Louis a Weiss Memorial Hospital (Acute Care) — Pricing
795 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 795 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 795 procedures
Procedures with negotiated rates only
These 795 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 |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $10,038 – $284,697 · median $216,105 | 20 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $86,763 – $128,205 · median $98,357 | 20 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $58,057 – $86,988 · median $66,440 | 20 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $53,484 – $86,988 · median $61,356 | 20 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $63,702 – $102,785 · median $79,230 | 20 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $47,617 – $70,361 · median $54,834 | 20 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $41,287 – $63,702 · median $47,796 | 20 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $44,800 – $86,988 · median $51,701 | 20 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $27,926 – $86,988 · median $32,940 | 20 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $76,180 – $112,567 · median $86,590 | 20 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $54,917 – $86,988 · median $62,950 | 20 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $70,269 – $112,971 · median $80,018 | 20 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $47,829 – $112,971 · median $55,068 | 20 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $50,785 – $78,166 · median $60,706 | 20 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $36,968 – $54,625 · median $42,993 | 20 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $18,977 – $45,059 · median $35,796 | 20 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $18,977 – $29,926 · median $24,409 | 20 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $16,224 – $23,974 · median $19,930 | 20 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $20,790 – $51,038 · median $25,007 | 20 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $14,048 – $51,038 · median $17,510 | 20 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $10,038 – $37,268 · median $29,933 | 20 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $10,038 – $23,349 · median $19,461 | 20 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $18,737 – $45,248 · median $35,938 | 20 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $17,059 – $25,208 · median $20,859 | 20 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $13,645 – $20,162 · median $17,063 | 20 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $50,428 – $88,572 · median $68,536 | 20 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $37,405 – $55,271 · median $43,479 | 20 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $46,146 – $68,187 · median $53,197 | 20 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $30,965 – $50,428 · median $36,319 | 20 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $22,495 – $50,428 · median $26,902 | 20 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $35,154 – $51,944 · median $40,976 | 20 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $28,058 – $51,038 · median $33,087 | 20 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $18,737 – $29,401 · median $24,014 | 20 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $9,796 – $18,737 · median $12,784 | 20 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $40,147 – $112,505 · median $86,543 | 20 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $40,147 – $76,242 · median $59,258 | 20 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $38,819 – $57,360 · median $45,051 | 20 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $20,075 – $64,524 · median $50,442 | 20 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $20,075 – $38,486 · median $30,850 | 20 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $20,075 – $31,449 · median $25,555 | 20 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $22,082 – $41,079 · median $32,801 | 20 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $18,085 – $26,723 · median $21,999 | 20 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $13,419 – $22,082 · median $16,812 | 20 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $11,375 – $47,610 · median $37,715 | 20 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $11,375 – $26,195 · median $21,601 | 20 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,375 – $19,039 · median $16,217 | 20 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $11,375 – $22,668 · median $18,948 | 20 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $8,665 – $12,803 · median $11,525 | 20 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,060 – $13,107 · median $12,609 | 20 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $8,272 – $21,429 · median $20,000 | 20 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,272 – $12,971 · median $12,467 | 20 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,853 – $10,835 · median $10,604 | 20 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $8,272 – $18,798 · median $17,773 | 20 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,272 – $12,755 · median $12,241 | 20 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $8,133 – $11,153 · median $10,607 | 20 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $5,060 – $14,945 · median $14,432 | 20 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $5,060 – $11,801 · median $11,243 | 20 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $5,060 – $11,801 · median $11,243 | 20 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,060 – $12,105 · median $11,560 | 20 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,060 – $9,307 · median $8,851 | 20 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,060 – $8,427 · median $8,014 | 20 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $253,233 – $374,188 · median $283,440 | 19 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $99,067 – $146,386 · median $112,036 | 19 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $127,029 – $187,703 · median $143,124 | 19 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $95,738 – $141,467 · median $108,335 | 19 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $43,594 – $64,417 · median $50,361 | 19 plans |
| 007 | LUNG TRANSPLANT | $117,489 – $173,606 · median $132,517 | 19 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $48,915 – $72,280 · median $56,277 | 19 plans |
| 010 | PANCREAS TRANSPLANT | $71,677 – $105,913 · median $81,584 | 19 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $48,509 – $71,679 · median $55,825 | 19 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $36,892 – $54,514 · median $42,909 | 19 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $23,824 – $35,203 · median $28,379 | 19 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $117,785 – $174,044 · median $132,847 | 19 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $54,263 – $80,181 · median $62,222 | 19 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $54,263 – $80,181 · median $62,222 | 19 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $339,038 – $500,977 · median $378,839 | 19 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $71,266 – $105,306 · median $81,127 | 19 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $72,469 – $107,084 · median $82,464 | 19 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $49,690 – $73,425 · median $57,138 | 19 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $31,738 – $46,898 · median $37,179 | 19 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $51,289 – $75,787 · median $58,916 | 19 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $34,177 – $50,502 · median $39,891 | 19 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $40,206 – $59,410 · median $46,593 | 19 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $27,497 – $40,630 · median $32,463 | 19 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $22,186 – $32,782 · median $26,558 | 19 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $54,655 – $80,760 · median $62,658 | 19 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $30,177 – $44,590 · median $35,443 | 19 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $20,006 – $29,562 · median $24,135 | 19 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $37,673 – $55,668 · median $43,778 | 19 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $19,199 – $28,369 · median $23,238 | 19 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $14,344 – $21,195 · median $17,839 | 19 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $34,959 – $51,657 · median $40,760 | 19 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $20,450 – $30,218 · median $24,629 | 19 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $16,480 – $24,351 · median $20,214 | 19 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $29,855 – $44,115 · median $35,085 | 19 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $14,486 – $21,405 · median $17,997 | 19 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $10,232 – $15,120 · median $13,268 | 19 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $33,911 – $50,109 · median $39,595 | 19 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $20,301 – $29,998 · median $24,463 | 19 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $15,801 – $23,348 · median $19,460 | 19 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $18,092 – $26,734 · median $22,007 | 19 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,283 – $12,240 · median $11,102 | 19 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $13,477 – $19,914 · median $16,876 | 19 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $9,808 – $14,493 · median $12,797 | 19 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $22,512 – $33,264 · median $26,921 | 19 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $11,996 – $17,726 · median $15,230 | 19 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $16,595 – $24,521 · median $20,342 | 19 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $11,000 – $16,254 · median $14,122 | 19 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $8,023 – $11,855 · median $10,812 | 19 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $24,304 – $35,912 · median $28,913 | 19 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $16,010 – $23,657 · median $19,692 | 19 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $12,629 – $18,661 · median $15,933 | 19 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $17,883 – $26,425 · median $21,774 | 19 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $9,142 – $13,509 · median $12,056 | 19 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,188 – $9,143 · median $8,772 | 19 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $13,080 – $19,327 · median $16,434 | 19 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,925 – $11,710 · median $10,703 | 19 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $7,193 – $10,629 · median $9,889 | 19 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $15,632 – $23,098 · median $19,272 | 19 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $9,475 – $14,000 · median $12,426 | 19 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,744 – $9,966 · median $9,390 | 19 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $13,895 – $20,532 · median $17,341 | 19 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $9,371 – $13,847 · median $12,311 | 19 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $15,484 – $22,880 · median $19,108 | 19 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $8,243 – $12,180 · median $11,057 | 19 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $13,901 – $20,541 · median $17,348 | 19 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $8,971 – $13,256 · median $11,866 | 19 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,994 – $8,856 · median $8,556 | 19 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $17,870 – $26,406 · median $21,760 | 19 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $8,134 – $12,019 · median $10,936 | 19 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $20,859 – $30,822 · median $25,083 | 19 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $12,500 – $18,470 · median $15,789 | 19 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,595 – $12,701 · median $11,448 | 19 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $20,371 – $30,102 · median $24,541 | 19 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $11,791 – $17,423 · median $15,002 | 19 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,947 – $11,743 · median $10,728 | 19 plans |
| 088 | CONCUSSION WITH MCC | $12,682 – $18,740 · median $15,992 | 19 plans |
| 089 | CONCUSSION WITH CC | $9,638 – $14,242 · median $12,608 | 19 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,707 – $11,388 · median $10,461 | 19 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $16,388 – $24,215 · median $20,112 | 19 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $9,518 – $14,064 · median $12,474 | 19 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,096 – $10,485 · median $9,781 | 19 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $32,802 – $48,469 · median $38,361 | 19 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $21,551 – $31,844 · median $25,852 | 19 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $21,551 – $31,844 · median $25,852 | 19 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $32,226 – $47,618 · median $37,721 | 19 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $19,502 – $28,817 · median $23,575 | 19 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $12,526 – $18,509 · median $15,818 | 19 plans |
| 100 | SEIZURES WITH MCC | $17,848 – $26,373 · median $21,735 | 19 plans |
| 101 | SEIZURES WITHOUT MCC | $8,286 – $12,244 · median $11,105 | 19 plans |
| 102 | HEADACHES WITH MCC | $10,424 – $15,403 · median $13,481 | 19 plans |
| 103 | HEADACHES WITHOUT MCC | $7,643 – $11,294 · median $10,390 | 19 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $20,287 – $29,977 · median $24,447 | 19 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,627 – $15,703 · median $13,707 | 19 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $13,764 – $20,338 · median $17,195 | 19 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $15,001 – $22,166 · median $18,570 | 19 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $9,697 – $14,328 · median $12,673 | 19 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $10,457 – $15,452 · median $13,518 | 19 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,098 – $9,011 · median $8,672 | 19 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $7,221 – $10,670 · median $9,920 | 19 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $11,722 – $17,321 · median $14,925 | 19 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $7,423 – $10,969 · median $10,145 | 19 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $21,676 – $32,029 · median $25,991 | 19 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,794 – $12,994 · median $11,669 | 19 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $12,573 – $18,579 · median $15,871 | 19 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,313 – $10,807 · median $10,023 | 19 plans |
| 139 | SALIVARY GLAND PROCEDURES | $12,343 – $18,239 · median $15,615 | 19 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $38,021 – $56,181 · median $44,164 | 19 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $19,315 – $28,541 · median $23,367 | 19 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $14,136 – $20,888 · median $17,608 | 19 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $29,684 – $43,862 · median $34,895 | 19 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $15,793 – $23,336 · median $19,451 | 19 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $10,651 – $15,739 · median $13,734 | 19 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $20,624 – $30,475 · median $24,822 | 19 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $11,191 – $16,536 · median $14,334 | 19 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $7,198 – $10,637 · median $9,895 | 19 plans |
| 149 | DYSEQUILIBRIUM | $6,720 – $9,930 · median $9,363 | 19 plans |
| 150 | EPISTAXIS WITH MCC | $12,426 – $18,361 · median $15,707 | 19 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,814 – $10,069 · median $9,468 | 19 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $10,202 – $15,075 · median $13,235 | 19 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,398 – $9,454 · median $9,006 | 19 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $14,620 – $21,604 · median $18,147 | 19 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $8,393 – $12,402 · median $11,223 | 19 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,045 – $8,932 · median $8,613 | 19 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $14,721 – $21,753 · median $18,259 | 19 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $8,456 – $12,495 · median $11,293 | 19 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,930 – $8,762 · median $8,485 | 19 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $41,437 – $61,229 · median $47,962 | 19 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $22,628 – $33,436 · median $27,050 | 19 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $16,757 – $24,761 · median $20,523 | 19 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $34,614 – $51,147 · median $40,376 | 19 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $16,427 – $24,273 · median $20,155 | 19 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,172 – $17,985 · median $15,424 | 19 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $27,587 – $40,763 · median $32,563 | 19 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $12,668 – $18,718 · median $15,976 | 19 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $7,322 – $10,820 · median $10,033 | 19 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $14,532 – $21,474 · median $18,049 | 19 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,919 – $13,179 · median $11,808 | 19 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,920 – $10,225 · median $9,585 | 19 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $15,713 – $23,218 · median $19,362 | 19 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $9,982 – $14,749 · median $12,990 | 19 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $7,529 – $11,125 · median $10,263 | 19 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $14,270 – $21,086 · median $17,757 | 19 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $9,602 – $14,189 · median $12,568 | 19 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,992 – $10,331 · median $9,665 | 19 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $14,204 – $20,989 · median $17,684 | 19 plans |
| 187 | PLEURAL EFFUSION WITH CC | $9,026 – $13,337 · median $11,927 | 19 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,600 – $9,753 · median $9,230 | 19 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $11,124 – $16,438 · median $14,260 | 19 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $10,096 – $14,918 · median $13,117 | 19 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $7,723 – $11,412 · median $10,479 | 19 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,818 – $8,597 · median $8,361 | 19 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $11,846 – $17,504 · median $15,063 | 19 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $7,372 – $10,893 · median $10,088 | 19 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,598 – $8,278 · median $8,116 | 19 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $16,938 – $25,028 · median $20,724 | 19 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,900 – $13,151 · median $11,787 | 19 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,297 – $9,304 · median $8,893 | 19 plans |
| 199 | PNEUMOTHORAX WITH MCC | $15,870 – $23,450 · median $19,536 | 19 plans |
| 200 | PNEUMOTHORAX WITH CC | $9,956 – $14,712 · median $12,962 | 19 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,087 – $8,995 · median $8,660 | 19 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $8,691 – $12,842 · median $11,554 | 19 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $6,262 – $9,254 · median $8,855 | 19 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $7,291 – $10,773 · median $9,998 | 19 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $16,971 – $25,078 · median $20,761 | 19 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $8,143 – $12,033 · median $10,946 | 19 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $58,140 – $85,910 · median $66,533 | 19 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $24,127 – $35,652 · median $28,717 | 19 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $97,936 – $144,715 · median $110,779 | 19 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $95,247 – $140,741 · median $107,789 | 19 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $45,282 – $66,910 · median $52,237 | 19 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $26,181 – $38,686 · median $31,000 | 19 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $13,574 – $20,058 · median $16,984 | 19 plans |
| 245 | AICD GENERATOR PROCEDURES | $43,932 – $64,916 · median $50,736 | 19 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $30,839 – $45,569 · median $36,179 | 19 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $22,951 – $33,914 · median $27,410 | 19 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $15,727 – $23,239 · median $19,378 | 19 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $23,522 – $34,758 · median $28,044 | 19 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $15,226 – $22,499 · median $18,821 | 19 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,018 – $11,848 · median $10,807 | 19 plans |
| 263 | VEIN LIGATION AND STRIPPING | $24,112 – $35,629 · median $28,700 | 19 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $31,421 – $46,429 · median $36,826 | 19 plans |
| 265 | AICD LEAD PROCEDURES | $32,069 – $47,387 · median $37,547 | 19 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $53,857 – $79,582 · median $61,771 | 19 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $42,295 – $62,497 · median $48,916 | 19 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $63,532 – $93,878 · median $72,528 | 19 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $55,688 – $82,286 · median $63,806 | 19 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $41,821 – $61,796 · median $48,389 | 19 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $44,980 – $66,464 · median $51,901 | 19 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $28,808 – $42,567 · median $33,921 | 19 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $14,756 – $21,804 · median $18,298 | 19 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $8,287 – $12,245 · median $11,106 | 19 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,519 – $9,632 · median $9,139 | 19 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $17,579 – $25,976 · median $21,437 | 19 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,662 – $9,843 · median $9,298 | 19 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,047 – $7,653 · median $7,458 | 19 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $24,556 – $36,285 · median $29,194 | 19 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $14,175 – $20,945 · median $17,651 | 19 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,801 – $13,005 · median $11,677 | 19 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $11,730 – $17,333 · median $14,934 | 19 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,742 – $11,440 · median $10,500 | 19 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,933 – $7,524 · median $7,289 | 19 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $11,040 – $16,313 · median $14,166 | 19 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $7,100 – $10,492 · median $9,786 | 19 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $14,729 – $21,765 · median $18,268 | 19 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $6,333 – $9,357 · median $8,933 | 19 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,971 – $6,433 · median $6,118 | 19 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $14,542 – $21,488 · median $18,060 | 19 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $9,625 – $14,222 · median $12,593 | 19 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,413 – $9,477 · median $9,023 | 19 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $10,458 – $15,453 · median $13,519 | 19 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $6,045 – $8,932 · median $8,613 | 19 plans |
| 304 | HYPERTENSION WITH MCC | $10,561 – $15,606 · median $13,634 | 19 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,749 – $9,972 · median $9,395 | 19 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $13,462 – $19,891 · median $16,859 | 19 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $8,328 – $12,306 · median $11,152 | 19 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $10,841 – $16,019 · median $13,945 | 19 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,646 – $9,821 · median $9,281 | 19 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,030 – $7,634 · median $7,432 | 19 plans |
| 311 | ANGINA PECTORIS | $6,278 – $9,276 · median $8,872 | 19 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,833 – $11,574 · median $10,601 | 19 plans |
| 313 | CHEST PAIN | $6,413 – $9,477 · median $9,023 | 19 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $19,360 – $28,607 · median $23,417 | 19 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $8,651 – $12,783 · median $11,510 | 19 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,137 – $9,069 · median $8,716 | 19 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $55,616 – $82,180 · median $63,726 | 19 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $39,491 – $58,354 · median $45,799 | 19 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $20,810 – $30,750 · median $25,029 | 19 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $25,593 – $37,817 · median $30,346 | 19 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $16,265 – $24,033 · median $19,975 | 19 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $38,292 – $56,582 · median $44,465 | 19 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $28,724 – $42,444 · median $33,828 | 19 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $25,730 – $38,020 · median $30,499 | 19 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $45,660 – $67,469 · median $52,658 | 19 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $21,829 – $32,255 · median $26,161 | 19 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $14,326 – $21,168 · median $17,819 | 19 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $41,281 – $60,999 · median $47,789 | 19 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $21,250 – $31,399 · median $25,518 | 19 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $14,842 – $21,932 · median $18,394 | 19 plans |
| 332 | RECTAL RESECTION WITH MCC | $31,184 – $46,078 · median $36,562 | 19 plans |
| 333 | RECTAL RESECTION WITH CC | $19,106 – $28,232 · median $23,135 | 19 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $14,911 – $22,033 · median $18,470 | 19 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $32,574 – $48,133 · median $38,109 | 19 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $18,990 – $28,060 · median $23,005 | 19 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $13,801 – $20,392 · median $17,236 | 19 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $24,224 – $35,794 · median $28,824 | 19 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,383 – $19,776 · median $16,772 | 19 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,195 – $16,543 · median $14,339 | 19 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $21,278 – $31,441 · median $25,549 | 19 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $11,318 – $16,723 · median $14,475 | 19 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,919 – $11,702 · median $10,697 | 19 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $21,744 – $32,130 · median $26,067 | 19 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $13,525 – $19,986 · median $16,930 | 19 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,912 – $14,647 · median $12,913 | 19 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $26,368 – $38,962 · median $31,208 | 19 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $15,293 – $22,597 · median $18,895 | 19 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $11,985 – $17,710 · median $15,218 | 19 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $38,349 – $56,666 · median $44,528 | 19 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $20,245 – $29,916 · median $24,401 | 19 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,182 – $18,001 · median $15,436 | 19 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $15,013 – $22,184 · median $18,584 | 19 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $9,148 – $13,518 · median $12,063 | 19 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,275 – $9,272 · median $8,869 | 19 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $15,715 – $23,220 · median $19,364 | 19 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $9,253 – $13,673 · median $12,180 | 19 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,521 – $9,636 · median $9,142 | 19 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $18,981 – $28,048 · median $22,996 | 19 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $11,046 – $16,322 · median $14,173 | 19 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,938 – $11,730 · median $10,718 | 19 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $16,346 – $24,153 · median $20,065 | 19 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $8,863 – $13,097 · median $11,746 | 19 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,724 – $8,458 · median $8,256 | 19 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $17,299 – $25,562 · median $21,126 | 19 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $9,791 – $14,468 · median $12,778 | 19 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,736 – $9,954 · median $9,381 | 19 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $11,365 – $16,794 · median $14,528 | 19 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,818 – $11,552 · median $10,584 | 19 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $14,607 – $21,584 · median $18,132 | 19 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $8,923 – $13,184 · median $11,812 | 19 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,026 – $8,904 · median $8,592 | 19 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $13,214 – $19,526 · median $16,584 | 19 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $7,206 – $10,648 · median $9,904 | 19 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,919 – $7,509 · median $7,269 | 19 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $11,548 – $17,063 · median $14,731 | 19 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $7,015 – $10,366 · median $9,691 | 19 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $14,887 – $21,998 · median $18,444 | 19 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $8,462 – $12,504 · median $11,300 | 19 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,721 – $8,454 · median $8,253 | 19 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $22,275 – $32,915 · median $26,658 | 19 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $13,604 – $20,101 · median $17,017 | 19 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $10,103 – $14,929 · median $13,125 | 19 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $35,171 – $51,970 · median $40,995 | 19 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $48,804 – $72,115 · median $56,153 | 19 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $25,248 – $37,307 · median $29,962 | 19 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $19,201 – $28,372 · median $23,240 | 19 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $31,477 – $46,511 · median $36,888 | 19 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $18,848 – $27,850 · median $22,847 | 19 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $13,944 – $20,605 · median $17,396 | 19 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $24,600 – $36,350 · median $29,243 | 19 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $19,163 – $28,316 · median $23,198 | 19 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $14,946 – $22,085 · median $18,509 | 19 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $31,499 – $46,544 · median $36,913 | 19 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $17,783 – $26,277 · median $21,663 | 19 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $12,318 – $18,202 · median $15,587 | 19 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $21,365 – $31,569 · median $25,646 | 19 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $14,909 – $22,030 · median $18,468 | 19 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $11,845 – $17,503 · median $15,062 | 19 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $31,730 – $46,886 · median $37,170 | 19 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $14,722 – $21,754 · median $18,260 | 19 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $13,210 – $19,520 · median $16,579 | 19 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $36,566 – $54,031 · median $42,546 | 19 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $20,527 – $30,331 · median $24,714 | 19 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $13,897 – $20,534 · median $17,343 | 19 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $94,174 – $139,155 · median $106,596 | 19 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $63,853 – $94,352 · median $72,885 | 19 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $49,482 – $73,116 · median $56,907 | 19 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $74,982 – $110,797 · median $85,258 | 19 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $49,180 – $72,670 · median $56,571 | 19 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $17,612 – $26,025 · median $21,474 | 19 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,618 – $14,211 · median $12,585 | 19 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,262 – $9,252 · median $8,854 | 19 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $16,403 – $24,238 · median $20,129 | 19 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $10,138 – $14,980 · median $13,164 | 19 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,059 – $10,431 · median $9,740 | 19 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $14,957 – $22,101 · median $18,521 | 19 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $7,733 – $11,427 · median $10,490 | 19 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,530 – $8,201 · median $8,040 | 19 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $16,995 – $25,112 · median $20,787 | 19 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $8,686 – $12,835 · median $11,549 | 19 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,317 – $9,335 · median $8,916 | 19 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $15,143 – $22,376 · median $18,728 | 19 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $9,750 – $14,407 · median $12,732 | 19 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $7,168 – $10,591 · median $9,861 | 19 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $60,275 – $89,065 · median $68,907 | 19 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $36,711 – $54,245 · median $42,707 | 19 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $46,299 – $68,414 · median $53,368 | 19 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $27,743 – $40,994 · median $32,737 | 19 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $55,169 – $81,520 · median $63,229 | 19 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $25,746 – $38,043 · median $30,516 | 19 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $48,555 – $71,747 · median $55,876 | 19 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $26,508 – $39,169 · median $31,364 | 19 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $15,608 – $23,062 · median $19,245 | 19 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $45,800 – $67,677 · median $52,813 | 19 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $30,793 – $45,500 · median $36,128 | 19 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $23,583 – $34,848 · median $28,112 | 19 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $29,386 – $43,421 · median $34,563 | 19 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $16,951 – $25,047 · median $20,738 | 19 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $40,317 – $59,575 · median $46,717 | 19 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $19,394 – $28,658 · median $23,455 | 19 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,456 – $15,451 · median $13,517 | 19 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $30,917 – $45,684 · median $36,265 | 19 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $21,024 – $31,066 · median $25,267 | 19 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $15,964 – $23,590 · median $19,641 | 19 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $26,440 – $39,068 · median $31,288 | 19 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $18,653 – $27,563 · median $22,631 | 19 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $14,262 – $21,074 · median $17,748 | 19 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $22,908 – $33,850 · median $27,362 | 19 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $28,942 – $42,765 · median $34,069 | 19 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $19,067 – $28,174 · median $23,091 | 19 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $14,206 – $20,991 · median $17,686 | 19 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $17,669 – $26,108 · median $21,537 | 19 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,133 – $16,451 · median $14,270 | 19 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $31,925 – $47,174 · median $37,387 | 19 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $21,585 – $31,895 · median $25,890 | 19 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $16,950 – $25,046 · median $20,737 | 19 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $31,650 – $46,768 · median $37,081 | 19 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $17,737 – $26,209 · median $21,612 | 19 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $12,070 – $17,835 · median $15,311 | 19 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $22,699 – $33,541 · median $27,129 | 19 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $10,436 – $15,420 · median $13,494 | 19 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $28,487 – $42,093 · median $33,564 | 19 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $16,044 – $23,708 · median $19,730 | 19 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $12,561 – $18,560 · median $15,857 | 19 plans |
| 503 | FOOT PROCEDURES WITH MCC | $23,793 – $35,157 · median $28,345 | 19 plans |
| 504 | FOOT PROCEDURES WITH CC | $15,777 – $23,313 · median $19,434 | 19 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $15,777 – $23,313 · median $19,434 | 19 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $13,477 – $19,914 · median $16,876 | 19 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $17,424 – $25,747 · median $21,265 | 19 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,602 – $17,144 · median $14,792 | 19 plans |
| 509 | ARTHROSCOPY | $15,793 – $23,336 · median $19,451 | 19 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $25,694 – $37,967 · median $30,459 | 19 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $17,631 – $26,053 · median $21,495 | 19 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $14,454 – $21,358 · median $17,962 | 19 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $13,535 – $20,000 · median $16,941 | 19 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $9,166 – $13,544 · median $12,083 | 19 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $26,203 – $38,719 · median $31,025 | 19 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $18,952 – $28,004 · median $22,963 | 19 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $13,709 – $20,257 · median $17,134 | 19 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $7,318 – $10,813 · median $10,028 | 19 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $11,956 – $17,666 · median $15,185 | 19 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $7,290 – $10,772 · median $9,997 | 19 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $8,262 – $12,208 · median $11,078 | 19 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,037 – $8,920 · median $8,604 | 19 plans |
| 539 | OSTEOMYELITIS WITH MCC | $18,181 – $26,866 · median $22,106 | 19 plans |
| 540 | OSTEOMYELITIS WITH CC | $11,634 – $17,191 · median $14,827 | 19 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $7,865 – $11,622 · median $10,637 | 19 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $16,767 – $24,776 · median $20,534 | 19 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $9,537 – $14,093 · median $12,496 | 19 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,794 – $10,039 · median $9,445 | 19 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $22,717 – $33,567 · median $27,149 | 19 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $10,408 – $15,379 · median $13,463 | 19 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,708 – $9,913 · median $9,350 | 19 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $18,111 – $26,762 · median $22,028 | 19 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $10,834 – $16,009 · median $13,937 | 19 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,750 – $11,452 · median $10,509 | 19 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $11,741 – $17,349 · median $14,946 | 19 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,503 – $11,087 · median $10,234 | 19 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,106 – $17,888 · median $15,351 | 19 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,340 – $10,846 · median $10,053 | 19 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $13,932 – $20,586 · median $17,382 | 19 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,766 – $11,475 · median $10,526 | 19 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $16,688 – $24,659 · median $20,446 | 19 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $10,237 – $15,126 · median $13,273 | 19 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,350 – $10,861 · median $10,064 | 19 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $13,157 – $19,441 · median $16,520 | 19 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $8,035 – $11,873 · median $10,826 | 19 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $14,107 – $20,845 · median $17,576 | 19 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $9,167 – $13,546 · median $12,084 | 19 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,725 – $9,938 · median $9,369 | 19 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $27,062 – $39,988 · median $31,979 | 19 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $15,052 – $22,241 · median $18,627 | 19 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $10,270 – $15,176 · median $13,310 | 19 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $55,362 – $81,806 · median $63,444 | 19 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $31,149 – $46,028 · median $36,524 | 19 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $17,950 – $26,524 · median $21,849 | 19 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $48,504 – $71,671 · median $55,819 | 19 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $23,939 – $35,373 · median $28,507 | 19 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $15,197 – $22,455 · median $18,788 | 19 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $29,302 – $43,298 · median $34,470 | 19 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $15,939 – $23,553 · median $19,613 | 19 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $12,938 – $19,118 · median $16,277 | 19 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $15,743 – $23,263 · median $19,396 | 19 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $14,768 – $21,822 · median $18,311 | 19 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $18,406 – $27,198 · median $22,356 | 19 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $17,846 – $26,370 · median $21,733 | 19 plans |
| 592 | SKIN ULCERS WITH MCC | $18,486 – $27,316 · median $22,445 | 19 plans |
| 593 | SKIN ULCERS WITH CC | $10,992 – $16,242 · median $14,113 | 19 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,630 – $11,274 · median $10,375 | 19 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $19,015 – $28,097 · median $23,033 | 19 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $9,719 – $14,361 · median $12,698 | 19 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $15,793 – $23,336 · median $19,451 | 19 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,699 – $14,332 · median $12,676 | 19 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,686 – $11,356 · median $10,437 | 19 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,600 – $12,707 · median $11,453 | 19 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,390 – $8,042 · median $7,884 | 19 plans |
| 602 | CELLULITIS WITH MCC | $13,208 – $19,517 · median $16,577 | 19 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,918 – $11,701 · median $10,696 | 19 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $13,356 – $19,736 · median $16,742 | 19 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $8,304 – $12,270 · median $11,125 | 19 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $14,477 – $21,391 · median $17,987 | 19 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,769 – $11,480 · median $10,530 | 19 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $20,488 – $30,274 · median $24,671 | 19 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $12,883 – $19,036 · median $16,215 | 19 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $34,746 – $51,343 · median $40,523 | 19 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $17,365 – $25,659 · median $21,199 | 19 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,193 – $16,540 · median $14,337 | 19 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $24,511 – $31,717 · median $29,144 | 19 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $14,357 – $25,301 · median $17,854 | 19 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $13,142 – $25,301 · median $16,503 | 19 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $33,641 – $49,709 · median $39,294 | 19 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $17,196 – $25,410 · median $21,011 | 19 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,018 – $13,325 · median $11,918 | 19 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $25,775 – $38,087 · median $30,549 | 19 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $13,569 – $20,050 · median $16,978 | 19 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $11,389 – $16,830 · median $14,555 | 19 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $35,472 – $52,415 · median $41,330 | 19 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $20,219 – $29,877 · median $24,372 | 19 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $12,598 – $18,615 · median $15,898 | 19 plans |
| 637 | DIABETES WITH MCC | $13,092 – $19,345 · median $16,448 | 19 plans |
| 638 | DIABETES WITH CC | $8,246 – $12,184 · median $11,060 | 19 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,633 – $8,324 · median $8,155 | 19 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $11,939 – $17,641 · median $15,166 | 19 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $7,025 – $10,380 · median $9,702 | 19 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $11,157 – $16,487 · median $14,297 | 19 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $14,899 – $22,016 · median $18,457 | 19 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $9,290 – $13,728 · median $12,221 | 19 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $7,001 – $10,344 · median $9,675 | 19 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $41,420 – $61,203 · median $47,943 | 19 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $31,218 – $46,129 · median $36,600 | 19 plans |
| 652 | KIDNEY TRANSPLANT | $27,612 – $40,800 · median $32,591 | 19 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $50,116 – $74,053 · median $57,611 | 19 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $25,371 – $37,489 · median $30,099 | 19 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $18,675 – $27,595 · median $22,655 | 19 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $29,289 – $43,279 · median $34,456 | 19 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $16,435 – $24,284 · median $20,164 | 19 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $13,521 – $19,979 · median $16,925 | 19 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $23,233 – $34,330 · median $27,723 | 19 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $12,047 – $17,801 · median $15,286 | 19 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $9,229 – $13,637 · median $12,153 | 19 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $28,045 – $41,441 · median $33,073 | 19 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $13,731 – $20,290 · median $17,159 | 19 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,707 – $14,344 · median $12,685 | 19 plans |
| 665 | PROSTATECTOMY WITH MCC | $30,868 – $45,612 · median $36,211 | 19 plans |
| 666 | PROSTATECTOMY WITH CC | $14,809 – $21,883 · median $18,357 | 19 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $9,240 – $13,653 · median $12,165 | 19 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $26,218 – $38,740 · median $31,041 | 19 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $13,912 – $20,557 · median $17,360 | 19 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $8,592 – $12,696 · median $11,444 | 19 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $15,496 – $22,898 · median $19,121 | 19 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $9,839 – $14,538 · median $12,831 | 19 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $37,665 – $55,655 · median $43,768 | 19 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $20,753 – $30,665 · median $24,965 | 19 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $14,072 – $20,793 · median $17,537 | 19 plans |
| 682 | RENAL FAILURE WITH MCC | $13,502 – $19,951 · median $16,904 | 19 plans |
| 683 | RENAL FAILURE WITH CC | $7,991 – $11,808 · median $10,777 | 19 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,461 – $8,122 · median $7,963 | 19 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $16,952 – $25,050 · median $20,740 | 19 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $9,464 – $13,984 · median $12,414 | 19 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,511 – $9,620 · median $9,130 | 19 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $10,521 – $15,546 · median $13,589 | 19 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $7,215 – $10,662 · median $9,914 | 19 plans |
| 693 | URINARY STONES WITH MCC | $13,219 – $19,533 · median $16,589 | 19 plans |
| 694 | URINARY STONES WITHOUT MCC | $7,025 – $10,380 · median $9,702 | 19 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $10,139 – $14,982 · median $13,165 | 19 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,219 – $9,190 · median $8,807 | 19 plans |
| 697 | URETHRAL STRICTURE | $9,006 – $13,308 · median $11,905 | 19 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $15,111 – $22,329 · median $18,693 | 19 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $9,169 – $13,548 · median $12,086 | 19 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $6,241 – $9,222 · median $8,831 | 19 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $17,446 – $25,779 · median $21,289 | 19 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $13,328 – $19,694 · median $16,710 | 19 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $20,201 – $29,850 · median $24,352 | 19 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $13,498 – $19,945 · median $16,899 | 19 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $17,176 – $25,380 · median $20,989 | 19 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $9,616 – $14,209 · median $12,583 | 19 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $13,000 – $19,209 · median $16,345 | 19 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,448 – $12,483 · median $11,284 | 19 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $20,302 – $29,999 · median $24,464 | 19 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $12,760 – $18,854 · median $16,078 | 19 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $16,681 – $24,648 · median $20,438 | 19 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $11,075 – $16,365 · median $14,205 | 19 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $15,543 – $22,967 · median $19,173 | 19 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $10,095 – $14,917 · median $13,116 | 19 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,550 – $9,679 · median $9,174 | 19 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $11,351 – $16,772 · median $14,512 | 19 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,692 – $9,889 · median $9,332 | 19 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $13,210 – $19,520 · median $16,579 | 19 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,346 – $10,854 · median $10,059 | 19 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $9,897 – $14,624 · median $12,896 | 19 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,456 – $8,117 · median $7,958 | 19 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $18,904 – $27,934 · median $22,910 | 19 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,913 – $16,125 · median $14,025 | 19 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $35,399 – $52,307 · median $41,249 | 19 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $17,966 – $26,547 · median $21,866 | 19 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $13,637 – $20,151 · median $17,054 | 19 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $35,788 – $52,882 · median $41,682 | 19 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $16,347 – $24,154 · median $20,066 | 19 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,349 – $18,247 · median $15,621 | 19 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $16,422 – $24,266 · median $20,150 | 19 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $10,776 – $15,924 · median $13,873 | 19 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $17,566 – $25,957 · median $21,423 | 19 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $9,213 – $13,613 · median $12,135 | 19 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $15,055 – $22,245 · median $18,630 | 19 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $8,587 – $12,689 · median $11,439 | 19 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $12,247 – $18,097 · median $15,508 | 19 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $23,272 – $34,387 · median $27,766 | 19 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,593 – $17,130 · median $14,781 | 19 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $16,266 – $24,035 · median $19,976 | 19 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,980 – $14,747 · median $12,988 | 19 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,585 – $12,686 · median $11,437 | 19 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,724 – $18,801 · median $16,038 | 19 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,164 – $13,540 · median $12,080 | 19 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,754 – $8,502 · median $8,289 | 19 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $8,861 – $13,093 · median $11,743 | 19 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,699 – $8,421 · median $8,228 | 19 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,492 – $18,458 · median $15,780 | 19 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $9,673 – $14,294 · median $12,647 | 19 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $6,414 – $9,478 · median $9,024 | 19 plans |
| 779 | ABORTION WITHOUT D&C | $8,404 – $12,418 · median $11,235 | 19 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $16,205 – $23,946 · median $19,909 | 19 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $53,444 – $78,971 · median $61,311 | 19 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $36,499 – $53,932 · median $42,471 | 19 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $22,023 – $32,542 · median $26,377 | 19 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $37,493 – $55,401 · median $43,577 | 19 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $13,271 – $19,610 · median $16,647 | 19 plans |
| 795 | NORMAL NEWBORN | $1,796 – $3,967 · median $3,772 | 19 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $42,746 – $63,163 · median $49,417 | 19 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $26,195 – $38,707 · median $31,016 | 19 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $14,759 – $21,808 · median $18,301 | 19 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $32,227 – $47,620 · median $37,723 | 19 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $16,002 – $23,646 · median $19,683 | 19 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,939 – $14,687 · median $12,943 | 19 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $20,590 – $30,424 · median $24,784 | 19 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $11,134 – $16,452 · median $14,271 | 19 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,557 – $12,644 · median $11,405 | 19 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $12,648 – $18,689 · median $15,954 | 19 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $8,297 – $12,260 · median $11,117 | 19 plans |
| 813 | COAGULATION DISORDERS | $13,917 – $20,564 · median $17,365 | 19 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $18,794 – $27,770 · median $22,787 | 19 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $9,135 – $13,498 · median $12,048 | 19 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,928 – $8,759 · median $8,483 | 19 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $22,791 – $33,676 · median $27,231 | 19 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $11,579 – $17,110 · median $14,766 | 19 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,340 – $10,846 · median $10,053 | 19 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $52,342 – $77,343 · median $60,087 | 19 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $20,069 – $29,655 · median $24,205 | 19 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,282 – $15,193 · median $13,323 | 19 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $42,069 – $62,162 · median $48,664 | 19 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $19,773 – $29,217 · median $23,875 | 19 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,065 – $16,350 · median $14,194 | 19 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $42,932 – $63,438 · median $49,624 | 19 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $21,216 – $31,349 · median $25,480 | 19 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $14,410 – $21,293 · median $17,913 | 19 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $27,723 – $40,965 · median $32,715 | 19 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,148 – $19,428 · median $16,510 | 19 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $10,347 – $15,290 · median $13,396 | 19 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,719 – $9,928 · median $9,362 | 19 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,673 – $7,229 · median $6,905 | 19 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $49,690 – $73,425 · median $57,138 | 19 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $19,202 – $28,373 · median $23,241 | 19 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $11,424 – $16,880 · median $14,593 | 19 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $45,015 – $66,516 · median $51,940 | 19 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $18,234 – $26,943 · median $22,164 | 19 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $12,320 – $18,204 · median $15,589 | 19 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $28,669 – $42,363 · median $33,767 | 19 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $14,096 – $20,829 · median $17,564 | 19 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $9,457 – $13,973 · median $12,406 | 19 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $17,021 – $25,151 · median $20,816 | 19 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $10,745 – $15,877 · median $13,838 | 19 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,523 – $11,116 · median $10,256 | 19 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $22,959 – $33,925 · median $27,418 | 19 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $11,424 – $16,880 · median $14,593 | 19 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,362 – $10,878 · median $10,077 | 19 plans |
| 849 | RADIOTHERAPY | $24,013 – $35,483 · median $28,590 | 19 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $82,815 – $122,371 · median $93,967 | 19 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $44,962 – $66,437 · median $51,881 | 19 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $17,963 – $26,543 · median $21,863 | 19 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $14,614 – $21,594 · median $18,140 | 19 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $40,559 – $59,932 · median $46,986 | 19 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $19,588 – $28,945 · median $23,670 | 19 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,583 – $17,115 · median $14,770 | 19 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $16,530 – $24,425 · median $20,270 | 19 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,989 – $13,283 · median $11,886 | 19 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $8,073 – $11,929 · median $10,868 | 19 plans |
| 865 | VIRAL ILLNESS WITH MCC | $13,268 – $19,606 · median $16,644 | 19 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,954 – $11,754 · median $10,736 | 19 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $19,277 – $28,485 · median $23,325 | 19 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $9,440 – $13,950 · median $12,388 | 19 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,469 – $9,559 · median $9,084 | 19 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $62,539 – $92,410 · median $71,424 | 19 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $17,639 – $26,065 · median $21,504 | 19 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $9,269 – $13,696 · median $12,197 | 19 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $1,122 – $52,201 · median $41,169 | 19 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,122 – $12,734 · median $11,473 | 19 plans |
| 881 | DEPRESSIVE NEUROSES | $1,122 – $12,143 · median $11,029 | 19 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,122 – $12,779 · median $11,507 | 19 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,122 – $24,627 · median $20,422 | 19 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,122 – $22,187 · median $18,586 | 19 plans |
| 885 | PSYCHOSES | $1,122 – $18,725 · median $15,981 | 19 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,122 – $23,865 · median $19,848 | 19 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,122 – $15,800 · median $13,780 | 19 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $1,122 – $8,293 · median $8,130 | 19 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $1,122 – $19,234 · median $16,364 | 19 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $1,122 – $23,656 · median $19,691 | 19 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $1,122 – $11,719 · median $10,710 | 19 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $39,830 – $58,855 · median $46,176 | 19 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $17,059 – $25,208 · median $20,859 | 19 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $10,960 – $16,195 · median $14,077 | 19 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $34,711 – $51,291 · median $40,484 | 19 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $14,817 – $21,895 · median $18,366 | 19 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $19,621 – $28,992 · median $23,706 | 19 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $35,813 – $52,919 · median $41,710 | 19 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $18,134 – $26,795 · median $22,053 | 19 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $11,402 – $16,848 · median $14,569 | 19 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $14,549 – $21,498 · median $18,067 | 19 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $8,238 – $12,173 · median $11,052 | 19 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $15,624 – $23,086 · median $19,263 | 19 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,970 – $8,822 · median $8,530 | 19 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $14,741 – $21,782 · median $18,281 | 19 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,953 – $11,751 · median $10,734 | 19 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $16,394 – $24,225 · median $20,119 | 19 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $9,133 – $13,495 · median $12,046 | 19 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,182 – $9,135 · median $8,766 | 19 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $15,188 – $22,442 · median $18,778 | 19 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $9,169 – $13,548 · median $12,086 | 19 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $213,268 – $315,134 · median $239,006 | 19 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $60,043 – $88,723 · median $68,649 | 19 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $28,592 – $42,248 · median $33,681 | 19 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $38,899 – $57,479 · median $45,140 | 19 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $19,291 – $28,505 · median $23,340 | 19 plans |
| 935 | NON-EXTENSIVE BURNS | $19,746 – $29,177 · median $23,845 | 19 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $28,534 – $42,163 · median $33,617 | 19 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $18,981 – $28,048 · median $22,996 | 19 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $17,569 – $25,961 · median $21,426 | 19 plans |
| 945 | REHABILITATION WITH CC/MCC | $1,220 – $17,758 · median $17,150 | 19 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $1,220 – $13,313 · median $12,988 | 19 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $11,563 – $17,086 · median $14,748 | 19 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $7,143 – $10,554 · median $9,833 | 19 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,700 – $14,333 · median $12,677 | 19 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,269 – $7,905 · median $7,750 | 19 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,097 – $7,710 · median $7,532 | 19 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $61,386 – $90,707 · median $70,142 | 19 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $34,363 – $50,777 · median $40,098 | 19 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $67,103 – $99,154 · median $76,498 | 19 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $36,947 – $54,595 · median $42,970 | 19 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $23,769 – $35,122 · median $28,318 | 19 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $24,423 – $36,089 · median $29,046 | 19 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $13,486 – $19,927 · median $16,886 | 19 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $8,204 – $12,123 · median $11,014 | 19 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $56,855 – $84,012 · median $65,105 | 19 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $23,853 – $35,246 · median $28,412 | 19 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $26,846 – $39,669 · median $31,740 | 19 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $12,778 – $18,882 · median $16,099 | 19 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $9,017 – $13,324 · median $11,917 | 19 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $12,963 – $19,154 · median $16,304 | 19 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $42,738 – $63,151 · median $49,408 | 19 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $22,010 – $32,523 · median $26,363 | 19 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $14,997 – $22,160 · median $18,566 | 19 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $31,489 – $46,530 · median $36,902 | 19 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,427 – $22,795 · median $19,044 | 19 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,388 – $15,350 · median $13,441 | 19 plans |
| 877 | Psych | $1,122 – $1,122 · median $1,122 | 3 plans |
| 878 | Psych | $1,122 – $1,122 · median $1,122 | 3 plans |
| 879 | Psych | $1,122 – $1,122 · median $1,122 | 3 plans |
| 888 | Psych | $1,122 – $1,122 · median $1,122 | 3 plans |
| 889 | Psych | $1,122 – $1,122 · median $1,122 | 3 plans |
| 890 | Psych | $1,122 – $1,122 · median $1,122 | 3 plans |
| 891 | Psych | $1,122 – $1,122 · median $1,122 | 3 plans |
| 892 | Psych | $1,122 – $1,122 · median $1,122 | 3 plans |
| 893 | Psych | $1,122 – $1,122 · median $1,122 | 3 plans |
| 222 | Defib Implant w/Cath &HF/AMI | $52,996 – $52,996 · median $52,996 | 1 plans |
| 223 | Defib Implant w/Cath &HF/AMI | $52,996 – $52,996 · median $52,996 | 1 plans |
| 224 | Defib Implant w/Cath w/o HF/AMI | $42,422 – $42,422 · median $42,422 | 1 plans |
| 225 | Defib Implant w/Cath w/o HF/AMI | $42,422 – $42,422 · median $42,422 | 1 plans |
| 226 | Defib Implant w/o Cath | $40,147 – $40,147 · median $40,147 | 1 plans |
| 227 | Defib Implant w/o Cath | $40,147 – $40,147 · median $40,147 | 1 plans |
| 246 | Perc CV Proc w/Drug-Eluting Stent | $17,478 – $17,478 · median $17,478 | 1 plans |
| 247 | Perc CV Proc w/Drug-Eluting Stent | $17,478 – $17,478 · median $17,478 | 1 plans |
| 248 | Percutaneous CV Procedures | $17,733 – $17,733 · median $17,733 | 1 plans |
| 249 | Percutaneous CV Procedures | $17,733 – $17,733 · median $17,733 | 1 plans |
| 453 | Combo A/P Spinal Fusion | $20,075 – $20,075 · median $20,075 | 1 plans |
| 454 | Combo A/P Spinal Fusion | $20,075 – $20,075 · median $20,075 | 1 plans |
| 455 | Combo A/P Spinal Fusion | $20,075 – $20,075 · median $20,075 | 1 plans |
| 459 | Spinal Fusion | $41,256 – $41,256 · median $41,256 | 1 plans |
| 460 | Spinal Fusion | $41,256 – $41,256 · median $41,256 | 1 plans |
No procedures match that keyword.