Clarke County Hospital — Pricing
764 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 764 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 764
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 764 procedures
Procedures with negotiated rates only
These 764 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 | $597,899 – $597,899 · median $597,899 | 3 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $270,152 – $270,152 · median $270,152 | 3 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $470,408 – $470,408 · median $470,408 | 3 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $324,338 – $324,338 · median $324,338 | 3 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $228,361 – $228,361 · median $228,361 | 3 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $106,721 – $106,721 · median $106,721 | 3 plans |
| 007 | LUNG TRANSPLANT | $270,644 – $270,644 · median $270,644 | 3 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $116,093 – $116,093 · median $116,093 | 3 plans |
| 010 | PANCREAS TRANSPLANT | $106,207 – $106,207 · median $106,207 | 3 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $113,768 – $113,768 · median $113,768 | 3 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $88,363 – $88,363 · median $88,363 | 3 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $59,257 – $59,257 · median $59,257 | 3 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $252,871 – $252,871 · median $252,871 | 3 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $136,288 – $136,288 · median $136,288 | 3 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $136,288 – $136,288 · median $136,288 | 3 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $812,891 – $812,891 · median $812,891 | 3 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $176,367 – $176,367 · median $176,367 | 3 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $186,492 – $186,492 · median $186,492 | 3 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $135,503 – $135,503 · median $135,503 | 3 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $86,550 – $86,550 · median $86,550 | 3 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $125,076 – $125,076 · median $125,076 | 3 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $83,595 – $83,595 · median $83,595 | 3 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $97,434 – $97,434 · median $97,434 | 3 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $65,157 – $65,157 · median $65,157 | 3 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $53,679 – $53,679 · median $53,679 | 3 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $132,959 – $132,959 · median $132,959 | 3 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $75,639 – $75,639 · median $75,639 | 3 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $51,166 – $51,166 · median $51,166 | 3 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $90,828 – $90,828 · median $90,828 | 3 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $47,521 – $47,521 · median $47,521 | 3 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $35,807 – $35,807 · median $35,807 | 3 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $86,080 – $86,080 · median $86,080 | 3 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $50,736 – $50,736 · median $50,736 | 3 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $39,896 – $39,896 · median $39,896 | 3 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $74,479 – $74,479 · median $74,479 | 3 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $35,300 – $35,300 · median $35,300 | 3 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $25,175 – $25,175 · median $25,175 | 3 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $84,957 – $84,957 · median $84,957 | 3 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $49,218 – $49,218 · median $49,218 | 3 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $38,387 – $38,387 · median $38,387 | 3 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $42,903 – $42,903 · median $42,903 | 3 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $21,706 – $21,706 · median $21,706 | 3 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $32,511 – $32,511 · median $32,511 | 3 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $23,679 – $23,679 · median $23,679 | 3 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $52,821 – $52,821 · median $52,821 | 3 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $30,077 – $30,077 · median $30,077 | 3 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $38,124 – $38,124 · median $38,124 | 3 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $26,194 – $26,194 · median $26,194 | 3 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $19,800 – $19,800 · median $19,800 | 3 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $61,841 – $61,841 · median $61,841 | 3 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $41,297 – $41,297 · median $41,297 | 3 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $32,805 – $32,805 · median $32,805 | 3 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $44,194 – $44,194 · median $44,194 | 3 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $22,426 – $22,426 · median $22,426 | 3 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $15,169 – $15,169 · median $15,169 | 3 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $31,262 – $31,262 · median $31,262 | 3 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $19,218 – $19,218 · median $19,218 | 3 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $17,622 – $17,622 · median $17,622 | 3 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $39,483 – $39,483 · median $39,483 | 3 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $23,427 – $23,427 · median $23,427 | 3 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $17,276 – $17,276 · median $17,276 | 3 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $33,383 – $33,383 · median $33,383 | 3 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $22,642 – $22,642 · median $22,642 | 3 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $42,226 – $42,226 · median $42,226 | 3 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $20,354 – $20,354 · median $20,354 | 3 plans |
| 077 | Inpatient Services | $33,336 – $33,336 · median $33,336 | 3 plans |
| 078 | Inpatient Services | $22,437 – $22,437 · median $22,437 | 3 plans |
| 079 | Inpatient Services | $16,345 – $16,345 · median $16,345 | 3 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $48,732 – $48,732 · median $48,732 | 3 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $20,067 – $20,067 · median $20,067 | 3 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $50,268 – $50,268 · median $50,268 | 3 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $29,927 – $29,927 · median $29,927 | 3 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $20,292 – $20,292 · median $20,292 | 3 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $50,147 – $50,147 · median $50,147 | 3 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $29,060 – $29,060 · median $29,060 | 3 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $19,553 – $19,553 · median $19,553 | 3 plans |
| 088 | CONCUSSION WITH MCC | $33,842 – $33,842 · median $33,842 | 3 plans |
| 089 | CONCUSSION WITH CC | $25,371 – $25,371 · median $25,371 | 3 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $20,625 – $20,625 · median $20,625 | 3 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $39,477 – $39,477 · median $39,477 | 3 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $22,640 – $22,640 · median $22,640 | 3 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $17,086 – $17,086 · median $17,086 | 3 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $79,931 – $79,931 · median $79,931 | 3 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $52,605 – $52,605 · median $52,605 | 3 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $48,093 – $48,093 · median $48,093 | 3 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $80,244 – $80,244 · median $80,244 | 3 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $47,537 – $47,537 · median $47,537 | 3 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $29,129 – $29,129 · median $29,129 | 3 plans |
| 100 | SEIZURES WITH MCC | $43,742 – $43,742 · median $43,742 | 3 plans |
| 101 | SEIZURES WITHOUT MCC | $20,069 – $20,069 · median $20,069 | 3 plans |
| 102 | HEADACHES WITH MCC | $26,622 – $26,622 · median $26,622 | 3 plans |
| 103 | HEADACHES WITHOUT MCC | $18,587 – $18,587 · median $18,587 | 3 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $55,321 – $55,321 · median $55,321 | 3 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $27,178 – $27,178 · median $27,178 | 3 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $34,517 – $34,517 · median $34,517 | 3 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $40,394 – $40,394 · median $40,394 | 3 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $26,441 – $26,441 · median $26,441 | 3 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $28,268 – $28,268 · median $28,268 | 3 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $16,427 – $16,427 · median $16,427 | 3 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $17,739 – $17,739 · median $17,739 | 3 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $29,166 – $29,166 · median $29,166 | 3 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $17,596 – $17,596 · median $17,596 | 3 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $58,516 – $58,516 · median $58,516 | 3 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $23,041 – $23,041 · median $23,041 | 3 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $33,199 – $33,199 · median $33,199 | 3 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $19,101 – $19,101 · median $19,101 | 3 plans |
| 139 | SALIVARY GLAND PROCEDURES | $26,205 – $26,205 · median $26,205 | 3 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $83,359 – $83,359 · median $83,359 | 3 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $45,710 – $45,710 · median $45,710 | 3 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $34,089 – $34,089 · median $34,089 | 3 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $73,376 – $73,376 · median $73,376 | 3 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $38,181 – $38,181 · median $38,181 | 3 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $26,942 – $26,942 · median $26,942 | 3 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $46,577 – $46,577 · median $46,577 | 3 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $27,266 – $27,266 · median $27,266 | 3 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $19,630 – $19,630 · median $19,630 | 3 plans |
| 149 | DYSEQUILIBRIUM | $16,431 – $16,431 · median $16,431 | 3 plans |
| 150 | EPISTAXIS WITH MCC | $29,003 – $29,003 · median $29,003 | 3 plans |
| 151 | EPISTAXIS WITHOUT MCC | $17,005 – $17,005 · median $17,005 | 3 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $26,216 – $26,216 · median $26,216 | 3 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $16,213 – $16,213 · median $16,213 | 3 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $33,939 – $33,939 · median $33,939 | 3 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $20,886 – $20,886 · median $20,886 | 3 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $14,463 – $14,463 · median $14,463 | 3 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $37,663 – $37,663 · median $37,663 | 3 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $20,707 – $20,707 · median $20,707 | 3 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $14,898 – $14,898 · median $14,898 | 3 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $104,000 – $104,000 · median $104,000 | 3 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $56,272 – $56,272 · median $56,272 | 3 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $41,401 – $41,401 · median $41,401 | 3 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $89,531 – $89,531 · median $89,531 | 3 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $40,152 – $40,152 · median $40,152 | 3 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $29,912 – $29,912 · median $29,912 | 3 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $67,846 – $67,846 · median $67,846 | 3 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $30,956 – $30,956 · median $30,956 | 3 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $17,995 – $17,995 · median $17,995 | 3 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $37,429 – $37,429 · median $37,429 | 3 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $21,770 – $21,770 · median $21,770 | 3 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $16,841 – $16,841 · median $16,841 | 3 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $38,351 – $38,351 · median $38,351 | 3 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $24,294 – $24,294 · median $24,294 | 3 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $17,625 – $17,625 · median $17,625 | 3 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $34,740 – $34,740 · median $34,740 | 3 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $23,209 – $23,209 · median $23,209 | 3 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $16,674 – $16,674 · median $16,674 | 3 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $34,245 – $34,245 · median $34,245 | 3 plans |
| 187 | PLEURAL EFFUSION WITH CC | $21,982 – $21,982 · median $21,982 | 3 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $16,471 – $16,471 · median $16,471 | 3 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $27,183 – $27,183 · median $27,183 | 3 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $24,314 – $24,314 · median $24,314 | 3 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $18,732 – $18,732 · median $18,732 | 3 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $14,161 – $14,161 · median $14,161 | 3 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $29,270 – $29,270 · median $29,270 | 3 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $18,141 – $18,141 · median $18,141 | 3 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $13,803 – $13,803 · median $13,803 | 3 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $41,820 – $41,820 · median $41,820 | 3 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $22,009 – $22,009 · median $22,009 | 3 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $17,170 – $17,170 · median $17,170 | 3 plans |
| 199 | PNEUMOTHORAX WITH MCC | $39,143 – $39,143 · median $39,143 | 3 plans |
| 200 | PNEUMOTHORAX WITH CC | $23,763 – $23,763 · median $23,763 | 3 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $15,579 – $15,579 · median $15,579 | 3 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $21,126 – $21,126 · median $21,126 | 3 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $15,332 – $15,332 · median $15,332 | 3 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $18,156 – $18,156 · median $18,156 | 3 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $39,942 – $39,942 · median $39,942 | 3 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $20,155 – $20,155 · median $20,155 | 3 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $152,417 – $152,417 · median $152,417 | 3 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $59,656 – $59,656 · median $59,656 | 3 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $237,643 – $237,643 · median $237,643 | 3 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $225,378 – $225,378 · median $225,378 | 3 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $214,136 – $214,136 · median $214,136 | 3 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $140,443 – $140,443 · median $140,443 | 3 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $125,691 – $125,691 · median $125,691 | 3 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $170,139 – $170,139 · median $170,139 | 3 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $115,716 – $115,716 · median $115,716 | 3 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $102,566 – $102,566 · median $102,566 | 3 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $111,173 – $111,173 · median $111,173 | 3 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $70,154 – $70,154 · median $70,154 | 3 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $179,052 – $179,052 · median $179,052 | 3 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $131,249 – $131,249 · median $131,249 | 3 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $172,089 – $172,089 · median $172,089 | 3 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $114,686 – $114,686 · median $114,686 | 3 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $129,749 – $129,749 · median $129,749 | 3 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $89,164 – $89,164 · median $89,164 | 3 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $106,056 – $106,056 · median $106,056 | 3 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $61,982 – $61,982 · median $61,982 | 3 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $30,757 – $30,757 · median $30,757 | 3 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $76,233 – $76,233 · median $76,233 | 3 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $50,253 – $50,253 · median $50,253 | 3 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $40,366 – $40,366 · median $40,366 | 3 plans |
| 245 | AICD GENERATOR PROCEDURES | $99,980 – $99,980 · median $99,980 | 3 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $51,868 – $51,868 · median $51,868 | 3 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $35,013 – $35,013 · median $35,013 | 3 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $73,998 – $73,998 · median $73,998 | 3 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $56,287 – $56,287 · median $56,287 | 3 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $38,283 – $38,283 · median $38,283 | 3 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $60,618 – $60,618 · median $60,618 | 3 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $36,178 – $36,178 · median $36,178 | 3 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $21,865 – $21,865 · median $21,865 | 3 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $59,762 – $59,762 · median $59,762 | 3 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $41,184 – $41,184 · median $41,184 | 3 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $73,146 – $73,146 · median $73,146 | 3 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $41,520 – $41,520 · median $41,520 | 3 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $36,302 – $36,302 · median $36,302 | 3 plans |
| 263 | VEIN LIGATION AND STRIPPING | $62,335 – $62,335 · median $62,335 | 3 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $72,061 – $72,061 · median $72,061 | 3 plans |
| 265 | AICD LEAD PROCEDURES | $77,976 – $77,976 · median $77,976 | 3 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $137,813 – $137,813 · median $137,813 | 3 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $107,676 – $107,676 · median $107,676 | 3 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $151,241 – $151,241 · median $151,241 | 3 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $91,755 – $91,755 · median $91,755 | 3 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $111,575 – $111,575 · median $111,575 | 3 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $76,257 – $76,257 · median $76,257 | 3 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $53,825 – $53,825 · median $53,825 | 3 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $85,983 – $85,983 · median $85,983 | 3 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $71,504 – $71,504 · median $71,504 | 3 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $155,237 – $155,237 · median $155,237 | 3 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $137,021 – $137,021 · median $137,021 | 3 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $105,518 – $105,518 · median $105,518 | 3 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $98,414 – $98,414 · median $98,414 | 3 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $70,618 – $70,618 · median $70,618 | 3 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $35,004 – $35,004 · median $35,004 | 3 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $20,144 – $20,144 · median $20,144 | 3 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $15,844 – $15,844 · median $15,844 | 3 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $43,497 – $43,497 · median $43,497 | 3 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $16,321 – $16,321 · median $16,321 | 3 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $10,783 – $10,783 · median $10,783 | 3 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $47,561 – $47,561 · median $47,561 | 3 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $23,864 – $23,864 · median $23,864 | 3 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $57,212 – $57,212 · median $57,212 | 3 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $32,604 – $32,604 · median $32,604 | 3 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $23,941 – $23,941 · median $23,941 | 3 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $28,328 – $28,328 · median $28,328 | 3 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $18,898 – $18,898 · median $18,898 | 3 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $12,389 – $12,389 · median $12,389 | 3 plans |
| 294 | Inpatient Services | $24,131 – $24,131 · median $24,131 | 3 plans |
| 295 | Inpatient Services | $17,587 – $17,587 · median $17,587 | 3 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $35,373 – $35,373 · median $35,373 | 3 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $16,076 – $16,076 · median $16,076 | 3 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $9,701 – $9,701 · median $9,701 | 3 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $34,777 – $34,777 · median $34,777 | 3 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $23,542 – $23,542 · median $23,542 | 3 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $15,661 – $15,661 · median $15,661 | 3 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $24,736 – $24,736 · median $24,736 | 3 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $14,520 – $14,520 · median $14,520 | 3 plans |
| 304 | HYPERTENSION WITH MCC | $25,351 – $25,351 · median $25,351 | 3 plans |
| 305 | HYPERTENSION WITHOUT MCC | $16,625 – $16,625 · median $16,625 | 3 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $33,908 – $33,908 · median $33,908 | 3 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $20,797 – $20,797 · median $20,797 | 3 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $26,525 – $26,525 · median $26,525 | 3 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $16,431 – $16,431 · median $16,431 | 3 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $12,201 – $12,201 · median $12,201 | 3 plans |
| 311 | ANGINA PECTORIS | $15,403 – $15,403 · median $15,403 | 3 plans |
| 312 | SYNCOPE AND COLLAPSE | $19,052 – $19,052 · median $19,052 | 3 plans |
| 313 | CHEST PAIN | $15,965 – $15,965 · median $15,965 | 3 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $46,191 – $46,191 · median $46,191 | 3 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $21,342 – $21,342 · median $21,342 | 3 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $15,284 – $15,284 · median $15,284 | 3 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $96,240 – $96,240 · median $96,240 | 3 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $49,114 – $49,114 · median $49,114 | 3 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $63,427 – $63,427 · median $63,427 | 3 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $40,231 – $40,231 · median $40,231 | 3 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $91,344 – $91,344 · median $91,344 | 3 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $65,499 – $65,499 · median $65,499 | 3 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $58,343 – $58,343 · median $58,343 | 3 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $112,062 – $112,062 · median $112,062 | 3 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $55,102 – $55,102 · median $55,102 | 3 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $35,243 – $35,243 · median $35,243 | 3 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $99,658 – $99,658 · median $99,658 | 3 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $52,338 – $52,338 · median $52,338 | 3 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $36,891 – $36,891 · median $36,891 | 3 plans |
| 332 | RECTAL RESECTION WITH MCC | $80,628 – $80,628 · median $80,628 | 3 plans |
| 333 | RECTAL RESECTION WITH CC | $45,882 – $45,882 · median $45,882 | 3 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $35,415 – $35,415 · median $35,415 | 3 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $78,878 – $78,878 · median $78,878 | 3 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $46,451 – $46,451 · median $46,451 | 3 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $33,016 – $33,016 · median $33,016 | 3 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $60,464 – $60,464 · median $60,464 | 3 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $33,992 – $33,992 · median $33,992 | 3 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $28,414 – $28,414 · median $28,414 | 3 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $56,243 – $56,243 · median $56,243 | 3 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $28,714 – $28,714 · median $28,714 | 3 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $21,530 – $21,530 · median $21,530 | 3 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $52,953 – $52,953 · median $52,953 | 3 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $32,116 – $32,116 · median $32,116 | 3 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $24,469 – $24,469 · median $24,469 | 3 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $64,521 – $64,521 · median $64,521 | 3 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $37,901 – $37,901 · median $37,901 | 3 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $30,064 – $30,064 · median $30,064 | 3 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $94,405 – $94,405 · median $94,405 | 3 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $48,470 – $48,470 · median $48,470 | 3 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $28,266 – $28,266 · median $28,266 | 3 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $36,449 – $36,449 · median $36,449 | 3 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $21,806 – $21,806 · median $21,806 | 3 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $16,409 – $16,409 · median $16,409 | 3 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $38,561 – $38,561 · median $38,561 | 3 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $22,997 – $22,997 · median $22,997 | 3 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $15,809 – $15,809 · median $15,809 | 3 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $46,312 – $46,312 · median $46,312 | 3 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $26,439 – $26,439 · median $26,439 | 3 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $19,668 – $19,668 · median $19,668 | 3 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $39,501 – $39,501 · median $39,501 | 3 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $21,706 – $21,706 · median $21,706 | 3 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $13,971 – $13,971 · median $13,971 | 3 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $42,991 – $42,991 · median $42,991 | 3 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $23,675 – $23,675 · median $23,675 | 3 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $16,705 – $16,705 · median $16,705 | 3 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $30,850 – $30,850 · median $30,850 | 3 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $19,321 – $19,321 · median $19,321 | 3 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $34,572 – $34,572 · median $34,572 | 3 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $21,437 – $21,437 · median $21,437 | 3 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $15,094 – $15,094 · median $15,094 | 3 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $32,070 – $32,070 · median $32,070 | 3 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $17,572 – $17,572 · median $17,572 | 3 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $12,334 – $12,334 · median $12,334 | 3 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $28,147 – $28,147 · median $28,147 | 3 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $17,333 – $17,333 · median $17,333 | 3 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $35,735 – $35,735 · median $35,735 | 3 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $20,672 – $20,672 · median $20,672 | 3 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $14,286 – $14,286 · median $14,286 | 3 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $49,569 – $49,569 · median $49,569 | 3 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $33,389 – $33,389 · median $33,389 | 3 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $24,559 – $24,559 · median $24,559 | 3 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $121,466 – $121,466 · median $121,466 | 3 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $63,707 – $63,707 · median $63,707 | 3 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $47,459 – $47,459 · median $47,459 | 3 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $82,126 – $82,126 · median $82,126 | 3 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $43,186 – $43,186 · median $43,186 | 3 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $34,534 – $34,534 · median $34,534 | 3 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $67,083 – $67,083 · median $67,083 | 3 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $45,586 – $45,586 · median $45,586 | 3 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $33,308 – $33,308 · median $33,308 | 3 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $77,779 – $77,779 · median $77,779 | 3 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $43,594 – $43,594 · median $43,594 | 3 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $29,548 – $29,548 · median $29,548 | 3 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $51,140 – $51,140 · median $51,140 | 3 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $36,068 – $36,068 · median $36,068 | 3 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $28,974 – $28,974 · median $28,974 | 3 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $70,622 – $70,622 · median $70,622 | 3 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $37,720 – $37,720 · median $37,720 | 3 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $31,132 – $31,132 · median $31,132 | 3 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $86,289 – $86,289 · median $86,289 | 3 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $47,033 – $47,033 · median $47,033 | 3 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $35,344 – $35,344 · median $35,344 | 3 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $42,274 – $42,274 · median $42,274 | 3 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $22,748 – $22,748 · median $22,748 | 3 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $14,772 – $14,772 · median $14,772 | 3 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $38,830 – $38,830 · median $38,830 | 3 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $24,286 – $24,286 · median $24,286 | 3 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $18,337 – $18,337 · median $18,337 | 3 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $36,820 – $36,820 · median $36,820 | 3 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $18,869 – $18,869 · median $18,869 | 3 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $13,583 – $13,583 · median $13,583 | 3 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $40,337 – $40,337 · median $40,337 | 3 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $20,994 – $20,994 · median $20,994 | 3 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $15,769 – $15,769 · median $15,769 | 3 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $36,035 – $36,035 · median $36,035 | 3 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $23,979 – $23,979 · median $23,979 | 3 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $17,684 – $17,684 · median $17,684 | 3 plans |
| 453 | Inpatient Services | $195,517 – $195,517 · median $195,517 | 3 plans |
| 454 | Inpatient Services | $134,949 – $134,949 · median $134,949 | 3 plans |
| 455 | Inpatient Services | $101,617 – $101,617 · median $101,617 | 3 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $185,985 – $185,985 · median $185,985 | 3 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $134,044 – $134,044 · median $134,044 | 3 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $99,971 – $99,971 · median $99,971 | 3 plans |
| 459 | Inpatient Services | $146,334 – $146,334 · median $146,334 | 3 plans |
| 460 | Inpatient Services | $80,707 – $80,707 · median $80,707 | 3 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $150,442 – $150,442 · median $150,442 | 3 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $62,800 – $62,800 · median $62,800 | 3 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $124,963 – $124,963 · median $124,963 | 3 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $66,222 – $66,222 · median $66,222 | 3 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $41,277 – $41,277 · median $41,277 | 3 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $114,436 – $114,436 · median $114,436 | 3 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $76,921 – $76,921 · median $76,921 | 3 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $58,902 – $58,902 · median $58,902 | 3 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $73,468 – $73,468 · median $73,468 | 3 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $41,518 – $41,518 · median $41,518 | 3 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $108,532 – $108,532 · median $108,532 | 3 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $65,207 – $65,207 · median $65,207 | 3 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $54,290 – $54,290 · median $54,290 | 3 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $94,936 – $94,936 · median $94,936 | 3 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $47,320 – $47,320 · median $47,320 | 3 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $25,967 – $25,967 · median $25,967 | 3 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $74,333 – $74,333 · median $74,333 | 3 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $52,594 – $52,594 · median $52,594 | 3 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $41,127 – $41,127 · median $41,127 | 3 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $65,064 – $65,064 · median $65,064 | 3 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $45,780 – $45,780 · median $45,780 | 3 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $35,046 – $35,046 · median $35,046 | 3 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $54,811 – $54,811 · median $54,811 | 3 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $72,678 – $72,678 · median $72,678 | 3 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $44,311 – $44,311 · median $44,311 | 3 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $34,086 – $34,086 · median $34,086 | 3 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $46,480 – $46,480 · median $46,480 | 3 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $27,308 – $27,308 · median $27,308 | 3 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $76,387 – $76,387 · median $76,387 | 3 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $52,991 – $52,991 · median $52,991 | 3 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $41,242 – $41,242 · median $41,242 | 3 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $79,015 – $79,015 · median $79,015 | 3 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $43,852 – $43,852 · median $43,852 | 3 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $31,494 – $31,494 · median $31,494 | 3 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $57,609 – $57,609 · median $57,609 | 3 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $28,458 – $28,458 · median $28,458 | 3 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $71,549 – $71,549 · median $71,549 | 3 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $38,296 – $38,296 · median $38,296 | 3 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $30,508 – $30,508 · median $30,508 | 3 plans |
| 503 | FOOT PROCEDURES WITH MCC | $59,173 – $59,173 · median $59,173 | 3 plans |
| 504 | FOOT PROCEDURES WITH CC | $38,106 – $38,106 · median $38,106 | 3 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $37,634 – $37,634 · median $37,634 | 3 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $32,271 – $32,271 · median $32,271 | 3 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $47,033 – $47,033 · median $47,033 | 3 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $31,640 – $31,640 · median $31,640 | 3 plans |
| 509 | Inpatient Services | $30,141 – $30,141 · median $30,141 | 3 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $60,027 – $60,027 · median $60,027 | 3 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $43,991 – $43,991 · median $43,991 | 3 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $35,607 – $35,607 · median $35,607 | 3 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $35,765 – $35,765 · median $35,765 | 3 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $22,979 – $22,979 · median $22,979 | 3 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $69,755 – $69,755 · median $69,755 | 3 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $45,028 – $45,028 · median $45,028 | 3 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $32,972 – $32,972 · median $32,972 | 3 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $80,573 – $80,573 · median $80,573 | 3 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $43,435 – $43,435 · median $43,435 | 3 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $31,584 – $31,584 · median $31,584 | 3 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $66,064 – $66,064 · median $66,064 | 3 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $46,603 – $46,603 · median $46,603 | 3 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $35,995 – $35,995 · median $35,995 | 3 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $17,872 – $17,872 · median $17,872 | 3 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $28,610 – $28,610 · median $28,610 | 3 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $17,366 – $17,366 · median $17,366 | 3 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $21,336 – $21,336 · median $21,336 | 3 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $15,645 – $15,645 · median $15,645 | 3 plans |
| 539 | OSTEOMYELITIS WITH MCC | $43,783 – $43,783 · median $43,783 | 3 plans |
| 540 | OSTEOMYELITIS WITH CC | $28,643 – $28,643 · median $28,643 | 3 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $18,929 – $18,929 · median $18,929 | 3 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $40,238 – $40,238 · median $40,238 | 3 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $24,065 – $24,065 · median $24,065 | 3 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $16,934 – $16,934 · median $16,934 | 3 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $55,010 – $55,010 · median $55,010 | 3 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $26,461 – $26,461 · median $26,461 | 3 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $18,165 – $18,165 · median $18,165 | 3 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $43,020 – $43,020 · median $43,020 | 3 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $26,613 – $26,613 · median $26,613 | 3 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $20,817 – $20,817 · median $20,817 | 3 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $37,550 – $37,550 · median $37,550 | 3 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $21,320 – $21,320 · median $21,320 | 3 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $29,819 – $29,819 · median $29,819 | 3 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $18,132 – $18,132 · median $18,132 | 3 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $30,867 – $30,867 · median $30,867 | 3 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $18,189 – $18,189 · median $18,189 | 3 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $34,349 – $34,349 · median $34,349 | 3 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $19,381 – $19,381 · median $19,381 | 3 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $40,829 – $40,829 · median $40,829 | 3 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $24,978 – $24,978 · median $24,978 | 3 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $17,214 – $17,214 · median $17,214 | 3 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $33,552 – $33,552 · median $33,552 | 3 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $19,760 – $19,760 · median $19,760 | 3 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $34,462 – $34,462 · median $34,462 | 3 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $22,051 – $22,051 · median $22,051 | 3 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $16,559 – $16,559 · median $16,559 | 3 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $64,475 – $64,475 · median $64,475 | 3 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $37,330 – $37,330 · median $37,330 | 3 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $25,144 – $25,144 · median $25,144 | 3 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $137,195 – $137,195 · median $137,195 | 3 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $75,145 – $75,145 · median $75,145 | 3 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $45,143 – $45,143 · median $45,143 | 3 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $125,391 – $125,391 · median $125,391 | 3 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $58,449 – $58,449 · median $58,449 | 3 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $35,534 – $35,534 · median $35,534 | 3 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $73,742 – $73,742 · median $73,742 | 3 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $38,537 – $38,537 · median $38,537 | 3 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $29,713 – $29,713 · median $29,713 | 3 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $38,420 – $38,420 · median $38,420 | 3 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $33,579 – $33,579 · median $33,579 | 3 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $43,214 – $43,214 · median $43,214 | 3 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $37,156 – $37,156 · median $37,156 | 3 plans |
| 592 | SKIN ULCERS WITH MCC | $46,116 – $46,116 · median $46,116 | 3 plans |
| 593 | SKIN ULCERS WITH CC | $26,695 – $26,695 · median $26,695 | 3 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $17,373 – $17,373 · median $17,373 | 3 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $47,989 – $47,989 · median $47,989 | 3 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $22,262 – $22,262 · median $22,262 | 3 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $35,313 – $35,313 · median $35,313 | 3 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $26,450 – $26,450 · median $26,450 | 3 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $14,845 – $14,845 · median $14,845 | 3 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $22,626 – $22,626 · median $22,626 | 3 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $13,977 – $13,977 · median $13,977 | 3 plans |
| 602 | CELLULITIS WITH MCC | $32,820 – $32,820 · median $32,820 | 3 plans |
| 603 | CELLULITIS WITHOUT MCC | $19,520 – $19,520 · median $19,520 | 3 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $33,233 – $33,233 · median $33,233 | 3 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $20,052 – $20,052 · median $20,052 | 3 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $34,989 – $34,989 · median $34,989 | 3 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $19,714 – $19,714 · median $19,714 | 3 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $49,697 – $49,697 · median $49,697 | 3 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $32,458 – $32,458 · median $32,458 | 3 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $87,322 – $87,322 · median $87,322 | 3 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $43,786 – $43,786 · median $43,786 | 3 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $25,627 – $25,627 · median $25,627 | 3 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $57,421 – $57,421 · median $57,421 | 3 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $35,792 – $35,792 · median $35,792 | 3 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $33,477 – $33,477 · median $33,477 | 3 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $84,407 – $84,407 · median $84,407 | 3 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $41,070 – $41,070 · median $41,070 | 3 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $24,590 – $24,590 · median $24,590 | 3 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $64,453 – $64,453 · median $64,453 | 3 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $32,917 – $32,917 · median $32,917 | 3 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $27,271 – $27,271 · median $27,271 | 3 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $88,575 – $88,575 · median $88,575 | 3 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $49,926 – $49,926 · median $49,926 | 3 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $30,808 – $30,808 · median $30,808 | 3 plans |
| 637 | DIABETES WITH MCC | $31,977 – $31,977 · median $31,977 | 3 plans |
| 638 | DIABETES WITH CC | $19,844 – $19,844 · median $19,844 | 3 plans |
| 639 | DIABETES WITHOUT CC/MCC | $13,735 – $13,735 · median $13,735 | 3 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $29,018 – $29,018 · median $29,018 | 3 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $17,241 – $17,241 · median $17,241 | 3 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $28,756 – $28,756 · median $28,756 | 3 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $36,297 – $36,297 · median $36,297 | 3 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $23,425 – $23,425 · median $23,425 | 3 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $16,788 – $16,788 · median $16,788 | 3 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $99,232 – $99,232 · median $99,232 | 3 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $76,306 – $76,306 · median $76,306 | 3 plans |
| 652 | KIDNEY TRANSPLANT | $66,289 – $66,289 · median $66,289 | 3 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $119,445 – $119,445 · median $119,445 | 3 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $60,400 – $60,400 · median $60,400 | 3 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $46,506 – $46,506 · median $46,506 | 3 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $69,228 – $69,228 · median $69,228 | 3 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $40,690 – $40,690 · median $40,690 | 3 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $32,663 – $32,663 · median $32,663 | 3 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $57,121 – $57,121 · median $57,121 | 3 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $29,696 – $29,696 · median $29,696 | 3 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $23,132 – $23,132 · median $23,132 | 3 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $66,119 – $66,119 · median $66,119 | 3 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $32,191 – $32,191 · median $32,191 | 3 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $23,423 – $23,423 · median $23,423 | 3 plans |
| 665 | PROSTATECTOMY WITH MCC | $68,157 – $68,157 · median $68,157 | 3 plans |
| 666 | PROSTATECTOMY WITH CC | $37,892 – $37,892 · median $37,892 | 3 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $23,158 – $23,158 · median $23,158 | 3 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $62,176 – $62,176 · median $62,176 | 3 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $33,859 – $33,859 · median $33,859 | 3 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $21,239 – $21,239 · median $21,239 | 3 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $37,771 – $37,771 · median $37,771 | 3 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $20,685 – $20,685 · median $20,685 | 3 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $81,592 – $81,592 · median $81,592 | 3 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $52,560 – $52,560 · median $52,560 | 3 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $35,004 – $35,004 · median $35,004 | 3 plans |
| 682 | RENAL FAILURE WITH MCC | $33,113 – $33,113 · median $33,113 | 3 plans |
| 683 | RENAL FAILURE WITH CC | $19,875 – $19,875 · median $19,875 | 3 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $13,426 – $13,426 · median $13,426 | 3 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $40,584 – $40,584 · median $40,584 | 3 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $23,063 – $23,063 · median $23,063 | 3 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $17,230 – $17,230 · median $17,230 | 3 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $25,912 – $25,912 · median $25,912 | 3 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $17,803 – $17,803 · median $17,803 | 3 plans |
| 693 | URINARY STONES WITH MCC | $31,249 – $31,249 · median $31,249 | 3 plans |
| 694 | URINARY STONES WITHOUT MCC | $17,269 – $17,269 · median $17,269 | 3 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $26,388 – $26,388 · median $26,388 | 3 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $15,270 – $15,270 · median $15,270 | 3 plans |
| 697 | URETHRAL STRICTURE | $24,559 – $24,559 · median $24,559 | 3 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $36,502 – $36,502 · median $36,502 | 3 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $22,523 – $22,523 · median $22,523 | 3 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $15,628 – $15,628 · median $15,628 | 3 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $43,287 – $43,287 · median $43,287 | 3 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $32,180 – $32,180 · median $32,180 | 3 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $47,896 – $47,896 · median $47,896 | 3 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $28,623 – $28,623 · median $28,623 | 3 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $46,839 – $46,839 · median $46,839 | 3 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $26,221 – $26,221 · median $26,221 | 3 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $32,008 – $32,008 · median $32,008 | 3 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $21,148 – $21,148 · median $21,148 | 3 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $48,706 – $48,706 · median $48,706 | 3 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $31,379 – $31,379 · median $31,379 | 3 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $40,017 – $40,017 · median $40,017 | 3 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $25,943 – $25,943 · median $25,943 | 3 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $41,365 – $41,365 · median $41,365 | 3 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $24,586 – $24,586 · median $24,586 | 3 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $17,861 – $17,861 · median $17,861 | 3 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $27,379 – $27,379 · median $27,379 | 3 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $16,126 – $16,126 · median $16,126 | 3 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $35,765 – $35,765 · median $35,765 | 3 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $17,653 – $17,653 · median $17,653 | 3 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $22,150 – $22,150 · median $22,150 | 3 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $13,715 – $13,715 · median $13,715 | 3 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $47,958 – $47,958 · median $47,958 | 3 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $27,805 – $27,805 · median $27,805 | 3 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $85,767 – $85,767 · median $85,767 | 3 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $43,550 – $43,550 · median $43,550 | 3 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $30,108 – $30,108 · median $30,108 | 3 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $79,789 – $79,789 · median $79,789 | 3 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $39,428 – $39,428 · median $39,428 | 3 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $28,668 – $28,668 · median $28,668 | 3 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $39,316 – $39,316 · median $39,316 | 3 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $25,638 – $25,638 · median $25,638 | 3 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $41,533 – $41,533 · median $41,533 | 3 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $22,856 – $22,856 · median $22,856 | 3 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $36,981 – $36,981 · median $36,981 | 3 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $19,575 – $19,575 · median $19,575 | 3 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $30,997 – $30,997 · median $30,997 | 3 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $55,539 – $55,539 · median $55,539 | 3 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $30,007 – $30,007 · median $30,007 | 3 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $40,873 – $40,873 · median $40,873 | 3 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $23,933 – $23,933 · median $23,933 | 3 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $21,837 – $21,837 · median $21,837 | 3 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $32,910 – $32,910 · median $32,910 | 3 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $21,901 – $21,901 · median $21,901 | 3 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $14,258 – $14,258 · median $14,258 | 3 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $21,962 – $21,962 · median $21,962 | 3 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $13,362 – $13,362 · median $13,362 | 3 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $26,876 – $26,876 · median $26,876 | 3 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $34,064 – $34,064 · median $34,064 | 3 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $17,622 – $17,622 · median $17,622 | 3 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $15,813 – $15,813 · median $15,813 | 3 plans |
| 779 | ABORTION WITHOUT D&C | $21,826 – $21,826 · median $21,826 | 3 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $39,093 – $39,093 · median $39,093 | 3 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $22,596 – $22,596 · median $22,596 | 3 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $19,114 – $19,114 · median $19,114 | 3 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $38,601 – $38,601 · median $38,601 | 3 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $23,191 – $23,191 · median $23,191 | 3 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $18,865 – $18,865 · median $18,865 | 3 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $40,143 – $40,143 · median $40,143 | 3 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $132,385 – $132,385 · median $132,385 | 3 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $90,411 – $90,411 · median $90,411 | 3 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $54,553 – $54,553 · median $54,553 | 3 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $92,873 – $92,873 · median $92,873 | 3 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $32,873 – $32,873 · median $32,873 | 3 plans |
| 795 | NORMAL NEWBORN | $4,450 – $4,450 · median $4,450 | 3 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $31,295 – $31,295 · median $31,295 | 3 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $21,973 – $21,973 · median $21,973 | 3 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $18,426 – $18,426 · median $18,426 | 3 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $109,318 – $109,318 · median $109,318 | 3 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $62,169 – $62,169 · median $62,169 | 3 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $39,488 – $39,488 · median $39,488 | 3 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $75,697 – $75,697 · median $75,697 | 3 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $40,999 – $40,999 · median $40,999 | 3 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $26,706 – $26,706 · median $26,706 | 3 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $22,245 – $22,245 · median $22,245 | 3 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $16,475 – $16,475 · median $16,475 | 3 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $14,436 – $14,436 · median $14,436 | 3 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $48,322 – $48,322 · median $48,322 | 3 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $26,574 – $26,574 · median $26,574 | 3 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $22,163 – $22,163 · median $22,163 | 3 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $30,969 – $30,969 · median $30,969 | 3 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $19,873 – $19,873 · median $19,873 | 3 plans |
| 813 | COAGULATION DISORDERS | $34,420 – $34,420 · median $34,420 | 3 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $46,954 – $46,954 · median $46,954 | 3 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $21,936 – $21,936 · median $21,936 | 3 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $15,670 – $15,670 · median $15,670 | 3 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $62,149 – $62,149 · median $62,149 | 3 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $31,576 – $31,576 · median $31,576 | 3 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $20,016 – $20,016 · median $20,016 | 3 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $133,413 – $133,413 · median $133,413 | 3 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $49,249 – $49,249 · median $49,249 | 3 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $27,333 – $27,333 · median $27,333 | 3 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $99,329 – $99,329 · median $99,329 | 3 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $49,266 – $49,266 · median $49,266 | 3 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $28,493 – $28,493 · median $28,493 | 3 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $102,105 – $102,105 · median $102,105 | 3 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $51,126 – $51,126 · median $51,126 | 3 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $36,194 – $36,194 · median $36,194 | 3 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $69,585 – $69,585 · median $69,585 | 3 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $34,887 – $34,887 · median $34,887 | 3 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $23,725 – $23,725 · median $23,725 | 3 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $16,276 – $16,276 · median $16,276 | 3 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $11,292 – $11,292 · median $11,292 | 3 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $123,535 – $123,535 · median $123,535 | 3 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $49,324 – $49,324 · median $49,324 | 3 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $31,152 – $31,152 · median $31,152 | 3 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $106,877 – $106,877 · median $106,877 | 3 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $44,165 – $44,165 · median $44,165 | 3 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $28,751 – $28,751 · median $28,751 | 3 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $68,954 – $68,954 · median $68,954 | 3 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $34,717 – $34,717 · median $34,717 | 3 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $23,529 – $23,529 · median $23,529 | 3 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $41,052 – $41,052 · median $41,052 | 3 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $25,532 – $25,532 · median $25,532 | 3 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $19,083 – $19,083 · median $19,083 | 3 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $53,924 – $53,924 · median $53,924 | 3 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $26,755 – $26,755 · median $26,755 | 3 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $18,450 – $18,450 · median $18,450 | 3 plans |
| 849 | RADIOTHERAPY | $59,383 – $59,383 · median $59,383 | 3 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $110,304 – $110,304 · median $110,304 | 3 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $44,971 – $44,971 · median $44,971 | 3 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $37,548 – $37,548 · median $37,548 | 3 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $97,708 – $97,708 · median $97,708 | 3 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $47,122 – $47,122 · median $47,122 | 3 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $28,317 – $28,317 · median $28,317 | 3 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $40,642 – $40,642 · median $40,642 | 3 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $22,185 – $22,185 · median $22,185 | 3 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $19,478 – $19,478 · median $19,478 | 3 plans |
| 865 | VIRAL ILLNESS WITH MCC | $36,182 – $36,182 · median $36,182 | 3 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $20,248 – $20,248 · median $20,248 | 3 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $46,164 – $46,164 · median $46,164 | 3 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $23,950 – $23,950 · median $23,950 | 3 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $15,239 – $15,239 · median $15,239 | 3 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $153,672 – $153,672 · median $153,672 | 3 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $43,744 – $43,744 · median $43,744 | 3 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $22,724 – $22,724 · median $22,724 | 3 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $82,331 – $82,331 · median $82,331 | 3 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $21,062 – $21,062 · median $21,062 | 3 plans |
| 881 | DEPRESSIVE NEUROSES | $20,001 – $20,001 · median $20,001 | 3 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $20,725 – $20,725 · median $20,725 | 3 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $41,379 – $41,379 · median $41,379 | 3 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $38,764 – $38,764 · median $38,764 | 3 plans |
| 885 | PSYCHOSES | $30,148 – $30,148 · median $30,148 | 3 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $37,105 – $37,105 · median $37,105 | 3 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $28,586 – $28,586 · median $28,586 | 3 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $12,676 – $12,676 · median $12,676 | 3 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $35,496 – $35,496 · median $35,496 | 3 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $39,232 – $39,232 · median $39,232 | 3 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $18,878 – $18,878 · median $18,878 | 3 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $95,488 – $95,488 · median $95,488 | 3 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $41,584 – $41,584 · median $41,584 | 3 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $27,392 – $27,392 · median $27,392 | 3 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $71,844 – $71,844 · median $71,844 | 3 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $34,943 – $34,943 · median $34,943 | 3 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $41,515 – $41,515 · median $41,515 | 3 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $82,066 – $82,066 · median $82,066 | 3 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $44,218 – $44,218 · median $44,218 | 3 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $29,925 – $29,925 · median $29,925 | 3 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $32,974 – $32,974 · median $32,974 | 3 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $20,027 – $20,027 · median $20,027 | 3 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $39,141 – $39,141 · median $39,141 | 3 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $14,536 – $14,536 · median $14,536 | 3 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $35,212 – $35,212 · median $35,212 | 3 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $18,995 – $18,995 · median $18,995 | 3 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $40,260 – $40,260 · median $40,260 | 3 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $22,810 – $22,810 · median $22,810 | 3 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $15,396 – $15,396 · median $15,396 | 3 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $38,499 – $38,499 · median $38,499 | 3 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $22,315 – $22,315 · median $22,315 | 3 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $581,574 – $581,574 · median $581,574 | 3 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $152,675 – $152,675 · median $152,675 | 3 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $70,946 – $70,946 · median $70,946 | 3 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $66,898 – $66,898 · median $66,898 | 3 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $46,169 – $46,169 · median $46,169 | 3 plans |
| 935 | NON-EXTENSIVE BURNS | $45,035 – $45,035 · median $45,035 | 3 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $70,942 – $70,942 · median $70,942 | 3 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $47,804 – $47,804 · median $47,804 | 3 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $40,950 – $40,950 · median $40,950 | 3 plans |
| 945 | REHABILITATION WITH CC/MCC | $33,305 – $33,305 · median $33,305 | 3 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $22,344 – $22,344 · median $22,344 | 3 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $27,615 – $27,615 · median $27,615 | 3 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $17,673 – $17,673 · median $17,673 | 3 plans |
| 949 | AFTERCARE WITH CC/MCC | $23,670 – $23,670 · median $23,670 | 3 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $14,090 – $14,090 · median $14,090 | 3 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $13,018 – $13,018 · median $13,018 | 3 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $134,373 – $134,373 · median $134,373 | 3 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $85,568 – $85,568 · median $85,568 | 3 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $159,577 – $159,577 · median $159,577 | 3 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $89,244 – $89,244 · median $89,244 | 3 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $55,874 – $55,874 · median $55,874 | 3 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $60,329 – $60,329 · median $60,329 | 3 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $33,118 – $33,118 · median $33,118 | 3 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $21,091 – $21,091 · median $21,091 | 3 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $151,636 – $151,636 · median $151,636 | 3 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $61,329 – $61,329 · median $61,329 | 3 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $64,349 – $64,349 · median $64,349 | 3 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $30,080 – $30,080 · median $30,080 | 3 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $18,651 – $18,651 · median $18,651 | 3 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $31,245 – $31,245 · median $31,245 | 3 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $104,591 – $104,591 · median $104,591 | 3 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $54,851 – $54,851 · median $54,851 | 3 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $36,079 – $36,079 · median $36,079 | 3 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $74,503 – $74,503 · median $74,503 | 3 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $37,442 – $37,442 · median $37,442 | 3 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $23,836 – $23,836 · median $23,836 | 3 plans |
No procedures match that keyword.