Advocate Illinois Masonic Medical Center (Acute Care) — 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 |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $9,343 – $23,839 · median $16,969 | 16 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $9,343 – $40,056 · median $27,638 | 16 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $9,343 – $23,550 · median $16,779 | 16 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $9,343 – $18,994 · median $14,018 | 16 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $9,343 – $35,138 · median $24,402 | 16 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $9,343 – $23,089 · median $16,498 | 16 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $9,343 – $19,673 · median $14,431 | 16 plans |
| 795 | NORMAL NEWBORN | $1,511 – $6,713 · median $3,713 | 16 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $9,343 – $27,760 · median $19,548 | 16 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $9,343 – $21,054 · median $15,267 | 16 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $9,343 – $21,054 · median $15,267 | 16 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $9,343 – $21,702 · median $15,659 | 16 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $7,947 – $15,735 · median $11,844 | 16 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $6,999 – $14,206 · median $10,728 | 16 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $309,344 – $612,520 · median $429,060 | 15 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $121,018 – $239,623 · median $167,852 | 15 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $235,362 – $466,030 · median $326,446 | 15 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $155,176 – $307,257 · median $215,228 | 15 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $116,952 – $231,571 · median $162,212 | 15 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $53,254 – $105,446 · median $73,863 | 15 plans |
| 007 | LUNG TRANSPLANT | $143,522 – $284,181 · median $199,064 | 15 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $59,754 – $118,317 · median $82,879 | 15 plans |
| 010 | PANCREAS TRANSPLANT | $87,559 – $173,373 · median $121,445 | 15 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $59,258 – $117,334 · median $82,190 | 15 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $45,067 – $89,235 · median $62,508 | 15 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $29,102 – $57,624 · median $40,365 | 15 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $143,884 – $284,899 · median $199,567 | 15 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $66,286 – $131,251 · median $91,939 | 15 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $66,286 – $131,251 · median $91,939 | 15 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $414,162 – $820,065 · median $574,441 | 15 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $87,058 – $172,379 · median $120,749 | 15 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $88,527 – $175,289 · median $122,787 | 15 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $60,701 – $120,191 · median $84,192 | 15 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $38,771 – $76,769 · median $53,775 | 15 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $62,653 – $124,057 · median $86,900 | 15 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $41,750 – $82,668 · median $57,907 | 15 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $49,115 – $97,250 · median $68,122 | 15 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $33,590 – $66,509 · median $46,589 | 15 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $27,101 – $53,662 · median $37,590 | 15 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $66,765 – $132,199 · median $92,603 | 15 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $36,863 – $72,991 · median $51,129 | 15 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $24,439 – $48,391 · median $33,897 | 15 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $46,021 – $91,125 · median $63,831 | 15 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $23,453 – $46,439 · median $32,529 | 15 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $17,522 – $34,694 · median $24,303 | 15 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $42,706 – $84,560 · median $59,233 | 15 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $24,982 – $49,466 · median $34,650 | 15 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $20,131 – $39,861 · median $27,922 | 15 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $36,470 – $72,213 · median $50,584 | 15 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $17,695 – $35,038 · median $24,543 | 15 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $12,500 – $24,750 · median $17,800 | 15 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $41,425 – $82,024 · median $57,457 | 15 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $24,800 – $49,105 · median $34,397 | 15 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $19,302 – $38,219 · median $26,772 | 15 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $22,101 – $43,762 · median $30,654 | 15 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $10,119 – $20,036 · median $14,899 | 15 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $16,463 – $32,598 · median $22,834 | 15 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $11,981 – $23,724 · median $17,168 | 15 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $27,500 – $54,452 · median $38,142 | 15 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $14,654 – $29,017 · median $20,425 | 15 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $20,272 – $40,139 · median $28,117 | 15 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $13,438 – $26,607 · median $18,943 | 15 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $9,800 – $19,405 · median $14,511 | 15 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $29,689 – $58,785 · median $41,178 | 15 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $19,558 – $38,726 · median $27,127 | 15 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $15,428 – $30,547 · median $21,398 | 15 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $21,845 – $43,255 · median $30,299 | 15 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $11,168 – $22,112 · median $16,177 | 15 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $7,559 – $15,079 · median $11,388 | 15 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $15,978 – $31,637 · median $22,161 | 15 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $9,681 – $19,168 · median $14,366 | 15 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $8,787 – $17,398 · median $13,054 | 15 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $19,096 – $37,810 · median $26,485 | 15 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $11,574 – $22,917 · median $16,672 | 15 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $8,239 – $16,313 · median $12,240 | 15 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $16,974 – $33,609 · median $23,543 | 15 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $11,448 – $22,667 · median $16,518 | 15 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $18,915 – $37,454 · median $26,236 | 15 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $10,069 – $19,938 · median $14,839 | 15 plans |
| 077 | Inpatient MS-DRG | $16,981 – $33,624 · median $23,553 | 15 plans |
| 078 | Inpatient MS-DRG | $10,959 – $21,699 · median $15,923 | 15 plans |
| 079 | Inpatient MS-DRG | $7,322 – $14,709 · median $11,109 | 15 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $21,830 – $43,225 · median $30,278 | 15 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $9,937 – $19,675 · median $14,677 | 15 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $25,480 – $50,453 · median $35,341 | 15 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $15,269 – $30,234 · median $21,179 | 15 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $10,500 – $20,790 · median $15,364 | 15 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $24,885 – $49,274 · median $34,516 | 15 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $14,404 – $28,521 · median $20,120 | 15 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $9,708 – $19,223 · median $14,399 | 15 plans |
| 088 | CONCUSSION WITH MCC | $15,492 – $30,676 · median $21,488 | 15 plans |
| 089 | CONCUSSION WITH CC | $11,774 – $23,313 · median $16,916 | 15 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $9,415 – $18,642 · median $13,988 | 15 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $20,019 – $39,639 · median $27,766 | 15 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $11,627 – $23,021 · median $16,736 | 15 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $8,668 – $17,163 · median $12,878 | 15 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $40,070 – $79,341 · median $55,577 | 15 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $26,326 – $52,127 · median $36,514 | 15 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $26,326 – $52,127 · median $36,514 | 15 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $39,366 – $77,947 · median $54,601 | 15 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $23,823 – $47,171 · median $33,043 | 15 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $15,301 – $30,297 · median $21,223 | 15 plans |
| 100 | SEIZURES WITH MCC | $21,803 – $43,170 · median $30,240 | 15 plans |
| 101 | SEIZURES WITHOUT MCC | $10,122 – $20,042 · median $14,903 | 15 plans |
| 102 | HEADACHES WITH MCC | $12,734 – $25,213 · median $18,085 | 15 plans |
| 103 | HEADACHES WITHOUT MCC | $9,337 – $18,488 · median $13,872 | 15 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $24,782 – $49,070 · median $34,373 | 15 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $12,982 – $25,705 · median $18,387 | 15 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $16,813 – $33,292 · median $23,320 | 15 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $18,325 – $36,284 · median $25,416 | 15 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $11,845 – $23,454 · median $17,003 | 15 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $12,774 – $25,294 · median $18,134 | 15 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,449 – $14,908 · median $11,259 | 15 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $8,821 – $17,466 · median $13,105 | 15 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $14,319 – $28,353 · median $20,017 | 15 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $9,068 – $17,955 · median $13,472 | 15 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $26,479 – $52,429 · median $36,726 | 15 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $10,743 – $21,271 · median $15,659 | 15 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $15,359 – $30,413 · median $21,303 | 15 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $8,934 – $17,690 · median $13,273 | 15 plans |
| 139 | SALIVARY GLAND PROCEDURES | $15,078 – $29,856 · median $20,941 | 15 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $46,445 – $91,964 · median $64,419 | 15 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $23,595 – $46,719 · median $32,726 | 15 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $17,268 – $34,192 · median $23,951 | 15 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $36,261 – $71,800 · median $50,295 | 15 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $19,292 – $38,199 · median $26,758 | 15 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $13,011 – $25,763 · median $18,423 | 15 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $25,194 – $49,885 · median $34,944 | 15 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $13,670 – $27,068 · median $19,226 | 15 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $8,793 – $17,411 · median $13,064 | 15 plans |
| 149 | DYSEQUILIBRIUM | $8,209 – $16,254 · median $12,196 | 15 plans |
| 150 | EPISTAXIS WITH MCC | $15,179 – $30,056 · median $21,065 | 15 plans |
| 151 | EPISTAXIS WITHOUT MCC | $8,324 – $16,483 · median $12,368 | 15 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $12,462 – $24,676 · median $17,755 | 15 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $7,816 – $15,480 · median $11,691 | 15 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $17,860 – $35,364 · median $24,772 | 15 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $10,253 – $20,301 · median $15,063 | 15 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $7,384 – $14,807 · median $11,182 | 15 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $17,983 – $35,607 · median $24,942 | 15 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $10,330 – $20,453 · median $15,156 | 15 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $7,244 – $14,588 · median $11,017 | 15 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $50,618 – $100,227 · median $70,207 | 15 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $27,642 – $54,732 · median $38,339 | 15 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $20,470 – $40,533 · median $28,392 | 15 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $42,284 – $83,725 · median $58,648 | 15 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $20,066 – $39,732 · median $27,832 | 15 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,869 – $29,441 · median $20,686 | 15 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $33,699 – $66,727 · median $46,741 | 15 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $15,475 – $30,641 · median $21,463 | 15 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $8,945 – $17,711 · median $13,289 | 15 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $17,752 – $35,151 · median $24,623 | 15 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $10,895 – $21,573 · median $15,845 | 15 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $8,453 – $16,737 · median $12,558 | 15 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $19,194 – $38,006 · median $26,622 | 15 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $12,193 – $24,143 · median $17,427 | 15 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $9,197 – $18,211 · median $13,665 | 15 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $17,432 – $34,516 · median $24,178 | 15 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $11,730 – $23,226 · median $16,862 | 15 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $8,541 – $16,911 · median $12,689 | 15 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $17,352 – $34,357 · median $24,067 | 15 plans |
| 187 | PLEURAL EFFUSION WITH CC | $11,026 – $21,832 · median $16,004 | 15 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $8,063 – $15,965 · median $11,982 | 15 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $13,589 – $26,907 · median $19,127 | 15 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $12,333 – $24,420 · median $17,597 | 15 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $9,435 – $18,681 · median $14,017 | 15 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $7,108 – $14,375 · median $10,856 | 15 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $14,471 – $28,653 · median $20,202 | 15 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $9,005 – $17,831 · median $13,379 | 15 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $6,838 – $13,956 · median $10,540 | 15 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $20,691 – $40,970 · median $28,699 | 15 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $10,872 – $21,528 · median $15,817 | 15 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $7,692 – $15,286 · median $11,544 | 15 plans |
| 199 | PNEUMOTHORAX WITH MCC | $19,387 – $38,386 · median $26,889 | 15 plans |
| 200 | PNEUMOTHORAX WITH CC | $12,163 – $24,083 · median $17,389 | 15 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $7,436 – $14,887 · median $11,243 | 15 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $10,616 – $21,021 · median $15,505 | 15 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $7,650 – $15,221 · median $11,495 | 15 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $8,906 – $17,635 · median $13,232 | 15 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $20,732 – $41,050 · median $28,755 | 15 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $9,948 – $19,697 · median $14,691 | 15 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $71,023 – $140,629 · median $98,508 | 15 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $29,473 – $58,359 · median $40,880 | 15 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $119,637 – $236,888 · median $165,936 | 15 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $116,352 – $230,384 · median $161,380 | 15 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $105,988 – $209,863 · median $147,006 | 15 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $70,921 – $140,427 · median $98,367 | 15 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $65,335 – $129,368 · median $90,620 | 15 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $84,973 – $168,252 · median $117,858 | 15 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $58,168 – $115,177 · median $80,679 | 15 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $50,436 – $99,866 · median $69,954 | 15 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $54,727 – $108,362 · median $75,906 | 15 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $34,113 – $67,546 · median $47,315 | 15 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $93,060 – $184,265 · median $129,074 | 15 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $67,086 – $132,834 · median $93,048 | 15 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $85,840 – $169,968 · median $119,059 | 15 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $58,426 – $115,688 · median $81,037 | 15 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $64,620 – $127,952 · median $89,628 | 15 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $45,159 – $89,418 · median $62,636 | 15 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $55,315 – $109,527 · median $76,722 | 15 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $31,982 – $63,326 · median $44,359 | 15 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $16,582 – $32,833 · median $22,999 | 15 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $37,251 – $73,759 · median $51,667 | 15 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $24,740 – $48,987 · median $34,315 | 15 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $19,819 – $39,243 · median $27,489 | 15 plans |
| 245 | AICD GENERATOR PROCEDURES | $53,667 – $106,263 · median $74,436 | 15 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $25,397 – $50,287 · median $35,226 | 15 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $17,160 – $33,979 · median $23,802 | 15 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $37,673 – $74,594 · median $52,252 | 15 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $28,037 – $55,515 · median $38,887 | 15 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $19,212 – $38,041 · median $26,647 | 15 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $28,734 – $56,896 · median $39,855 | 15 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $18,600 – $36,830 · median $25,798 | 15 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $9,795 – $19,394 · median $14,505 | 15 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $30,810 – $61,006 · median $42,733 | 15 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $19,303 – $38,221 · median $26,773 | 15 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $37,407 – $74,068 · median $51,883 | 15 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $20,839 – $41,263 · median $28,904 | 15 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $16,668 – $33,005 · median $23,119 | 15 plans |
| 263 | VEIN LIGATION AND STRIPPING | $29,455 – $58,322 · median $40,854 | 15 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $38,383 – $76,001 · median $53,237 | 15 plans |
| 265 | AICD LEAD PROCEDURES | $39,175 – $77,569 · median $54,336 | 15 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $65,791 – $130,270 · median $91,252 | 15 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $51,667 – $102,304 · median $71,662 | 15 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $73,224 – $144,987 · median $101,561 | 15 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $45,693 – $90,474 · median $63,376 | 15 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $56,371 – $111,617 · median $78,186 | 15 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $37,826 – $74,898 · median $52,465 | 15 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $27,479 – $54,410 · median $38,114 | 15 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $42,943 – $85,029 · median $59,562 | 15 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $34,275 – $67,866 · median $47,539 | 15 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $77,610 – $153,672 · median $107,645 | 15 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $68,027 – $134,697 · median $94,353 | 15 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $51,087 – $101,156 · median $70,858 | 15 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $54,946 – $108,797 · median $76,210 | 15 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $35,191 – $69,680 · median $48,809 | 15 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $18,026 – $35,692 · median $25,002 | 15 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $10,123 – $20,045 · median $14,905 | 15 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $7,963 – $15,767 · median $11,864 | 15 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $21,474 – $42,520 · median $29,785 | 15 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $8,138 – $16,113 · median $12,090 | 15 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $6,165 – $12,906 · median $9,747 | 15 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $24,306 – $48,128 · median $33,713 | 15 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $11,967 – $23,696 · median $17,151 | 15 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $29,997 – $59,396 · median $41,606 | 15 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $17,315 – $34,285 · median $24,016 | 15 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $10,751 – $21,288 · median $15,670 | 15 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $14,329 – $28,373 · median $20,029 | 15 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $9,458 – $18,727 · median $14,051 | 15 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $6,026 – $12,688 · median $9,582 | 15 plans |
| 294 | Inpatient MS-DRG | $13,486 – $26,703 · median $19,001 | 15 plans |
| 295 | Inpatient MS-DRG | $8,674 – $17,174 · median $12,886 | 15 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $17,993 – $35,627 · median $24,956 | 15 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $7,736 – $15,355 · median $11,596 | 15 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,851 – $10,856 · median $8,199 | 15 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $17,764 – $35,175 · median $24,639 | 15 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $11,757 – $23,280 · median $16,896 | 15 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $7,835 – $15,513 · median $11,713 | 15 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $12,775 – $25,296 · median $18,136 | 15 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $7,384 – $14,807 · median $11,182 | 15 plans |
| 304 | HYPERTENSION WITH MCC | $12,902 – $25,546 · median $18,290 | 15 plans |
| 305 | HYPERTENSION WITHOUT MCC | $8,244 – $16,324 · median $12,248 | 15 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $16,444 – $32,561 · median $22,808 | 15 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $10,174 – $20,145 · median $14,966 | 15 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $13,243 – $26,222 · median $18,706 | 15 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $8,119 – $16,076 · median $12,062 | 15 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $6,144 – $12,873 · median $9,722 | 15 plans |
| 311 | ANGINA PECTORIS | $7,669 – $15,250 · median $11,517 | 15 plans |
| 312 | SYNCOPE AND COLLAPSE | $9,569 – $18,946 · median $14,216 | 15 plans |
| 313 | CHEST PAIN | $7,835 – $15,513 · median $11,713 | 15 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $23,650 – $46,828 · median $32,802 | 15 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $10,568 – $20,925 · median $15,447 | 15 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,497 – $14,983 · median $11,316 | 15 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $67,939 – $134,523 · median $94,231 | 15 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $48,242 – $95,521 · median $66,911 | 15 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $25,421 – $50,335 · median $35,259 | 15 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $31,264 – $61,904 · median $43,362 | 15 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $19,869 – $39,341 · median $27,558 | 15 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $46,777 – $92,621 · median $64,879 | 15 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $35,089 – $69,477 · median $48,668 | 15 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $31,432 – $62,236 · median $43,596 | 15 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $55,778 – $110,443 · median $77,363 | 15 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $26,665 – $52,799 · median $36,985 | 15 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $17,500 – $34,651 · median $24,272 | 15 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $50,428 – $99,851 · median $69,944 | 15 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $25,958 – $51,399 · median $36,004 | 15 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $18,131 – $35,901 · median $25,148 | 15 plans |
| 332 | RECTAL RESECTION WITH MCC | $38,093 – $75,427 · median $52,835 | 15 plans |
| 333 | RECTAL RESECTION WITH CC | $23,340 – $46,215 · median $32,373 | 15 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $18,215 – $36,066 · median $25,264 | 15 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $39,792 – $78,791 · median $55,192 | 15 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $23,197 – $45,932 · median $32,175 | 15 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $16,858 – $33,381 · median $23,383 | 15 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $29,591 – $58,592 · median $41,043 | 15 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $16,349 – $32,372 · median $22,676 | 15 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,676 – $27,079 · median $19,233 | 15 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $25,992 – $51,466 · median $36,051 | 15 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $13,825 – $27,375 · median $19,415 | 15 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $9,674 – $19,155 · median $14,357 | 15 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $26,562 – $52,595 · median $36,842 | 15 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $16,522 – $32,715 · median $22,917 | 15 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $12,109 – $23,976 · median $17,324 | 15 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $32,210 – $63,778 · median $44,675 | 15 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $18,681 – $36,990 · median $25,911 | 15 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $14,641 – $28,990 · median $20,409 | 15 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $46,846 – $92,758 · median $64,975 | 15 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $24,731 – $48,970 · median $34,302 | 15 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,882 – $29,467 · median $20,702 | 15 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $18,340 – $36,314 · median $25,437 | 15 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $11,175 – $22,128 · median $16,186 | 15 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $7,665 – $15,245 · median $11,513 | 15 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $19,197 – $38,010 · median $26,626 | 15 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $11,304 – $22,382 · median $16,343 | 15 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $7,966 – $15,774 · median $11,868 | 15 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $23,187 – $45,912 · median $32,161 | 15 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $13,494 – $26,718 · median $19,011 | 15 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $9,697 – $19,201 · median $14,386 | 15 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $19,967 – $39,537 · median $27,695 | 15 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $10,827 – $21,438 · median $15,762 | 15 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $6,992 – $14,196 · median $10,721 | 15 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $21,133 – $41,844 · median $29,311 | 15 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $11,961 – $23,682 · median $17,143 | 15 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $8,229 – $16,294 · median $12,226 | 15 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $13,883 – $27,490 · median $19,486 | 15 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $9,550 – $18,909 · median $14,188 | 15 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $17,844 – $35,331 · median $24,749 | 15 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $10,900 – $21,582 · median $15,851 | 15 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $7,361 – $14,771 · median $11,155 | 15 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $16,142 – $31,963 · median $22,390 | 15 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $8,803 – $17,431 · median $13,079 | 15 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $6,009 – $12,663 · median $9,563 | 15 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $14,106 – $27,931 · median $19,757 | 15 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $8,569 – $16,968 · median $12,731 | 15 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $18,186 – $36,010 · median $25,224 | 15 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $10,337 – $20,469 · median $15,166 | 15 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,989 – $14,190 · median $10,717 | 15 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $27,211 – $53,880 · median $37,742 | 15 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $16,618 – $32,905 · median $23,049 | 15 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $12,342 – $24,437 · median $17,607 | 15 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $42,964 – $85,071 · median $59,591 | 15 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $59,618 – $118,047 · median $82,690 | 15 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $30,842 – $61,069 · median $42,778 | 15 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $23,455 – $46,443 · median $32,533 | 15 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $38,451 – $76,136 · median $53,332 | 15 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $23,024 – $45,588 · median $31,934 | 15 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $17,034 – $33,729 · median $23,626 | 15 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $30,051 – $59,503 · median $41,681 | 15 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $23,409 – $46,352 · median $32,469 | 15 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $18,258 – $36,151 · median $25,323 | 15 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $38,479 – $76,190 · median $53,370 | 15 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $21,723 – $43,014 · median $30,130 | 15 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $15,048 – $29,795 · median $20,904 | 15 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $26,099 – $51,677 · median $36,199 | 15 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $18,213 – $36,062 · median $25,261 | 15 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $14,470 – $28,651 · median $20,200 | 15 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $38,761 – $76,749 · median $53,761 | 15 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $17,984 – $35,610 · median $24,944 | 15 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $16,137 – $31,952 · median $22,382 | 15 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $44,668 – $88,446 · median $61,955 | 15 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $25,075 – $49,650 · median $34,779 | 15 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $16,976 – $33,613 · median $23,546 | 15 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $115,041 – $227,788 · median $159,561 | 15 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $78,002 – $154,448 · median $108,188 | 15 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $60,446 – $119,687 · median $83,838 | 15 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $91,596 – $181,366 · median $127,044 | 15 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $60,077 – $118,956 · median $83,327 | 15 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $21,515 – $42,601 · median $29,841 | 15 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $11,749 – $23,263 · median $16,885 | 15 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,649 – $15,220 · median $11,494 | 15 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $20,038 – $39,676 · median $27,792 | 15 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $12,384 – $24,522 · median $17,660 | 15 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $8,623 – $17,074 · median $12,811 | 15 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $18,271 – $36,177 · median $25,341 | 15 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $9,447 – $18,705 · median $14,035 | 15 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,755 – $13,826 · median $10,441 | 15 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $20,760 – $41,107 · median $28,795 | 15 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $10,611 – $21,010 · median $15,499 | 15 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,717 – $15,326 · median $11,574 | 15 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $18,498 – $36,627 · median $25,657 | 15 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $11,910 – $23,582 · median $17,082 | 15 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $8,756 – $17,337 · median $13,009 | 15 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $73,631 – $145,794 · median $102,126 | 15 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $44,845 – $88,796 · median $62,200 | 15 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $56,558 – $111,989 · median $78,446 | 15 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $33,890 – $67,105 · median $47,006 | 15 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $93,009 – $184,163 · median $129,003 | 15 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $63,030 – $124,803 · median $87,423 | 15 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $47,420 – $93,895 · median $65,772 | 15 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $67,393 – $133,443 · median $93,474 | 15 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $31,450 – $62,273 · median $43,621 | 15 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $59,314 – $117,445 · median $82,268 | 15 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $32,382 – $64,117 · median $44,913 | 15 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $19,066 – $37,751 · median $26,444 | 15 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $55,949 – $110,782 · median $77,601 | 15 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $37,616 – $74,481 · median $52,173 | 15 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $28,809 – $57,044 · median $39,958 | 15 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $35,897 – $71,078 · median $49,789 | 15 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $20,707 – $41,000 · median $28,720 | 15 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $53,343 – $105,622 · median $73,986 | 15 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $31,817 – $63,000 · median $44,130 | 15 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $25,999 – $51,479 · median $36,060 | 15 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $49,251 – $97,520 · median $68,311 | 15 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $23,691 – $46,910 · median $32,860 | 15 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,773 – $25,292 · median $18,133 | 15 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $37,767 – $74,781 · median $52,383 | 15 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $25,683 – $50,853 · median $35,622 | 15 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $19,502 – $38,615 · median $27,049 | 15 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $32,298 – $63,952 · median $44,797 | 15 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $22,787 – $45,119 · median $31,605 | 15 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $17,422 – $34,496 · median $24,164 | 15 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $27,984 – $55,411 · median $38,814 | 15 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $35,354 – $70,004 · median $49,036 | 15 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $23,292 – $46,119 · median $32,306 | 15 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $17,354 – $34,361 · median $24,070 | 15 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $21,584 – $42,738 · median $29,937 | 15 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,600 – $26,929 · median $19,141 | 15 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $38,999 – $77,221 · median $54,092 | 15 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $26,368 – $52,210 · median $36,572 | 15 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $20,705 – $40,998 · median $28,718 | 15 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $38,663 – $76,555 · median $53,626 | 15 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $21,667 – $42,903 · median $30,053 | 15 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $14,744 – $29,195 · median $20,535 | 15 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $27,728 – $54,904 · median $38,459 | 15 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $12,748 – $25,242 · median $18,102 | 15 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $34,799 – $68,903 · median $48,266 | 15 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $19,600 – $38,808 · median $27,185 | 15 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $15,344 – $30,382 · median $21,282 | 15 plans |
| 503 | FOOT PROCEDURES WITH MCC | $29,065 – $57,550 · median $40,313 | 15 plans |
| 504 | FOOT PROCEDURES WITH CC | $19,273 – $38,162 · median $26,732 | 15 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $19,273 – $38,162 · median $26,732 | 15 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $16,463 – $32,598 · median $22,834 | 15 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $21,285 – $42,146 · median $29,523 | 15 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $14,173 – $28,064 · median $19,839 | 15 plans |
| 509 | Inpatient MS-DRG | $19,292 – $38,199 · median $26,758 | 15 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $31,388 – $62,149 · median $43,535 | 15 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $21,538 – $42,646 · median $29,873 | 15 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $17,657 – $34,962 · median $24,490 | 15 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $16,535 – $32,739 · median $22,933 | 15 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $11,197 – $22,171 · median $16,213 | 15 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $33,961 – $67,244 · median $47,103 | 15 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $22,092 – $43,744 · median $30,642 | 15 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $16,393 – $32,459 · median $22,737 | 15 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $39,359 – $77,934 · median $54,591 | 15 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $21,655 – $42,879 · median $30,036 | 15 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $15,739 – $31,165 · median $21,831 | 15 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $32,009 – $63,380 · median $44,397 | 15 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $23,151 – $45,841 · median $32,111 | 15 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $16,746 – $33,159 · median $23,227 | 15 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $8,939 – $17,700 · median $13,281 | 15 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $14,605 – $28,919 · median $20,365 | 15 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $8,905 – $17,633 · median $13,231 | 15 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $10,092 – $19,984 · median $14,867 | 15 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $7,374 – $14,792 · median $11,171 | 15 plans |
| 539 | OSTEOMYELITIS WITH MCC | $22,210 – $43,977 · median $30,805 | 15 plans |
| 540 | OSTEOMYELITIS WITH CC | $14,212 – $28,140 · median $19,886 | 15 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $9,608 – $19,025 · median $14,275 | 15 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $20,483 – $40,557 · median $28,409 | 15 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $11,651 – $23,069 · median $16,766 | 15 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $8,299 – $16,433 · median $12,330 | 15 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $27,750 – $54,947 · median $38,490 | 15 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $12,714 – $25,174 · median $18,061 | 15 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,195 – $16,226 · median $12,175 | 15 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $22,124 – $43,807 · median $30,686 | 15 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $13,234 – $26,205 · median $18,695 | 15 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $9,468 – $18,746 · median $14,066 | 15 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $18,740 – $37,106 · median $25,992 | 15 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $10,584 – $20,958 · median $15,467 | 15 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $14,342 – $28,399 · median $20,045 | 15 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $9,166 – $18,148 · median $13,617 | 15 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,788 – $29,282 · median $20,588 | 15 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $8,967 – $17,755 · median $13,322 | 15 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $17,019 – $33,698 · median $23,605 | 15 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $9,486 – $18,783 · median $14,094 | 15 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $20,386 – $40,365 · median $28,275 | 15 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $12,505 – $24,761 · median $17,807 | 15 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $8,979 – $17,779 · median $13,340 | 15 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $16,072 – $31,824 · median $22,292 | 15 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $9,816 – $19,436 · median $14,530 | 15 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $17,233 – $34,122 · median $23,902 | 15 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $11,198 – $22,173 · median $16,215 | 15 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $8,216 – $16,267 · median $12,206 | 15 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $33,058 – $65,457 · median $45,851 | 15 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $18,387 – $36,408 · median $25,503 | 15 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $12,546 – $24,841 · median $17,856 | 15 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $67,629 – $133,910 · median $93,802 | 15 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $38,052 – $75,344 · median $52,777 | 15 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $21,928 – $43,418 · median $30,414 | 15 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $59,251 – $117,321 · median $82,181 | 15 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $29,243 – $57,903 · median $40,560 | 15 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $18,564 – $36,758 · median $25,748 | 15 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $35,795 – $70,876 · median $49,647 | 15 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $19,471 – $38,554 · median $27,006 | 15 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $15,805 – $31,295 · median $21,922 | 15 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $19,232 – $38,080 · median $26,674 | 15 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $18,040 – $35,721 · median $25,022 | 15 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $22,485 – $44,521 · median $31,186 | 15 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $21,800 – $43,166 · median $30,237 | 15 plans |
| 592 | SKIN ULCERS WITH MCC | $22,582 – $44,714 · median $31,322 | 15 plans |
| 593 | SKIN ULCERS WITH CC | $13,428 – $26,588 · median $18,931 | 15 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $9,320 – $18,455 · median $13,847 | 15 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $23,228 – $45,993 · median $32,217 | 15 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $11,873 – $23,509 · median $17,036 | 15 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $19,292 – $38,199 · median $26,758 | 15 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $11,848 – $23,461 · median $17,007 | 15 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $9,389 – $18,590 · median $13,949 | 15 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $10,505 – $20,801 · median $15,370 | 15 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,584 – $13,558 · median $10,239 | 15 plans |
| 602 | CELLULITIS WITH MCC | $16,135 – $31,948 · median $22,379 | 15 plans |
| 603 | CELLULITIS WITHOUT MCC | $9,673 – $19,153 · median $14,356 | 15 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $16,316 – $32,307 · median $22,630 | 15 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $10,144 – $20,086 · median $14,930 | 15 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $17,684 – $35,016 · median $24,528 | 15 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $9,491 – $18,792 · median $14,100 | 15 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $25,028 – $49,557 · median $34,714 | 15 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $15,737 – $31,161 · median $21,827 | 15 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $42,445 – $84,044 · median $58,872 | 15 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $21,213 – $42,003 · median $29,422 | 15 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $13,674 – $27,075 · median $19,230 | 15 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $13,685 – $59,288 · median $39,050 | 15 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $13,685 – $34,727 · median $23,140 | 15 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $13,685 – $31,787 · median $22,130 | 15 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $41,095 – $81,370 · median $56,998 | 15 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $21,006 – $41,594 · median $29,136 | 15 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,016 – $21,812 · median $15,992 | 15 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $31,486 – $62,345 · median $43,672 | 15 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $16,575 – $32,820 · median $22,990 | 15 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $13,913 – $27,549 · median $19,522 | 15 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $43,332 – $85,799 · median $60,101 | 15 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $24,700 – $48,907 · median $34,258 | 15 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $15,389 – $30,471 · median $21,345 | 15 plans |
| 637 | DIABETES WITH MCC | $15,993 – $31,667 · median $22,182 | 15 plans |
| 638 | DIABETES WITH CC | $10,073 – $19,945 · median $14,843 | 15 plans |
| 639 | DIABETES WITHOUT CC/MCC | $6,881 – $14,023 · median $10,590 | 15 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $14,584 – $28,877 · median $20,339 | 15 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $8,581 – $16,992 · median $12,749 | 15 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $13,630 – $26,988 · median $19,177 | 15 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $18,200 – $36,038 · median $25,244 | 15 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $11,349 – $22,471 · median $16,398 | 15 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $8,552 – $16,933 · median $12,705 | 15 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $50,597 – $100,186 · median $70,178 | 15 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $38,135 – $75,510 · median $52,893 | 15 plans |
| 652 | KIDNEY TRANSPLANT | $33,730 – $66,788 · median $46,784 | 15 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $61,220 – $121,220 · median $84,912 | 15 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $30,992 – $61,367 · median $42,986 | 15 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $22,813 – $45,171 · median $31,641 | 15 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $35,779 – $70,845 · median $49,626 | 15 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $20,076 – $39,752 · median $27,846 | 15 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $16,517 – $32,704 · median $22,909 | 15 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $28,381 – $56,196 · median $39,364 | 15 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $14,716 – $29,138 · median $20,500 | 15 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $11,274 – $22,323 · median $16,307 | 15 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $34,259 – $67,836 · median $47,518 | 15 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $16,774 – $33,213 · median $23,265 | 15 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $11,858 – $23,480 · median $17,019 | 15 plans |
| 665 | PROSTATECTOMY WITH MCC | $37,708 – $74,664 · median $52,301 | 15 plans |
| 666 | PROSTATECTOMY WITH CC | $18,091 – $35,821 · median $25,092 | 15 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $11,287 – $22,350 · median $16,323 | 15 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $32,027 – $63,415 · median $44,421 | 15 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $16,995 – $33,650 · median $23,572 | 15 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $10,496 – $20,782 · median $15,358 | 15 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $18,930 – $37,482 · median $26,255 | 15 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $12,019 – $23,798 · median $17,214 | 15 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $46,010 – $91,103 · median $63,816 | 15 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $25,351 – $50,196 · median $35,162 | 15 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $17,190 – $34,037 · median $23,843 | 15 plans |
| 682 | RENAL FAILURE WITH MCC | $16,494 – $32,659 · median $22,877 | 15 plans |
| 683 | RENAL FAILURE WITH CC | $9,762 – $19,329 · median $14,465 | 15 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $6,670 – $13,694 · median $10,342 | 15 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $20,709 – $41,005 · median $28,723 | 15 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $11,561 – $22,891 · median $16,656 | 15 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,953 – $15,748 · median $11,852 | 15 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $12,852 – $25,448 · median $18,229 | 15 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $8,814 – $17,453 · median $13,095 | 15 plans |
| 693 | URINARY STONES WITH MCC | $16,148 – $31,974 · median $22,397 | 15 plans |
| 694 | URINARY STONES WITHOUT MCC | $8,581 – $16,992 · median $12,749 | 15 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $12,386 – $24,524 · median $17,661 | 15 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $7,597 – $15,139 · median $11,433 | 15 plans |
| 697 | URETHRAL STRICTURE | $11,002 – $21,784 · median $15,975 | 15 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $18,460 – $36,551 · median $25,603 | 15 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $11,201 – $22,178 · median $16,217 | 15 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $7,624 – $15,180 · median $11,464 | 15 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $21,312 – $42,198 · median $29,559 | 15 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $16,281 – $32,237 · median $22,581 | 15 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $24,678 – $48,863 · median $34,228 | 15 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $16,488 – $32,648 · median $22,869 | 15 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $20,982 – $41,546 · median $29,102 | 15 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $11,746 – $23,258 · median $16,882 | 15 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $15,880 – $31,443 · median $22,025 | 15 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $10,320 – $20,434 · median $15,144 | 15 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $24,801 – $49,107 · median $34,398 | 15 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $15,587 – $30,863 · median $21,619 | 15 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $20,377 – $40,348 · median $28,263 | 15 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $13,529 – $26,788 · median $19,054 | 15 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $18,987 – $37,595 · median $26,335 | 15 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $12,332 – $24,417 · median $17,595 | 15 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,001 – $15,843 · median $11,909 | 15 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $13,866 – $27,455 · median $19,464 | 15 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $8,175 – $16,187 · median $12,146 | 15 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $16,137 – $31,952 · median $22,382 | 15 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $8,973 – $17,768 · median $13,332 | 15 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $12,090 – $23,939 · median $17,301 | 15 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,665 – $13,685 · median $10,335 | 15 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $23,093 – $45,725 · median $32,030 | 15 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $13,331 – $26,396 · median $18,813 | 15 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $43,243 – $85,623 · median $59,978 | 15 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $21,946 – $43,455 · median $30,440 | 15 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $16,659 – $32,985 · median $23,105 | 15 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $43,718 – $86,565 · median $60,637 | 15 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $19,969 – $39,539 · median $27,696 | 15 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $15,085 – $29,869 · median $20,949 | 15 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $20,061 – $39,722 · median $27,824 | 15 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $13,164 – $26,066 · median $18,609 | 15 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $21,459 – $42,490 · median $29,763 | 15 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $11,254 – $22,284 · median $16,283 | 15 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $18,390 – $36,414 · median $25,508 | 15 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $10,490 – $20,771 · median $15,352 | 15 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $14,961 – $29,623 · median $20,798 | 15 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $28,428 – $56,289 · median $39,430 | 15 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,161 – $28,040 · median $19,824 | 15 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $19,870 – $39,343 · median $27,559 | 15 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $12,191 – $24,139 · median $17,424 | 15 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $10,488 – $20,766 · median $15,349 | 15 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $15,543 – $30,776 · median $21,558 | 15 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $11,194 – $22,165 · median $16,209 | 15 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,028 – $14,252 · median $10,763 | 15 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $10,824 – $21,432 · median $15,758 | 15 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $6,961 – $14,148 · median $10,684 | 15 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $15,259 – $30,215 · median $21,165 | 15 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $11,817 – $23,398 · median $16,968 | 15 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $7,836 – $15,515 · median $11,714 | 15 plans |
| 779 | ABORTION WITHOUT D&C | $10,266 – $20,327 · median $15,079 | 15 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $19,796 – $39,198 · median $27,457 | 15 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $65,286 – $129,270 · median $90,551 | 15 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $44,586 – $88,283 · median $61,840 | 15 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $26,903 – $53,269 · median $37,314 | 15 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $45,800 – $90,688 · median $63,525 | 15 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $16,212 – $32,100 · median $22,485 | 15 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $52,217 – $103,393 · median $72,425 | 15 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $31,999 – $63,361 · median $44,383 | 15 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $18,029 – $35,699 · median $25,006 | 15 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $39,368 – $77,951 · median $54,604 | 15 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $19,548 – $38,706 · median $27,113 | 15 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $12,142 – $24,041 · median $17,364 | 15 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $25,152 – $49,803 · median $34,886 | 15 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $13,601 – $26,931 · median $19,142 | 15 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $10,453 – $20,697 · median $15,306 | 15 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $15,451 – $30,593 · median $21,430 | 15 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $10,135 – $20,068 · median $14,919 | 15 plans |
| 813 | COAGULATION DISORDERS | $17,000 – $33,661 · median $23,579 | 15 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $22,958 – $45,458 · median $31,843 | 15 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $11,159 – $22,095 · median $16,166 | 15 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $7,242 – $14,584 · median $11,014 | 15 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $27,840 – $55,126 · median $38,615 | 15 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $14,145 – $28,008 · median $19,804 | 15 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,967 – $17,755 · median $13,322 | 15 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $63,941 – $126,606 · median $88,685 | 15 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $24,516 – $48,544 · median $34,004 | 15 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,560 – $24,870 · median $17,874 | 15 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $51,390 – $101,756 · median $71,278 | 15 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $24,154 – $47,826 · median $33,501 | 15 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,517 – $26,764 · median $19,039 | 15 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $52,445 – $103,843 · median $72,740 | 15 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $25,916 – $51,316 · median $35,946 | 15 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $17,603 – $34,855 · median $24,415 | 15 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $33,866 – $67,057 · median $46,972 | 15 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $16,061 – $31,802 · median $22,277 | 15 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $12,640 – $25,029 · median $17,971 | 15 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $8,208 – $16,252 · median $12,195 | 15 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $5,708 – $12,194 · median $9,209 | 15 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $60,701 – $120,191 · median $84,192 | 15 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $23,456 – $46,445 · median $32,534 | 15 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $13,955 – $27,631 · median $19,573 | 15 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $54,989 – $108,882 · median $76,270 | 15 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $22,274 – $44,103 · median $30,894 | 15 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $15,050 – $29,799 · median $20,907 | 15 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $35,022 – $69,345 · median $48,575 | 15 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $17,220 – $34,096 · median $23,884 | 15 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $11,552 – $22,874 · median $16,645 | 15 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $20,792 – $41,170 · median $28,839 | 15 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $13,126 – $25,990 · median $18,563 | 15 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $9,190 – $18,196 · median $13,653 | 15 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $28,046 – $55,532 · median $38,899 | 15 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $13,955 – $27,631 · median $19,573 | 15 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,993 – $17,807 · median $13,361 | 15 plans |
| 849 | RADIOTHERAPY | $29,334 – $58,083 · median $40,686 | 15 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $101,165 – $200,313 · median $140,316 | 15 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $54,924 – $108,753 · median $76,180 | 15 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $21,943 – $43,449 · median $30,435 | 15 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $17,852 – $35,349 · median $24,761 | 15 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $49,546 – $98,105 · median $68,721 | 15 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $23,929 – $47,380 · median $33,189 | 15 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $14,149 – $28,016 · median $19,810 | 15 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $20,193 – $39,983 · median $28,007 | 15 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $10,981 – $21,743 · median $15,950 | 15 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $9,862 – $19,527 · median $14,586 | 15 plans |
| 865 | VIRAL ILLNESS WITH MCC | $16,208 – $32,093 · median $22,481 | 15 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $9,717 – $19,240 · median $14,410 | 15 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $23,549 – $46,628 · median $32,662 | 15 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $11,532 – $22,834 · median $16,621 | 15 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $7,903 – $15,648 · median $11,793 | 15 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $76,396 – $151,269 · median $105,961 | 15 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $21,548 – $42,666 · median $29,887 | 15 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $11,322 – $22,419 · median $16,366 | 15 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $43,155 – $85,449 · median $59,856 | 15 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $10,527 – $20,845 · median $15,397 | 15 plans |
| 881 | DEPRESSIVE NEUROSES | $10,039 – $19,877 · median $14,802 | 15 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $10,565 – $20,919 · median $15,443 | 15 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $20,360 – $40,313 · median $28,239 | 15 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $18,342 – $36,319 · median $25,440 | 15 plans |
| 885 | PSYCHOSES | $15,480 – $30,652 · median $21,471 | 15 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $19,729 – $39,065 · median $27,364 | 15 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $13,062 – $25,864 · median $18,485 | 15 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $6,854 – $13,980 · median $10,558 | 15 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $15,901 – $31,485 · median $22,054 | 15 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $19,557 – $38,724 · median $27,125 | 15 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $9,688 – $19,183 · median $14,375 | 15 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $48,656 – $96,341 · median $67,485 | 15 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $20,839 – $41,263 · median $28,904 | 15 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $13,388 – $26,509 · median $18,882 | 15 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $42,403 – $83,960 · median $58,812 | 15 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $18,101 – $35,840 · median $25,105 | 15 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $23,968 – $47,458 · median $33,244 | 15 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $43,749 – $86,626 · median $60,680 | 15 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $22,152 – $43,862 · median $30,724 | 15 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $13,928 – $27,579 · median $19,541 | 15 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $17,772 – $35,190 · median $24,650 | 15 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $10,064 – $19,927 · median $14,832 | 15 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $19,086 – $37,791 · median $26,472 | 15 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $7,293 – $14,665 · median $11,075 | 15 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $18,007 – $35,655 · median $24,976 | 15 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $9,715 – $19,236 · median $14,407 | 15 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $20,027 – $39,654 · median $27,777 | 15 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $11,157 – $22,091 · median $16,164 | 15 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $7,552 – $15,069 · median $11,380 | 15 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $18,553 – $36,736 · median $25,733 | 15 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $11,201 – $22,178 · median $16,217 | 15 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $260,524 – $515,852 · median $361,346 | 15 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $73,348 – $145,233 · median $101,733 | 15 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $34,927 – $69,158 · median $48,444 | 15 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $47,518 – $94,088 · median $65,907 | 15 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $23,565 – $46,660 · median $32,685 | 15 plans |
| 935 | NON-EXTENSIVE BURNS | $24,121 – $47,761 · median $33,456 | 15 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $34,857 – $69,019 · median $48,346 | 15 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $23,187 – $45,912 · median $32,161 | 15 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $21,462 – $42,496 · median $29,768 | 15 plans |
| 945 | REHABILITATION WITH CC/MCC | $16,764 – $33,194 · median $23,252 | 15 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $12,261 – $24,278 · median $17,510 | 15 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $14,125 – $27,968 · median $19,780 | 15 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $8,725 – $17,276 · median $12,963 | 15 plans |
| 949 | AFTERCARE WITH CC/MCC | $11,850 – $23,463 · median $17,008 | 15 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $6,437 – $13,329 · median $10,066 | 15 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $6,227 – $13,002 · median $9,819 | 15 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $74,988 – $148,481 · median $104,009 | 15 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $41,978 – $83,118 · median $58,223 | 15 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $81,972 – $162,309 · median $113,695 | 15 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $45,134 – $89,368 · median $62,600 | 15 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $29,035 – $57,492 · median $40,272 | 15 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $29,835 – $59,075 · median $41,381 | 15 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $16,474 – $32,620 · median $22,850 | 15 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $10,022 – $19,844 · median $14,782 | 15 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $69,453 – $137,522 · median $96,332 | 15 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $29,139 – $57,696 · median $40,415 | 15 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $32,794 – $64,935 · median $45,486 | 15 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $15,610 – $30,908 · median $21,651 | 15 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $11,015 – $21,810 · median $15,991 | 15 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $15,835 – $31,354 · median $21,963 | 15 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $52,207 – $103,374 · median $72,411 | 15 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $26,887 – $53,238 · median $37,293 | 15 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $18,320 – $36,275 · median $25,410 | 15 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $38,467 – $76,166 · median $53,353 | 15 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,845 – $37,314 · median $26,138 | 15 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,690 – $25,126 · median $18,031 | 15 plans |
No procedures match that keyword.