Atrium Health Floyd Polk Medical Center — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Showing all 771 procedures
Procedures with negotiated rates only
These 771 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $19,049 – $45,174 · median $22,813 | 19 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $14,355 – $28,710 · median $19,049 | 19 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $13,369 – $26,739 · median $19,049 | 19 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $3,115 – $21,411 · median $10,706 | 17 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $3,001 – $32,282 · median $16,141 | 17 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $3,001 – $21,217 · median $10,609 | 17 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,001 – $18,164 · median $9,082 | 17 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $3,001 – $28,985 · median $14,493 | 17 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $3,001 – $20,908 · median $10,454 | 17 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $3,001 – $18,618 · median $9,309 | 17 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $3,115 – $24,039 · median $12,020 | 17 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $3,115 – $19,544 · median $9,772 | 17 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,115 – $19,544 · median $9,772 | 17 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,115 – $19,978 · median $9,989 | 17 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,115 – $15,979 · median $7,989 | 17 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,115 – $14,721 · median $7,360 | 17 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $208,011 – $416,023 · median $210,092 | 13 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $83,029 – $166,058 · median $83,859 | 13 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $158,913 – $317,826 · median $160,502 | 13 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $105,698 – $211,395 · median $106,755 | 13 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $80,330 – $160,661 · median $81,134 | 13 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $38,057 – $76,115 · median $38,438 | 13 plans |
| 007 | LUNG TRANSPLANT | $97,963 – $195,927 · median $98,943 | 13 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $42,371 – $84,743 · median $42,795 | 13 plans |
| 010 | PANCREAS TRANSPLANT | $60,824 – $121,649 · median $61,433 | 13 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $42,042 – $84,084 · median $42,462 | 13 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $32,624 – $65,248 · median $32,950 | 13 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $22,029 – $44,058 · median $22,250 | 13 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $98,204 – $196,408 · median $99,186 | 13 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $46,706 – $93,413 · median $47,173 | 13 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $46,706 – $93,413 · median $47,173 | 13 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $277,574 – $555,147 · median $280,349 | 13 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $60,491 – $120,982 · median $61,096 | 13 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $61,466 – $122,933 · median $62,081 | 13 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $43,000 – $85,999 · median $43,430 | 13 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $28,446 – $56,892 · median $28,730 | 13 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $44,295 – $88,591 · median $44,738 | 13 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $30,423 – $60,846 · median $30,727 | 13 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $35,311 – $70,621 · median $35,664 | 13 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $25,007 – $50,014 · median $25,257 | 13 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $20,701 – $41,403 · median $20,908 | 13 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $47,024 – $94,048 · median $47,494 | 13 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $27,180 – $54,360 · median $27,452 | 13 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $18,935 – $37,869 · median $19,124 | 13 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $33,257 – $66,515 · median $33,590 | 13 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $18,280 – $36,560 · median $18,463 | 13 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $14,344 – $28,688 · median $14,487 | 13 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $31,057 – $62,114 · median $31,368 | 13 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $19,295 – $38,589 · median $19,488 | 13 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $16,076 – $32,151 · median $16,236 | 13 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $26,919 – $53,838 · median $27,188 | 13 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $14,459 – $28,918 · median $14,604 | 13 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $11,011 – $22,022 · median $11,121 | 13 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $30,207 – $60,415 · median $30,509 | 13 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $19,174 – $38,347 · median $19,365 | 13 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $15,525 – $31,050 · median $15,680 | 13 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $17,383 – $34,766 · median $17,557 | 13 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $9,431 – $18,862 · median $9,525 | 13 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $13,641 – $27,282 · median $13,778 | 13 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $10,667 – $21,334 · median $10,774 | 13 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $20,966 – $41,932 · median $21,176 | 13 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $12,441 – $24,882 · median $12,565 | 13 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $16,169 – $32,338 · median $16,330 | 13 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $11,633 – $23,267 · median $11,750 | 13 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $9,220 – $18,439 · median $9,312 | 13 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $22,418 – $44,837 · median $22,643 | 13 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $15,695 – $31,390 · median $15,852 | 13 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $12,954 – $25,908 · median $13,084 | 13 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $17,213 – $34,426 · median $17,385 | 13 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $10,127 – $20,254 · median $10,228 | 13 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $7,732 – $15,464 · median $7,809 | 13 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $13,319 – $26,638 · median $13,452 | 13 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $9,140 – $18,280 · median $9,231 | 13 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $8,547 – $17,094 · median $8,632 | 13 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $15,388 – $30,776 · median $15,542 | 13 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $10,397 – $20,793 · median $10,501 | 13 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $8,183 – $16,366 · median $8,265 | 13 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $13,980 – $27,960 · median $14,120 | 13 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $10,313 – $20,625 · median $10,416 | 13 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $15,269 – $30,537 · median $15,421 | 13 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $9,398 – $18,796 · median $9,492 | 13 plans |
| 077 | Other DRG | $13,985 – $27,971 · median $14,125 | 13 plans |
| 078 | Other DRG | $9,988 – $19,977 · median $10,088 | 13 plans |
| 079 | Other DRG | $7,575 – $15,149 · median $7,650 | 13 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $17,203 – $34,406 · median $17,375 | 13 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $9,310 – $18,620 · median $9,403 | 13 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $19,626 – $39,251 · median $19,822 | 13 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $12,849 – $25,698 · median $12,978 | 13 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $9,684 – $19,368 · median $9,781 | 13 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $19,231 – $38,461 · median $19,423 | 13 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $12,275 – $24,549 · median $12,397 | 13 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $9,158 – $18,317 · median $9,250 | 13 plans |
| 088 | CONCUSSION WITH MCC | $12,997 – $25,994 · median $13,127 | 13 plans |
| 089 | CONCUSSION WITH CC | $10,529 – $21,058 · median $10,634 | 13 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $8,964 – $17,927 · median $9,053 | 13 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $16,001 – $32,002 · median $16,161 | 13 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $10,432 – $20,863 · median $10,536 | 13 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $8,468 – $16,936 · median $8,553 | 13 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $29,308 – $58,616 · median $29,601 | 13 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $20,187 – $40,374 · median $20,389 | 13 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $20,187 – $40,374 · median $20,389 | 13 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $28,841 – $57,682 · median $29,129 | 13 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $18,526 – $37,052 · median $18,711 | 13 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $12,870 – $25,740 · median $12,999 | 13 plans |
| 100 | SEIZURES WITH MCC | $17,185 – $34,370 · median $17,357 | 13 plans |
| 101 | SEIZURES WITHOUT MCC | $9,433 – $18,866 · median $9,527 | 13 plans |
| 102 | HEADACHES WITH MCC | $11,166 – $22,332 · median $11,278 | 13 plans |
| 103 | HEADACHES WITHOUT MCC | $8,912 – $17,824 · median $9,001 | 13 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $19,162 – $38,324 · median $19,354 | 13 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $11,331 – $22,662 · median $11,444 | 13 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $13,874 – $27,747 · median $14,012 | 13 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $14,877 – $29,753 · median $15,025 | 13 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $10,577 – $21,153 · median $10,682 | 13 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $11,193 – $22,386 · median $11,305 | 13 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,659 – $15,318 · median $7,736 | 13 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $8,569 – $17,139 · median $8,655 | 13 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $12,219 – $24,437 · median $12,341 | 13 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $8,733 – $17,467 · median $8,821 | 13 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $20,288 – $40,576 · median $20,491 | 13 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $9,845 – $19,690 · median $9,943 | 13 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $12,909 – $25,818 · median $13,038 | 13 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $8,644 – $17,289 · median $8,731 | 13 plans |
| 139 | SALIVARY GLAND PROCEDURES | $12,722 – $25,444 · median $12,849 | 13 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $33,539 – $67,077 · median $33,874 | 13 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $18,374 – $36,748 · median $18,558 | 13 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $14,175 – $28,351 · median $14,317 | 13 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $26,780 – $53,561 · median $27,048 | 13 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $15,519 – $31,037 · median $15,674 | 13 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $11,351 – $22,701 · median $11,464 | 13 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $19,435 – $38,871 · median $19,630 | 13 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $11,788 – $23,576 · median $11,906 | 13 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $8,551 – $17,102 · median $8,637 | 13 plans |
| 149 | DYSEQUILIBRIUM | $8,163 – $16,327 · median $8,245 | 13 plans |
| 150 | EPISTAXIS WITH MCC | $12,789 – $25,579 · median $12,917 | 13 plans |
| 151 | EPISTAXIS WITHOUT MCC | $8,240 – $16,480 · median $8,322 | 13 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $10,986 – $21,972 · median $11,096 | 13 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $7,903 – $15,805 · median $7,982 | 13 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $14,568 – $29,137 · median $14,714 | 13 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $9,520 – $19,040 · median $9,615 | 13 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $7,616 – $15,232 · median $7,692 | 13 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $14,650 – $29,300 · median $14,796 | 13 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $9,571 – $19,142 · median $9,667 | 13 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $7,523 – $15,046 · median $7,598 | 13 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $36,308 – $72,616 · median $36,671 | 13 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $21,060 – $42,120 · median $21,271 | 13 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $16,301 – $32,601 · median $16,464 | 13 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $30,777 – $61,554 · median $31,085 | 13 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $16,033 – $32,065 · median $16,193 | 13 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,583 – $25,166 · median $12,709 | 13 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $25,080 – $50,160 · median $25,331 | 13 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $12,985 – $25,971 · median $13,115 | 13 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $8,652 – $17,304 · median $8,738 | 13 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $14,497 – $28,994 · median $14,642 | 13 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $9,946 – $19,892 · median $10,046 | 13 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $8,325 – $16,650 · median $8,408 | 13 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $15,454 – $30,908 · median $15,608 | 13 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $10,808 – $21,615 · median $10,916 | 13 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $8,819 – $17,639 · median $8,908 | 13 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $14,284 – $28,568 · median $14,427 | 13 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $10,500 – $21,000 · median $10,605 | 13 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $8,384 – $16,767 · median $8,467 | 13 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $14,231 – $28,462 · median $14,373 | 13 plans |
| 187 | PLEURAL EFFUSION WITH CC | $10,033 – $20,066 · median $10,133 | 13 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $8,067 – $16,133 · median $8,147 | 13 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $11,734 – $23,468 · median $11,851 | 13 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $10,900 – $21,800 · median $11,009 | 13 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $8,977 – $17,954 · median $9,067 | 13 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $7,432 – $14,865 · median $7,507 | 13 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $12,319 – $24,638 · median $12,442 | 13 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $8,692 – $17,384 · median $8,779 | 13 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $7,254 – $14,508 · median $7,326 | 13 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $16,447 – $32,894 · median $16,612 | 13 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $9,931 – $19,862 · median $10,030 | 13 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $7,820 – $15,640 · median $7,898 | 13 plans |
| 199 | PNEUMOTHORAX WITH MCC | $15,581 – $31,163 · median $15,737 | 13 plans |
| 200 | PNEUMOTHORAX WITH CC | $10,787 – $21,574 · median $10,895 | 13 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $7,650 – $15,301 · median $7,727 | 13 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $9,761 – $19,522 · median $9,859 | 13 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $7,792 – $15,585 · median $7,870 | 13 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $8,626 – $17,252 · median $8,713 | 13 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $16,474 – $32,948 · median $16,639 | 13 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $9,317 – $18,634 · median $9,410 | 13 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $49,850 – $99,699 · median $50,348 | 13 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $22,276 – $44,551 · median $22,498 | 13 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $82,112 – $164,225 · median $82,933 | 13 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $79,932 – $159,865 · median $80,732 | 13 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $73,055 – $146,109 · median $73,785 | 13 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $49,782 – $99,564 · median $50,280 | 13 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $46,075 – $92,150 · median $46,536 | 13 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $59,108 – $118,216 · median $59,699 | 13 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $41,319 – $82,638 · median $41,732 | 13 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $36,187 – $72,375 · median $36,549 | 13 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $39,035 – $78,069 · median $39,425 | 13 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $25,355 – $50,710 · median $25,608 | 13 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $64,475 – $128,950 · median $65,120 | 13 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $47,237 – $94,474 · median $47,709 | 13 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $59,683 – $119,366 · median $60,280 | 13 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $41,490 – $82,980 · median $41,905 | 13 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $45,601 – $91,201 · median $46,057 | 13 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $32,685 – $65,371 · median $33,012 | 13 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $39,425 – $78,851 · median $39,820 | 13 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $23,940 – $47,880 · median $24,180 | 13 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $13,720 – $27,440 · median $13,857 | 13 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $27,437 – $54,874 · median $27,711 | 13 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $19,134 – $38,269 · median $19,326 | 13 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $15,869 – $31,737 · median $16,027 | 13 plans |
| 245 | AICD GENERATOR PROCEDURES | $38,331 – $76,663 · median $38,715 | 13 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $19,570 – $39,140 · median $19,766 | 13 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $14,104 – $28,208 · median $14,245 | 13 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $27,717 – $55,434 · median $27,994 | 13 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $21,322 – $42,645 · median $21,536 | 13 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $15,465 – $30,931 · median $15,620 | 13 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $21,785 – $43,570 · median $22,003 | 13 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $15,060 – $30,119 · median $15,210 | 13 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $9,216 – $18,432 · median $9,308 | 13 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $23,163 – $46,325 · median $23,394 | 13 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $15,526 – $31,052 · median $15,681 | 13 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $27,541 – $55,081 · median $27,816 | 13 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $16,546 – $33,091 · median $16,711 | 13 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $13,778 – $27,555 · median $13,915 | 13 plans |
| 263 | VEIN LIGATION AND STRIPPING | $22,263 – $44,526 · median $22,486 | 13 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $28,188 – $56,377 · median $28,470 | 13 plans |
| 265 | AICD LEAD PROCEDURES | $28,714 – $57,428 · median $29,001 | 13 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $46,378 – $92,755 · median $46,841 | 13 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $37,004 – $74,009 · median $37,374 | 13 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $51,310 – $102,621 · median $51,823 | 13 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $33,039 – $66,079 · median $33,370 | 13 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $40,126 – $80,252 · median $40,527 | 13 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $27,819 – $55,638 · median $28,097 | 13 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $20,952 – $41,904 · median $21,162 | 13 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $31,215 – $62,429 · median $31,527 | 13 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $25,462 – $50,924 · median $25,717 | 13 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $54,221 – $108,442 · median $54,763 | 13 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $47,861 – $95,723 · median $48,340 | 13 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $36,619 – $73,239 · median $36,986 | 13 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $39,181 – $78,361 · median $39,572 | 13 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $26,070 – $52,140 · median $26,330 | 13 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $14,678 – $29,357 · median $14,825 | 13 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $9,434 – $18,868 · median $9,528 | 13 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $8,000 – $16,000 · median $8,080 | 13 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $16,967 – $33,934 · median $17,137 | 13 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $8,116 – $16,232 · median $8,197 | 13 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $6,807 – $13,614 · median $6,875 | 13 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $18,846 – $37,693 · median $19,035 | 13 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $10,657 – $21,315 · median $10,764 | 13 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $22,623 – $45,246 · median $22,849 | 13 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $14,207 – $28,414 · median $14,349 | 13 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $9,851 – $19,701 · median $9,949 | 13 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $12,225 – $24,450 · median $12,347 | 13 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $8,992 – $17,984 · median $9,082 | 13 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $6,715 – $13,429 · median $6,782 | 13 plans |
| 294 | Other DRG | $11,665 – $23,331 · median $11,782 | 13 plans |
| 295 | Other DRG | $8,472 – $16,943 · median $8,556 | 13 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $14,657 – $29,313 · median $14,803 | 13 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $7,849 – $15,699 · median $7,928 | 13 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $5,935 – $11,869 · median $5,994 | 13 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $14,505 – $29,010 · median $14,650 | 13 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $10,518 – $21,036 · median $10,623 | 13 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $7,915 – $15,830 · median $7,994 | 13 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $11,194 – $22,388 · median $11,306 | 13 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $7,616 – $15,232 · median $7,692 | 13 plans |
| 304 | HYPERTENSION WITH MCC | $11,278 – $22,555 · median $11,390 | 13 plans |
| 305 | HYPERTENSION WITHOUT MCC | $8,187 – $16,374 · median $8,269 | 13 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $13,629 – $27,258 · median $13,765 | 13 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $9,467 – $18,935 · median $9,562 | 13 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $11,504 – $23,009 · median $11,619 | 13 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $8,104 – $16,207 · median $8,185 | 13 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $6,793 – $13,587 · median $6,861 | 13 plans |
| 311 | ANGINA PECTORIS | $7,805 – $15,610 · median $7,883 | 13 plans |
| 312 | SYNCOPE AND COLLAPSE | $9,066 – $18,131 · median $9,156 | 13 plans |
| 313 | CHEST PAIN | $7,915 – $15,830 · median $7,994 | 13 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $18,411 – $36,821 · median $18,595 | 13 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $9,729 – $19,458 · median $9,826 | 13 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,691 – $15,382 · median $7,768 | 13 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $47,803 – $95,606 · median $48,281 | 13 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $34,731 – $69,462 · median $35,078 | 13 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $19,586 – $39,172 · median $19,782 | 13 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $23,464 – $46,927 · median $23,698 | 13 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $15,901 – $31,803 · median $16,060 | 13 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $33,759 – $67,518 · median $34,096 | 13 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $26,002 – $52,004 · median $26,262 | 13 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $23,575 – $47,150 · median $23,811 | 13 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $39,732 – $79,464 · median $40,130 | 13 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $20,412 – $40,824 · median $20,616 | 13 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $14,329 – $28,659 · median $14,473 | 13 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $36,182 – $72,364 · median $36,544 | 13 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $19,943 – $39,885 · median $20,142 | 13 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $14,748 – $29,497 · median $14,896 | 13 plans |
| 332 | RECTAL RESECTION WITH MCC | $27,996 – $55,992 · median $28,276 | 13 plans |
| 333 | RECTAL RESECTION WITH CC | $18,205 – $36,410 · median $18,387 | 13 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $14,804 – $29,607 · median $14,952 | 13 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $29,124 – $58,247 · median $29,415 | 13 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $18,110 – $36,221 · median $18,291 | 13 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $13,904 – $27,807 · median $14,043 | 13 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $22,354 – $44,707 · median $22,577 | 13 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,565 – $27,131 · median $13,701 | 13 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,792 – $23,583 · median $11,909 | 13 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $19,965 – $39,930 · median $20,165 | 13 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $11,891 – $23,781 · median $12,010 | 13 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $9,136 – $18,271 · median $9,227 | 13 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $20,343 – $40,687 · median $20,547 | 13 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $13,681 – $27,361 · median $13,817 | 13 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $10,751 – $21,503 · median $10,859 | 13 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $24,092 – $48,184 · median $24,333 | 13 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $15,113 – $30,227 · median $15,265 | 13 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $12,432 – $24,864 · median $12,556 | 13 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $33,805 – $67,610 · median $34,143 | 13 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $19,129 – $38,257 · median $19,320 | 13 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,592 – $25,184 · median $12,718 | 13 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $14,887 – $29,774 · median $15,036 | 13 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $10,132 – $20,264 · median $10,233 | 13 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $7,803 – $15,605 · median $7,881 | 13 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $15,455 – $30,911 · median $15,610 | 13 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $10,217 – $20,435 · median $10,319 | 13 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $8,002 – $16,005 · median $8,082 | 13 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $18,104 – $36,208 · median $18,285 | 13 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $11,671 – $23,341 · median $11,787 | 13 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $9,151 – $18,302 · median $9,243 | 13 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $15,967 – $31,934 · median $16,127 | 13 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $9,901 – $19,802 · median $10,000 | 13 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $7,356 – $14,712 · median $7,429 | 13 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $16,740 – $33,480 · median $16,908 | 13 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $10,653 – $21,306 · median $10,760 | 13 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $8,177 – $16,353 · median $8,258 | 13 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $11,929 – $23,859 · median $12,049 | 13 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $9,053 – $18,107 · median $9,144 | 13 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $14,557 – $29,115 · median $14,703 | 13 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $9,949 – $19,898 · median $10,049 | 13 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $7,601 – $15,202 · median $7,677 | 13 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $13,428 – $26,857 · median $13,563 | 13 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $8,558 – $17,115 · median $8,643 | 13 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $6,704 – $13,407 · median $6,771 | 13 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $12,077 – $24,154 · median $12,198 | 13 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $8,403 – $16,805 · median $8,487 | 13 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $14,785 – $29,570 · median $14,933 | 13 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $9,576 – $19,152 · median $9,672 | 13 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,354 – $14,707 · median $7,427 | 13 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $20,774 – $41,548 · median $20,982 | 13 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $13,744 – $27,488 · median $13,881 | 13 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $10,906 – $21,812 · median $11,015 | 13 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $31,228 – $62,457 · median $31,541 | 13 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $42,281 – $84,562 · median $42,704 | 13 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $23,184 – $46,367 · median $23,416 | 13 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $18,282 – $36,563 · median $18,464 | 13 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $28,234 – $56,467 · median $28,516 | 13 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $17,995 – $35,990 · median $18,175 | 13 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $14,020 – $28,040 · median $14,160 | 13 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $22,659 – $45,318 · median $22,886 | 13 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $18,251 – $36,502 · median $18,434 | 13 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $14,832 – $29,664 · median $14,980 | 13 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $28,252 – $56,504 · median $28,534 | 13 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $17,132 – $34,265 · median $17,304 | 13 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $12,702 – $25,404 · median $12,829 | 13 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $20,036 – $40,072 · median $20,236 | 13 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $14,802 – $29,605 · median $14,950 | 13 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $12,318 – $24,637 · median $12,442 | 13 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $28,439 – $56,878 · median $28,724 | 13 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $14,651 – $29,301 · median $14,797 | 13 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $13,425 – $26,850 · median $13,559 | 13 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $32,360 – $64,719 · median $32,683 | 13 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $19,357 – $38,713 · median $19,550 | 13 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $13,982 – $27,963 · median $14,121 | 13 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $79,062 – $158,124 · median $79,853 | 13 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $54,481 – $108,963 · median $55,026 | 13 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $42,830 – $85,661 · median $43,259 | 13 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $63,503 – $127,007 · median $64,138 | 13 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $42,586 – $85,171 · median $43,011 | 13 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $16,994 – $33,988 · median $17,164 | 13 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $10,512 – $21,025 · median $10,618 | 13 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,792 – $15,583 · median $7,870 | 13 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $16,014 – $32,027 · median $16,174 | 13 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $10,934 – $21,869 · median $11,044 | 13 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $8,438 – $16,876 · median $8,523 | 13 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $14,841 – $29,682 · median $14,989 | 13 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $8,985 – $17,970 · median $9,075 | 13 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,198 – $14,397 · median $7,270 | 13 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $16,493 – $32,986 · median $16,658 | 13 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $9,757 – $19,515 · median $9,855 | 13 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,837 – $15,674 · median $7,915 | 13 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $14,992 – $29,983 · median $15,142 | 13 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $10,620 – $21,239 · median $10,726 | 13 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $8,526 – $17,053 · median $8,612 | 13 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $51,581 – $103,161 · median $52,096 | 13 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $32,477 – $64,954 · median $32,802 | 13 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $40,250 – $80,501 · median $40,653 | 13 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $25,207 – $50,414 · median $25,459 | 13 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $64,441 – $128,881 · median $65,085 | 13 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $44,545 – $89,091 · median $44,991 | 13 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $34,186 – $68,372 · median $34,528 | 13 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $47,441 – $94,882 · median $47,915 | 13 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $23,587 – $47,175 · median $23,823 | 13 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $42,079 – $84,158 · median $42,500 | 13 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $24,205 – $48,411 · median $24,448 | 13 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $15,369 – $30,737 · median $15,522 | 13 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $39,846 – $79,692 · median $40,244 | 13 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $27,679 – $55,358 · median $27,956 | 13 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $21,835 – $43,669 · median $22,053 | 13 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $26,538 – $53,077 · median $26,804 | 13 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $16,457 – $32,915 · median $16,622 | 13 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $38,116 – $76,233 · median $38,498 | 13 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $23,831 – $47,662 · median $24,069 | 13 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $19,970 – $39,939 · median $20,169 | 13 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $35,401 – $70,802 · median $35,755 | 13 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,438 – $36,877 · median $18,623 | 13 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,192 – $22,385 · median $11,304 | 13 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $27,780 – $55,559 · median $28,057 | 13 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $19,760 – $39,519 · median $19,957 | 13 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $15,658 – $31,316 · median $15,814 | 13 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $24,150 – $48,300 · median $24,392 | 13 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $17,838 – $35,676 · median $18,016 | 13 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $14,278 – $28,555 · median $14,420 | 13 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $21,287 – $42,575 · median $21,500 | 13 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $26,178 – $52,357 · median $26,440 | 13 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $18,173 – $36,346 · median $18,355 | 13 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $14,232 – $28,465 · median $14,375 | 13 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $17,040 – $34,079 · median $17,210 | 13 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,741 – $23,482 · median $11,859 | 13 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $28,597 – $57,195 · median $28,883 | 13 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $20,214 – $40,429 · median $20,417 | 13 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $16,457 – $32,913 · median $16,621 | 13 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $28,374 – $56,749 · median $28,658 | 13 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $17,095 – $34,190 · median $17,266 | 13 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $12,501 – $25,001 · median $12,626 | 13 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $21,117 – $42,235 · median $21,329 | 13 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $11,176 – $22,351 · median $11,287 | 13 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $25,810 – $51,619 · median $26,068 | 13 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $15,723 – $31,445 · median $15,880 | 13 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $12,899 – $25,797 · median $13,028 | 13 plans |
| 503 | FOOT PROCEDURES WITH MCC | $22,004 – $44,009 · median $22,224 | 13 plans |
| 504 | FOOT PROCEDURES WITH CC | $15,506 – $31,013 · median $15,661 | 13 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $15,506 – $31,013 · median $15,661 | 13 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $13,641 – $27,282 · median $13,778 | 13 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $16,841 – $33,683 · median $17,010 | 13 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $12,122 – $24,243 · median $12,243 | 13 plans |
| 509 | Other DRG | $15,519 – $31,037 · median $15,674 | 13 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $23,546 – $47,092 · median $23,781 | 13 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $17,009 – $34,018 · median $17,179 | 13 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $14,433 – $28,867 · median $14,578 | 13 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $13,689 – $27,377 · median $13,826 | 13 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $10,147 – $20,293 · median $10,248 | 13 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $25,254 – $50,507 · median $25,506 | 13 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $17,377 – $34,754 · median $17,551 | 13 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $13,595 – $27,189 · median $13,731 | 13 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $28,836 – $57,673 · median $29,125 | 13 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $17,087 – $34,174 · median $17,258 | 13 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $13,161 – $26,322 · median $13,293 | 13 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $23,958 – $47,917 · median $24,198 | 13 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $18,080 – $36,160 · median $18,261 | 13 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $13,829 – $27,659 · median $13,968 | 13 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $8,648 – $17,296 · median $8,735 | 13 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $12,408 – $24,816 · median $12,532 | 13 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $8,626 – $17,251 · median $8,712 | 13 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $9,413 – $18,827 · median $9,507 | 13 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $7,610 – $15,219 · median $7,686 | 13 plans |
| 539 | OSTEOMYELITIS WITH MCC | $17,455 – $34,910 · median $17,630 | 13 plans |
| 540 | OSTEOMYELITIS WITH CC | $12,147 – $24,294 · median $12,269 | 13 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $9,092 – $18,184 · median $9,183 | 13 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $16,309 – $32,617 · median $16,472 | 13 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $10,448 – $20,895 · median $10,552 | 13 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $8,223 – $16,446 · median $8,305 | 13 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $21,132 – $42,264 · median $21,343 | 13 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $11,153 – $22,306 · median $11,265 | 13 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,154 – $16,308 · median $8,236 | 13 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $17,398 – $34,797 · median $17,572 | 13 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $11,499 – $22,997 · median $11,614 | 13 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $8,999 – $17,997 · median $9,089 | 13 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $15,152 – $30,304 · median $15,304 | 13 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $9,740 – $19,480 · median $9,837 | 13 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $12,234 – $24,468 · median $12,356 | 13 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $8,798 – $17,597 · median $8,886 | 13 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,530 – $25,060 · median $12,655 | 13 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $8,666 – $17,333 · median $8,753 | 13 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $14,010 – $28,020 · median $14,150 | 13 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $9,011 – $18,022 · median $9,101 | 13 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $16,245 – $32,489 · median $16,407 | 13 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $11,015 – $22,029 · median $11,125 | 13 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $8,674 – $17,349 · median $8,761 | 13 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $13,382 – $26,764 · median $13,516 | 13 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $9,230 – $18,459 · median $9,322 | 13 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $14,152 – $28,304 · median $14,294 | 13 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $10,147 – $20,295 · median $10,249 | 13 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $8,168 – $16,336 · median $8,250 | 13 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $24,654 – $49,309 · median $24,901 | 13 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $14,918 – $29,836 · median $15,067 | 13 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $11,042 – $22,083 · median $11,152 | 13 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $47,598 – $95,195 · median $48,074 | 13 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $27,968 – $55,937 · median $28,248 | 13 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $17,268 – $34,536 · median $17,441 | 13 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $42,037 – $84,075 · median $42,458 | 13 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $22,123 – $44,245 · median $22,344 | 13 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $15,035 – $30,071 · median $15,186 | 13 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $26,471 – $52,941 · median $26,735 | 13 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $15,637 – $31,275 · median $15,794 | 13 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $13,205 – $26,409 · median $13,337 | 13 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $15,479 – $30,957 · median $15,633 | 13 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $14,688 – $29,376 · median $14,835 | 13 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $17,637 – $35,275 · median $17,814 | 13 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $17,183 – $34,367 · median $17,355 | 13 plans |
| 592 | SKIN ULCERS WITH MCC | $17,702 – $35,404 · median $17,879 | 13 plans |
| 593 | SKIN ULCERS WITH CC | $11,627 – $23,254 · median $11,743 | 13 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $8,901 – $17,802 · median $8,990 | 13 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $18,131 – $36,262 · median $18,312 | 13 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $10,595 – $21,190 · median $10,701 | 13 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $15,519 – $31,037 · median $15,674 | 13 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $10,579 – $21,158 · median $10,685 | 13 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $8,946 – $17,892 · median $9,036 | 13 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $9,687 – $19,375 · median $9,784 | 13 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,085 – $14,170 · median $7,156 | 13 plans |
| 602 | CELLULITIS WITH MCC | $13,423 – $26,847 · median $13,558 | 13 plans |
| 603 | CELLULITIS WITHOUT MCC | $9,135 – $18,270 · median $9,226 | 13 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $13,544 – $27,087 · median $13,679 | 13 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $9,448 – $18,895 · median $9,542 | 13 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $14,452 – $28,903 · median $14,596 | 13 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $9,014 – $18,028 · median $9,104 | 13 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $19,325 – $38,651 · median $19,519 | 13 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $13,160 – $26,319 · median $13,291 | 13 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $30,884 – $61,769 · median $31,193 | 13 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $16,793 – $33,587 · median $16,961 | 13 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,790 – $23,580 · median $11,908 | 13 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $29,988 – $59,976 · median $30,288 | 13 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $16,656 – $33,313 · median $16,823 | 13 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,026 – $20,053 · median $10,127 | 13 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $23,612 – $47,223 · median $23,848 | 13 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $13,716 – $27,431 · median $13,853 | 13 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $11,949 – $23,898 · median $12,068 | 13 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $31,473 – $62,945 · median $31,787 | 13 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $19,107 – $38,215 · median $19,298 | 13 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $12,928 – $25,857 · median $13,058 | 13 plans |
| 637 | DIABETES WITH MCC | $13,329 – $26,659 · median $13,463 | 13 plans |
| 638 | DIABETES WITH CC | $9,400 – $18,800 · median $9,494 | 13 plans |
| 639 | DIABETES WITHOUT CC/MCC | $7,282 – $14,565 · median $7,355 | 13 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $12,394 – $24,789 · median $12,518 | 13 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $8,411 – $16,821 · median $8,495 | 13 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $11,761 – $23,522 · median $11,879 | 13 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $14,794 – $29,588 · median $14,942 | 13 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $10,247 – $20,494 · median $10,350 | 13 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $8,391 – $16,782 · median $8,475 | 13 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $36,294 – $72,589 · median $36,657 | 13 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $28,024 – $56,048 · median $28,304 | 13 plans |
| 652 | KIDNEY TRANSPLANT | $25,100 – $50,201 · median $25,351 | 13 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $43,344 – $86,689 · median $43,778 | 13 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $23,284 – $46,567 · median $23,516 | 13 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $17,855 – $35,711 · median $18,034 | 13 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $26,460 – $52,921 · median $26,725 | 13 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $16,039 – $32,078 · median $16,199 | 13 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $13,677 – $27,354 · median $13,814 | 13 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $21,550 – $43,101 · median $21,766 | 13 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $12,482 – $24,963 · median $12,607 | 13 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $10,198 – $20,395 · median $10,300 | 13 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $25,452 – $50,904 · median $25,706 | 13 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $13,848 – $27,695 · median $13,986 | 13 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $10,585 – $21,171 · median $10,691 | 13 plans |
| 665 | PROSTATECTOMY WITH MCC | $27,740 – $55,481 · median $28,018 | 13 plans |
| 666 | PROSTATECTOMY WITH CC | $14,721 – $29,443 · median $14,869 | 13 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $10,206 – $20,413 · median $10,308 | 13 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $23,970 – $47,940 · median $24,210 | 13 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $13,994 – $27,988 · median $14,134 | 13 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $9,681 – $19,362 · median $9,778 | 13 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $15,278 – $30,556 · median $15,431 | 13 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $10,692 – $21,383 · median $10,799 | 13 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $33,250 – $66,500 · median $33,583 | 13 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $19,540 – $39,079 · median $19,735 | 13 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $14,124 – $28,247 · median $14,265 | 13 plans |
| 682 | RENAL FAILURE WITH MCC | $13,662 – $27,323 · median $13,798 | 13 plans |
| 683 | RENAL FAILURE WITH CC | $9,194 – $18,388 · median $9,286 | 13 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $7,142 – $14,285 · median $7,214 | 13 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $16,459 – $32,918 · median $16,623 | 13 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $10,388 – $20,776 · median $10,492 | 13 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,994 – $15,987 · median $8,074 | 13 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $11,245 – $22,490 · median $11,357 | 13 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $8,565 – $17,130 · median $8,651 | 13 plans |
| 693 | URINARY STONES WITH MCC | $13,432 – $26,864 · median $13,566 | 13 plans |
| 694 | URINARY STONES WITHOUT MCC | $8,411 – $16,821 · median $8,495 | 13 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $10,935 – $21,870 · median $11,044 | 13 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $7,757 – $15,515 · median $7,835 | 13 plans |
| 697 | URETHRAL STRICTURE | $10,017 – $20,034 · median $10,117 | 13 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $14,966 – $29,932 · median $15,116 | 13 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $10,149 – $20,298 · median $10,250 | 13 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $7,775 – $15,550 · median $7,853 | 13 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $16,859 – $33,718 · median $17,028 | 13 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $13,520 – $27,041 · median $13,655 | 13 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $19,093 – $38,186 · median $19,284 | 13 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $13,658 – $27,316 · median $13,795 | 13 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $16,640 – $33,281 · median $16,807 | 13 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $10,511 – $21,022 · median $10,616 | 13 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $13,254 – $26,509 · median $13,387 | 13 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $9,564 – $19,128 · median $9,660 | 13 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $19,174 – $38,349 · median $19,366 | 13 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $13,060 – $26,119 · median $13,190 | 13 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $16,239 – $32,478 · median $16,401 | 13 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $11,694 – $23,388 · median $11,811 | 13 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $15,316 – $30,632 · median $15,469 | 13 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $10,899 – $21,799 · median $11,008 | 13 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,026 – $16,051 · median $8,106 | 13 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $11,918 – $23,835 · median $12,037 | 13 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $8,141 – $16,282 · median $8,222 | 13 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $13,425 – $26,850 · median $13,559 | 13 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $8,671 – $17,341 · median $8,757 | 13 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $10,739 – $21,478 · median $10,846 | 13 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,139 – $14,277 · median $7,210 | 13 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $18,041 – $36,082 · median $18,222 | 13 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $11,563 – $23,125 · median $11,678 | 13 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $31,413 – $62,827 · median $31,728 | 13 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $17,280 – $34,560 · median $17,453 | 13 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $13,771 – $27,542 · median $13,909 | 13 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $31,729 – $63,458 · median $32,046 | 13 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $15,968 – $31,935 · median $16,127 | 13 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,727 – $25,453 · median $12,854 | 13 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $16,029 – $32,058 · median $16,189 | 13 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $11,452 – $22,904 · median $11,566 | 13 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $16,957 – $33,913 · median $17,126 | 13 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $10,184 – $20,369 · median $10,286 | 13 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $14,920 – $29,841 · median $15,070 | 13 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $9,677 – $19,354 · median $9,774 | 13 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $12,644 – $25,288 · median $12,771 | 13 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $21,582 – $43,163 · median $21,798 | 13 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,114 – $24,227 · median $12,235 | 13 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $15,902 – $31,804 · median $16,061 | 13 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,806 – $21,612 · median $10,914 | 13 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,676 – $19,351 · median $9,773 | 13 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,031 – $26,061 · median $13,161 | 13 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,144 – $20,289 · median $10,246 | 13 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,380 – $14,760 · median $7,454 | 13 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $9,899 – $19,798 · median $9,998 | 13 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $7,336 – $14,671 · median $7,409 | 13 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,842 – $25,685 · median $12,971 | 13 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $10,558 – $21,115 · median $10,663 | 13 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $7,916 – $15,831 · median $7,995 | 13 plans |
| 779 | ABORTION WITHOUT D&C | $9,529 – $19,057 · median $9,624 | 13 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $15,853 – $31,706 · median $16,012 | 13 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $46,042 – $92,085 · median $46,503 | 13 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $32,305 – $64,610 · median $32,628 | 13 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $20,569 – $41,139 · median $20,775 | 13 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $33,111 – $66,222 · median $33,442 | 13 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $13,474 – $26,949 · median $13,609 | 13 plans |
| 795 | NORMAL NEWBORN | $4,172 – $8,343 · median $4,213 | 13 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $37,369 – $74,739 · median $37,743 | 13 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $23,952 – $47,904 · median $24,191 | 13 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $14,681 – $29,361 · median $14,827 | 13 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $28,842 – $57,684 · median $29,131 | 13 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $15,689 – $31,377 · median $15,845 | 13 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,773 – $21,547 · median $10,881 | 13 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $19,408 – $38,815 · median $19,602 | 13 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $11,742 – $23,484 · median $11,859 | 13 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $9,652 – $19,305 · median $9,749 | 13 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $12,969 – $25,939 · median $13,099 | 13 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $9,442 – $18,884 · median $9,536 | 13 plans |
| 813 | COAGULATION DISORDERS | $13,998 – $27,995 · median $14,138 | 13 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $17,951 – $35,903 · median $18,131 | 13 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $10,121 – $20,242 · median $10,222 | 13 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $7,521 – $15,043 · median $7,597 | 13 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $21,192 – $42,384 · median $21,404 | 13 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $12,103 – $24,205 · median $12,224 | 13 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,666 – $17,333 · median $8,753 | 13 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $45,150 – $90,299 · median $45,601 | 13 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $18,986 – $37,971 · median $19,176 | 13 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,051 – $22,102 · median $11,162 | 13 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $36,821 – $73,641 · median $37,189 | 13 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $18,745 – $37,490 · median $18,933 | 13 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,686 – $23,372 · median $11,803 | 13 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $37,520 – $75,041 · median $37,895 | 13 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $19,915 – $39,830 · median $20,114 | 13 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $14,398 – $28,796 · median $14,542 | 13 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $25,191 – $50,382 · median $25,443 | 13 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,375 – $26,749 · median $13,508 | 13 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $11,104 – $22,208 · median $11,215 | 13 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $8,163 – $16,325 · median $8,244 | 13 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $6,504 – $13,008 · median $6,569 | 13 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $43,000 – $85,999 · median $43,430 | 13 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $18,282 – $36,565 · median $18,465 | 13 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $11,977 – $23,953 · median $12,096 | 13 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $39,209 – $78,418 · median $39,601 | 13 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $17,497 – $34,995 · median $17,672 | 13 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $12,703 – $25,407 · median $12,830 | 13 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $25,958 – $51,915 · median $26,217 | 13 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $14,143 – $28,287 · median $14,285 | 13 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $10,382 – $20,764 · median $10,486 | 13 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $16,514 – $33,028 · median $16,679 | 13 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $11,426 – $22,853 · median $11,541 | 13 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $8,814 – $17,629 · median $8,902 | 13 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $21,328 – $42,656 · median $21,541 | 13 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $11,977 – $23,953 · median $12,096 | 13 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,684 – $17,368 · median $8,771 | 13 plans |
| 849 | RADIOTHERAPY | $22,183 – $44,366 · median $22,405 | 13 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $69,854 – $139,707 · median $70,552 | 13 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $39,166 – $78,332 · median $39,558 | 13 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $17,278 – $34,556 · median $17,451 | 13 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $14,563 – $29,126 · median $14,709 | 13 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $35,597 – $71,194 · median $35,953 | 13 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $18,596 – $37,192 · median $18,782 | 13 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,106 – $24,211 · median $12,227 | 13 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $16,116 – $32,233 · median $16,277 | 13 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $10,003 – $20,006 · median $10,103 | 13 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $9,260 – $18,521 · median $9,353 | 13 plans |
| 865 | VIRAL ILLNESS WITH MCC | $13,472 – $26,944 · median $13,607 | 13 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $9,164 – $18,328 · median $9,256 | 13 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $18,344 – $36,687 · median $18,527 | 13 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $10,369 – $20,738 · median $10,473 | 13 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $7,960 – $15,920 · median $8,040 | 13 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $53,416 – $106,832 · median $53,950 | 13 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $17,016 – $34,031 · median $17,186 | 13 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $10,230 – $20,459 · median $10,332 | 13 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $31,355 – $62,710 · median $31,355 | 13 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $9,702 – $19,404 · median $9,702 | 13 plans |
| 881 | DEPRESSIVE NEUROSES | $9,378 – $18,755 · median $9,378 | 13 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $9,727 – $19,454 · median $9,727 | 13 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $16,227 – $32,454 · median $16,227 | 13 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $14,888 – $29,777 · median $14,888 | 13 plans |
| 885 | PSYCHOSES | $12,989 – $25,978 · median $12,989 | 13 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $15,809 – $31,618 · median $15,809 | 13 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $11,384 – $22,768 · median $11,384 | 13 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $7,264 – $14,528 · median $7,264 | 13 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $13,268 – $26,536 · median $13,268 | 13 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $15,694 – $31,389 · median $15,694 | 13 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $9,145 – $18,290 · median $9,145 | 13 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $35,006 – $70,012 · median $35,356 | 13 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $16,546 – $33,091 · median $16,711 | 13 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $11,601 – $23,201 · median $11,717 | 13 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $30,856 – $61,712 · median $31,165 | 13 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $14,728 – $29,456 · median $14,875 | 13 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $18,622 – $37,244 · median $18,808 | 13 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $31,749 – $63,499 · median $32,067 | 13 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $17,417 – $34,833 · median $17,591 | 13 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $11,959 – $23,918 · median $12,079 | 13 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $14,510 – $29,020 · median $14,655 | 13 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $9,394 – $18,789 · median $9,488 | 13 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $15,382 – $30,763 · median $15,535 | 13 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $7,556 – $15,111 · median $7,631 | 13 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $14,666 – $29,332 · median $14,813 | 13 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $9,163 – $18,325 · median $9,254 | 13 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $16,006 – $32,013 · median $16,166 | 13 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $10,120 – $20,239 · median $10,221 | 13 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $7,728 – $15,455 · median $7,805 | 13 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $15,028 – $30,056 · median $15,178 | 13 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $10,149 – $20,298 · median $10,250 | 13 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $175,612 – $351,224 · median $177,368 | 13 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $51,393 – $102,785 · median $51,907 | 13 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $25,895 – $51,790 · median $26,154 | 13 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $34,251 – $68,502 · median $34,593 | 13 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $18,355 – $36,709 · median $18,538 | 13 plans |
| 935 | NON-EXTENSIVE BURNS | $18,723 – $37,447 · median $18,911 | 13 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $25,848 – $51,696 · median $26,107 | 13 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $18,104 – $36,208 · median $18,285 | 13 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $16,959 – $33,918 · median $17,128 | 13 plans |
| 945 | REHABILITATION WITH CC/MCC | $13,841 – $20,761 · median $13,841 | 13 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $10,853 – $16,279 · median $10,853 | 13 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $12,090 – $24,179 · median $12,210 | 13 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $8,506 – $17,012 · median $8,591 | 13 plans |
| 949 | AFTERCARE WITH CC/MCC | $10,579 – $21,159 · median $10,685 | 13 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $6,987 – $13,974 · median $7,057 | 13 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $6,848 – $13,696 · median $6,916 | 13 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $52,481 – $104,963 · median $53,006 | 13 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $30,574 – $61,148 · median $30,880 | 13 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $57,116 – $114,232 · median $57,687 | 13 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $32,669 – $65,337 · median $32,995 | 13 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $21,985 – $43,970 · median $22,205 | 13 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $22,515 – $45,031 · median $22,741 | 13 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $13,649 – $27,297 · median $13,785 | 13 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $9,367 – $18,733 · median $9,460 | 13 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $48,808 – $97,616 · median $49,296 | 13 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $22,053 – $44,107 · median $22,274 | 13 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $24,480 – $48,959 · median $24,724 | 13 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $13,075 – $26,150 · median $13,206 | 13 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $10,026 – $20,051 · median $10,126 | 13 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $13,224 – $26,449 · median $13,357 | 13 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $37,363 – $74,726 · median $37,736 | 13 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $20,559 – $41,118 · median $20,765 | 13 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $14,874 – $29,747 · median $15,022 | 13 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $28,244 – $56,488 · median $28,526 | 13 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,222 – $30,444 · median $15,374 | 13 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,137 – $22,274 · median $11,248 | 13 plans |
No procedures match that keyword.