 11 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $26,924 – $42,582 · median $26,924 | 11 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $15,437 – $24,414 · median $15,437 | 11 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $12,763 – $20,185 · median $12,763 | 11 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $17,124 – $27,083 · median $17,124 | 11 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $11,197 – $17,708 · median $11,197 | 11 plans |
| 813 | COAGULATION DISORDERS | $18,600 – $29,417 · median $18,600 | 11 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $25,934 – $41,016 · median $25,934 | 11 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $12,365 – $19,556 · median $12,365 | 11 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $7,707 – $12,189 · median $7,707 | 11 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $27,822 – $44,003 · median $27,822 | 11 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $14,136 – $22,356 · median $14,136 | 11 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,486 – $16,584 · median $10,486 | 11 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $71,517 – $113,109 · median $71,517 | 11 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $27,298 – $43,174 · median $27,298 | 11 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $14,682 – $23,220 · median $14,682 | 11 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $55,908 – $88,422 · median $55,908 | 11 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $27,627 – $43,694 · median $27,627 | 11 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $16,455 – $26,025 · median $16,455 | 11 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $57,042 – $90,216 · median $57,042 | 11 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $28,183 – $44,574 · median $28,183 | 11 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $20,777 – $32,859 · median $20,777 | 11 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $38,534 – $60,944 · median $38,534 | 11 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $18,352 – $29,025 · median $18,352 | 11 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $14,664 – $23,191 · median $14,664 | 11 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $8,799 – $13,917 · median $8,799 | 11 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $6,475 – $10,085 · median $6,475 | 11 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $66,945 – $105,878 · median $66,945 | 11 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $25,435 – $40,227 · median $25,435 | 11 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $14,871 – $23,519 · median $14,871 | 11 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $58,585 – $92,656 · median $58,585 | 11 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $25,454 – $40,258 · median $25,454 | 11 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $17,607 – $27,847 · median $17,607 | 11 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $39,447 – $62,388 · median $39,447 | 11 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $19,894 – $31,463 · median $19,894 | 11 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $12,321 – $19,487 · median $12,321 | 11 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $24,325 – $38,472 · median $24,325 | 11 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $14,845 – $23,479 · median $14,845 | 11 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $10,385 – $16,424 · median $10,385 | 11 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $31,614 – $49,999 · median $31,614 | 11 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $15,953 – $25,230 · median $15,953 | 11 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,358 – $16,382 · median $10,358 | 11 plans |
| 849 | RADIOTHERAPY | $33,040 – $52,255 · median $33,040 | 11 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $105,596 – $167,007 · median $105,596 | 11 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $60,223 – $95,246 · median $60,223 | 11 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $24,365 – $38,535 · median $24,365 | 11 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $18,257 – $28,875 · median $18,257 | 11 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $55,468 – $87,726 · median $55,468 | 11 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $26,114 – $41,301 · median $26,114 | 11 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $16,985 – $26,863 · median $16,985 | 11 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $22,239 – $35,172 · median $22,239 | 11 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $12,169 – $19,246 · median $12,169 | 11 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $10,825 – $17,120 · median $10,825 | 11 plans |
| 865 | VIRAL ILLNESS WITH MCC | $18,271 – $28,896 · median $18,271 | 11 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $10,604 – $16,771 · median $10,604 | 11 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $25,525 – $40,369 · median $25,525 | 11 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $12,574 – $19,886 · median $12,574 | 11 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $8,898 – $14,073 · median $8,898 | 11 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $84,284 – $133,301 · median $84,284 | 11 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $23,687 – $37,463 · median $23,687 | 11 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $12,478 – $19,735 · median $12,478 | 11 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $1,685 – $47,130 · median $47,130 | 11 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,685 – $11,709 · median $11,709 | 11 plans |
| 881 | DEPRESSIVE NEUROSES | $1,685 – $11,474 · median $11,474 | 11 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,685 – $13,094 · median $13,094 | 11 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,685 – $23,978 · median $23,978 | 11 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,685 – $19,619 · median $19,619 | 11 plans |
| 885 | PSYCHOSES | $1,685 – $17,033 · median $17,033 | 11 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,685 – $25,307 · median $25,307 | 11 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,685 – $13,059 · median $13,059 | 11 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $1,685 – $7,523 · median $7,523 | 11 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $1,685 – $17,262 · median $17,262 | 11 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $1,685 – $21,280 · median $21,280 | 11 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $1,685 – $10,765 · median $10,765 | 11 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $51,174 – $80,936 · median $51,174 | 11 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $23,346 – $36,923 · median $23,346 | 11 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $14,262 – $22,557 · median $14,262 | 11 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $44,791 – $70,839 · median $44,791 | 11 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $18,089 – $28,609 · median $18,089 | 11 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $23,953 – $37,883 · median $23,953 | 11 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $46,817 – $74,045 · median $46,817 | 11 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $24,330 – $38,479 · median $24,330 | 11 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $16,007 – $25,317 · median $16,007 | 11 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $19,933 – $31,525 · median $19,933 | 11 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $10,798 – $17,078 · median $10,798 | 11 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $20,506 – $32,431 · median $20,506 | 11 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $8,125 – $12,850 · median $8,125 | 11 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $19,125 – $30,248 · median $19,125 | 11 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $10,452 – $16,530 · median $10,452 | 11 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $22,325 – $35,309 · median $22,325 | 11 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $12,222 – $19,330 · median $12,222 | 11 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $8,395 – $13,276 · median $8,395 | 11 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $21,333 – $33,739 · median $21,333 | 11 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $12,410 – $19,627 · median $12,410 | 11 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $260,354 – $411,766 · median $260,354 | 11 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $87,466 – $138,333 · median $87,466 | 11 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $39,275 – $62,116 · median $39,275 | 11 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $47,487 – $75,104 · median $47,487 | 11 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $26,957 – $42,634 · median $26,957 | 11 plans |
| 935 | NON-EXTENSIVE BURNS | $25,120 – $39,729 · median $25,120 | 11 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $44,247 – $69,979 · median $44,247 | 11 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $28,497 – $45,069 · median $28,497 | 11 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $24,726 – $39,106 · median $24,726 | 11 plans |
| 945 | REHABILITATION WITH CC/MCC | $18,884 – $29,866 · median $18,884 | 11 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $13,984 – $22,117 · median $13,984 | 11 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $15,479 – $24,482 · median $15,479 | 11 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $9,762 – $15,438 · median $9,762 | 11 plans |
| 949 | AFTERCARE WITH CC/MCC | $14,508 – $22,945 · median $14,508 | 11 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $7,654 – $12,106 · median $7,654 | 11 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $6,780 – $10,723 · median $6,780 | 11 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $82,081 – $129,816 · median $82,081 | 11 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $45,887 – $72,573 · median $45,887 | 11 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $92,919 – $146,957 · median $92,919 | 11 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $51,385 – $81,269 · median $51,385 | 11 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $35,901 – $56,780 · median $35,901 | 11 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $33,337 – $52,724 · median $33,337 | 11 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $18,689 – $29,558 · median $18,689 | 11 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $11,469 – $18,138 · median $11,469 | 11 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $74,645 – $118,055 · median $74,645 | 11 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $32,161 – $50,865 · median $32,161 | 11 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $35,193 – $55,659 · median $35,193 | 11 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $15,792 – $24,975 · median $15,792 | 11 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $11,008 – $17,409 · median $11,008 | 11 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $15,825 – $25,027 · median $15,825 | 11 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $57,213 – $90,486 · median $57,213 | 11 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $29,980 – $47,415 · median $29,980 | 11 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $20,901 – $33,056 · median $20,901 | 11 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $41,807 – $66,120 · median $41,807 | 11 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $20,043 – $31,698 · median $20,043 | 11 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $14,623 – $23,128 · median $14,623 | 11 plans |
| 877 | Behavioral Health and Substance Abuse | $1,685 – $1,872 · median $1,779 | 2 plans |
| 878 | Behavioral Health and Substance Abuse | $1,685 – $1,872 · median $1,779 | 2 plans |
| 879 | Behavioral Health and Substance Abuse | $1,685 – $1,872 · median $1,779 | 2 plans |
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