Carle Health Methodist Hospital — 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.
Procedures published 771
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 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 |
|---|---|---|---|
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $3,417 – $28,574 · median $18,291 | 17 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $26,007 – $79,673 · median $57,540 | 17 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $15,300 – $54,905 · median $29,564 | 17 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $5,739 – $33,746 · median $18,171 | 17 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $5,863 – $56,358 · median $30,347 | 17 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,245 – $20,953 · median $11,283 | 17 plans |
| 795 | NORMAL NEWBORN | $1,955 – $4,181 · median $2,187 | 17 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $194,429 – $371,702 · median $200,827 | 15 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $76,558 – $146,360 · median $78,960 | 15 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $148,124 – $283,178 · median $152,798 | 15 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $97,936 – $187,231 · median $101,009 | 15 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $74,012 – $141,494 · median $76,334 | 15 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $34,145 – $65,277 · median $35,216 | 15 plans |
| 007 | LUNG TRANSPLANT | $90,642 – $173,287 · median $93,486 | 15 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $38,213 – $73,054 · median $39,412 | 15 plans |
| 010 | PANCREAS TRANSPLANT | $55,616 – $106,325 · median $57,361 | 15 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $37,902 – $72,460 · median $39,092 | 15 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $29,020 – $55,480 · median $29,931 | 15 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $18,893 – $36,378 · median $19,625 | 15 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $90,869 – $173,720 · median $93,720 | 15 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $42,301 – $80,870 · median $43,629 | 15 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $42,301 – $80,870 · median $43,629 | 15 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $260,033 – $497,122 · median $268,875 | 15 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $55,302 – $105,724 · median $57,037 | 15 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $56,222 – $107,483 · median $57,986 | 15 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $38,806 – $74,187 · median $40,023 | 15 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $25,080 – $47,947 · median $25,867 | 15 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $40,028 – $76,524 · median $41,283 | 15 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $26,945 – $51,512 · median $27,790 | 15 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $31,554 – $60,324 · median $32,544 | 15 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $21,806 – $41,747 · median $22,522 | 15 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $17,594 – $33,984 · median $18,334 | 15 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $42,601 – $81,443 · median $43,938 | 15 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $23,886 – $45,664 · median $24,635 | 15 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $15,866 – $30,798 · median $16,615 | 15 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $29,618 – $56,622 · median $30,547 | 15 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $15,226 – $29,618 · median $15,979 | 15 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,375 – $22,521 · median $12,150 | 15 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $27,543 – $52,655 · median $28,407 | 15 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $16,218 – $31,447 · median $16,966 | 15 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,069 – $25,643 · median $13,834 | 15 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $23,640 – $45,194 · median $24,381 | 15 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,488 – $22,729 · median $12,262 | 15 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,115 – $16,512 · median $8,908 | 15 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $26,741 – $51,123 · median $27,580 | 15 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $16,100 – $31,229 · median $16,848 | 15 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,531 – $24,651 · median $13,299 | 15 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,348 – $28,001 · median $15,106 | 15 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,569 – $13,663 · median $7,371 | 15 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,688 – $21,254 · median $11,466 | 15 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,778 – $15,892 · median $8,573 | 15 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $17,853 – $34,461 · median $18,591 | 15 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,514 – $19,090 · median $10,299 | 15 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,160 – $25,812 · median $13,925 | 15 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,724 – $17,634 · median $9,513 | 15 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,362 – $13,282 · median $7,165 | 15 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $19,274 – $37,080 · median $20,004 | 15 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $12,697 – $24,957 · median $13,464 | 15 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,016 – $20,015 · median $10,798 | 15 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,182 – $27,695 · median $14,941 | 15 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,250 – $14,918 · median $8,048 | 15 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,907 – $10,600 · median $5,719 | 15 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,373 – $20,674 · median $11,153 | 15 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,285 – $13,139 · median $7,088 | 15 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,704 – $12,069 · median $6,511 | 15 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $12,397 – $24,404 · median $13,166 | 15 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $7,514 – $15,404 · median $8,310 | 15 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,349 – $11,413 · median $6,157 | 15 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,019 – $21,865 · median $11,796 | 15 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,432 – $15,253 · median $8,229 | 15 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $12,280 – $24,189 · median $13,049 | 15 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,537 – $13,604 · median $7,339 | 15 plans |
| 077 | Inpatient MS-DRG | $11,024 – $21,875 · median $11,801 | 15 plans |
| 078 | Inpatient MS-DRG | $7,115 – $14,668 · median $7,913 | 15 plans |
| 079 | Inpatient MS-DRG | $4,753 – $10,316 · median $5,565 | 15 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $14,172 – $27,676 · median $14,931 | 15 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,451 – $13,445 · median $7,253 | 15 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $16,542 – $32,044 · median $17,287 | 15 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $9,913 – $19,826 · median $10,696 | 15 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,817 – $14,119 · median $7,617 | 15 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,156 – $31,332 · median $16,903 | 15 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,351 – $18,791 · median $10,137 | 15 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,303 – $13,172 · median $7,106 | 15 plans |
| 088 | CONCUSSION WITH MCC | $10,058 – $20,093 · median $10,840 | 15 plans |
| 089 | CONCUSSION WITH CC | $7,644 – $15,643 · median $8,439 | 15 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,112 – $12,821 · median $6,917 | 15 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $12,996 – $25,509 · median $13,762 | 15 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,548 – $15,467 · median $8,344 | 15 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,627 – $11,927 · median $6,435 | 15 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $25,893 – $49,501 · median $26,705 | 15 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $17,091 – $33,056 · median $17,833 | 15 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $17,091 – $33,056 · median $17,833 | 15 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $25,452 – $48,659 · median $26,251 | 15 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $15,466 – $30,061 · median $16,218 | 15 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $9,934 – $19,864 · median $10,716 | 15 plans |
| 100 | SEIZURES WITH MCC | $14,154 – $27,643 · median $14,913 | 15 plans |
| 101 | SEIZURES WITHOUT MCC | $6,571 – $13,667 · median $7,373 | 15 plans |
| 102 | HEADACHES WITH MCC | $8,267 – $16,792 · median $9,059 | 15 plans |
| 103 | HEADACHES WITHOUT MCC | $6,062 – $12,727 · median $6,866 | 15 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $16,089 – $31,208 · median $16,837 | 15 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,428 – $17,089 · median $9,219 | 15 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $10,915 – $21,674 · median $11,693 | 15 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $11,896 – $23,482 · median $12,668 | 15 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,690 – $15,729 · median $8,485 | 15 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,293 – $16,840 · median $9,085 | 15 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,836 – $10,469 · median $5,648 | 15 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,726 – $12,110 · median $6,533 | 15 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,296 – $18,689 · median $10,083 | 15 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,887 – $12,406 · median $6,693 | 15 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $17,190 – $33,239 · median $17,932 | 15 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,974 – $14,409 · median $7,774 | 15 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $9,971 – $19,934 · median $10,754 | 15 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,800 – $12,245 · median $6,606 | 15 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,789 – $19,597 · median $10,573 | 15 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $29,883 – $57,129 · median $30,821 | 15 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,318 – $29,788 · median $16,070 | 15 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,211 – $22,218 · median $11,986 | 15 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $23,509 – $44,944 · median $24,247 | 15 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,524 – $24,639 · median $13,293 | 15 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,447 – $17,124 · median $9,238 | 15 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $16,356 – $31,701 · median $17,102 | 15 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $8,875 – $17,913 · median $9,664 | 15 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,709 – $12,077 · median $6,515 | 15 plans |
| 149 | DYSEQUILIBRIUM | $5,329 – $11,378 · median $6,138 | 15 plans |
| 150 | EPISTAXIS WITH MCC | $9,854 – $19,718 · median $10,638 | 15 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,404 – $11,516 · median $6,213 | 15 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,091 – $16,467 · median $8,884 | 15 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,074 – $10,907 · median $5,884 | 15 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,595 – $22,926 · median $12,368 | 15 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $6,656 – $13,823 · median $7,458 | 15 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,794 – $10,391 · median $5,606 | 15 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $11,675 – $23,073 · median $12,448 | 15 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,706 – $13,915 · median $7,507 | 15 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,703 – $10,223 · median $5,515 | 15 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $32,495 – $62,123 · median $33,514 | 15 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $17,945 – $34,630 · median $18,683 | 15 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,289 – $26,049 · median $14,053 | 15 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $27,279 – $52,150 · median $28,134 | 15 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,027 – $25,566 · median $13,792 | 15 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,653 – $19,346 · median $10,437 | 15 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $21,878 – $41,878 · median $22,593 | 15 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,046 – $20,072 · median $10,828 | 15 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,807 – $12,258 · median $6,613 | 15 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,525 – $22,797 · median $12,299 | 15 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,073 – $14,592 · median $7,872 | 15 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,488 – $11,670 · median $6,296 | 15 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $12,461 – $24,522 · median $13,230 | 15 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,916 – $16,145 · median $8,710 | 15 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,971 – $12,561 · median $6,776 | 15 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,317 – $22,413 · median $12,092 | 15 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,615 – $15,591 · median $8,411 | 15 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,545 – $11,775 · median $6,352 | 15 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,265 – $22,317 · median $12,040 | 15 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,158 – $14,748 · median $7,957 | 15 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,235 – $11,203 · median $6,044 | 15 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $8,822 – $17,815 · median $9,611 | 15 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,006 – $16,312 · median $8,800 | 15 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,125 – $12,844 · median $6,929 | 15 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,614 – $10,060 · median $5,427 | 15 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,395 – $18,871 · median $10,180 | 15 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,846 – $12,331 · median $6,652 | 15 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,440 – $9,738 · median $5,254 | 15 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,433 – $26,313 · median $14,196 | 15 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,058 – $14,564 · median $7,857 | 15 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,994 – $10,759 · median $5,804 | 15 plans |
| 199 | PNEUMOTHORAX WITH MCC | $12,586 – $24,752 · median $13,354 | 15 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,896 – $16,109 · median $8,690 | 15 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,827 – $10,453 · median $5,639 | 15 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,892 – $14,258 · median $7,692 | 15 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,966 – $10,709 · median $5,777 | 15 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,782 – $12,212 · median $6,588 | 15 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $13,459 – $26,362 · median $14,222 | 15 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,458 – $13,458 · median $7,260 | 15 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $45,266 – $86,538 · median $46,686 | 15 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $19,134 – $36,822 · median $19,865 | 15 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $75,693 – $144,707 · median $78,068 | 15 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $73,637 – $140,777 · median $75,947 | 15 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $67,151 – $128,376 · median $69,257 | 15 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $45,202 – $86,416 · median $46,620 | 15 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $41,706 – $79,732 · median $43,015 | 15 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $53,997 – $103,230 · median $55,691 | 15 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $37,221 – $71,157 · median $38,388 | 15 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $32,381 – $61,905 · median $33,397 | 15 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $35,066 – $67,039 · median $36,167 | 15 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $22,147 – $42,374 · median $22,860 | 15 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $59,059 – $112,907 · median $60,912 | 15 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $42,802 – $81,827 · median $44,145 | 15 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $54,540 – $104,267 · median $56,251 | 15 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $37,382 – $71,466 · median $38,555 | 15 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $41,259 – $78,877 · median $42,553 | 15 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $29,078 – $55,591 · median $29,990 | 15 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $35,435 – $67,743 · median $36,546 | 15 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $20,763 – $39,823 · median $21,484 | 15 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $10,765 – $21,396 · median $11,543 | 15 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $24,129 – $46,128 · median $24,886 | 15 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,061 – $31,158 · median $16,810 | 15 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $12,867 – $25,270 · median $13,633 | 15 plans |
| 245 | AICD GENERATOR PROCEDURES | $34,403 – $65,771 · median $35,482 | 15 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $16,488 – $31,944 · median $17,234 | 15 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,141 – $22,089 · median $11,917 | 15 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $24,392 – $46,633 · median $25,158 | 15 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $18,202 – $35,103 · median $18,938 | 15 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $12,472 – $24,543 · median $13,241 | 15 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $18,654 – $35,938 · median $19,388 | 15 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,075 – $23,812 · median $12,846 | 15 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,359 – $13,275 · median $7,162 | 15 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $20,002 – $38,421 · median $20,728 | 15 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $12,532 – $24,653 · median $13,300 | 15 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $24,226 – $46,315 · median $24,986 | 15 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $13,529 – $26,491 · median $14,291 | 15 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $10,821 – $21,500 · median $11,599 | 15 plans |
| 263 | VEIN LIGATION AND STRIPPING | $19,122 – $36,800 · median $19,853 | 15 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $24,837 – $47,483 · median $25,616 | 15 plans |
| 265 | AICD LEAD PROCEDURES | $25,333 – $48,430 · median $26,128 | 15 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $41,991 – $80,278 · median $43,309 | 15 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $33,151 – $63,378 · median $34,191 | 15 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $46,643 – $89,171 · median $48,107 | 15 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $29,412 – $56,229 · median $30,335 | 15 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $36,095 – $69,006 · median $37,228 | 15 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $24,489 – $46,817 · median $25,257 | 15 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $17,840 – $34,436 · median $18,578 | 15 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $27,691 – $52,939 · median $28,560 | 15 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $22,251 – $42,567 · median $22,964 | 15 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $49,389 – $94,420 · median $50,938 | 15 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $43,391 – $82,953 · median $44,752 | 15 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $32,789 – $62,684 · median $33,817 | 15 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $35,204 – $67,302 · median $36,308 | 15 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $22,839 – $43,663 · median $23,556 | 15 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $11,702 – $23,124 · median $12,475 | 15 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,572 – $13,668 · median $7,374 | 15 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,170 – $11,084 · median $5,979 | 15 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $13,941 – $27,250 · median $14,701 | 15 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,283 – $11,292 · median $6,092 | 15 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,003 – $8,932 · median $4,819 | 15 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $15,780 – $30,639 · median $16,530 | 15 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,769 – $15,875 · median $8,564 | 15 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $19,474 – $37,449 · median $20,203 | 15 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $11,241 – $22,274 · median $12,017 | 15 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,980 – $14,420 · median $7,779 | 15 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,303 – $18,701 · median $10,089 | 15 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,140 – $12,872 · median $6,944 | 15 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,912 – $8,766 · median $4,729 | 15 plans |
| 294 | Inpatient MS-DRG | $8,755 – $17,692 · median $9,545 | 15 plans |
| 295 | Inpatient MS-DRG | $5,631 – $11,934 · median $6,438 | 15 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,681 – $23,085 · median $12,454 | 15 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,022 – $10,812 · median $5,833 | 15 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,149 – $7,360 · median $3,970 | 15 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $11,533 – $22,812 · median $12,307 | 15 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,633 – $15,624 · median $8,429 | 15 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,086 – $10,930 · median $5,897 | 15 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,294 – $16,842 · median $9,086 | 15 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,794 – $10,391 · median $5,606 | 15 plans |
| 304 | HYPERTENSION WITH MCC | $8,376 – $16,993 · median $9,167 | 15 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,352 – $11,420 · median $6,161 | 15 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $10,676 – $21,232 · median $11,454 | 15 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,605 – $13,729 · median $7,407 | 15 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,598 – $17,402 · median $9,388 | 15 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,271 – $11,270 · median $6,080 | 15 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,989 – $8,908 · median $4,805 | 15 plans |
| 311 | ANGINA PECTORIS | $4,979 – $10,731 · median $5,789 | 15 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,212 – $13,005 · median $7,016 | 15 plans |
| 313 | CHEST PAIN | $5,086 – $10,930 · median $5,897 | 15 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $15,353 – $29,854 · median $16,106 | 15 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,861 – $14,201 · median $7,661 | 15 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,867 – $10,526 · median $5,679 | 15 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $43,336 – $82,848 · median $44,695 | 15 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $31,008 – $59,279 · median $31,980 | 15 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $16,503 – $31,973 · median $17,249 | 15 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $20,296 – $38,964 · median $21,021 | 15 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $12,899 – $25,329 · median $13,665 | 15 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $30,091 – $57,526 · median $31,035 | 15 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $22,775 – $43,541 · median $23,490 | 15 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $20,405 – $39,165 · median $21,129 | 15 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $35,724 – $68,296 · median $36,845 | 15 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,311 – $33,462 · median $18,052 | 15 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,361 – $22,495 · median $12,136 | 15 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $32,376 – $61,895 · median $33,392 | 15 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $16,852 – $32,616 · median $17,596 | 15 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,771 – $23,250 · median $12,543 | 15 plans |
| 332 | RECTAL RESECTION WITH MCC | $24,656 – $47,136 · median $25,429 | 15 plans |
| 333 | RECTAL RESECTION WITH CC | $15,152 – $29,483 · median $15,906 | 15 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $11,825 – $23,350 · median $12,597 | 15 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $25,719 – $49,169 · median $26,526 | 15 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $15,060 – $29,312 · median $15,814 | 15 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $10,945 – $21,727 · median $11,722 | 15 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $19,211 – $36,963 · median $19,941 | 15 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,614 – $21,118 · median $11,393 | 15 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,878 – $17,919 · median $9,667 | 15 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $16,874 – $32,656 · median $17,618 | 15 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,975 – $18,098 · median $9,764 | 15 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,280 – $13,131 · median $7,084 | 15 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $17,244 – $33,338 · median $17,986 | 15 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $10,726 – $21,325 · median $11,505 | 15 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,861 – $16,044 · median $8,656 | 15 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $20,911 – $40,097 · median $21,632 | 15 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,128 – $23,909 · median $12,898 | 15 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,505 – $19,074 · median $10,290 | 15 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $30,134 – $57,609 · median $31,079 | 15 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $16,056 – $31,148 · median $16,804 | 15 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,661 – $19,362 · median $10,446 | 15 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $11,906 – $23,500 · median $12,678 | 15 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,255 – $14,927 · median $8,053 | 15 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,976 – $10,727 · median $5,787 | 15 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $12,462 – $24,525 · median $13,231 | 15 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,338 – $15,081 · median $8,136 | 15 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,172 – $11,088 · median $5,982 | 15 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $15,053 – $29,300 · median $15,807 | 15 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,760 – $17,701 · median $9,550 | 15 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,295 – $13,158 · median $7,099 | 15 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $12,963 – $25,448 · median $13,729 | 15 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,029 – $14,511 · median $7,828 | 15 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,539 – $9,922 · median $5,353 | 15 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $13,719 – $26,842 · median $14,481 | 15 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,765 – $15,867 · median $8,560 | 15 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,342 – $11,402 · median $6,151 | 15 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,013 – $18,168 · median $9,801 | 15 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,200 – $12,982 · median $7,004 | 15 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,584 – $22,906 · median $12,358 | 15 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,076 – $14,597 · median $7,875 | 15 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,779 – $10,363 · median $5,591 | 15 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,480 – $20,871 · median $11,259 | 15 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,715 – $12,089 · median $6,522 | 15 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,901 – $8,746 · median $4,718 | 15 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,158 – $18,434 · median $9,945 | 15 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,563 – $11,809 · median $6,371 | 15 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $11,807 – $23,316 · median $12,579 | 15 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,711 – $13,925 · median $7,512 | 15 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,537 – $9,918 · median $5,351 | 15 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $17,666 – $34,115 · median $18,405 | 15 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $10,788 – $21,440 · median $11,566 | 15 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,012 – $16,323 · median $8,806 | 15 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $27,704 – $52,964 · median $28,573 | 15 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $38,128 – $72,891 · median $39,324 | 15 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $20,023 – $38,459 · median $20,748 | 15 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $15,227 – $29,621 · median $15,980 | 15 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $24,880 – $47,564 · median $25,660 | 15 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $14,947 – $29,105 · median $15,702 | 15 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,059 – $21,938 · median $11,835 | 15 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $19,509 – $37,513 · median $20,238 | 15 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $15,197 – $29,566 · median $15,950 | 15 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $11,853 – $23,402 · median $12,625 | 15 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $24,897 – $47,597 · median $25,678 | 15 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $14,103 – $27,549 · median $14,862 | 15 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $9,769 – $19,561 · median $10,553 | 15 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $16,943 – $32,784 · median $17,687 | 15 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $11,824 – $23,348 · median $12,596 | 15 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,394 – $18,869 · median $10,180 | 15 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $25,074 – $47,935 · median $25,860 | 15 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $11,675 – $23,074 · median $12,448 | 15 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,476 – $20,864 · median $11,256 | 15 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $28,771 – $55,003 · median $29,674 | 15 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $16,279 – $31,559 · median $17,026 | 15 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,021 – $21,868 · median $11,798 | 15 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $72,816 – $139,208 · median $75,101 | 15 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $49,634 – $94,889 · median $51,191 | 15 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $38,646 – $73,882 · median $39,859 | 15 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $58,143 – $111,155 · median $59,967 | 15 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $38,415 – $73,441 · median $39,620 | 15 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $13,968 – $27,299 · median $14,727 | 15 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,627 – $15,613 · median $8,423 | 15 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,966 – $10,708 · median $5,777 | 15 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,009 – $25,532 · median $13,774 | 15 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,040 – $16,374 · median $8,834 | 15 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,598 – $11,873 · median $6,405 | 15 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $11,861 – $23,417 · median $12,633 | 15 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,133 – $12,859 · median $6,937 | 15 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,385 – $9,638 · median $5,200 | 15 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,478 – $26,396 · median $14,240 | 15 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,889 – $14,252 · median $7,689 | 15 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,010 – $10,789 · median $5,821 | 15 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,009 – $23,689 · median $12,780 | 15 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,732 – $15,806 · median $8,527 | 15 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,684 – $12,032 · median $6,491 | 15 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $46,898 – $89,659 · median $48,370 | 15 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $28,882 – $55,215 · median $29,788 | 15 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $36,213 – $69,231 · median $37,349 | 15 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $22,002 – $42,107 · median $22,716 | 15 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $59,027 – $112,845 · median $60,879 | 15 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $40,263 – $76,974 · median $41,527 | 15 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $30,493 – $58,296 · median $31,450 | 15 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $42,994 – $82,195 · median $44,343 | 15 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $20,418 – $39,187 · median $21,141 | 15 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $37,937 – $72,527 · median $39,128 | 15 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $21,022 – $40,302 · median $21,742 | 15 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,378 – $24,369 · median $13,147 | 15 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $35,831 – $68,501 · median $36,956 | 15 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $24,357 – $46,564 · median $25,121 | 15 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $18,703 – $36,027 · median $19,436 | 15 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $23,281 – $44,508 · median $24,011 | 15 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $13,443 – $26,332 · median $14,206 | 15 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $34,200 – $65,383 · median $35,273 | 15 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $20,656 – $39,626 · median $21,378 | 15 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $16,879 – $32,664 · median $17,622 | 15 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $31,639 – $60,487 · median $32,632 | 15 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $15,381 – $29,904 · median $16,133 | 15 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,292 – $16,839 · median $9,085 | 15 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $24,452 – $46,746 · median $25,219 | 15 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $16,673 – $32,286 · median $17,418 | 15 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,661 – $24,890 · median $13,428 | 15 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $20,968 – $40,202 · median $21,688 | 15 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $14,793 – $28,821 · median $15,548 | 15 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,310 – $22,402 · median $12,085 | 15 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $18,168 – $35,040 · median $18,904 | 15 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $22,941 – $43,859 · median $23,661 | 15 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,121 – $29,425 · median $15,875 | 15 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,266 – $22,320 · median $12,041 | 15 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $14,012 – $27,382 · median $14,772 | 15 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,829 – $17,829 · median $9,618 | 15 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $25,223 – $48,220 · median $26,014 | 15 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $17,118 – $33,106 · median $17,860 | 15 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $13,442 – $26,331 · median $14,205 | 15 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $25,012 – $47,818 · median $25,797 | 15 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,067 – $27,482 · median $14,826 | 15 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,572 – $19,198 · median $10,357 | 15 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $18,001 – $34,734 · median $18,739 | 15 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $8,276 – $16,809 · median $9,068 | 15 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $22,591 – $43,194 · median $23,303 | 15 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $12,724 – $25,007 · median $13,491 | 15 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $9,961 – $19,915 · median $10,744 | 15 plans |
| 503 | FOOT PROCEDURES WITH MCC | $18,869 – $36,333 · median $19,601 | 15 plans |
| 504 | FOOT PROCEDURES WITH CC | $12,512 – $24,617 · median $13,281 | 15 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $12,512 – $24,617 · median $13,281 | 15 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,688 – $21,254 · median $11,466 | 15 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $13,818 – $27,024 · median $14,579 | 15 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,201 – $18,515 · median $9,988 | 15 plans |
| 509 | Inpatient MS-DRG | $12,524 – $24,639 · median $13,293 | 15 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $20,377 – $39,112 · median $21,101 | 15 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $13,982 – $27,327 · median $14,742 | 15 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $11,463 – $22,683 · median $12,237 | 15 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $10,734 – $21,340 · median $11,513 | 15 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,269 – $14,953 · median $8,067 | 15 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $22,047 – $42,191 · median $22,762 | 15 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $14,343 – $27,990 · median $15,100 | 15 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $10,642 – $21,170 · median $11,421 | 15 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $25,448 – $48,651 · median $26,247 | 15 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $14,059 – $27,467 · median $14,818 | 15 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,218 – $20,388 · median $10,999 | 15 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $20,781 – $39,856 · median $21,502 | 15 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,030 – $29,257 · median $15,784 | 15 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $10,872 – $21,593 · median $11,649 | 15 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,803 – $12,252 · median $6,610 | 15 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,482 – $19,031 · median $10,267 | 15 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,781 – $12,211 · median $6,588 | 15 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,552 – $13,632 · median $7,354 | 15 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,787 – $10,379 · median $5,599 | 15 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,419 – $28,131 · median $15,176 | 15 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,226 – $18,561 · median $10,013 | 15 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,238 – $13,052 · median $7,041 | 15 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,297 – $26,064 · median $14,061 | 15 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,564 – $15,496 · median $8,360 | 15 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,388 – $11,486 · median $6,196 | 15 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $18,016 – $34,760 · median $18,753 | 15 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,254 – $16,768 · median $9,046 | 15 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,320 – $11,361 · median $6,129 | 15 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,363 – $28,028 · median $15,121 | 15 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,592 – $17,391 · median $9,382 | 15 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,146 – $12,884 · median $6,951 | 15 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,166 – $23,978 · median $12,936 | 15 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,871 – $14,220 · median $7,672 | 15 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,311 – $18,717 · median $10,098 | 15 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,950 – $12,522 · median $6,756 | 15 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,601 – $19,250 · median $10,385 | 15 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,821 – $12,285 · median $6,627 | 15 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,049 – $21,919 · median $11,825 | 15 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,159 – $12,906 · median $6,963 | 15 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,235 – $25,948 · median $13,999 | 15 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,118 – $16,519 · median $8,912 | 15 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,829 – $12,299 · median $6,635 | 15 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,434 – $20,787 · median $11,214 | 15 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,372 – $13,300 · median $7,175 | 15 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,188 – $22,176 · median $11,963 | 15 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,270 – $14,955 · median $8,068 | 15 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,334 – $11,386 · median $6,142 | 15 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $21,461 – $41,111 · median $22,179 | 15 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $11,937 – $23,557 · median $12,708 | 15 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,145 – $16,567 · median $8,938 | 15 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $43,142 – $82,478 · median $44,496 | 15 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $24,630 – $47,086 · median $25,402 | 15 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,236 – $27,793 · median $14,994 | 15 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $37,898 – $72,453 · median $39,087 | 15 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $18,985 – $36,546 · median $19,716 | 15 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,052 – $23,768 · median $12,823 | 15 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $23,217 – $44,386 · median $23,946 | 15 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,641 – $24,854 · median $13,408 | 15 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,261 – $20,467 · median $11,042 | 15 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $12,485 – $24,567 · median $13,254 | 15 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $11,712 – $23,141 · median $12,484 | 15 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $14,597 – $28,459 · median $15,353 | 15 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,153 – $27,641 · median $14,912 | 15 plans |
| 592 | SKIN ULCERS WITH MCC | $14,660 – $28,576 · median $15,417 | 15 plans |
| 593 | SKIN ULCERS WITH CC | $8,717 – $17,622 · median $9,507 | 15 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,051 – $12,708 · median $6,856 | 15 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $15,080 – $29,349 · median $15,833 | 15 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,708 – $15,762 · median $8,503 | 15 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,524 – $24,639 · median $13,293 | 15 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,692 – $15,733 · median $8,488 | 15 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,095 – $12,789 · median $6,900 | 15 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,820 – $14,126 · median $7,621 | 15 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,274 – $9,433 · median $5,089 | 15 plans |
| 602 | CELLULITIS WITH MCC | $10,475 – $20,861 · median $11,254 | 15 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,280 – $13,130 · median $7,083 | 15 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,592 – $21,078 · median $11,371 | 15 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,586 – $13,693 · median $7,387 | 15 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,481 – $22,716 · median $12,255 | 15 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,161 – $12,911 · median $6,966 | 15 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $16,248 – $31,503 · median $16,995 | 15 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,217 – $20,386 · median $10,998 | 15 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,380 – $52,344 · median $28,239 | 15 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,771 – $26,938 · median $14,533 | 15 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,877 – $17,917 · median $9,666 | 15 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $19,439 – $37,383 · median $20,168 | 15 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,386 – $22,541 · median $12,160 | 15 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,422 – $20,764 · median $11,202 | 15 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $26,534 – $50,727 · median $27,367 | 15 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,637 – $26,691 · median $14,399 | 15 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,152 – $14,737 · median $7,950 | 15 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $20,441 – $39,231 · median $21,164 | 15 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $10,761 – $21,388 · median $11,539 | 15 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,032 – $18,203 · median $9,820 | 15 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $27,934 – $53,404 · median $28,811 | 15 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $16,035 – $31,110 · median $16,783 | 15 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $9,991 – $19,969 · median $10,773 | 15 plans |
| 637 | DIABETES WITH MCC | $10,383 – $20,692 · median $11,163 | 15 plans |
| 638 | DIABETES WITH CC | $6,539 – $13,608 · median $7,341 | 15 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,467 – $9,789 · median $5,281 | 15 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $9,468 – $19,006 · median $10,253 | 15 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,571 – $11,823 · median $6,379 | 15 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $8,848 – $17,864 · median $9,637 | 15 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $11,816 – $23,333 · median $12,588 | 15 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,368 – $15,135 · median $8,165 | 15 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,552 – $11,788 · median $6,359 | 15 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $32,482 – $62,098 · median $33,501 | 15 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $24,682 – $47,186 · median $25,456 | 15 plans |
| 652 | KIDNEY TRANSPLANT | $21,898 – $41,915 · median $22,613 | 15 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $39,131 – $74,809 · median $40,358 | 15 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $20,120 – $38,639 · median $20,845 | 15 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $14,810 – $28,852 · median $15,565 | 15 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $23,208 – $44,367 · median $23,936 | 15 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,034 – $25,578 · median $13,799 | 15 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $10,723 – $21,319 · median $11,501 | 15 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,425 – $35,514 · median $19,160 | 15 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,554 – $19,164 · median $10,339 | 15 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,319 – $15,045 · median $8,117 | 15 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $22,241 – $42,549 · median $22,954 | 15 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $10,890 – $21,626 · median $11,667 | 15 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,698 – $15,745 · median $8,494 | 15 plans |
| 665 | PROSTATECTOMY WITH MCC | $24,415 – $46,675 · median $25,180 | 15 plans |
| 666 | PROSTATECTOMY WITH CC | $11,745 – $23,202 · median $12,517 | 15 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,328 – $15,061 · median $8,125 | 15 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $20,792 – $39,877 · median $21,513 | 15 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,033 – $21,890 · median $11,810 | 15 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,814 – $14,114 · median $7,614 | 15 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $12,289 – $24,206 · median $13,059 | 15 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,803 – $15,936 · median $8,597 | 15 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $29,611 – $56,609 · median $30,540 | 15 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $16,458 – $31,889 · median $17,204 | 15 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,160 – $22,124 · median $11,936 | 15 plans |
| 682 | RENAL FAILURE WITH MCC | $10,708 – $21,291 · median $11,486 | 15 plans |
| 683 | RENAL FAILURE WITH CC | $6,337 – $13,236 · median $7,141 | 15 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,330 – $9,537 · median $5,145 | 15 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,444 – $26,334 · median $14,207 | 15 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,505 – $15,388 · median $8,302 | 15 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,163 – $11,072 · median $5,973 | 15 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,344 – $16,934 · median $9,136 | 15 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,722 – $12,102 · median $6,529 | 15 plans |
| 693 | URINARY STONES WITH MCC | $10,483 – $20,877 · median $11,263 | 15 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,571 – $11,823 · median $6,379 | 15 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,041 – $16,375 · median $8,834 | 15 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,932 – $10,646 · median $5,743 | 15 plans |
| 697 | URETHRAL STRICTURE | $7,142 – $14,720 · median $7,941 | 15 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $11,984 – $23,643 · median $12,755 | 15 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,271 – $14,957 · median $8,069 | 15 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,949 – $10,678 · median $5,760 | 15 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $13,836 – $27,056 · median $14,596 | 15 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,570 – $21,036 · median $11,349 | 15 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $16,021 – $31,084 · median $16,769 | 15 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,704 – $21,285 · median $11,483 | 15 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $13,622 – $26,662 · median $14,384 | 15 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,626 – $15,611 · median $8,422 | 15 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,309 – $20,557 · median $11,090 | 15 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,700 – $13,904 · median $7,501 | 15 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $16,101 – $31,231 · median $16,849 | 15 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,119 – $20,206 · median $10,901 | 15 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,229 – $25,938 · median $13,993 | 15 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,783 – $17,743 · median $9,572 | 15 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $12,326 – $24,274 · median $13,096 | 15 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,006 – $16,311 · median $8,800 | 15 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,195 – $11,130 · median $6,004 | 15 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,002 – $18,147 · median $9,790 | 15 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,307 – $11,337 · median $6,116 | 15 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,476 – $20,864 · median $11,256 | 15 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,826 – $12,293 · median $6,632 | 15 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,849 – $16,022 · median $8,644 | 15 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,327 – $9,530 · median $5,142 | 15 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $14,992 – $29,187 · median $15,746 | 15 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,655 – $17,507 · median $9,445 | 15 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $27,879 – $53,298 · median $28,753 | 15 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $14,248 – $27,815 · median $15,006 | 15 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,815 – $21,488 · median $11,593 | 15 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $28,176 – $53,867 · median $29,060 | 15 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $12,964 – $25,449 · median $13,729 | 15 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,793 – $19,605 · median $10,577 | 15 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,024 – $25,559 · median $13,789 | 15 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $8,546 – $17,307 · median $9,337 | 15 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $13,931 – $27,232 · median $14,691 | 15 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,306 – $15,022 · median $8,104 | 15 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $11,939 – $23,561 · median $12,711 | 15 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,810 – $14,107 · median $7,611 | 15 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $9,713 – $19,457 · median $10,497 | 15 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $18,456 – $35,571 · median $19,190 | 15 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,194 – $18,500 · median $9,981 | 15 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,899 – $25,331 · median $13,666 | 15 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,915 – $16,143 · median $8,709 | 15 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,809 – $14,105 · median $7,609 | 15 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,090 – $20,153 · median $10,872 | 15 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,267 – $14,950 · median $8,065 | 15 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,563 – $9,965 · median $5,376 | 15 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,027 – $14,507 · median $7,826 | 15 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,519 – $9,885 · median $5,333 | 15 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $7,816 – $15,961 · median $8,611 | 15 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $9,907 – $19,814 · median $10,690 | 15 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,671 – $15,695 · median $8,467 | 15 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,087 – $10,931 · median $5,897 | 15 plans |
| 779 | ABORTION WITHOUT D&C | $6,665 – $13,839 · median $7,466 | 15 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $13,133 – $25,762 · median $13,898 | 15 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,721 – $15,787 · median $8,517 | 15 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,228 – $13,034 · median $7,031 | 15 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $11,521 – $22,789 · median $12,294 | 15 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,570 – $15,508 · median $8,366 | 15 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,450 – $13,444 · median $7,253 | 15 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $9,102 – $18,331 · median $9,889 | 15 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,903 – $14,278 · median $7,703 | 15 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,903 – $14,278 · median $7,703 | 15 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $33,496 – $64,036 · median $34,547 | 15 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $20,774 – $39,844 · median $21,495 | 15 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $11,705 – $23,128 · median $12,477 | 15 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $25,454 – $48,662 · median $26,252 | 15 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $12,691 – $24,946 · median $13,458 | 15 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,882 – $16,084 · median $8,677 | 15 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,115 – $14,670 · median $7,914 | 15 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,159 – $11,064 · median $5,969 | 15 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,544 – $9,930 · median $5,357 | 15 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $16,329 – $31,651 · median $17,075 | 15 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $8,830 – $17,830 · median $9,619 | 15 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,786 – $14,063 · median $7,587 | 15 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,031 – $20,043 · median $10,813 | 15 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,580 – $13,683 · median $7,382 | 15 plans |
| 813 | COAGULATION DISORDERS | $11,037 – $21,897 · median $11,813 | 15 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $14,904 – $29,026 · median $15,659 | 15 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,244 – $14,907 · median $8,042 | 15 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,701 – $10,220 · median $5,514 | 15 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $18,074 – $34,868 · median $18,811 | 15 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,183 – $18,480 · median $9,970 | 15 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,821 – $12,285 · median $6,627 | 15 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $40,833 – $78,064 · median $42,114 | 15 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $15,916 – $30,890 · median $16,665 | 15 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,154 – $16,584 · median $8,947 | 15 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $32,978 – $63,047 · median $34,013 | 15 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $15,681 – $30,457 · median $16,431 | 15 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,775 – $17,729 · median $9,564 | 15 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $33,638 – $64,308 · median $34,693 | 15 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $16,825 – $32,566 · median $17,569 | 15 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,428 – $22,618 · median $12,202 | 15 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $21,986 – $42,078 · median $22,701 | 15 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,427 – $20,773 · median $11,207 | 15 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,206 – $16,680 · median $8,999 | 15 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,329 – $11,377 · median $6,138 | 15 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,706 – $8,386 · median $4,524 | 15 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $38,806 – $74,187 · median $40,023 | 15 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $15,228 – $29,622 · median $15,981 | 15 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,060 – $18,253 · median $9,847 | 15 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $35,231 – $67,353 · median $36,336 | 15 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $14,460 – $28,207 · median $15,217 | 15 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,770 – $19,563 · median $10,554 | 15 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $22,733 – $43,461 · median $23,446 | 15 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,179 – $22,160 · median $11,955 | 15 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,500 – $15,378 · median $8,296 | 15 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $13,498 – $26,434 · median $14,261 | 15 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,521 – $17,261 · median $9,312 | 15 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,966 – $12,551 · median $6,771 | 15 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $18,207 – $35,114 · median $18,943 | 15 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,060 – $18,253 · median $9,847 | 15 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,838 – $12,316 · median $6,644 | 15 plans |
| 849 | RADIOTHERAPY | $19,044 – $36,655 · median $19,775 | 15 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $64,132 – $122,605 · median $66,144 | 15 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $35,190 – $67,275 · median $36,294 | 15 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $14,246 – $27,812 · median $15,004 | 15 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,590 – $22,917 · median $12,363 | 15 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $31,824 – $60,840 · median $32,823 | 15 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,535 – $30,187 · median $16,286 | 15 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,186 – $18,486 · median $9,973 | 15 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,109 – $25,717 · median $13,874 | 15 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,129 – $14,695 · median $7,928 | 15 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,402 – $13,356 · median $7,205 | 15 plans |
| 865 | VIRAL ILLNESS WITH MCC | $10,523 – $20,950 · median $11,302 | 15 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,308 – $13,182 · median $7,112 | 15 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,288 – $29,733 · median $16,040 | 15 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,487 – $15,354 · median $8,283 | 15 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,130 – $11,011 · median $5,940 | 15 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $48,629 – $92,968 · median $50,155 | 15 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $13,989 – $27,338 · median $14,749 | 15 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,351 – $15,103 · median $8,148 | 15 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $27,824 – $53,192 · median $28,697 | 15 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,834 – $14,152 · median $7,635 | 15 plans |
| 881 | DEPRESSIVE NEUROSES | $6,517 – $13,567 · median $7,319 | 15 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $6,859 – $14,197 · median $7,659 | 15 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $13,217 – $25,917 · median $13,982 | 15 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $11,908 – $23,503 · median $12,679 | 15 plans |
| 885 | PSYCHOSES | $10,050 – $20,078 · median $10,832 | 15 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $12,808 – $25,162 · median $13,575 | 15 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,480 – $17,185 · median $9,271 | 15 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,450 – $9,756 · median $5,263 | 15 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $10,323 – $20,582 · median $11,103 | 15 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $12,696 – $24,956 · median $13,463 | 15 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,290 – $13,148 · median $7,093 | 15 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $31,267 – $59,775 · median $32,248 | 15 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $13,529 – $26,491 · median $14,291 | 15 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,692 – $17,575 · median $9,482 | 15 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $27,353 – $52,292 · median $28,211 | 15 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,751 – $23,214 · median $12,523 | 15 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $15,560 – $30,235 · median $16,311 | 15 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $28,196 – $53,903 · median $29,080 | 15 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,381 – $28,061 · median $15,139 | 15 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,042 – $18,222 · median $9,830 | 15 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $11,538 – $22,821 · median $12,311 | 15 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,534 – $13,597 · median $7,336 | 15 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,390 – $24,392 · median $13,159 | 15 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,735 – $10,282 · median $5,547 | 15 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $11,690 – $23,102 · median $12,463 | 15 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,307 – $13,179 · median $7,110 | 15 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,001 – $25,518 · median $13,767 | 15 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,243 – $14,905 · median $8,041 | 15 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,903 – $10,592 · median $5,714 | 15 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,045 – $23,755 · median $12,816 | 15 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,271 – $14,957 · median $8,069 | 15 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $163,873 – $313,286 · median $169,133 | 15 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $46,721 – $89,320 · median $48,187 | 15 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $22,674 – $43,348 · median $23,385 | 15 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $30,555 – $58,413 · median $31,513 | 15 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $15,299 – $29,752 · median $16,051 | 15 plans |
| 935 | NON-EXTENSIVE BURNS | $15,659 – $30,417 · median $16,410 | 15 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $22,629 – $43,264 · median $23,340 | 15 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $15,053 – $29,300 · median $15,807 | 15 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $13,933 – $27,236 · median $14,693 | 15 plans |
| 945 | REHABILITATION WITH CC/MCC | $10,883 – $21,614 · median $11,639 | 15 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,960 – $16,227 · median $8,738 | 15 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,170 – $18,457 · median $9,957 | 15 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,664 – $11,996 · median $6,471 | 15 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,693 – $15,734 · median $8,488 | 15 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,179 – $9,257 · median $4,994 | 15 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,042 – $9,006 · median $4,859 | 15 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $47,748 – $91,283 · median $49,246 | 15 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $27,087 – $51,784 · median $27,937 | 15 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $52,119 – $99,639 · median $53,754 | 15 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $29,062 – $55,560 · median $29,974 | 15 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $18,850 – $36,298 · median $19,582 | 15 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $19,369 – $37,254 · median $20,098 | 15 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,695 – $21,267 · median $11,474 | 15 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,506 – $13,547 · median $7,309 | 15 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $44,284 – $84,660 · median $45,673 | 15 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $18,917 – $36,421 · median $19,649 | 15 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $21,290 – $40,796 · median $22,009 | 15 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,134 – $20,233 · median $10,916 | 15 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,151 – $14,735 · median $7,950 | 15 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,280 – $20,503 · median $11,061 | 15 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $33,490 – $64,024 · median $34,540 | 15 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,455 – $33,727 · median $18,195 | 15 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,894 – $23,476 · median $12,665 | 15 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $24,889 – $47,583 · median $25,670 | 15 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,234 – $24,105 · median $13,004 | 15 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,238 – $16,739 · median $9,031 | 15 plans |
No procedures match that keyword.