Stormont Vail Hospital — Pricing
775 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 775 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 775 procedures
Procedures with negotiated rates only
These 775 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $163,392 – $623,635 · median $193,890 | 8 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $66,069 – $347,969 · median $78,874 | 8 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $116,505 – $419,539 · median $147,044 | 8 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $86,507 – $260,079 · median $96,235 | 8 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $60,115 – $254,863 · median $71,837 | 8 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $27,036 – $114,835 · median $32,744 | 8 plans |
| 007 | LUNG TRANSPLANT | $75,505 – $230,494 · median $90,026 | 8 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $32,677 – $129,110 · median $39,411 | 8 plans |
| 010 | PANCREAS TRANSPLANT | $41,838 – $102,263 · median $50,237 | 8 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $31,800 – $112,865 · median $38,374 | 8 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $24,581 – $80,898 · median $29,843 | 8 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $16,802 – $52,050 · median $20,650 | 8 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $83,602 – $275,452 · median $84,802 | 8 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $41,652 – $146,712 · median $41,842 | 8 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $38,224 – $103,884 · median $38,332 | 8 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $298,341 – $795,419 · median $304,711 | 8 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $41,598 – $153,153 · median $49,954 | 8 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $55,013 – $231,835 · median $63,187 | 8 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $37,270 – $170,005 · median $42,509 | 8 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $22,687 – $118,748 · median $25,515 | 8 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $40,278 – $127,086 · median $43,960 | 8 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $27,748 – $90,233 · median $31,413 | 8 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $32,122 – $102,087 · median $38,808 | 8 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $22,217 – $71,182 · median $23,202 | 8 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $18,177 – $54,257 · median $20,259 | 8 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $42,193 – $127,583 · median $48,247 | 8 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $24,301 – $72,584 · median $27,395 | 8 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $15,919 – $42,726 · median $17,628 | 8 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $31,666 – $89,896 · median $35,979 | 8 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $15,477 – $48,358 · median $17,112 | 8 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,252 – $37,385 · median $13,353 | 8 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $27,464 – $87,560 · median $31,082 | 8 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,265 – $54,763 · median $19,196 | 8 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,180 – $40,821 · median $15,601 | 8 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $23,477 – $73,392 · median $26,436 | 8 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,974 – $36,971 · median $13,030 | 8 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,893 – $25,208 · median $9,439 | 8 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $27,399 – $90,395 · median $31,006 | 8 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $15,943 – $50,738 · median $17,656 | 8 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,698 – $45,720 · median $13,874 | 8 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $13,274 – $35,439 · median $18,079 | 8 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,541 – $20,494 · median $9,773 | 8 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,314 – $32,243 · median $15,240 | 8 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,819 – $24,713 · median $10,177 | 8 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $16,801 – $43,988 · median $28,033 | 8 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,721 – $25,462 · median $17,139 | 8 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $12,573 – $40,863 · median $17,063 | 8 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,344 – $24,079 · median $12,386 | 8 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,131 – $19,317 · median $9,181 | 8 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $19,791 – $63,781 · median $27,519 | 8 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $12,901 – $44,950 · median $17,539 | 8 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,466 – $36,206 · median $14,011 | 8 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,650 – $41,168 · median $21,387 | 8 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,755 – $25,170 · median $12,979 | 8 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,509 – $17,996 · median $6,831 | 8 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,913 – $34,068 · median $14,659 | 8 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,750 – $20,745 · median $8,628 | 8 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,298 – $17,172 · median $7,973 | 8 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $12,265 – $38,689 · median $19,451 | 8 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $7,863 – $23,948 · median $10,241 | 8 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,004 – $17,414 · median $7,548 | 8 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,848 – $31,742 · median $16,013 | 8 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,896 – $21,534 · median $10,288 | 8 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $14,006 – $40,196 · median $19,139 | 8 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,479 – $19,726 · median $8,236 | 8 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $9,149 – $28,891 · median $13,265 | 8 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,965 – $18,179 · median $8,713 | 8 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $16,542 – $47,925 · median $22,813 | 8 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,411 – $30,903 · median $13,932 | 8 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,379 – $20,123 · median $9,540 | 8 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,448 – $48,369 · median $22,676 | 8 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,770 – $27,073 · median $13,002 | 8 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $3,693 – $18,814 · median $7,096 | 8 plans |
| 088 | CONCUSSION WITH MCC | $10,108 – $32,440 · median $13,492 | 8 plans |
| 089 | CONCUSSION WITH CC | $8,363 – $23,188 · median $10,965 | 8 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,466 – $17,569 · median $8,216 | 8 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $12,894 – $37,732 · median $19,164 | 8 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,842 – $21,563 · median $13,881 | 8 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,280 – $16,587 · median $7,948 | 8 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $25,044 – $81,805 · median $31,221 | 8 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $18,565 – $55,319 · median $29,735 | 8 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $18,565 – $51,929 · median $28,319 | 8 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $25,680 – $74,183 · median $36,050 | 8 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $16,606 – $43,743 · median $22,906 | 8 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,181 – $29,867 · median $13,598 | 8 plans |
| 100 | SEIZURES WITH MCC | $13,423 – $37,159 · median $14,139 | 8 plans |
| 101 | SEIZURES WITHOUT MCC | $7,013 – $18,871 · median $8,220 | 8 plans |
| 102 | HEADACHES WITH MCC | $8,517 – $25,388 · median $11,188 | 8 plans |
| 103 | HEADACHES WITHOUT MCC | $6,556 – $17,105 · median $6,855 | 8 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $16,994 – $47,802 · median $18,182 | 8 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,116 – $28,736 · median $10,463 | 8 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,370 – $31,248 · median $11,870 | 8 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $13,252 – $35,677 · median $13,983 | 8 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,269 – $19,816 · median $8,390 | 8 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,209 – $23,604 · median $8,809 | 8 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,545 – $13,900 · median $6,208 | 8 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,635 – $17,039 · median $6,296 | 8 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,336 – $28,900 · median $9,910 | 8 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,418 – $17,241 · median $6,084 | 8 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $8,988 – $45,383 · median $15,746 | 8 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $4,205 – $28,287 · median $7,789 | 8 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $6,185 – $33,885 · median $11,082 | 8 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $3,671 – $19,655 · median $6,900 | 8 plans |
| 139 | SALIVARY GLAND PROCEDURES | $5,118 – $23,352 · median $9,308 | 8 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $17,667 – $84,738 · median $30,183 | 8 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $9,034 – $46,992 · median $15,822 | 8 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $6,612 – $34,633 · median $11,793 | 8 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $15,518 – $60,922 · median $26,609 | 8 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $7,178 – $35,982 · median $12,734 | 8 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $4,980 – $25,269 · median $9,078 | 8 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $13,620 – $44,527 · median $15,383 | 8 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $8,179 – $29,508 · median $9,555 | 8 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,127 – $19,232 · median $6,286 | 8 plans |
| 149 | DYSEQUILIBRIUM | $4,834 – $15,936 · median $5,972 | 8 plans |
| 150 | EPISTAXIS WITH MCC | $8,564 – $29,843 · median $9,968 | 8 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,721 – $16,711 · median $5,851 | 8 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,604 – $25,215 · median $8,939 | 8 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,748 – $16,732 · median $5,880 | 8 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $10,057 – $33,479 · median $11,567 | 8 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $5,895 – $20,750 · median $7,109 | 8 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,445 – $15,829 · median $5,555 | 8 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $11,043 – $35,520 · median $12,623 | 8 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,852 – $20,391 · median $7,062 | 8 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,557 – $14,675 · median $5,675 | 8 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $31,675 – $118,841 · median $34,660 | 8 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $18,185 – $61,355 · median $19,519 | 8 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,983 – $43,121 · median $14,804 | 8 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $26,548 – $87,430 · median $28,906 | 8 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,220 – $46,017 · median $13,947 | 8 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,209 – $30,770 · median $10,567 | 8 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $21,302 – $66,746 · median $23,018 | 8 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,258 – $35,258 · median $11,707 | 8 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,340 – $22,276 · median $6,861 | 8 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,561 – $45,224 · median $13,891 | 8 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,519 – $32,255 · median $8,318 | 8 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,996 – $22,950 · median $6,435 | 8 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $12,962 – $39,839 · median $17,537 | 8 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,952 – $27,978 · median $8,173 | 8 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,987 – $20,322 · median $6,424 | 8 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,335 – $34,983 · median $13,039 | 8 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,126 – $24,058 · median $9,069 | 8 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,213 – $17,065 · median $6,703 | 8 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,532 – $37,385 · median $13,282 | 8 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,609 – $25,745 · median $8,430 | 8 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,735 – $18,676 · median $6,112 | 8 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,306 – $29,142 · median $10,255 | 8 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,426 – $27,510 · median $11,244 | 8 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,602 – $22,147 · median $7,185 | 8 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,217 – $17,376 · median $5,472 | 8 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,850 – $33,885 · median $10,085 | 8 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,346 – $23,036 · median $9,267 | 8 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,124 – $16,896 · median $7,818 | 8 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,797 – $38,765 · median $16,084 | 8 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,333 – $24,725 · median $8,089 | 8 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,728 – $18,474 · median $6,104 | 8 plans |
| 199 | PNEUMOTHORAX WITH MCC | $12,949 – $41,588 · median $15,035 | 8 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,368 – $24,813 · median $9,369 | 8 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,721 – $17,474 · median $6,095 | 8 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,485 – $21,337 · median $8,446 | 8 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,410 – $15,913 · median $6,293 | 8 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,357 – $17,324 · median $6,881 | 8 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $13,410 – $34,401 · median $15,605 | 8 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,278 – $19,398 · median $8,021 | 8 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $45,131 – $127,114 · median $53,460 | 8 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $17,581 – $54,780 · median $19,733 | 8 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $78,785 – $260,180 · median $89,507 | 8 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $75,720 – $248,622 · median $85,990 | 8 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $40,116 – $125,231 · median $45,129 | 8 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $69,401 – $377,171 · median $78,738 | 8 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $68,201 – $224,875 · median $77,360 | 8 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $46,100 – $148,684 · median $73,676 | 8 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $46,100 – $130,244 · median $70,168 | 8 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $53,700 – $179,606 · median $60,718 | 8 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $37,539 – $121,355 · median $47,120 | 8 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $35,523 – $107,887 · median $39,857 | 8 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $34,883 – $165,165 · median $39,123 | 8 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $22,495 – $108,322 · median $24,906 | 8 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $58,879 – $185,466 · median $66,662 | 8 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $42,567 – $137,286 · median $47,942 | 8 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $53,472 – $174,833 · median $53,521 | 8 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $38,434 – $116,608 · median $44,706 | 8 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $32,789 – $138,056 · median $41,231 | 8 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $29,656 – $90,321 · median $31,228 | 8 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $34,706 – $114,954 · median $38,920 | 8 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $20,435 – $63,762 · median $22,541 | 8 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $10,333 – $34,396 · median $10,948 | 8 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $16,783 – $89,901 · median $22,793 | 8 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $15,476 – $62,833 · median $15,984 | 8 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,248 – $50,833 · median $15,223 | 8 plans |
| 245 | AICD GENERATOR PROCEDURES | $32,230 – $111,352 · median $36,078 | 8 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $15,832 – $64,094 · median $17,259 | 8 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,091 – $40,068 · median $11,818 | 8 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $24,829 – $78,106 · median $28,325 | 8 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $16,914 – $61,844 · median $18,678 | 8 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,070 – $40,944 · median $14,089 | 8 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $19,380 – $62,258 · median $21,330 | 8 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,493 – $38,590 · median $13,427 | 8 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,319 – $25,766 · median $8,637 | 8 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $22,444 – $67,932 · median $24,847 | 8 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $14,727 – $46,229 · median $15,990 | 8 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $23,207 – $88,625 · median $25,722 | 8 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $13,820 – $44,287 · median $14,950 | 8 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $12,024 – $35,938 · median $12,889 | 8 plans |
| 263 | VEIN LIGATION AND STRIPPING | $21,860 – $49,550 · median $24,177 | 8 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $23,812 – $66,720 · median $32,188 | 8 plans |
| 265 | AICD LEAD PROCEDURES | $25,724 – $70,524 · median $28,612 | 8 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $43,021 – $204,308 · median $48,462 | 8 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $33,597 – $155,810 · median $43,104 | 8 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $48,185 – $149,233 · median $54,389 | 8 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $29,893 – $92,764 · median $33,396 | 8 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $37,149 – $112,504 · median $41,724 | 8 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $25,298 – $74,670 · median $28,711 | 8 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $18,385 – $53,480 · median $20,189 | 8 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $29,220 – $84,348 · median $32,624 | 8 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $23,475 – $57,494 · median $25,306 | 8 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $49,925 – $179,556 · median $56,386 | 8 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $42,181 – $160,761 · median $47,499 | 8 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $32,617 – $131,575 · median $36,047 | 8 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $39,147 – $114,621 · median $44,016 | 8 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $25,643 – $86,003 · median $28,519 | 8 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $11,846 – $40,324 · median $12,560 | 8 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,126 – $24,312 · median $11,962 | 8 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,776 – $17,956 · median $11,393 | 8 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $14,442 – $39,474 · median $19,186 | 8 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,563 – $18,597 · median $6,704 | 8 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,920 – $13,004 · median $5,801 | 8 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $16,041 – $51,739 · median $18,541 | 8 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,167 – $27,472 · median $11,089 | 8 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $19,440 – $66,370 · median $26,212 | 8 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,555 – $40,319 · median $16,533 | 8 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,199 – $25,058 · median $9,005 | 8 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,639 – $35,187 · median $12,803 | 8 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,643 – $23,064 · median $10,314 | 8 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,693 – $16,008 · median $5,868 | 8 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,556 – $30,566 · median $15,128 | 8 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,162 – $15,416 · median $6,141 | 8 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,929 – $10,638 · median $4,408 | 8 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,043 – $33,778 · median $15,814 | 8 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,149 – $23,746 · median $10,340 | 8 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,753 – $16,687 · median $6,971 | 8 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,039 – $25,162 · median $11,590 | 8 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,432 – $15,271 · median $6,520 | 8 plans |
| 304 | HYPERTENSION WITH MCC | $8,993 – $24,020 · median $11,026 | 8 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,996 – $15,744 · median $8,067 | 8 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,651 – $33,334 · median $15,263 | 8 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,086 – $19,113 · median $8,845 | 8 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,090 – $28,869 · median $12,670 | 8 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,863 – $18,654 · median $6,278 | 8 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,694 – $13,325 · median $4,945 | 8 plans |
| 311 | ANGINA PECTORIS | $5,630 – $14,473 · median $6,798 | 8 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,172 – $18,129 · median $6,799 | 8 plans |
| 313 | CHEST PAIN | $5,755 – $15,732 · median $6,974 | 8 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $15,161 – $45,939 · median $24,603 | 8 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,431 – $23,100 · median $9,330 | 8 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,493 – $15,440 · median $6,607 | 8 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $46,866 – $80,381 · median $52,875 | 8 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $17,483 – $71,145 · median $19,154 | 8 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $31,545 – $90,084 · median $35,292 | 8 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $17,367 – $51,574 · median $19,021 | 8 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $19,541 – $74,096 · median $24,437 | 8 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $12,941 – $48,343 · median $16,549 | 8 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $27,054 – $106,709 · median $30,611 | 8 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $22,505 – $78,704 · median $25,766 | 8 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $22,914 – $43,776 · median $24,539 | 8 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $35,159 – $129,381 · median $41,609 | 8 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,635 – $62,726 · median $20,392 | 8 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,834 – $36,007 · median $13,368 | 8 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $32,465 – $120,488 · median $42,703 | 8 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,311 – $60,616 · median $18,256 | 8 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,389 – $39,184 · median $12,919 | 8 plans |
| 332 | RECTAL RESECTION WITH MCC | $25,742 – $108,277 · median $30,207 | 8 plans |
| 333 | RECTAL RESECTION WITH CC | $16,932 – $57,629 · median $19,541 | 8 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,079 – $39,157 · median $13,665 | 8 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $25,398 – $98,039 · median $29,792 | 8 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $15,323 – $55,457 · median $17,593 | 8 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,370 – $37,245 · median $12,806 | 8 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $18,590 – $73,727 · median $21,548 | 8 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,161 – $38,654 · median $12,554 | 8 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,967 – $28,853 · median $9,896 | 8 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $16,611 – $58,111 · median $19,152 | 8 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,812 – $34,420 · median $10,919 | 8 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,792 – $22,014 · median $7,263 | 8 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $17,964 – $59,359 · median $20,790 | 8 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,298 – $33,526 · median $12,719 | 8 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,840 – $23,200 · median $9,743 | 8 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $20,789 – $69,243 · median $24,211 | 8 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,386 – $39,538 · median $14,036 | 8 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,061 – $29,382 · median $11,221 | 8 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $31,062 – $89,311 · median $36,649 | 8 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $16,817 – $49,424 · median $19,401 | 8 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,426 – $32,112 · median $11,663 | 8 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $24,487 – $93,361 · median $27,192 | 8 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $17,429 – $65,723 · median $19,092 | 8 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $11,762 – $42,408 · median $16,218 | 8 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,685 – $25,258 · median $10,190 | 8 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,622 – $17,476 · median $7,140 | 8 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,011 – $42,422 · median $18,064 | 8 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,829 – $26,351 · median $9,073 | 8 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,806 – $18,574 · median $6,746 | 8 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $15,530 – $48,341 · median $21,788 | 8 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,128 – $29,230 · median $12,323 | 8 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,162 – $21,606 · median $9,416 | 8 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,389 – $41,602 · median $18,623 | 8 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,551 – $23,639 · median $10,568 | 8 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,137 – $15,948 · median $6,422 | 8 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,314 – $46,450 · median $19,990 | 8 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,259 – $25,400 · median $11,038 | 8 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,310 – $19,574 · median $8,156 | 8 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,307 – $32,184 · median $14,066 | 8 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,683 – $20,151 · median $8,708 | 8 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,696 – $40,856 · median $16,120 | 8 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,521 – $23,751 · median $11,440 | 8 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,488 – $17,533 · median $6,941 | 8 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,702 – $37,573 · median $10,969 | 8 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,236 – $20,688 · median $9,579 | 8 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,542 – $14,416 · median $6,539 | 8 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,533 – $28,335 · median $15,367 | 8 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,165 – $17,583 · median $7,680 | 8 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $11,813 – $38,813 · median $16,293 | 8 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,241 – $22,577 · median $8,173 | 8 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,188 – $16,053 · median $5,265 | 8 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $17,295 – $50,859 · median $19,980 | 8 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $10,046 – $32,848 · median $11,223 | 8 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,569 – $24,452 · median $8,681 | 8 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $28,496 – $47,290 · median $33,583 | 8 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $38,487 – $132,793 · median $38,869 | 8 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $20,606 – $66,708 · median $20,777 | 8 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $15,771 – $47,583 · median $16,087 | 8 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $25,334 – $86,669 · median $25,362 | 8 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $15,470 – $58,565 · median $15,796 | 8 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,281 – $37,010 · median $11,733 | 8 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $23,471 – $85,020 · median $23,555 | 8 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $14,939 – $59,356 · median $15,281 | 8 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $11,798 – $42,760 · median $12,235 | 8 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $25,313 – $83,835 · median $25,341 | 8 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $14,684 – $47,690 · median $15,034 | 8 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $9,687 – $31,701 · median $10,187 | 8 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $13,428 – $58,769 · median $17,237 | 8 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,449 – $39,405 · median $12,789 | 8 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,204 – $29,796 · median $12,180 | 8 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $24,208 – $86,985 · median $24,270 | 8 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,345 – $41,465 · median $12,766 | 8 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,944 – $30,749 · median $10,437 | 8 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $29,409 – $101,339 · median $29,508 | 8 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $15,545 – $54,766 · median $15,869 | 8 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $10,660 – $38,017 · median $11,131 | 8 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $76,734 – $320,480 · median $92,061 | 8 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $50,533 – $222,422 · median $60,297 | 8 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $39,531 – $175,119 · median $46,961 | 8 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $62,873 – $196,726 · median $75,258 | 8 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $40,531 – $65,835 · median $48,173 | 8 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,355 – $39,364 · median $15,217 | 8 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,071 – $21,774 · median $10,155 | 8 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,703 – $14,815 · median $6,626 | 8 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,449 – $41,524 · median $15,649 | 8 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,587 – $27,767 · median $10,520 | 8 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,673 – $21,506 · median $7,936 | 8 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,026 – $39,471 · median $16,896 | 8 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,590 – $20,964 · median $9,539 | 8 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,075 – $15,131 · median $7,414 | 8 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,160 – $44,592 · median $16,691 | 8 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,445 – $22,266 · median $8,978 | 8 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,615 – $15,551 · median $6,507 | 8 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,307 – $37,767 · median $15,540 | 8 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,334 – $25,075 · median $10,178 | 8 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,494 – $18,136 · median $7,694 | 8 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $46,832 – $115,625 · median $55,812 | 8 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $30,014 – $49,143 · median $34,763 | 8 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $37,517 – $121,310 · median $44,518 | 8 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $23,052 – $79,271 · median $26,984 | 8 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $58,696 – $223,495 · median $70,194 | 8 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $41,882 – $168,085 · median $44,697 | 8 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $29,544 – $125,898 · median $35,742 | 8 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $38,849 – $121,124 · median $46,134 | 8 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $19,122 – $76,378 · median $22,219 | 8 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $40,065 – $121,246 · median $47,608 | 8 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $20,642 – $73,508 · median $22,255 | 8 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,360 – $45,974 · median $15,233 | 8 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $36,661 – $119,739 · median $43,481 | 8 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $25,093 – $81,679 · median $31,459 | 8 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $19,728 – $65,373 · median $28,167 | 8 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $21,693 – $78,320 · median $25,337 | 8 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $14,084 – $45,500 · median $22,983 | 8 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $24,547 – $116,505 · median $34,065 | 8 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $21,093 – $69,027 · median $23,378 | 8 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $17,615 – $53,818 · median $22,265 | 8 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $30,373 – $86,156 · median $35,859 | 8 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,256 – $49,900 · median $16,474 | 8 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,926 – $27,151 · median $9,858 | 8 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $24,597 – $74,159 · median $28,856 | 8 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,738 – $52,254 · median $20,542 | 8 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,602 – $40,768 · median $15,528 | 8 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $20,860 – $71,258 · median $31,372 | 8 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,225 – $47,022 · median $18,501 | 8 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $9,553 – $38,559 · median $12,032 | 8 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $19,893 – $45,500 · median $23,154 | 8 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $23,030 – $76,348 · median $26,956 | 8 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,202 – $49,161 · median $17,467 | 8 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,585 – $36,791 · median $13,083 | 8 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $12,982 – $41,797 · median $14,776 | 8 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,489 – $30,867 · median $9,329 | 8 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $26,092 – $75,048 · median $33,440 | 8 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $18,268 – $48,845 · median $20,671 | 8 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $12,415 – $37,532 · median $14,619 | 8 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $25,776 – $71,641 · median $30,286 | 8 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $13,223 – $41,465 · median $15,068 | 8 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,119 – $29,549 · median $10,093 | 8 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $21,580 – $53,442 · median $25,200 | 8 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $14,676 – $24,977 · median $16,830 | 8 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $22,600 – $76,091 · median $26,436 | 8 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $12,839 – $38,169 · median $14,602 | 8 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,067 – $27,923 · median $11,242 | 8 plans |
| 503 | FOOT PROCEDURES WITH MCC | $17,104 – $53,887 · median $20,025 | 8 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,673 – $37,877 · median $16,290 | 8 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,147 – $29,915 · median $15,514 | 8 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,090 – $32,053 · median $11,270 | 8 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $13,240 – $44,428 · median $15,089 | 8 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,228 – $38,335 · median $12,650 | 8 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $21,606 – $58,023 · median $25,230 | 8 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $15,121 – $40,436 · median $17,369 | 8 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,200 – $32,150 · median $13,828 | 8 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,641 – $35,700 · median $13,150 | 8 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,838 – $21,515 · median $8,539 | 8 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $22,753 – $75,706 · median $26,620 | 8 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $15,112 – $49,113 · median $17,616 | 8 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,382 – $42,094 · median $12,836 | 8 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $26,545 – $69,497 · median $31,218 | 8 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $14,576 – $39,930 · median $16,708 | 8 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,087 – $28,066 · median $12,479 | 8 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $20,570 – $76,412 · median $23,975 | 8 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,385 – $54,604 · median $17,689 | 8 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,596 – $34,287 · median $21,203 | 8 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,348 – $17,471 · median $10,903 | 8 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,627 – $29,071 · median $17,339 | 8 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,358 – $17,205 · median $10,923 | 8 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,369 – $21,494 · median $12,907 | 8 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,757 – $14,926 · median $9,742 | 8 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,366 – $43,636 · median $26,640 | 8 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,726 – $30,490 · median $17,532 | 8 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,219 – $21,617 · median $10,650 | 8 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $12,965 – $45,383 · median $23,892 | 8 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,877 – $26,543 · median $13,904 | 8 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,993 – $18,545 · median $10,206 | 8 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $17,893 – $57,997 · median $33,565 | 8 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,741 – $27,669 · median $15,600 | 8 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,733 – $18,728 · median $6,555 | 8 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,098 – $44,511 · median $26,115 | 8 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,112 – $28,095 · median $16,327 | 8 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,816 – $19,315 · median $11,822 | 8 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,342 – $37,002 · median $22,669 | 8 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,417 – $20,548 · median $10,737 | 8 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,726 – $29,195 · median $17,532 | 8 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,513 – $17,433 · median $11,227 | 8 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,901 – $30,071 · median $17,877 | 8 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,517 – $17,678 · median $11,234 | 8 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,039 – $33,966 · median $20,110 | 8 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,948 – $20,094 · median $12,081 | 8 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,643 – $45,625 · median $25,223 | 8 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,553 – $25,695 · median $18,997 | 8 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,333 – $16,257 · median $10,873 | 8 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,611 – $32,462 · median $19,270 | 8 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,964 – $18,700 · median $12,112 | 8 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,430 – $36,176 · median $20,877 | 8 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,507 – $22,805 · median $13,179 | 8 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,956 – $17,010 · median $10,134 | 8 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $21,059 – $58,223 · median $21,169 | 8 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,160 – $34,617 · median $12,435 | 8 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,251 – $24,690 · median $8,692 | 8 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $45,935 – $92,975 · median $47,155 | 8 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $24,713 – $67,551 · median $24,986 | 8 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,934 – $38,352 · median $13,176 | 8 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $34,565 – $127,103 · median $35,277 | 8 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $19,058 – $53,649 · median $19,079 | 8 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,562 – $32,818 · median $11,862 | 8 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $23,108 – $63,792 · median $23,310 | 8 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,438 – $38,385 · median $12,700 | 8 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,387 – $28,118 · median $10,737 | 8 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,867 – $31,768 · median $14,069 | 8 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,412 – $28,171 · median $12,675 | 8 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $15,408 – $39,904 · median $15,544 | 8 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $13,885 – $36,078 · median $14,086 | 8 plans |
| 592 | SKIN ULCERS WITH MCC | $14,128 – $33,871 · median $19,998 | 8 plans |
| 593 | SKIN ULCERS WITH CC | $8,968 – $24,231 · median $12,258 | 8 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,766 – $16,749 · median $8,957 | 8 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $15,406 – $43,910 · median $21,914 | 8 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,252 – $22,276 · median $11,186 | 8 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,280 – $41,336 · median $17,226 | 8 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,589 – $25,227 · median $11,690 | 8 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,095 – $17,134 · median $7,950 | 8 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,971 – $23,388 · median $10,763 | 8 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,962 – $16,155 · median $6,252 | 8 plans |
| 602 | CELLULITIS WITH MCC | $10,587 – $34,146 · median $15,463 | 8 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,794 – $20,028 · median $8,823 | 8 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,937 – $32,141 · median $15,211 | 8 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,105 – $19,054 · median $9,465 | 8 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,220 – $32,571 · median $15,636 | 8 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,039 – $17,245 · median $9,366 | 8 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $15,896 – $56,826 · median $17,255 | 8 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,435 – $33,868 · median $11,016 | 8 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $24,823 – $95,171 · median $27,454 | 8 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,681 – $47,673 · median $17,583 | 8 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,566 – $28,047 · median $11,165 | 8 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $20,689 – $69,899 · median $22,731 | 8 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,820 – $43,736 · median $12,153 | 8 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,187 – $36,791 · median $11,353 | 8 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,318 – $83,730 · median $28,019 | 8 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,154 – $44,249 · median $14,122 | 8 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,420 – $26,830 · median $9,855 | 8 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $21,603 – $62,094 · median $23,775 | 8 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,125 – $33,113 · median $11,804 | 8 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,946 – $21,641 · median $10,457 | 8 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $26,473 – $81,767 · median $29,339 | 8 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $15,806 – $52,159 · median $18,251 | 8 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,850 – $32,317 · median $11,490 | 8 plans |
| 637 | DIABETES WITH MCC | $10,693 – $32,844 · median $12,251 | 8 plans |
| 638 | DIABETES WITH CC | $6,969 – $20,109 · median $7,627 | 8 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,997 – $14,273 · median $5,074 | 8 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $9,996 – $26,892 · median $11,709 | 8 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,156 – $17,158 · median $10,331 | 8 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,592 – $29,097 · median $13,646 | 8 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,136 – $38,609 · median $15,795 | 8 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,856 – $24,053 · median $9,835 | 8 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,087 – $17,238 · median $7,372 | 8 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $33,188 – $103,753 · median $34,957 | 8 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $26,328 – $84,920 · median $27,554 | 8 plans |
| 652 | KIDNEY TRANSPLANT | $23,046 – $74,941 · median $24,012 | 8 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $36,599 – $143,647 · median $38,637 | 8 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $20,082 – $71,916 · median $20,814 | 8 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $15,378 – $54,165 · median $15,738 | 8 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $22,731 – $82,252 · median $23,673 | 8 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,403 – $47,737 · median $13,607 | 8 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,486 – $36,442 · median $11,538 | 8 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,301 – $82,801 · median $18,893 | 8 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,901 – $45,216 · median $11,236 | 8 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,699 – $33,220 · median $7,928 | 8 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $21,888 – $68,661 · median $22,763 | 8 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,268 – $39,566 · median $11,303 | 8 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,784 – $30,858 · median $8,007 | 8 plans |
| 665 | PROSTATECTOMY WITH MCC | $22,300 – $73,971 · median $23,207 | 8 plans |
| 666 | PROSTATECTOMY WITH CC | $12,847 – $42,479 · median $13,007 | 8 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,225 – $23,675 · median $8,416 | 8 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $20,913 – $58,263 · median $21,711 | 8 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,487 – $31,153 · median $11,540 | 8 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,267 – $21,876 · median $7,527 | 8 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,162 – $37,316 · median $13,346 | 8 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,026 – $20,772 · median $8,232 | 8 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $26,677 – $79,738 · median $29,744 | 8 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $16,907 – $55,001 · median $22,185 | 8 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,103 – $37,055 · median $12,204 | 8 plans |
| 682 | RENAL FAILURE WITH MCC | $10,915 – $35,843 · median $10,998 | 8 plans |
| 683 | RENAL FAILURE WITH CC | $6,828 – $22,349 · median $9,072 | 8 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,930 – $14,903 · median $5,640 | 8 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,222 – $39,609 · median $16,946 | 8 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,013 – $24,143 · median $9,844 | 8 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,239 – $15,699 · median $7,425 | 8 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,788 – $25,711 · median $14,518 | 8 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,371 – $18,600 · median $8,877 | 8 plans |
| 693 | URINARY STONES WITH MCC | $10,058 – $31,656 · median $12,632 | 8 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,180 – $17,331 · median $7,344 | 8 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,675 – $29,687 · median $10,746 | 8 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,541 – $16,476 · median $6,473 | 8 plans |
| 697 | URETHRAL STRICTURE | $8,220 – $22,375 · median $10,126 | 8 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,193 – $36,886 · median $12,248 | 8 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,787 – $24,345 · median $9,536 | 8 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,547 – $17,020 · median $6,482 | 8 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,576 – $42,182 · median $15,469 | 8 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,365 – $31,236 · median $11,865 | 8 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $16,828 – $46,858 · median $17,997 | 8 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,448 – $33,669 · median $10,836 | 8 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $15,152 – $47,424 · median $16,115 | 8 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,371 – $22,513 · median $8,505 | 8 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,153 – $35,824 · median $11,627 | 8 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,079 – $19,180 · median $8,177 | 8 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $16,209 – $44,653 · median $17,302 | 8 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,929 – $27,344 · median $11,376 | 8 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,820 – $41,926 · median $14,620 | 8 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,048 – $21,548 · median $10,387 | 8 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $12,770 – $41,272 · median $13,263 | 8 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,063 – $26,087 · median $8,667 | 8 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,627 – $15,551 · median $5,312 | 8 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,257 – $31,359 · median $8,857 | 8 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,095 – $17,597 · median $5,768 | 8 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,464 – $34,360 · median $11,011 | 8 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,724 – $18,624 · median $6,383 | 8 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,471 – $26,538 · median $8,088 | 8 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,742 – $14,342 · median $5,424 | 8 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $15,470 – $60,007 · median $15,751 | 8 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,950 – $29,005 · median $10,065 | 8 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $25,423 – $102,850 · median $26,433 | 8 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $14,992 – $47,609 · median $15,238 | 8 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,859 – $32,072 · median $10,912 | 8 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $25,480 – $80,981 · median $26,494 | 8 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,262 – $40,203 · median $13,382 | 8 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,546 – $28,449 · median $10,620 | 8 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,436 – $37,033 · median $13,568 | 8 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,175 – $23,974 · median $9,342 | 8 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $14,913 – $40,039 · median $15,153 | 8 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,412 – $23,093 · median $8,631 | 8 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,763 – $34,757 · median $12,846 | 8 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,357 – $21,620 · median $6,717 | 8 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,259 – $26,709 · median $10,353 | 8 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $18,485 – $62,852 · median $18,987 | 8 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,913 – $31,711 · median $10,962 | 8 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,383 – $45,630 · median $13,484 | 8 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,723 – $8,289 · median $7,524 | 8 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,936 – $14,038 · median $7,412 | 8 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,850 – $32,592 · median $10,660 | 8 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,051 – $23,974 · median $7,539 | 8 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,101 – $18,046 · median $5,366 | 8 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,227 – $20,254 · median $7,736 | 8 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,526 – $12,724 · median $4,724 | 8 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $7,480 – $10,231 · median $8,177 | 8 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,437 – $51,648 · median $12,936 | 8 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,214 – $19,655 · median $7,702 | 8 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,182 – $16,076 · median $5,305 | 8 plans |
| 779 | ABORTION WITHOUT D&C | $6,590 – $16,276 · median $7,081 | 8 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $10,144 – $17,710 · median $12,879 | 8 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,098 – $13,209 · median $9,661 | 8 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,393 – $13,209 · median $9,201 | 8 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $8,704 – $13,209 · median $12,159 | 8 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,290 – $13,209 · median $8,489 | 8 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,400 – $13,209 · median $7,895 | 8 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $9,391 – $13,211 · median $11,533 | 8 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $4,535 – $29,524 · median $7,122 | 8 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,718 – $10,963 · median $2,807 | 8 plans |
| 795 | NORMAL NEWBORN | $1,717 – $2,170 · median $1,795 | 8 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $8,835 – $10,239 · median $9,930 | 8 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,687 – $10,231 · median $9,657 | 8 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $7,388 – $10,231 · median $9,197 | 8 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $31,999 – $113,027 · median $35,024 | 8 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $20,151 – $65,019 · median $21,727 | 8 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $13,947 – $41,481 · median $14,763 | 8 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $28,246 – $80,501 · median $30,811 | 8 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,602 – $44,477 · median $14,376 | 8 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,137 – $27,836 · median $10,487 | 8 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $6,879 – $10,231 · median $8,230 | 8 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,989 – $10,231 · median $6,214 | 8 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,439 – $10,231 · median $5,880 | 8 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $16,007 – $53,095 · median $21,578 | 8 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,516 – $29,071 · median $12,372 | 8 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,005 – $20,539 · median $10,228 | 8 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,470 – $30,870 · median $13,201 | 8 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,120 – $20,368 · median $9,199 | 8 plans |
| 813 | COAGULATION DISORDERS | $11,303 – $41,225 · median $14,907 | 8 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,447 – $39,495 · median $20,784 | 8 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,780 – $23,293 · median $9,910 | 8 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,148 – $16,542 · median $6,177 | 8 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $16,515 – $56,681 · median $17,467 | 8 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,781 – $30,415 · median $10,373 | 8 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,963 – $18,784 · median $6,719 | 8 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $41,204 – $140,551 · median $45,356 | 8 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $16,218 – $54,918 · median $17,312 | 8 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,090 – $30,535 · median $9,311 | 8 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $32,385 – $105,820 · median $35,457 | 8 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $16,404 – $55,759 · median $17,521 | 8 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,091 – $33,186 · median $10,436 | 8 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $33,025 – $123,113 · median $36,176 | 8 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $16,719 – $54,984 · median $17,874 | 8 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,533 – $35,971 · median $13,176 | 8 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $22,567 – $78,983 · median $24,438 | 8 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,164 – $32,481 · median $11,639 | 8 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $7,750 – $23,018 · median $9,079 | 8 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,766 – $16,093 · median $6,027 | 8 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,217 – $10,753 · median $4,396 | 8 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $36,384 – $133,036 · median $38,621 | 8 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $13,823 – $54,706 · median $15,165 | 8 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $8,082 – $27,042 · median $9,196 | 8 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $17,938 – $145,767 · median $33,897 | 8 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $15,177 – $65,834 · median $17,083 | 8 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,743 – $31,340 · median $16,270 | 8 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $21,439 – $74,725 · median $23,083 | 8 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $10,812 – $38,297 · median $12,034 | 8 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,696 – $26,533 · median $7,756 | 8 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $13,220 – $43,872 · median $14,538 | 8 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,068 – $26,690 · median $9,182 | 8 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,644 – $19,629 · median $6,661 | 8 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $17,181 – $58,494 · median $18,657 | 8 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,808 – $28,235 · median $10,295 | 8 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,629 – $22,221 · median $6,646 | 8 plans |
| 849 | RADIOTHERAPY | $17,957 – $39,787 · median $19,463 | 8 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $60,461 – $314,075 · median $66,969 | 8 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $34,822 – $121,973 · median $44,336 | 8 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $14,561 – $56,560 · median $18,699 | 8 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,110 – $35,936 · median $13,517 | 8 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $32,136 – $110,651 · median $41,068 | 8 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,549 – $48,747 · median $19,335 | 8 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,391 – $31,602 · median $12,576 | 8 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,360 – $44,076 · median $16,022 | 8 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,669 – $23,972 · median $8,767 | 8 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,910 – $20,151 · median $7,799 | 8 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,117 – $36,290 · median $13,163 | 8 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,785 – $18,388 · median $7,640 | 8 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,216 – $61,939 · median $18,390 | 8 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,898 – $24,454 · median $9,059 | 8 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,821 – $16,849 · median $6,411 | 8 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $43,048 – $139,670 · median $48,419 | 8 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,178 – $42,593 · median $17,529 | 8 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,844 – $24,775 · median $10,387 | 8 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $27,424 – $73,280 · median $29,889 | 8 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $2,844 – $7,410 · median $6,666 | 8 plans |
| 881 | DEPRESSIVE NEUROSES | $2,844 – $7,277 · median $4,119 | 8 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $2,844 – $8,192 · median $4,598 | 8 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $2,844 – $14,342 · median $8,538 | 8 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $2,844 – $11,879 · median $11,779 | 8 plans |
| 885 | PSYCHOSES | $2,844 – $10,418 · median $6,105 | 8 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $2,844 – $15,093 · median $5,190 | 8 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $2,844 – $8,172 · median $4,650 | 8 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $2,844 – $5,044 · median $4,762 | 8 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $2,844 – $12,214 · median $10,548 | 8 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $2,844 – $15,057 · median $12,818 | 8 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $2,844 – $7,709 · median $6,876 | 8 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $29,710 – $93,545 · median $32,455 | 8 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $13,985 – $43,399 · median $14,806 | 8 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,852 – $27,855 · median $9,045 | 8 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $26,103 – $76,367 · median $28,406 | 8 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,015 – $33,818 · median $11,472 | 8 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $14,328 – $37,233 · median $15,191 | 8 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $27,248 – $90,464 · median $29,691 | 8 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,541 – $47,293 · median $15,430 | 8 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,839 – $30,870 · median $10,152 | 8 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $10,924 – $32,222 · median $12,057 | 8 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,918 – $17,386 · median $6,895 | 8 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $11,238 – $38,112 · median $12,380 | 8 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,453 – $13,263 · median $5,385 | 8 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $11,049 – $33,419 · median $11,600 | 8 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,326 – $16,297 · median $6,699 | 8 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $12,235 – $41,845 · median $13,408 | 8 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,698 – $23,739 · median $7,700 | 8 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,601 – $16,537 · median $5,537 | 8 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $11,691 – $37,620 · median $12,848 | 8 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,801 – $19,286 · median $7,806 | 8 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $147,907 – $379,390 · median $165,115 | 8 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $50,216 – $136,383 · median $55,470 | 8 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $22,986 – $58,596 · median $24,908 | 8 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $27,479 – $68,157 · median $27,626 | 8 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $15,599 – $39,718 · median $16,025 | 8 plans |
| 935 | NON-EXTENSIVE BURNS | $14,536 – $35,976 · median $14,988 | 8 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $25,795 – $70,963 · median $28,061 | 8 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,896 – $45,399 · median $18,073 | 8 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $14,765 – $32,288 · median $15,681 | 8 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,464 – $30,368 · median $15,802 | 8 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,695 – $24,119 · median $15,049 | 8 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,540 – $26,904 · median $16,620 | 8 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,309 – $17,478 · median $15,709 | 8 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,991 – $27,190 · median $25,940 | 8 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,119 – $13,776 · median $9,795 | 8 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,625 – $23,487 · median $8,676 | 8 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $27,218 – $134,896 · median $47,174 | 8 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $15,216 – $88,190 · median $26,722 | 8 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $30,812 – $155,641 · median $53,298 | 8 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $17,039 – $91,633 · median $29,829 | 8 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $11,905 – $51,572 · median $21,080 | 8 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $19,291 – $62,479 · median $19,630 | 8 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,814 – $33,752 · median $11,354 | 8 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,636 – $21,900 · median $7,274 | 8 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $42,972 – $119,494 · median $47,339 | 8 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $18,966 – $66,223 · median $20,396 | 8 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $20,364 – $63,039 · median $20,679 | 8 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,138 – $32,288 · median $9,717 | 8 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,370 – $21,558 · median $7,013 | 8 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,157 – $27,508 · median $9,735 | 8 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $33,122 – $115,315 · median $37,520 | 8 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,734 – $65,142 · median $23,551 | 8 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,604 – $41,854 · median $14,170 | 8 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $24,417 – $76,326 · median $28,343 | 8 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,119 – $41,659 · median $13,588 | 8 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,056 – $24,770 · median $9,914 | 8 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $5,022 – $41,747 · median $41,747 | 5 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $4,048 – $28,762 · median $28,762 | 5 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $3,496 – $17,669 · median $17,669 | 5 plans |
| 993 | BIRTH WEIGHT < 1000 GRAMS | $87,475 – $88,332 · median $87,475 | 3 plans |
| 994 | BIRTH WEIGHT 1000 - 1499 GRAMS | $73,763 – $74,486 · median $73,763 | 3 plans |
| 995 | BIRTH WEIGHT 1500 - 2000 GRAMS | $31,099 – $31,404 · median $31,099 | 3 plans |
| 996 | BIRTH WEIGHT > 2000 GRAMS, W RESPIRATORY DISTREES SYNDROME | $28,297 – $28,575 · median $28,297 | 3 plans |
| 997 | BIRTH WEIGHT > 2000 GRAMS, PREMATURE W MAJOR PROBLEM | $17,003 – $17,170 · median $17,003 | 3 plans |
No procedures match that keyword.