Jennie Stuart Medical Center — Pricing
776 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 776 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 776 procedures
Procedures with negotiated rates only
These 776 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 |
|---|---|---|---|
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $1,519 – $47,261 · median $28,643 | 19 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,519 – $11,742 · median $7,116 | 19 plans |
| 881 | DEPRESSIVE NEUROSES | $1,519 – $11,506 · median $6,973 | 19 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,519 – $13,131 · median $7,958 | 19 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,519 – $24,044 · median $14,572 | 19 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,519 – $19,674 · median $11,924 | 19 plans |
| 885 | PSYCHOSES | $1,519 – $17,080 · median $10,352 | 19 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,519 – $25,377 · median $15,380 | 19 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,519 – $13,095 · median $7,936 | 19 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $177,986 – $342,682 · median $207,686 | 17 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $69,634 – $138,567 · median $83,980 | 17 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $135,419 – $259,546 · median $157,301 | 17 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $89,283 – $169,378 · median $102,653 | 17 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $67,289 – $126,079 · median $76,411 | 17 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $30,641 – $56,702 · median $34,365 | 17 plans |
| 007 | LUNG TRANSPLANT | $82,577 – $158,358 · median $95,974 | 17 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $34,381 – $68,534 · median $41,536 | 17 plans |
| 010 | PANCREAS TRANSPLANT | $48,925 – $87,746 · median $53,179 | 17 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $34,095 – $66,694 · median $40,420 | 17 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $25,930 – $51,554 · median $31,245 | 17 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $16,744 – $35,239 · median $21,357 | 17 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $81,940 – $146,957 · median $89,065 | 17 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $38,139 – $72,510 · median $43,945 | 17 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $37,038 – $66,427 · median $40,259 | 17 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $238,294 – $528,048 · median $320,029 | 17 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $48,645 – $87,243 · median $52,875 | 17 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $50,935 – $96,221 · median $58,316 | 17 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $34,927 – $64,734 · median $39,232 | 17 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $21,664 – $38,854 · median $23,548 | 17 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $36,048 – $70,071 · median $42,467 | 17 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $24,021 – $47,835 · median $28,991 | 17 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $28,259 – $55,598 · median $33,696 | 17 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $19,326 – $38,020 · median $23,042 | 17 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $15,593 – $30,851 · median $18,697 | 17 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $38,414 – $73,471 · median $44,528 | 17 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $21,210 – $41,718 · median $25,283 | 17 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $14,061 – $26,843 · median $16,269 | 17 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $26,479 – $54,788 · median $33,205 | 17 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $13,494 – $26,058 · median $15,793 | 17 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $10,081 – $20,334 · median $12,324 | 17 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $24,572 – $47,332 · median $28,686 | 17 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $14,373 – $29,232 · median $17,716 | 17 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,583 – $23,757 · median $14,398 | 17 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $20,984 – $40,256 · median $24,398 | 17 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $10,181 – $19,841 · median $12,025 | 17 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,192 – $14,374 · median $8,712 | 17 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $23,834 – $47,215 · median $28,615 | 17 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $14,272 – $26,886 · median $16,295 | 17 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $11,106 – $21,127 · median $12,804 | 17 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $12,350 – $22,149 · median $13,424 | 17 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,822 – $11,974 · median $7,257 | 17 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,473 – $18,671 · median $11,316 | 17 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,893 – $12,468 · median $7,556 | 17 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $15,823 – $28,407 · median $17,217 | 17 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,434 – $15,843 · median $9,602 | 17 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $11,656 – $20,904 · median $12,669 | 17 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,731 – $15,174 · median $9,196 | 17 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,639 – $11,247 · median $6,817 | 17 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $17,082 – $33,714 · median $20,433 | 17 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $11,253 – $21,487 · median $13,023 | 17 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,876 – $17,166 · median $10,404 | 17 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $12,569 – $24,591 · median $14,904 | 17 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,427 – $12,354 · median $7,487 | 17 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,349 – $8,455 · median $5,125 | 17 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,199 – $17,960 · median $10,885 | 17 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,571 – $10,570 · median $6,406 | 17 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,057 – $9,768 · median $5,920 | 17 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $10,987 – $20,357 · median $12,338 | 17 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $6,659 – $12,546 · median $7,604 | 17 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,740 – $9,250 · median $5,606 | 17 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $9,766 – $19,618 · median $11,890 | 17 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,587 – $12,605 · median $7,639 | 17 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $10,884 – $23,448 · median $14,211 | 17 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,626 – $10,091 · median $6,116 | 17 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $12,341 – $22,133 · median $13,414 | 17 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,718 – $10,952 · median $6,637 | 17 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $14,661 – $27,949 · median $16,939 | 17 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,785 – $17,068 · median $10,344 | 17 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,041 – $11,688 · median $7,083 | 17 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $14,318 – $27,781 · median $16,837 | 17 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,288 – $15,930 · median $9,654 | 17 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,586 – $11,185 · median $6,779 | 17 plans |
| 088 | CONCUSSION WITH MCC | $8,914 – $16,530 · median $10,018 | 17 plans |
| 089 | CONCUSSION WITH CC | $6,775 – $13,434 · median $8,142 | 17 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,417 – $10,066 · median $6,101 | 17 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $11,518 – $21,475 · median $13,015 | 17 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,691 – $12,509 · median $7,581 | 17 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,988 – $9,737 · median $5,901 | 17 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $23,055 – $43,036 · median $26,082 | 17 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $15,147 – $31,539 · median $19,115 | 17 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $15,147 – $31,539 · median $19,115 | 17 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $22,653 – $44,166 · median $26,767 | 17 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $13,707 – $28,062 · median $17,008 | 17 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,804 – $16,660 · median $10,097 | 17 plans |
| 100 | SEIZURES WITH MCC | $12,545 – $23,684 · median $14,354 | 17 plans |
| 101 | SEIZURES WITHOUT MCC | $5,824 – $11,037 · median $6,689 | 17 plans |
| 102 | HEADACHES WITH MCC | $7,326 – $13,707 · median $8,307 | 17 plans |
| 103 | HEADACHES WITHOUT MCC | $5,372 – $10,226 · median $6,198 | 17 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $14,260 – $28,750 · median $17,424 | 17 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,470 – $16,545 · median $10,027 | 17 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,674 – $18,769 · median $11,375 | 17 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $10,543 – $22,110 · median $13,400 | 17 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,816 – $13,266 · median $8,040 | 17 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,350 – $14,225 · median $8,621 | 17 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,286 – $9,609 · median $5,824 | 17 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,075 – $9,765 · median $5,918 | 17 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,239 – $16,179 · median $9,806 | 17 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,218 – $9,389 · median $5,690 | 17 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $14,795 – $26,535 · median $16,082 | 17 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,181 – $12,415 · median $7,524 | 17 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $8,837 – $18,259 · median $11,066 | 17 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,141 – $10,837 · median $6,568 | 17 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,425 – $15,110 · median $9,158 | 17 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $26,723 – $52,157 · median $31,610 | 17 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,575 – $26,671 · median $16,164 | 17 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,935 – $19,521 · median $11,831 | 17 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $20,864 – $45,814 · median $27,766 | 17 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $11,100 – $21,190 · median $12,843 | 17 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,486 – $14,702 · median $8,910 | 17 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $14,437 – $25,892 · median $15,692 | 17 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $7,865 – $15,548 · median $9,423 | 17 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,060 – $9,747 · median $5,907 | 17 plans |
| 149 | DYSEQUILIBRIUM | $4,724 – $9,199 · median $5,575 | 17 plans |
| 150 | EPISTAXIS WITH MCC | $8,734 – $16,282 · median $9,868 | 17 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,790 – $9,004 · median $5,457 | 17 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,170 – $14,456 · median $8,761 | 17 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,497 – $9,051 · median $5,485 | 17 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $10,276 – $19,119 · median $11,587 | 17 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $5,899 – $11,207 · median $6,792 | 17 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,249 – $8,530 · median $5,169 | 17 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $10,347 – $20,993 · median $12,723 | 17 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,943 – $11,125 · median $6,743 | 17 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,168 – $8,722 · median $5,286 | 17 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $29,124 – $54,804 · median $33,215 | 17 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $15,904 – $30,864 · median $18,705 | 17 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,778 – $23,407 · median $14,186 | 17 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $24,335 – $45,705 · median $27,700 | 17 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $11,546 – $22,052 · median $13,365 | 17 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,555 – $16,709 · median $10,126 | 17 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $19,389 – $36,396 · median $22,058 | 17 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,904 – $16,797 · median $10,180 | 17 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,147 – $9,844 · median $5,966 | 17 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $10,215 – $19,109 · median $11,581 | 17 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,269 – $11,935 · median $7,233 | 17 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,864 – $9,237 · median $5,598 | 17 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $11,044 – $21,595 · median $13,088 | 17 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,015 – $13,096 · median $7,937 | 17 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,143 – $9,223 · median $5,590 | 17 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $10,030 – $18,708 · median $11,338 | 17 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,749 – $13,012 · median $7,886 | 17 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,914 – $9,617 · median $5,829 | 17 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $9,984 – $19,058 · median $11,550 | 17 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,344 – $12,095 · median $7,330 | 17 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,639 – $8,818 · median $5,345 | 17 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,820 – $15,107 · median $9,156 | 17 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,098 – $13,545 · median $8,209 | 17 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,429 – $10,308 · median $6,247 | 17 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,090 – $7,986 · median $4,840 | 17 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,327 – $16,073 · median $9,741 | 17 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,182 – $9,855 · median $5,973 | 17 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,936 – $7,837 · median $4,750 | 17 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $11,906 – $23,077 · median $13,986 | 17 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,255 – $11,606 · median $7,034 | 17 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,426 – $8,807 · median $5,338 | 17 plans |
| 199 | PNEUMOTHORAX WITH MCC | $11,154 – $21,572 · median $13,074 | 17 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,998 – $13,442 · median $8,147 | 17 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,277 – $8,795 · median $5,330 | 17 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,109 – $11,876 · median $7,198 | 17 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,400 – $8,296 · median $5,028 | 17 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,124 – $9,873 · median $5,984 | 17 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $11,929 – $22,390 · median $13,570 | 17 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,724 – $11,508 · median $6,975 | 17 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $40,870 – $78,685 · median $47,688 | 17 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $16,961 – $33,612 · median $20,371 | 17 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $68,834 – $132,971 · median $80,588 | 17 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $66,946 – $121,756 · median $73,792 | 17 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $60,982 – $119,626 · median $72,501 | 17 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $40,805 – $80,404 · median $48,730 | 17 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $37,593 – $80,404 · median $48,730 | 17 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $48,891 – $93,892 · median $56,904 | 17 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $33,468 – $65,211 · median $39,522 | 17 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $29,019 – $61,633 · median $37,353 | 17 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $31,487 – $60,498 · median $36,665 | 17 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $19,628 – $38,513 · median $23,341 | 17 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $53,544 – $103,082 · median $62,474 | 17 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $38,599 – $74,135 · median $44,930 | 17 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $49,389 – $93,487 · median $56,659 | 17 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $33,617 – $66,799 · median $40,484 | 17 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $37,180 – $71,762 · median $43,492 | 17 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $25,983 – $51,221 · median $31,043 | 17 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $31,826 – $60,183 · median $36,475 | 17 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $18,401 – $34,856 · median $21,125 | 17 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,439 – $16,929 · median $10,260 | 17 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $21,434 – $39,042 · median $23,662 | 17 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $14,235 – $26,057 · median $15,792 | 17 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $11,404 – $22,102 · median $13,395 | 17 plans |
| 245 | AICD GENERATOR PROCEDURES | $30,878 – $55,790 · median $33,812 | 17 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $14,614 – $26,688 · median $16,175 | 17 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $9,874 – $18,275 · median $11,076 | 17 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $21,676 – $42,656 · median $25,852 | 17 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $16,132 – $31,740 · median $19,236 | 17 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $11,054 – $21,787 · median $13,204 | 17 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $16,533 – $32,984 · median $19,991 | 17 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,702 – $20,762 · median $12,583 | 17 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $5,636 – $13,356 · median $8,094 | 17 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $17,728 – $38,422 · median $23,286 | 17 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $11,106 – $24,727 · median $14,986 | 17 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $21,528 – $39,776 · median $24,107 | 17 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $11,990 – $23,117 · median $14,011 | 17 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,590 – $19,931 · median $12,079 | 17 plans |
| 263 | VEIN LIGATION AND STRIPPING | $16,947 – $37,386 · median $22,658 | 17 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $22,085 – $40,849 · median $24,757 | 17 plans |
| 265 | AICD LEAD PROCEDURES | $22,540 – $44,244 · median $26,815 | 17 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $37,854 – $74,939 · median $45,418 | 17 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $29,727 – $58,216 · median $35,282 | 17 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $42,131 – $84,104 · median $50,972 | 17 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $26,290 – $51,642 · median $31,298 | 17 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $32,435 – $64,520 · median $39,103 | 17 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $21,765 – $43,487 · median $26,356 | 17 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $15,810 – $31,219 · median $18,920 | 17 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $24,708 – $50,447 · median $30,574 | 17 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $19,721 – $40,252 · median $24,395 | 17 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $44,654 – $87,192 · median $52,844 | 17 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $39,140 – $73,450 · median $44,515 | 17 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $29,398 – $56,476 · median $34,228 | 17 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $31,614 – $68,065 · median $41,251 | 17 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $20,248 – $44,100 · median $26,727 | 17 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $10,373 – $19,615 · median $11,888 | 17 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,825 – $11,239 · median $6,811 | 17 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,582 – $8,884 · median $5,384 | 17 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $12,356 – $24,222 · median $14,680 | 17 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,682 – $8,542 · median $5,177 | 17 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,547 – $7,509 · median $4,551 | 17 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $13,986 – $27,059 · median $16,399 | 17 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,885 – $13,085 · median $7,931 | 17 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $17,259 – $33,092 · median $20,056 | 17 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $9,963 – $20,872 · median $12,650 | 17 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,186 – $11,369 · median $6,890 | 17 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,246 – $15,699 · median $9,514 | 17 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,443 – $10,382 · median $6,292 | 17 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,469 – $7,145 · median $4,331 | 17 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $10,353 – $19,099 · median $11,575 | 17 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,404 – $7,898 · median $4,787 | 17 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,791 – $5,918 · median $3,587 | 17 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $10,222 – $19,965 · median $12,100 | 17 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,765 – $13,054 · median $7,911 | 17 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,507 – $8,846 · median $5,361 | 17 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,350 – $14,632 · median $8,868 | 17 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,249 – $8,332 · median $5,049 | 17 plans |
| 304 | HYPERTENSION WITH MCC | $7,424 – $14,552 · median $8,819 | 17 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,744 – $9,238 · median $5,599 | 17 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,462 – $19,269 · median $11,678 | 17 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,853 – $11,167 · median $6,768 | 17 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,621 – $14,723 · median $8,923 | 17 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,672 – $9,023 · median $5,469 | 17 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,536 – $7,146 · median $4,331 | 17 plans |
| 311 | ANGINA PECTORIS | $4,414 – $8,649 · median $5,242 | 17 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,506 – $10,658 · median $6,459 | 17 plans |
| 313 | CHEST PAIN | $4,507 – $8,849 · median $5,363 | 17 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $13,608 – $25,498 · median $15,453 | 17 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,081 – $11,779 · median $7,139 | 17 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,313 – $8,430 · median $5,109 | 17 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $39,090 – $81,764 · median $49,554 | 17 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $27,757 – $54,573 · median $33,075 | 17 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $14,626 – $29,412 · median $17,826 | 17 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $17,989 – $33,270 · median $20,164 | 17 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $11,432 – $21,558 · median $13,066 | 17 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $26,914 – $52,916 · median $32,070 | 17 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $20,189 – $38,531 · median $23,352 | 17 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $18,085 – $39,257 · median $23,792 | 17 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $32,093 – $60,987 · median $36,962 | 17 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $15,343 – $29,888 · median $18,114 | 17 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $10,069 – $19,593 · median $11,875 | 17 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $29,015 – $56,207 · median $34,065 | 17 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $14,936 – $29,313 · median $17,766 | 17 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,433 – $20,579 · median $12,472 | 17 plans |
| 332 | RECTAL RESECTION WITH MCC | $21,918 – $44,275 · median $26,833 | 17 plans |
| 333 | RECTAL RESECTION WITH CC | $13,429 – $28,641 · median $17,358 | 17 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,480 – $20,029 · median $12,139 | 17 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $22,900 – $43,666 · median $26,464 | 17 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $13,348 – $25,786 · median $15,628 | 17 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,700 – $18,770 · median $11,376 | 17 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $17,026 – $31,583 · median $19,141 | 17 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,410 – $18,400 · median $11,151 | 17 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,869 – $14,505 · median $8,791 | 17 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $14,955 – $28,071 · median $17,013 | 17 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $7,954 – $16,004 · median $9,700 | 17 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,566 – $10,646 · median $6,452 | 17 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $15,291 – $30,471 · median $18,468 | 17 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,508 – $18,642 · median $11,298 | 17 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $6,967 – $14,280 · median $8,655 | 17 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $18,533 – $35,486 · median $21,507 | 17 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,749 – $20,573 · median $12,468 | 17 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,424 – $16,447 · median $9,968 | 17 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $26,953 – $53,716 · median $32,555 | 17 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $14,230 – $28,437 · median $17,234 | 17 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,562 – $17,094 · median $10,360 | 17 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,552 – $19,466 · median $11,798 | 17 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,430 – $12,231 · median $7,413 | 17 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,410 – $8,637 · median $5,235 | 17 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $11,048 – $21,682 · median $13,140 | 17 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,504 – $12,485 · median $7,567 | 17 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,583 – $8,931 · median $5,413 | 17 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $13,343 – $26,152 · median $15,850 | 17 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,764 – $14,791 · median $8,964 | 17 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,579 – $11,303 · median $6,850 | 17 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $11,489 – $22,353 · median $13,547 | 17 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,230 – $11,992 · median $7,268 | 17 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,023 – $7,858 · median $4,762 | 17 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $12,160 – $23,994 · median $14,542 | 17 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,882 – $13,249 · median $8,030 | 17 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,735 – $9,790 · median $5,933 | 17 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $7,989 – $16,883 · median $10,232 | 17 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,495 – $10,453 · median $6,335 | 17 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $10,267 – $19,349 · median $11,726 | 17 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,271 – $11,938 · median $7,235 | 17 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,236 – $8,421 · median $5,104 | 17 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,289 – $18,059 · median $10,945 | 17 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,066 – $9,658 · median $5,853 | 17 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,457 – $6,902 · median $4,183 | 17 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $8,119 – $15,509 · median $9,399 | 17 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,931 – $9,533 · median $5,778 | 17 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $10,464 – $19,557 · median $11,852 | 17 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,948 – $11,442 · median $6,935 | 17 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,021 – $8,064 · median $4,887 | 17 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $15,656 – $29,285 · median $17,749 | 17 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $9,563 – $18,509 · median $11,217 | 17 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,103 – $13,998 · median $8,483 | 17 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $24,829 – $49,163 · median $29,796 | 17 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $34,302 – $66,894 · median $40,542 | 17 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $17,745 – $35,464 · median $21,493 | 17 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $13,495 – $27,142 · median $16,450 | 17 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $22,124 – $43,601 · median $26,425 | 17 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $13,247 – $26,624 · median $16,136 | 17 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,801 – $19,415 · median $11,766 | 17 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $17,292 – $40,393 · median $24,481 | 17 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $13,469 – $25,710 · median $15,582 | 17 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,505 – $20,305 · median $12,306 | 17 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $22,140 – $43,564 · median $26,403 | 17 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $12,499 – $25,272 · median $15,316 | 17 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,658 – $16,671 · median $10,103 | 17 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $15,017 – $29,181 · median $17,686 | 17 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,480 – $20,685 · median $12,536 | 17 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,326 – $16,701 · median $10,122 | 17 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $22,301 – $41,663 · median $25,250 | 17 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,347 – $21,246 · median $12,877 | 17 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,285 – $17,113 · median $10,372 | 17 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $25,700 – $50,784 · median $30,778 | 17 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $14,427 – $26,754 · median $16,215 | 17 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,767 – $18,346 · median $11,119 | 17 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $66,234 – $134,769 · median $81,678 | 17 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $44,857 – $88,270 · median $53,497 | 17 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $34,788 – $68,747 · median $41,665 | 17 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $52,701 – $110,171 · median $66,770 | 17 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $34,566 – $70,521 · median $42,740 | 17 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $12,380 – $24,067 · median $14,586 | 17 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,760 – $12,915 · median $7,828 | 17 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,401 – $8,766 · median $5,313 | 17 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,529 – $22,460 · median $13,612 | 17 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,125 – $13,831 · median $8,383 | 17 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,961 – $10,434 · median $6,324 | 17 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,514 – $19,934 · median $12,081 | 17 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,436 – $10,286 · median $6,234 | 17 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,887 – $7,758 · median $4,702 | 17 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $11,945 – $21,946 · median $13,301 | 17 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,105 – $11,804 · median $7,154 | 17 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,440 – $8,625 · median $5,227 | 17 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $10,644 – $20,432 · median $12,383 | 17 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,852 – $13,383 · median $8,111 | 17 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,038 – $10,116 · median $6,131 | 17 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $42,364 – $81,704 · median $49,518 | 17 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $25,802 – $51,857 · median $31,429 | 17 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $32,541 – $65,171 · median $39,498 | 17 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $19,499 – $39,502 · median $23,941 | 17 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $53,514 – $102,758 · median $62,278 | 17 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $36,265 – $72,918 · median $44,193 | 17 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $27,284 – $51,023 · median $30,923 | 17 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $37,657 – $67,536 · median $40,931 | 17 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $18,095 – $32,527 · median $19,713 | 17 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $34,127 – $69,695 · median $42,239 | 17 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,632 – $38,087 · median $23,083 | 17 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,969 – $22,301 · median $13,515 | 17 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $32,191 – $63,653 · median $38,577 | 17 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $21,642 – $43,124 · median $26,136 | 17 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $16,576 – $33,603 · median $20,366 | 17 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $20,654 – $37,091 · median $22,479 | 17 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $11,915 – $23,587 · median $14,295 | 17 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $30,692 – $59,046 · median $35,786 | 17 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $18,306 – $36,025 · median $21,834 | 17 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $14,959 – $29,853 · median $18,093 | 17 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $28,337 – $52,494 · median $31,815 | 17 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,631 – $27,828 · median $16,865 | 17 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,349 – $14,432 · median $8,746 | 17 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $21,730 – $42,244 · median $25,602 | 17 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $14,777 – $30,072 · median $18,225 | 17 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $11,221 – $22,731 · median $13,776 | 17 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $18,584 – $35,612 · median $21,583 | 17 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $13,111 – $25,612 · median $15,522 | 17 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $10,025 – $19,944 · median $12,087 | 17 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $16,102 – $33,895 · median $20,543 | 17 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $20,370 – $39,462 · median $23,916 | 17 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $13,401 – $25,570 · median $15,497 | 17 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,985 – $19,152 · median $11,607 | 17 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $12,061 – $21,630 · median $13,109 | 17 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,615 – $13,656 · median $8,277 | 17 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $22,439 – $44,897 · median $27,210 | 17 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $15,172 – $31,012 · median $18,795 | 17 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $11,915 – $24,536 · median $14,870 | 17 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $22,245 – $44,336 · median $26,870 | 17 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,299 – $22,058 · median $13,369 | 17 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,238 – $14,775 · median $8,955 | 17 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $15,954 – $36,890 · median $22,358 | 17 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $7,335 – $24,637 · median $14,932 | 17 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $20,022 – $38,700 · median $23,454 | 17 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $11,279 – $21,376 · median $12,955 | 17 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,828 – $16,458 · median $9,975 | 17 plans |
| 503 | FOOT PROCEDURES WITH MCC | $16,723 – $34,130 · median $20,685 | 17 plans |
| 504 | FOOT PROCEDURES WITH CC | $11,094 – $22,857 · median $13,853 | 17 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $11,094 – $21,923 · median $13,286 | 17 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,199 – $16,498 · median $9,999 | 17 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $12,247 – $22,089 · median $13,387 | 17 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $8,155 – $18,518 · median $11,223 | 17 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $18,060 – $36,935 · median $22,385 | 17 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $12,394 – $25,427 · median $15,410 | 17 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $10,159 – $20,243 · median $12,268 | 17 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,513 – $19,251 · median $11,667 | 17 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,443 – $12,501 · median $7,576 | 17 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $19,540 – $38,970 · median $23,618 | 17 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $12,711 – $25,411 · median $15,401 | 17 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,432 – $18,791 · median $11,389 | 17 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $22,646 – $45,700 · median $27,697 | 17 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,459 – $24,459 · median $14,824 | 17 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $9,056 – $18,268 · median $11,071 | 17 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $18,418 – $35,097 · median $21,271 | 17 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $13,322 – $25,896 · median $15,694 | 17 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,635 – $19,170 · median $11,618 | 17 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,143 – $9,857 · median $5,974 | 17 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,404 – $15,677 · median $9,501 | 17 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,124 – $9,875 · median $5,985 | 17 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,807 – $11,669 · median $7,072 | 17 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,243 – $8,853 · median $5,365 | 17 plans |
| 539 | OSTEOMYELITIS WITH MCC | $12,782 – $24,086 · median $14,597 | 17 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,179 – $15,851 · median $9,607 | 17 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,369 – $9,629 · median $5,835 | 17 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,784 – $21,601 · median $13,092 | 17 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,703 – $12,571 · median $7,619 | 17 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,775 – $9,232 · median $5,595 | 17 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $15,966 – $30,347 · median $18,392 | 17 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,316 – $14,104 · median $8,548 | 17 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,715 – $10,225 · median $6,197 | 17 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,730 – $23,611 · median $14,310 | 17 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,614 – $14,762 · median $8,947 | 17 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,448 – $10,689 · median $6,478 | 17 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $10,782 – $20,496 · median $12,422 | 17 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,090 – $11,755 · median $7,124 | 17 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,255 – $15,851 · median $9,607 | 17 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,274 – $10,151 · median $6,152 | 17 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,509 – $16,163 · median $9,796 | 17 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,160 – $10,157 · median $6,156 | 17 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,793 – $18,182 · median $11,019 | 17 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,458 – $10,922 · median $6,620 | 17 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,729 – $22,804 · median $13,821 | 17 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,196 – $13,770 · median $8,346 | 17 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,166 – $9,830 · median $5,958 | 17 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $9,249 – $17,423 · median $10,559 | 17 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $5,647 – $10,950 · median $6,637 | 17 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,916 – $18,875 · median $11,440 | 17 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,443 – $11,915 · median $7,221 | 17 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,727 – $9,174 · median $5,560 | 17 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $19,023 – $35,964 · median $21,797 | 17 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,583 – $20,660 · median $12,521 | 17 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,219 – $14,017 · median $8,495 | 17 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $38,912 – $80,112 · median $48,553 | 17 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,894 – $42,449 · median $25,727 | 17 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,252 – $21,974 · median $13,318 | 17 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $33,417 – $59,933 · median $36,323 | 17 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $16,825 – $32,413 · median $19,644 | 17 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,681 – $19,643 · median $11,905 | 17 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $20,595 – $39,601 · median $24,001 | 17 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $11,203 – $21,130 · median $12,806 | 17 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $9,094 – $17,647 · median $10,695 | 17 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $11,065 – $23,559 · median $14,278 | 17 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $10,379 – $21,086 · median $12,780 | 17 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $12,937 – $26,177 · median $15,865 | 17 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $12,543 – $23,589 · median $14,297 | 17 plans |
| 592 | SKIN ULCERS WITH MCC | $12,993 – $23,665 · median $14,343 | 17 plans |
| 593 | SKIN ULCERS WITH CC | $7,726 – $14,506 · median $8,792 | 17 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,362 – $10,599 · median $6,424 | 17 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $13,365 – $25,932 · median $15,717 | 17 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,831 – $13,237 · median $8,022 | 17 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $11,099 – $20,386 · median $12,355 | 17 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $6,818 – $13,834 · median $8,384 | 17 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,246 – $9,408 · median $5,702 | 17 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,049 – $12,737 · median $7,719 | 17 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,788 – $7,577 · median $4,592 | 17 plans |
| 602 | CELLULITIS WITH MCC | $9,285 – $17,380 · median $10,533 | 17 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,566 – $10,650 · median $6,454 | 17 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,388 – $18,001 · median $10,910 | 17 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,837 – $11,201 · median $6,789 | 17 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $10,174 – $18,504 · median $11,214 | 17 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,462 – $11,084 · median $6,717 | 17 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $14,400 – $26,802 · median $16,243 | 17 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $9,055 – $17,111 · median $10,370 | 17 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,778 – $42,645 · median $25,845 | 17 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,210 – $22,870 · median $13,861 | 17 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,867 – $17,343 · median $10,511 | 17 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $17,228 – $35,308 · median $21,399 | 17 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $10,091 – $19,569 · median $11,860 | 17 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,237 – $18,445 · median $11,179 | 17 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,659 – $43,523 · median $26,377 | 17 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,095 – $21,936 · median $13,295 | 17 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,339 – $15,308 · median $9,278 | 17 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $18,116 – $36,930 · median $22,382 | 17 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,537 – $18,335 · median $11,112 | 17 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,005 – $16,243 · median $9,844 | 17 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $24,937 – $45,572 · median $27,619 | 17 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $14,219 – $26,643 · median $16,147 | 17 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,854 – $17,847 · median $10,816 | 17 plans |
| 637 | DIABETES WITH MCC | $9,202 – $17,568 · median $10,647 | 17 plans |
| 638 | DIABETES WITH CC | $5,796 – $10,959 · median $6,642 | 17 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,960 – $7,756 · median $4,701 | 17 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,392 – $16,332 · median $9,898 | 17 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,938 – $9,516 · median $5,767 | 17 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $7,843 – $17,390 · median $10,539 | 17 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,473 – $20,129 · median $12,199 | 17 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,531 – $12,534 · median $7,596 | 17 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,923 – $9,395 · median $5,694 | 17 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $29,112 – $57,490 · median $34,842 | 17 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $21,941 – $45,315 · median $27,464 | 17 plans |
| 652 | KIDNEY TRANSPLANT | $19,407 – $39,491 · median $23,934 | 17 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $35,224 – $63,543 · median $38,511 | 17 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $17,832 – $34,230 · median $20,746 | 17 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,126 – $25,882 · median $15,686 | 17 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $20,586 – $38,932 · median $23,595 | 17 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,551 – $22,378 · median $13,562 | 17 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,503 – $18,976 · median $11,500 | 17 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $16,330 – $31,071 · median $18,831 | 17 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,467 – $16,162 · median $9,795 | 17 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,487 – $12,661 · median $7,673 | 17 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $19,712 – $37,437 · median $22,689 | 17 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,651 – $18,589 · median $11,266 | 17 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,823 – $12,802 · median $7,759 | 17 plans |
| 665 | PROSTATECTOMY WITH MCC | $21,281 – $38,167 · median $23,131 | 17 plans |
| 666 | PROSTATECTOMY WITH CC | $10,409 – $21,391 · median $12,964 | 17 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,494 – $13,527 · median $8,198 | 17 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $18,427 – $35,706 · median $21,640 | 17 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $9,779 – $18,978 · median $11,502 | 17 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,039 – $11,951 · median $7,243 | 17 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $10,892 – $21,950 · median $13,303 | 17 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,915 – $13,200 · median $8,000 | 17 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $26,477 – $51,378 · median $31,138 | 17 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $14,586 – $28,597 · median $17,331 | 17 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $9,891 – $20,071 · median $12,164 | 17 plans |
| 682 | RENAL FAILURE WITH MCC | $9,491 – $18,110 · median $10,976 | 17 plans |
| 683 | RENAL FAILURE WITH CC | $5,617 – $10,709 · median $6,491 | 17 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,839 – $7,525 · median $4,561 | 17 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $11,915 – $22,056 · median $13,367 | 17 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,651 – $12,813 · median $7,765 | 17 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,576 – $9,664 · median $5,857 | 17 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,396 – $14,188 · median $8,599 | 17 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,072 – $9,899 · median $5,999 | 17 plans |
| 693 | URINARY STONES WITH MCC | $9,167 – $16,441 · median $9,964 | 17 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,938 – $9,559 · median $5,793 | 17 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,126 – $13,987 · median $8,477 | 17 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,371 – $8,506 · median $5,155 | 17 plans |
| 697 | URETHRAL STRICTURE | $6,330 – $13,180 · median $7,988 | 17 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,622 – $20,230 · median $12,261 | 17 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,444 – $12,412 · median $7,522 | 17 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,386 – $8,516 · median $5,161 | 17 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $12,262 – $24,460 · median $14,824 | 17 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,367 – $18,761 · median $11,370 | 17 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $14,199 – $28,456 · median $17,246 | 17 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,487 – $17,134 · median $10,384 | 17 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $12,073 – $25,481 · median $15,443 | 17 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,759 – $13,447 · median $8,150 | 17 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,137 – $18,384 · median $11,142 | 17 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $5,937 – $12,930 · median $7,836 | 17 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $14,270 – $27,358 · median $16,581 | 17 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $8,968 – $17,988 · median $10,902 | 17 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,724 – $23,117 · median $14,011 | 17 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,784 – $16,424 · median $9,954 | 17 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $10,924 – $22,129 · median $13,412 | 17 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,096 – $13,973 · median $8,469 | 17 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,538 – $8,138 · median $4,932 | 17 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,979 – $14,309 · median $8,672 | 17 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,703 – $8,872 · median $5,377 | 17 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,285 – $18,133 · median $10,990 | 17 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,163 – $9,920 · median $6,012 | 17 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,956 – $12,946 · median $7,846 | 17 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,835 – $8,318 · median $5,041 | 17 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $13,287 – $26,046 · median $15,785 | 17 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $7,670 – $16,453 · median $9,972 | 17 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $24,371 – $43,710 · median $26,491 | 17 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $12,627 – $25,197 · median $15,271 | 17 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,585 – $17,957 · median $10,883 | 17 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $24,428 – $43,811 · median $26,552 | 17 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $11,489 – $22,128 · median $13,411 | 17 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,679 – $17,439 · median $10,569 | 17 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $11,542 – $22,436 · median $13,598 | 17 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,574 – $15,172 · median $9,195 | 17 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $12,347 – $25,057 · median $15,186 | 17 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,476 – $13,910 · median $8,430 | 17 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,581 – $21,242 · median $12,874 | 17 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,862 – $10,513 · median $6,371 | 17 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,608 – $16,964 · median $10,281 | 17 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $16,356 – $31,397 · median $19,029 | 17 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,148 – $18,046 · median $10,937 | 17 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,432 – $22,521 · median $13,649 | 17 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,015 – $13,302 · median $8,062 | 17 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,034 – $11,745 · median $7,118 | 17 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,943 – $17,510 · median $10,612 | 17 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,441 – $11,971 · median $7,255 | 17 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,044 – $8,225 · median $4,985 | 17 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,227 – $12,320 · median $7,467 | 17 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,006 – $7,195 · median $4,361 | 17 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $6,928 – $13,104 · median $7,942 | 17 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $8,780 – $20,663 · median $12,523 | 17 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,799 – $12,261 · median $7,431 | 17 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,508 – $8,127 · median $4,925 | 17 plans |
| 779 | ABORTION WITHOUT D&C | $5,736 – $10,288 · median $6,235 | 17 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $11,640 – $30,021 · median $18,195 | 17 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,844 – $12,963 · median $7,856 | 17 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,529 – $11,712 · median $7,098 | 17 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $10,210 – $20,170 · median $12,224 | 17 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,710 – $13,656 · median $8,277 | 17 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $5,719 – $11,724 · median $7,106 | 17 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $11,391 – $22,038 · median $13,356 | 17 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $37,567 – $72,678 · median $44,047 | 17 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $25,656 – $49,634 · median $30,081 | 17 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $15,480 – $29,949 · median $18,151 | 17 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $26,354 – $50,987 · median $30,901 | 17 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $9,328 – $18,048 · median $10,938 | 17 plans |
| 795 | NORMAL NEWBORN | $1,263 – $3,093 · median $1,875 | 17 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $7,957 – $14,270 · median $8,649 | 17 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,118 – $12,233 · median $7,414 | 17 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,118 – $11,704 · median $7,093 | 17 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $30,044 – $55,380 · median $33,564 | 17 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $18,411 – $34,354 · median $20,821 | 17 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $10,374 – $23,342 · median $14,147 | 17 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $22,651 – $48,718 · median $29,526 | 17 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $11,247 – $22,731 · median $13,776 | 17 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $6,986 – $16,581 · median $10,049 | 17 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $6,306 – $13,197 · median $7,998 | 17 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,572 – $9,226 · median $5,591 | 17 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,027 – $8,343 · median $5,056 | 17 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $14,473 – $26,999 · median $16,363 | 17 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,826 – $15,480 · median $9,382 | 17 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,014 – $12,798 · median $7,756 | 17 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,890 – $17,172 · median $10,407 | 17 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,832 – $11,228 · median $6,805 | 17 plans |
| 813 | COAGULATION DISORDERS | $9,781 – $18,652 · median $11,304 | 17 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $13,209 – $26,006 · median $15,761 | 17 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,421 – $12,399 · median $7,515 | 17 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,167 – $7,876 · median $4,773 | 17 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $15,556 – $27,900 · median $16,909 | 17 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $7,904 – $14,175 · median $8,591 | 17 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,160 – $10,515 · median $6,373 | 17 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $36,789 – $71,716 · median $43,464 | 17 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $14,105 – $27,374 · median $16,590 | 17 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,227 – $14,723 · median $8,923 | 17 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $29,568 – $56,064 · median $33,978 | 17 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $13,898 – $27,704 · median $16,790 | 17 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,777 – $16,501 · median $10,000 | 17 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $30,175 – $57,201 · median $34,667 | 17 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $14,911 – $28,262 · median $17,128 | 17 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,128 – $20,834 · median $12,627 | 17 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $19,486 – $38,641 · median $23,419 | 17 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,241 – $18,403 · median $11,154 | 17 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $7,273 – $14,704 · median $8,912 | 17 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,722 – $8,867 · median $5,374 | 17 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,285 – $6,668 · median $4,042 | 17 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $34,925 – $67,132 · median $40,686 | 17 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $13,496 – $25,506 · median $15,458 | 17 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $8,030 – $14,912 · median $9,038 | 17 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $31,638 – $58,748 · median $35,605 | 17 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $12,816 – $25,525 · median $15,470 | 17 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,659 – $17,656 · median $10,701 | 17 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $20,154 – $39,557 · median $23,974 | 17 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $9,908 – $19,949 · median $12,090 | 17 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,646 – $12,355 · median $7,488 | 17 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $11,963 – $24,393 · median $14,784 | 17 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,552 – $14,887 · median $9,022 | 17 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,287 – $10,414 · median $6,311 | 17 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $16,136 – $31,702 · median $19,213 | 17 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $8,029 – $15,997 · median $9,695 | 17 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,175 – $10,387 · median $6,295 | 17 plans |
| 849 | RADIOTHERAPY | $16,878 – $33,132 · median $20,080 | 17 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $58,207 – $105,890 · median $64,176 | 17 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $31,605 – $60,390 · median $36,600 | 17 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $12,627 – $24,433 · median $14,808 | 17 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,208 – $18,308 · median $11,096 | 17 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $28,507 – $55,622 · median $33,711 | 17 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,769 – $26,187 · median $15,871 | 17 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,142 – $17,033 · median $10,323 | 17 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $11,618 – $22,301 · median $13,515 | 17 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,318 – $12,202 · median $7,395 | 17 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,674 – $10,855 · median $6,579 | 17 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,326 – $18,321 · median $11,104 | 17 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,590 – $10,634 · median $6,445 | 17 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $13,549 – $25,596 · median $15,513 | 17 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,635 – $12,608 · median $7,642 | 17 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,547 – $8,957 · median $5,428 | 17 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $43,959 – $84,519 · median $51,224 | 17 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $12,400 – $23,753 · median $14,396 | 17 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,515 – $12,513 · median $7,584 | 17 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,944 – $7,709 · median $4,672 | 17 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $9,149 – $17,310 · median $10,491 | 17 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $11,253 – $21,339 · median $12,933 | 17 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $5,575 – $10,795 · median $6,542 | 17 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $27,995 – $51,317 · median $31,101 | 17 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $11,990 – $23,411 · median $14,188 | 17 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,703 – $14,302 · median $8,668 | 17 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $24,397 – $44,915 · median $27,221 | 17 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,114 – $18,139 · median $10,994 | 17 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $13,393 – $24,020 · median $14,557 | 17 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $25,172 – $46,948 · median $28,453 | 17 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,746 – $24,398 · median $14,786 | 17 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,014 – $16,052 · median $9,728 | 17 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $10,226 – $19,988 · median $12,114 | 17 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,790 – $10,828 · median $6,562 | 17 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $10,981 – $20,563 · median $12,462 | 17 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,196 – $8,255 · median $5,003 | 17 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $10,361 – $19,179 · median $11,623 | 17 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,589 – $10,481 · median $6,352 | 17 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $11,522 – $22,387 · median $13,568 | 17 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,419 – $12,256 · median $7,428 | 17 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,345 – $8,500 · median $5,151 | 17 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $10,674 – $21,392 · median $12,965 | 17 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,444 – $12,445 · median $7,542 | 17 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $145,571 – $261,078 · median $158,229 | 17 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $42,202 – $87,709 · median $53,157 | 17 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $20,096 – $39,385 · median $23,869 | 17 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $26,551 – $47,619 · median $28,860 | 17 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $13,559 – $27,032 · median $16,383 | 17 plans |
| 935 | NON-EXTENSIVE BURNS | $13,879 – $25,190 · median $15,267 | 17 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $20,055 – $44,370 · median $26,891 | 17 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $13,341 – $28,576 · median $17,319 | 17 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $12,349 – $24,795 · median $15,027 | 17 plans |
| 945 | REHABILITATION WITH CC/MCC | $9,645 – $18,937 · median $11,477 | 17 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,055 – $14,023 · median $8,499 | 17 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,127 – $15,522 · median $9,408 | 17 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,021 – $9,789 · median $5,933 | 17 plans |
| 949 | AFTERCARE WITH CC/MCC | $6,818 – $14,548 · median $8,817 | 17 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,704 – $7,828 · median $4,744 | 17 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,582 – $7,035 · median $4,263 | 17 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $43,146 – $82,309 · median $49,884 | 17 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $24,153 – $46,015 · median $27,888 | 17 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $47,164 – $93,178 · median $56,471 | 17 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $25,968 – $51,528 · median $31,229 | 17 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $16,706 – $36,001 · median $21,819 | 17 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $17,166 – $33,429 · median $20,260 | 17 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,480 – $18,741 · median $11,358 | 17 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,766 – $11,501 · median $6,970 | 17 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $39,961 – $74,852 · median $45,365 | 17 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $16,766 – $32,251 · median $19,546 | 17 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $18,869 – $35,291 · median $21,388 | 17 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,830 – $15,836 · median $9,597 | 17 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,155 – $11,038 · median $6,690 | 17 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $8,848 – $15,869 · median $9,617 | 17 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $30,043 – $57,372 · median $34,771 | 17 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,472 – $30,063 · median $18,220 | 17 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,541 – $20,959 · median $12,703 | 17 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $22,136 – $41,923 · median $25,408 | 17 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,844 – $20,098 · median $12,181 | 17 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,301 – $14,664 · median $8,887 | 17 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $77,173 – $138,408 · median $83,884 | 12 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $38,910 – $69,785 · median $42,294 | 12 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $16,515 – $29,619 · median $17,951 | 12 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $23,445 – $42,048 · median $25,484 | 12 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $16,461 – $29,523 · median $17,892 | 12 plans |
| 077 | Inpatient MS-DRG | $9,771 – $10,285 · median $10,285 | 5 plans |
| 078 | Inpatient MS-DRG | $6,305 – $6,637 · median $6,637 | 5 plans |
| 079 | Inpatient MS-DRG | $4,213 – $4,435 · median $4,435 | 5 plans |
| 294 | Inpatient MS-DRG | $7,759 – $8,168 · median $8,168 | 5 plans |
| 295 | Inpatient MS-DRG | $4,991 – $5,253 · median $5,253 | 5 plans |
| 509 | Inpatient MS-DRG | $11,099 – $11,684 · median $11,684 | 5 plans |
No procedures match that keyword.