Mccone County Health Center — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Procedures published 771
Lowest published price —
Average published price —
Highest published price —
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Showing all 771 procedures
Procedures with negotiated rates only
These 771 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $134,464 – $152,393 · median $149,405 | 8 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $52,604 – $59,617 · median $58,448 | 8 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $102,306 – $115,947 · median $113,673 | 8 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $67,451 – $76,444 · median $74,946 | 8 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $50,836 – $57,614 · median $56,484 | 8 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $23,148 – $26,235 · median $25,720 | 8 plans |
| 007 | Lung transplant | $62,385 – $70,703 · median $69,317 | 8 plans |
| 008 | SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT | $25,974 – $29,437 · median $28,860 | 8 plans |
| 010 | Pancreas transplant | $38,060 – $43,135 · median $42,289 | 8 plans |
| 011 | Tracheostomy for face,mouth & neck diagnoses w MCC | $25,758 – $29,192 · median $28,620 | 8 plans |
| 012 | Tracheostomy for face,mouth & neck diagnoses w CC | $19,589 – $22,201 · median $21,766 | 8 plans |
| 013 | Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC | $12,650 – $14,337 · median $14,056 | 8 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $62,543 – $70,882 · median $69,492 | 8 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $28,813 – $32,655 · median $32,014 | 8 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $28,813 – $32,655 · median $32,014 | 8 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $180,026 – $204,029 · median $200,029 | 8 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $37,842 – $42,887 · median $42,046 | 8 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $38,480 – $43,611 · median $42,756 | 8 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $26,385 – $29,903 · median $29,317 | 8 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $16,853 – $19,100 · median $18,725 | 8 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $27,234 – $30,865 · median $30,260 | 8 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $18,148 – $20,568 · median $20,164 | 8 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $21,349 – $24,196 · median $23,721 | 8 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $14,601 – $16,547 · median $16,223 | 8 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $11,780 – $13,351 · median $13,089 | 8 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $29,021 – $32,891 · median $32,246 | 8 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $16,024 – $18,160 · median $17,804 | 8 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $10,623 – $12,040 · median $11,804 | 8 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $20,004 – $22,671 · median $22,227 | 8 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $10,195 – $11,554 · median $11,327 | 8 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $7,616 – $8,632 · median $8,463 | 8 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $18,563 – $21,038 · median $20,626 | 8 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $10,859 – $12,307 · median $12,066 | 8 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $8,750 – $9,917 · median $9,723 | 8 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $15,853 – $17,966 · median $17,614 | 8 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $7,692 – $8,717 · median $8,546 | 8 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $5,433 – $6,158 · median $6,037 | 8 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $18,007 – $20,407 · median $20,007 | 8 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $10,780 – $12,217 · median $11,977 | 8 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $8,390 – $9,509 · median $9,322 | 8 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $9,607 – $10,888 · median $10,674 | 8 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $4,398 – $4,985 · median $4,887 | 8 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $7,156 – $8,110 · median $7,951 | 8 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $5,208 – $5,902 · median $5,787 | 8 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $11,954 – $13,547 · median $13,282 | 8 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $6,370 – $7,219 · median $7,078 | 8 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $8,812 – $9,986 · median $9,791 | 8 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $5,841 – $6,620 · median $6,490 | 8 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $4,260 – $4,828 · median $4,733 | 8 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $12,905 – $14,626 · median $14,339 | 8 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $8,501 – $9,635 · median $9,446 | 8 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $6,706 – $7,600 · median $7,451 | 8 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $9,496 – $10,762 · median $10,551 | 8 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $4,854 – $5,502 · median $5,394 | 8 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $3,286 – $3,724 · median $3,651 | 8 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $6,945 – $7,871 · median $7,717 | 8 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $4,208 – $4,769 · median $4,675 | 8 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $3,819 – $4,329 · median $4,244 | 8 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $8,300 – $9,407 · median $9,223 | 8 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $5,031 – $5,702 · median $5,590 | 8 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $3,581 – $4,059 · median $3,979 | 8 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $7,378 – $8,362 · median $8,198 | 8 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $4,976 – $5,639 · median $5,529 | 8 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $8,222 – $9,318 · median $9,136 | 8 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $4,377 – $4,961 · median $4,863 | 8 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $7,381 – $8,366 · median $8,202 | 8 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $4,764 – $5,399 · median $5,293 | 8 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $3,183 – $3,607 · median $3,536 | 8 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $9,489 – $10,754 · median $10,543 | 8 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $4,319 – $4,895 · median $4,799 | 8 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $11,076 – $12,552 · median $12,306 | 8 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $6,637 – $7,522 · median $7,375 | 8 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $4,564 – $5,173 · median $5,071 | 8 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $10,817 – $12,259 · median $12,019 | 8 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $6,261 – $7,096 · median $6,957 | 8 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $4,220 – $4,783 · median $4,689 | 8 plans |
| 088 | CONCUSSION WITH MCC | $6,734 – $7,632 · median $7,482 | 8 plans |
| 089 | CONCUSSION WITH CC | $5,118 – $5,800 · median $5,686 | 8 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $4,092 – $4,638 · median $4,547 | 8 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $8,702 – $9,862 · median $9,669 | 8 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $5,054 – $5,728 · median $5,615 | 8 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $3,768 – $4,270 · median $4,186 | 8 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $17,417 – $19,740 · median $19,353 | 8 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $11,443 – $12,969 · median $12,715 | 8 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $11,443 – $12,969 · median $12,715 | 8 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $17,111 – $19,393 · median $19,013 | 8 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $10,355 – $11,736 · median $11,506 | 8 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $6,651 – $7,538 · median $7,390 | 8 plans |
| 100 | SEIZURES WITH MCC | $9,477 – $10,741 · median $10,530 | 8 plans |
| 101 | SEIZURES WITHOUT MCC | $4,400 – $4,986 · median $4,889 | 8 plans |
| 102 | HEADACHES WITH MCC | $5,535 – $6,273 · median $6,150 | 8 plans |
| 103 | HEADACHES WITHOUT MCC | $4,059 – $4,600 · median $4,509 | 8 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $10,772 – $12,208 · median $11,969 | 8 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $5,643 – $6,395 · median $6,270 | 8 plans |
| 115 | Extraocular procedures except orbit | $7,308 – $8,283 · median $8,120 | 8 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $7,965 – $9,027 · median $8,850 | 8 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $5,149 – $5,835 · median $5,721 | 8 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $5,553 – $6,293 · median $6,170 | 8 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $3,238 – $3,670 · median $3,598 | 8 plans |
| 123 | Neurological eye disorders | $3,834 – $4,345 · median $4,260 | 8 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $6,224 – $7,054 · median $6,916 | 8 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $3,942 – $4,467 · median $4,380 | 8 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $11,510 – $13,044 · median $12,788 | 8 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $4,670 – $5,292 · median $5,188 | 8 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $6,676 – $7,567 · median $7,418 | 8 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $3,883 – $4,401 · median $4,315 | 8 plans |
| 139 | Salivary gland procedures | $6,554 – $7,428 · median $7,282 | 8 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $20,189 – $22,880 · median $22,432 | 8 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $10,256 – $11,624 · median $11,396 | 8 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $7,506 – $8,507 · median $8,340 | 8 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $15,762 – $17,864 · median $17,513 | 8 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $8,386 – $9,504 · median $9,318 | 8 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $5,656 – $6,410 · median $6,284 | 8 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $10,951 – $12,411 · median $12,168 | 8 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $5,942 – $6,734 · median $6,602 | 8 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $3,822 – $4,332 · median $4,247 | 8 plans |
| 149 | Dysequilibrium | $3,568 – $4,044 · median $3,965 | 8 plans |
| 150 | EPISTAXIS WITH MCC | $6,598 – $7,478 · median $7,331 | 8 plans |
| 151 | EPISTAXIS WITHOUT MCC | $3,618 – $4,101 · median $4,020 | 8 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $5,417 – $6,139 · median $6,019 | 8 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $3,397 – $3,850 · median $3,775 | 8 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $7,763 – $8,798 · median $8,626 | 8 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $4,457 – $5,051 · median $4,952 | 8 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $3,210 – $3,638 · median $3,566 | 8 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $7,817 – $8,859 · median $8,685 | 8 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $4,490 – $5,089 · median $4,989 | 8 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $3,149 – $3,568 · median $3,499 | 8 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $22,002 – $24,936 · median $24,447 | 8 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $12,015 – $13,617 · median $13,350 | 8 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $8,898 – $10,084 · median $9,887 | 8 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $18,380 – $20,830 · median $20,422 | 8 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $8,722 – $9,885 · median $9,691 | 8 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $6,463 – $7,325 · median $7,181 | 8 plans |
| 173 | Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism | $14,648 – $16,601 · median $16,276 | 8 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $6,726 – $7,623 · median $7,474 | 8 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $3,888 – $4,407 · median $4,320 | 8 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $7,717 – $8,745 · median $8,574 | 8 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $4,736 – $5,367 · median $5,262 | 8 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $3,674 – $4,164 · median $4,082 | 8 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $8,343 – $9,456 · median $9,270 | 8 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $5,300 – $6,007 · median $5,889 | 8 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $3,998 – $4,531 · median $4,442 | 8 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $7,577 – $8,587 · median $8,419 | 8 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $5,099 – $5,779 · median $5,665 | 8 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $3,712 – $4,207 · median $4,125 | 8 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $7,542 – $8,548 · median $8,380 | 8 plans |
| 187 | PLEURAL EFFUSION WITH CC | $4,793 – $5,432 · median $5,325 | 8 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $3,505 – $3,972 · median $3,894 | 8 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $5,907 – $6,694 · median $6,563 | 8 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $5,361 – $6,076 · median $5,956 | 8 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $4,101 – $4,648 · median $4,557 | 8 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $3,089 – $3,501 · median $3,433 | 8 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $6,290 – $7,129 · median $6,989 | 8 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $3,914 – $4,436 · median $4,349 | 8 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $2,973 – $3,369 · median $3,303 | 8 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $8,994 – $10,193 · median $9,993 | 8 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $4,726 – $5,356 · median $5,251 | 8 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $3,343 – $3,789 · median $3,715 | 8 plans |
| 199 | PNEUMOTHORAX WITH MCC | $8,427 – $9,550 · median $9,363 | 8 plans |
| 200 | PNEUMOTHORAX WITH CC | $5,287 – $5,992 · median $5,874 | 8 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $3,232 – $3,663 · median $3,591 | 8 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $4,615 – $5,230 · median $5,127 | 8 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $3,325 – $3,769 · median $3,695 | 8 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $3,871 – $4,388 · median $4,302 | 8 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $9,012 – $10,213 · median $10,013 | 8 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $4,324 – $4,900 · median $4,804 | 8 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $30,872 – $34,988 · median $34,302 | 8 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $12,811 – $14,520 · median $14,235 | 8 plans |
| 212 | Concomitant Aortic and Mitral Valve Procedures | $52,003 – $58,937 · median $57,781 | 8 plans |
| 215 | Other heart assist system implant | $50,575 – $57,319 · median $56,195 | 8 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $46,070 – $52,213 · median $51,189 | 8 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $30,827 – $34,938 · median $34,253 | 8 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $28,400 – $32,186 · median $31,555 | 8 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $36,936 – $41,860 · median $41,040 | 8 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $25,284 – $28,656 · median $28,094 | 8 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $21,923 – $24,846 · median $24,359 | 8 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $23,788 – $26,960 · median $26,431 | 8 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $14,828 – $16,805 · median $16,476 | 8 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $40,451 – $45,844 · median $44,946 | 8 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $29,160 – $33,049 · median $32,401 | 8 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $37,312 – $42,287 · median $41,458 | 8 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $25,397 – $28,783 · median $28,218 | 8 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $28,089 – $31,834 · median $31,210 | 8 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $19,630 – $22,247 · median $21,811 | 8 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $24,044 – $27,250 · median $26,716 | 8 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $13,902 – $15,755 · median $15,446 | 8 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $7,208 – $8,169 · median $8,009 | 8 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $16,192 – $18,351 · median $17,991 | 8 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $10,754 – $12,188 · median $11,949 | 8 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $8,615 – $9,764 · median $9,572 | 8 plans |
| 245 | AICD generator procedures | $23,328 – $26,438 · median $25,920 | 8 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $11,039 – $12,511 · median $12,266 | 8 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $7,459 – $8,454 · median $8,288 | 8 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $16,375 – $18,559 · median $18,195 | 8 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $12,187 – $13,812 · median $13,541 | 8 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $8,351 – $9,464 · median $9,279 | 8 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $12,490 – $14,155 · median $13,878 | 8 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $8,085 – $9,163 · median $8,983 | 8 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $4,258 – $4,825 · median $4,731 | 8 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $13,392 – $15,178 · median $14,880 | 8 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $8,391 – $9,509 · median $9,323 | 8 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $16,260 – $18,428 · median $18,066 | 8 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $9,058 – $10,266 · median $10,065 | 8 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $7,245 – $8,211 · median $8,050 | 8 plans |
| 263 | VEIN LIGATION AND STRIPPING | $12,803 – $14,510 · median $14,226 | 8 plans |
| 264 | Other circulatory system O.R. procedures | $16,684 – $18,909 · median $18,538 | 8 plans |
| 265 | AICD lead procedures | $17,028 – $19,299 · median $18,920 | 8 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $28,598 – $32,411 · median $31,775 | 8 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $22,458 – $25,453 · median $24,954 | 8 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $31,828 – $36,072 · median $35,365 | 8 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $19,862 – $22,510 · median $22,068 | 8 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $24,503 – $27,770 · median $27,225 | 8 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $16,442 – $18,634 · median $18,269 | 8 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $11,945 – $13,537 · median $13,272 | 8 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $18,666 – $21,155 · median $20,740 | 8 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $14,898 – $16,885 · median $16,554 | 8 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $33,735 – $38,233 · median $37,483 | 8 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $29,570 – $33,512 · median $32,855 | 8 plans |
| 277 | Cardiac Defibrillator Implant without MCC | $22,206 – $25,167 · median $24,674 | 8 plans |
| 278 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC | $23,884 – $27,068 · median $26,538 | 8 plans |
| 279 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC | $15,297 – $17,336 · median $16,996 | 8 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $7,835 – $8,880 · median $8,706 | 8 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $4,400 – $4,987 · median $4,889 | 8 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $3,461 – $3,923 · median $3,846 | 8 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $9,334 – $10,579 · median $10,371 | 8 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $3,537 – $4,009 · median $3,930 | 8 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $2,680 – $3,037 · median $2,978 | 8 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $10,565 – $11,974 · median $11,739 | 8 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $5,202 – $5,895 · median $5,780 | 8 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $13,039 – $14,778 · median $14,488 | 8 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $7,527 – $8,530 · median $8,363 | 8 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $4,673 – $5,296 · median $5,193 | 8 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $6,229 – $7,059 · median $6,921 | 8 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $4,111 – $4,659 · median $4,568 | 8 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $2,619 – $2,969 · median $2,910 | 8 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $5,862 – $6,644 · median $6,513 | 8 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $3,770 – $4,273 · median $4,189 | 8 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $7,821 – $8,864 · median $8,690 | 8 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,363 – $3,811 · median $3,736 | 8 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,109 – $2,390 · median $2,343 | 8 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $7,722 – $8,751 · median $8,580 | 8 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $5,111 – $5,792 · median $5,678 | 8 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $3,405 – $3,860 · median $3,784 | 8 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $5,553 – $6,294 · median $6,170 | 8 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $3,210 – $3,638 · median $3,566 | 8 plans |
| 304 | HYPERTENSION WITH MCC | $5,608 – $6,356 · median $6,231 | 8 plans |
| 305 | HYPERTENSION WITHOUT MCC | $3,584 – $4,061 · median $3,982 | 8 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $7,148 – $8,101 · median $7,942 | 8 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $4,422 – $5,012 · median $4,914 | 8 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $5,756 – $6,524 · median $6,396 | 8 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $3,529 – $4,000 · median $3,921 | 8 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $2,671 – $3,027 · median $2,968 | 8 plans |
| 311 | Angina pectoris | $3,333 – $3,778 · median $3,704 | 8 plans |
| 312 | SYNCOPE AND COLLAPSE | $4,159 – $4,714 · median $4,621 | 8 plans |
| 313 | Chest pain | $3,405 – $3,860 · median $3,784 | 8 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $10,280 – $11,651 · median $11,422 | 8 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $4,594 – $5,206 · median $5,104 | 8 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,259 – $3,693 · median $3,621 | 8 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $29,531 – $33,469 · median $32,813 | 8 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $20,969 – $23,765 · median $23,299 | 8 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $11,050 – $12,523 · median $12,278 | 8 plans |
| 321 | Percutaneous Cardiovascular Procedures with Intraluminal Device with MMC or 4+ Arteries/Intraluminal Devices | $13,589 – $15,401 · median $15,099 | 8 plans |
| 322 | Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC | $8,636 – $9,788 · median $9,596 | 8 plans |
| 323 | Coronary Intravascular Lithotripsy with Intraluminal Device with MCC | $20,333 – $23,044 · median $22,592 | 8 plans |
| 324 | Coronary Intravascular Lithotripsy with Intraluminal Device without MCC | $15,252 – $17,286 · median $16,947 | 8 plans |
| 325 | Coronary Intravascular Lithotripsy without Intraluminal Device | $13,663 – $15,484 · median $15,181 | 8 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $24,245 – $27,478 · median $26,939 | 8 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $11,591 – $13,136 · median $12,879 | 8 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $7,607 – $8,621 · median $8,452 | 8 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $21,920 – $24,843 · median $24,355 | 8 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,283 – $12,788 · median $12,537 | 8 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,881 – $8,932 · median $8,757 | 8 plans |
| 332 | RECTAL RESECTION WITH MCC | $16,558 – $18,766 · median $18,398 | 8 plans |
| 333 | RECTAL RESECTION WITH CC | $10,145 – $11,498 · median $11,273 | 8 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $7,917 – $8,973 · median $8,797 | 8 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $17,297 – $19,603 · median $19,219 | 8 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $10,083 – $11,428 · median $11,204 | 8 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $7,328 – $8,305 · median $8,142 | 8 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $12,862 – $14,577 · median $14,292 | 8 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $7,106 – $8,054 · median $7,896 | 8 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $5,945 – $6,737 · median $6,605 | 8 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $11,298 – $12,805 · median $12,554 | 8 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $6,009 – $6,811 · median $6,677 | 8 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $4,205 – $4,766 · median $4,672 | 8 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $11,546 – $13,085 · median $12,829 | 8 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $7,182 – $8,139 · median $7,980 | 8 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $5,263 – $5,965 · median $5,848 | 8 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $14,001 – $15,868 · median $15,557 | 8 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $8,120 – $9,203 · median $9,023 | 8 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $6,364 – $7,213 · median $7,071 | 8 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $20,363 – $23,078 · median $22,625 | 8 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $10,750 – $12,184 · median $11,945 | 8 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $6,469 – $7,331 · median $7,187 | 8 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $7,972 – $9,035 · median $8,858 | 8 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $4,858 – $5,505 · median $5,397 | 8 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $3,332 – $3,776 · median $3,702 | 8 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $8,344 – $9,457 · median $9,271 | 8 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $4,913 – $5,569 · median $5,459 | 8 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $3,463 – $3,924 · median $3,848 | 8 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $10,079 – $11,423 · median $11,199 | 8 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $5,865 – $6,647 · median $6,517 | 8 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $4,215 – $4,777 · median $4,683 | 8 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $8,679 – $9,837 · median $9,644 | 8 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $4,706 – $5,334 · median $5,229 | 8 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,039 – $3,445 · median $3,377 | 8 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $9,186 – $10,411 · median $10,206 | 8 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $5,199 – $5,892 · median $5,777 | 8 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $3,577 – $4,054 · median $3,974 | 8 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $6,035 – $6,839 · median $6,705 | 8 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $4,151 – $4,705 · median $4,612 | 8 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $7,756 – $8,790 · median $8,618 | 8 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $4,738 – $5,370 · median $5,264 | 8 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $3,200 – $3,626 · median $3,555 | 8 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $7,017 – $7,952 · median $7,796 | 8 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $3,827 – $4,337 · median $4,252 | 8 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $2,612 – $2,960 · median $2,902 | 8 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $6,132 – $6,949 · median $6,813 | 8 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $3,725 – $4,221 · median $4,139 | 8 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $7,905 – $8,959 · median $8,783 | 8 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $4,493 – $5,093 · median $4,993 | 8 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,038 – $3,443 · median $3,375 | 8 plans |
| 397 | Appendix Procedures with MCC | $11,828 – $13,405 · median $13,142 | 8 plans |
| 398 | Appendix Procedures without MCC/CC | $7,223 – $8,187 · median $8,026 | 8 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $5,365 – $6,080 · median $5,961 | 8 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $18,675 – $21,165 · median $20,750 | 8 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $25,914 – $29,370 · median $28,794 | 8 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $13,406 – $15,194 · median $14,896 | 8 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $10,195 – $11,555 · median $11,328 | 8 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $16,714 – $18,942 · median $18,571 | 8 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $10,008 – $11,342 · median $11,120 | 8 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $7,404 – $8,392 · median $8,227 | 8 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $13,062 – $14,804 · median $14,514 | 8 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $10,175 – $11,532 · median $11,306 | 8 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $7,936 – $8,994 · median $8,818 | 8 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $16,726 – $18,956 · median $18,584 | 8 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $9,443 – $10,702 · median $10,492 | 8 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $6,541 – $7,413 · median $7,268 | 8 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $11,344 – $12,857 · median $12,605 | 8 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $7,917 – $8,972 · median $8,796 | 8 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $6,290 – $7,128 · median $6,989 | 8 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $16,848 – $19,095 · median $18,720 | 8 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $7,817 – $8,860 · median $8,686 | 8 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $7,014 – $7,950 · median $7,794 | 8 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $19,416 – $22,005 · median $21,573 | 8 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $10,900 – $12,353 · median $12,111 | 8 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $7,379 – $8,363 · median $8,199 | 8 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $50,005 – $56,673 · median $55,562 | 8 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $33,905 – $38,426 · median $37,673 | 8 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $26,274 – $29,778 · median $29,194 | 8 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $39,815 – $45,123 · median $44,239 | 8 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $26,114 – $29,596 · median $29,016 | 8 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $9,352 – $10,599 · median $10,391 | 8 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $5,107 – $5,788 · median $5,674 | 8 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,325 – $3,768 · median $3,694 | 8 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $8,710 – $9,871 · median $9,678 | 8 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $5,383 – $6,101 · median $5,981 | 8 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $3,748 – $4,248 · median $4,165 | 8 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $7,942 – $9,001 · median $8,824 | 8 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $4,106 – $4,654 · median $4,563 | 8 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $2,936 – $3,328 · median $3,262 | 8 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $9,024 – $10,227 · median $10,027 | 8 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $4,612 – $5,227 · median $5,125 | 8 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,354 – $3,802 · median $3,727 | 8 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $8,041 – $9,113 · median $8,934 | 8 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $5,177 – $5,867 · median $5,752 | 8 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $3,806 – $4,313 · median $4,229 | 8 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $32,006 – $36,273 · median $35,562 | 8 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $19,493 – $22,092 · median $21,659 | 8 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $24,585 – $27,862 · median $27,316 | 8 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $14,731 – $16,696 · median $16,368 | 8 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $40,429 – $45,819 · median $44,921 | 8 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $27,398 – $31,051 · median $30,442 | 8 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $20,612 – $23,361 · median $22,903 | 8 plans |
| 461 | Bilateral or multiple major joint procs of lower extremity w MCC | $29,294 – $33,200 · median $32,549 | 8 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC | $13,671 – $15,493 · median $15,190 | 8 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $25,782 – $29,220 · median $28,647 | 8 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $14,075 – $15,952 · median $15,639 | 8 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,287 – $9,392 · median $9,208 | 8 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $24,320 – $27,562 · median $27,022 | 8 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $16,351 – $18,531 · median $18,167 | 8 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $12,523 – $14,192 · median $13,914 | 8 plans |
| 469 | MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC | $15,603 – $17,684 · median $17,337 | 8 plans |
| 470 | Major joint replacement or reattachment of lower extremity w/o MCC | $9,001 – $10,201 · median $10,001 | 8 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $23,187 – $26,278 · median $25,763 | 8 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $13,830 – $15,674 · median $15,367 | 8 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $11,301 – $12,808 · median $12,557 | 8 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $21,408 – $24,263 · median $23,787 | 8 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $10,298 – $11,671 · median $11,442 | 8 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,552 – $6,292 · median $6,169 | 8 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $16,416 – $18,605 · median $18,240 | 8 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $11,164 – $12,652 · median $12,404 | 8 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $8,477 – $9,607 · median $9,419 | 8 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $14,039 – $15,911 · median $15,599 | 8 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $9,905 – $11,225 · median $11,005 | 8 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $7,573 – $8,583 · median $8,414 | 8 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $12,164 – $13,786 · median $13,516 | 8 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $15,368 – $17,417 · median $17,075 | 8 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $10,124 – $11,474 · median $11,249 | 8 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,543 – $8,549 · median $8,381 | 8 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $9,382 – $10,633 · median $10,424 | 8 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $5,912 – $6,700 · median $6,568 | 8 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $16,952 – $19,212 · median $18,836 | 8 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $11,461 – $12,990 · median $12,735 | 8 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $9,000 – $10,200 · median $10,000 | 8 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $16,806 – $19,047 · median $18,673 | 8 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $9,418 – $10,674 · median $10,465 | 8 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $6,409 – $7,264 · median $7,121 | 8 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $12,053 – $13,660 · median $13,392 | 8 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $5,541 – $6,280 · median $6,157 | 8 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $15,126 – $17,143 · median $16,807 | 8 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $8,519 – $9,655 · median $9,466 | 8 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $6,670 – $7,559 · median $7,411 | 8 plans |
| 503 | FOOT PROCEDURES WITH MCC | $12,634 – $14,318 · median $14,038 | 8 plans |
| 504 | FOOT PROCEDURES WITH CC | $8,378 – $9,495 · median $9,309 | 8 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $8,378 – $9,495 · median $9,309 | 8 plans |
| 506 | Major thumb or joint procedures | $7,156 – $8,110 · median $7,951 | 8 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $9,252 – $10,486 · median $10,280 | 8 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $6,161 – $6,982 · median $6,845 | 8 plans |
| 509 | Arthroscopy | $8,386 – $9,504 · median $9,318 | 8 plans |
| 510 | Shoulder,elbow or forearm proc,exc major joint proc w MCC | $13,643 – $15,463 · median $15,159 | 8 plans |
| 511 | Shoulder,elbow or forearm proc,exc major joint proc w CC | $9,362 – $10,610 · median $10,402 | 8 plans |
| 512 | Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC | $7,675 – $8,698 · median $8,528 | 8 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $7,187 – $8,145 · median $7,986 | 8 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $4,867 – $5,516 · median $5,408 | 8 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $14,762 – $16,730 · median $16,402 | 8 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $9,603 – $10,883 · median $10,670 | 8 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $7,126 – $8,076 · median $7,917 | 8 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $17,109 – $19,390 · median $19,010 | 8 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $9,413 – $10,668 · median $10,459 | 8 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $6,842 – $7,754 · median $7,602 | 8 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $13,914 – $15,769 · median $15,460 | 8 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $10,063 – $11,405 · median $11,181 | 8 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $7,279 – $8,250 · median $8,088 | 8 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $3,886 – $4,404 · median $4,317 | 8 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $6,348 – $7,195 · median $7,054 | 8 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $3,871 – $4,387 · median $4,301 | 8 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $4,387 – $4,972 · median $4,874 | 8 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $3,205 – $3,633 · median $3,562 | 8 plans |
| 539 | OSTEOMYELITIS WITH MCC | $9,654 – $10,941 · median $10,727 | 8 plans |
| 540 | OSTEOMYELITIS WITH CC | $6,178 – $7,001 · median $6,864 | 8 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,176 – $4,733 · median $4,640 | 8 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $8,903 – $10,090 · median $9,892 | 8 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $5,064 – $5,740 · median $5,627 | 8 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $3,607 – $4,088 · median $4,008 | 8 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $12,062 – $13,671 · median $13,403 | 8 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $5,526 – $6,263 · median $6,140 | 8 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,562 – $4,037 · median $3,958 | 8 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $9,617 – $10,899 · median $10,685 | 8 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $5,753 – $6,520 · median $6,392 | 8 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $4,115 – $4,664 · median $4,573 | 8 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $8,146 – $9,232 · median $9,051 | 8 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $4,601 – $5,214 · median $5,112 | 8 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $6,234 – $7,066 · median $6,927 | 8 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $3,984 – $4,515 · median $4,427 | 8 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $6,428 – $7,285 · median $7,142 | 8 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $3,898 – $4,417 · median $4,331 | 8 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $7,398 – $8,384 · median $8,220 | 8 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $4,123 – $4,673 · median $4,582 | 8 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,861 – $10,043 · median $9,846 | 8 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $5,436 – $6,160 · median $6,040 | 8 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $3,903 – $4,423 · median $4,337 | 8 plans |
| 562 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC | $6,986 – $7,918 · median $7,762 | 8 plans |
| 563 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC | $4,267 – $4,836 · median $4,741 | 8 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $7,491 – $8,490 · median $8,323 | 8 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $4,868 – $5,517 · median $5,408 | 8 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $3,571 – $4,047 · median $3,968 | 8 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $14,369 – $16,285 · median $15,966 | 8 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $7,992 – $9,058 · median $8,880 | 8 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $5,453 – $6,180 · median $6,059 | 8 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $29,397 – $33,316 · median $32,663 | 8 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $16,540 – $18,745 · median $18,378 | 8 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $9,531 – $10,802 · median $10,591 | 8 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $25,755 – $29,189 · median $28,617 | 8 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $12,711 – $14,406 · median $14,123 | 8 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $8,069 – $9,145 · median $8,966 | 8 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $15,559 – $17,634 · median $17,288 | 8 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $8,464 – $9,592 · median $9,404 | 8 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $6,870 – $7,786 · median $7,634 | 8 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $8,360 – $9,474 · median $9,288 | 8 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $7,842 – $8,887 · median $8,713 | 8 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $9,773 – $11,077 · median $10,859 | 8 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $9,476 – $10,740 · median $10,529 | 8 plans |
| 592 | SKIN ULCERS WITH MCC | $9,816 – $11,125 · median $10,907 | 8 plans |
| 593 | SKIN ULCERS WITH CC | $5,837 – $6,615 · median $6,485 | 8 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $4,051 – $4,592 · median $4,502 | 8 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $10,097 – $11,443 · median $11,218 | 8 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $5,161 – $5,849 · median $5,734 | 8 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $8,386 – $9,504 · median $9,318 | 8 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $5,150 – $5,837 · median $5,722 | 8 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,081 – $4,625 · median $4,534 | 8 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $4,566 – $5,175 · median $5,074 | 8 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,862 – $3,243 · median $3,180 | 8 plans |
| 602 | CELLULITIS WITH MCC | $7,013 – $7,948 · median $7,793 | 8 plans |
| 603 | CELLULITIS WITHOUT MCC | $4,205 – $4,765 · median $4,672 | 8 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $7,092 – $8,038 · median $7,880 | 8 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $4,409 – $4,997 · median $4,899 | 8 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $7,687 – $8,712 · median $8,541 | 8 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $4,125 – $4,675 · median $4,584 | 8 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $10,879 – $12,330 · median $12,088 | 8 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $6,841 – $7,753 · median $7,601 | 8 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $18,450 – $20,910 · median $20,500 | 8 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $9,221 – $10,450 · median $10,245 | 8 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $5,944 – $6,736 · median $6,604 | 8 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $13,015 – $14,751 · median $14,461 | 8 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $7,623 – $8,640 · median $8,470 | 8 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $6,978 – $7,908 · median $7,753 | 8 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $17,863 – $20,245 · median $19,848 | 8 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $9,131 – $10,348 · median $10,145 | 8 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $4,788 – $5,427 · median $5,320 | 8 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $13,686 – $15,511 · median $15,207 | 8 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $7,205 – $8,165 · median $8,005 | 8 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $6,048 – $6,854 · median $6,720 | 8 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $18,835 – $21,347 · median $20,928 | 8 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $10,736 – $12,168 · median $11,929 | 8 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $6,689 – $7,581 · median $7,433 | 8 plans |
| 637 | DIABETES WITH MCC | $6,952 – $7,879 · median $7,724 | 8 plans |
| 638 | DIABETES WITH CC | $4,378 – $4,962 · median $4,865 | 8 plans |
| 639 | DIABETES WITHOUT CC/MCC | $2,991 – $3,390 · median $3,323 | 8 plans |
| 640 | Nutritional & misc metabolic disorders w MCC | $6,339 – $7,185 · median $7,044 | 8 plans |
| 641 | Nutritional & misc metabolic disorders w/o MCC | $3,730 – $4,227 · median $4,145 | 8 plans |
| 642 | Inborn errors of metabolism | $5,925 – $6,714 · median $6,583 | 8 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $7,911 – $8,966 · median $8,790 | 8 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $4,933 – $5,591 · median $5,481 | 8 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $3,717 – $4,213 · median $4,130 | 8 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $21,993 – $24,926 · median $24,437 | 8 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $16,576 – $18,787 · median $18,418 | 8 plans |
| 652 | Kidney transplant | $14,662 – $16,617 · median $16,291 | 8 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $26,611 – $30,159 · median $29,568 | 8 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $13,472 – $15,268 · median $14,968 | 8 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,916 – $11,238 · median $11,018 | 8 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $15,552 – $17,626 · median $17,280 | 8 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $8,727 – $9,890 · median $9,696 | 8 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $7,179 – $8,137 · median $7,977 | 8 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $12,336 – $13,981 · median $13,707 | 8 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $6,397 – $7,250 · median $7,107 | 8 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $4,901 – $5,554 · median $5,445 | 8 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $14,892 – $16,877 · median $16,546 | 8 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $7,291 – $8,263 · median $8,101 | 8 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $5,155 – $5,842 · median $5,727 | 8 plans |
| 665 | PROSTATECTOMY WITH MCC | $16,391 – $18,576 · median $18,212 | 8 plans |
| 666 | PROSTATECTOMY WITH CC | $7,864 – $8,912 · median $8,737 | 8 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $4,906 – $5,560 · median $5,451 | 8 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $13,921 – $15,777 · median $15,468 | 8 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $7,387 – $8,372 · median $8,208 | 8 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $4,562 – $5,170 · median $5,069 | 8 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $8,228 – $9,325 · median $9,143 | 8 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $5,224 – $5,921 · median $5,805 | 8 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $19,999 – $22,666 · median $22,222 | 8 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $11,019 – $12,489 · median $12,244 | 8 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $7,472 – $8,468 · median $8,302 | 8 plans |
| 682 | RENAL FAILURE WITH MCC | $7,169 – $8,125 · median $7,966 | 8 plans |
| 683 | RENAL FAILURE WITH CC | $4,243 – $4,809 · median $4,715 | 8 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $2,899 – $3,286 · median $3,222 | 8 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $9,002 – $10,202 · median $10,002 | 8 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $5,025 – $5,695 · median $5,584 | 8 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $3,457 – $3,918 · median $3,841 | 8 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $5,587 – $6,331 · median $6,207 | 8 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $3,831 – $4,342 · median $4,257 | 8 plans |
| 693 | URINARY STONES WITH MCC | $7,019 – $7,955 · median $7,799 | 8 plans |
| 694 | URINARY STONES WITHOUT MCC | $3,730 – $4,227 · median $4,145 | 8 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $5,384 – $6,101 · median $5,982 | 8 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $3,302 – $3,743 · median $3,669 | 8 plans |
| 697 | Urethral stricture | $4,782 – $5,420 · median $5,314 | 8 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $8,024 – $9,094 · median $8,915 | 8 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $4,869 – $5,518 · median $5,410 | 8 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $3,314 – $3,756 · median $3,682 | 8 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $9,264 – $10,499 · median $10,293 | 8 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $7,077 – $8,020 · median $7,863 | 8 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $10,727 – $12,157 · median $11,919 | 8 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $7,167 – $8,123 · median $7,963 | 8 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $9,120 – $10,337 · median $10,134 | 8 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $5,106 – $5,787 · median $5,673 | 8 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $6,903 – $7,823 · median $7,670 | 8 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $4,486 – $5,084 · median $4,984 | 8 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $10,780 – $12,218 · median $11,978 | 8 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $6,775 – $7,679 · median $7,528 | 8 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $8,857 – $10,038 · median $9,842 | 8 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,881 – $6,665 · median $6,534 | 8 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $8,253 – $9,353 · median $9,170 | 8 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $5,360 – $6,075 · median $5,956 | 8 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,478 – $3,942 · median $3,864 | 8 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $6,027 – $6,831 · median $6,697 | 8 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $3,553 – $4,027 · median $3,948 | 8 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $7,014 – $7,950 · median $7,794 | 8 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $3,901 – $4,421 · median $4,334 | 8 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $5,255 – $5,956 · median $5,839 | 8 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,897 – $3,283 · median $3,219 | 8 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $10,038 – $11,376 · median $11,153 | 8 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $5,795 – $6,567 · median $6,439 | 8 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $18,797 – $21,303 · median $20,885 | 8 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $9,540 – $10,812 · median $10,600 | 8 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $7,241 – $8,207 · median $8,046 | 8 plans |
| 739 | Uterine,adnexa proc for non-ovarian/adnexal malig w MCC | $19,003 – $21,537 · median $21,115 | 8 plans |
| 740 | Uterine,adnexa proc for non-ovarian/adnexal malig w CC | $8,680 – $9,837 · median $9,644 | 8 plans |
| 741 | Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC | $6,557 – $7,431 · median $7,286 | 8 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $8,720 – $9,883 · median $9,689 | 8 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $5,722 – $6,485 · median $6,358 | 8 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $9,328 – $10,571 · median $10,364 | 8 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $4,892 – $5,544 · median $5,436 | 8 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $7,994 – $9,060 · median $8,882 | 8 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $4,560 – $5,168 · median $5,066 | 8 plans |
| 748 | Female reproductive system reconstructive procedures | $6,503 – $7,370 · median $7,226 | 8 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $12,357 – $14,005 · median $13,730 | 8 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $6,156 – $6,976 · median $6,840 | 8 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,637 – $9,788 · median $9,597 | 8 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,299 – $6,006 · median $5,888 | 8 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,559 – $5,167 · median $5,065 | 8 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $6,756 – $7,657 · median $7,507 | 8 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $4,866 – $5,514 · median $5,406 | 8 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,055 – $3,462 · median $3,395 | 8 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $4,705 – $5,332 · median $5,228 | 8 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,026 – $3,429 · median $3,362 | 8 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,233 – $5,931 · median $5,815 | 8 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $6,633 – $7,517 · median $7,370 | 8 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $5,136 – $5,821 · median $5,707 | 8 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,406 – $3,860 · median $3,784 | 8 plans |
| 779 | ABORTION WITHOUT D&C | $4,462 – $5,057 · median $4,958 | 8 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $8,793 – $9,966 · median $9,771 | 8 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $5,170 – $5,859 · median $5,744 | 8 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $4,170 – $4,726 · median $4,633 | 8 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $7,714 – $8,742 · median $8,571 | 8 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $5,069 – $5,744 · median $5,632 | 8 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $4,319 – $4,895 · median $4,799 | 8 plans |
| 789 | Neonates, died or transferred to another acute care facility | $8,605 – $9,752 · median $9,561 | 8 plans |
| 790 | Extreme immaturity or respiratory distress syndrome, neonate | $28,378 – $32,162 · median $31,531 | 8 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $19,380 – $21,964 · median $21,534 | 8 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $11,694 – $13,253 · median $12,993 | 8 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $19,908 – $22,563 · median $22,120 | 8 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $7,047 – $7,986 · median $7,830 | 8 plans |
| 795 | Normal newborn | $954 – $1,081 · median $1,060 | 8 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $6,094 – $6,907 · median $6,771 | 8 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,622 – $5,238 · median $5,135 | 8 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $4,622 – $5,238 · median $5,135 | 8 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $22,698 – $25,724 · median $25,219 | 8 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $13,909 – $15,764 · median $15,455 | 8 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $7,837 – $8,882 · median $8,708 | 8 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $17,112 – $19,394 · median $19,014 | 8 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $8,497 – $9,630 · median $9,441 | 8 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $5,278 – $5,981 · median $5,864 | 8 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,764 – $5,399 · median $5,293 | 8 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,454 – $3,915 · median $3,838 | 8 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,042 – $3,448 · median $3,380 | 8 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $10,933 – $12,391 · median $12,148 | 8 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $5,912 – $6,700 · median $6,569 | 8 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $4,544 – $5,149 · median $5,048 | 8 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $6,716 – $7,611 · median $7,462 | 8 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $4,406 – $4,993 · median $4,895 | 8 plans |
| 813 | Coagulation disorders | $7,390 – $8,375 · median $8,211 | 8 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $9,979 – $11,310 · median $11,088 | 8 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $4,850 – $5,497 · median $5,389 | 8 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,148 – $3,567 · median $3,497 | 8 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $12,102 – $13,715 · median $13,446 | 8 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $6,148 – $6,968 · median $6,832 | 8 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,898 – $4,417 · median $4,331 | 8 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $27,793 – $31,499 · median $30,881 | 8 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $10,657 – $12,077 · median $11,841 | 8 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $5,460 – $6,188 · median $6,066 | 8 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $22,338 – $25,316 · median $24,820 | 8 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $10,499 – $11,899 · median $11,666 | 8 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $5,875 – $6,659 · median $6,528 | 8 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $22,796 – $25,836 · median $25,329 | 8 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $11,265 – $12,767 · median $12,517 | 8 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,652 – $8,672 · median $8,502 | 8 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $14,721 – $16,684 · median $16,356 | 8 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $6,981 – $7,912 · median $7,757 | 8 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $5,494 – $6,227 · median $6,105 | 8 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $3,568 – $4,043 · median $3,964 | 8 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,481 – $2,812 · median $2,757 | 8 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $26,385 – $29,903 · median $29,317 | 8 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $10,196 – $11,555 · median $11,329 | 8 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,066 – $6,875 · median $6,740 | 8 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $23,902 – $27,089 · median $26,558 | 8 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $9,682 – $10,973 · median $10,758 | 8 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,542 – $7,414 · median $7,269 | 8 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $15,223 – $17,253 · median $16,914 | 8 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $7,485 – $8,483 · median $8,317 | 8 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $5,021 – $5,691 · median $5,579 | 8 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $9,038 – $10,243 · median $10,042 | 8 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $5,705 – $6,466 · median $6,339 | 8 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $3,995 – $4,527 · median $4,438 | 8 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $12,191 – $13,816 · median $13,545 | 8 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $6,066 – $6,875 · median $6,740 | 8 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $3,909 – $4,430 · median $4,343 | 8 plans |
| 849 | RADIOTHERAPY | $12,751 – $14,451 · median $14,168 | 8 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $43,974 – $49,837 · median $48,860 | 8 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $23,874 – $27,057 · median $26,527 | 8 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $9,538 – $10,810 · median $10,598 | 8 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,760 – $8,795 · median $8,622 | 8 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $21,537 – $24,408 · median $23,930 | 8 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $10,401 – $11,788 · median $11,557 | 8 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,150 – $6,970 · median $6,834 | 8 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $8,777 – $9,948 · median $9,752 | 8 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $4,773 – $5,410 · median $5,303 | 8 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $4,287 – $4,858 · median $4,763 | 8 plans |
| 865 | VIRAL ILLNESS WITH MCC | $7,045 – $7,985 · median $7,828 | 8 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $4,224 – $4,787 · median $4,693 | 8 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $10,236 – $11,601 · median $11,373 | 8 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $5,013 – $5,681 · median $5,570 | 8 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $3,435 – $3,893 · median $3,817 | 8 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $33,208 – $37,635 · median $36,897 | 8 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $9,366 – $10,615 · median $10,407 | 8 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $4,922 – $5,578 · median $5,468 | 8 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $18,758 – $21,259 · median $20,843 | 8 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $4,576 – $5,186 · median $5,084 | 8 plans |
| 881 | Depressive neuroses | $4,364 – $4,945 · median $4,848 | 8 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $4,592 – $5,205 · median $5,102 | 8 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $8,850 – $10,030 · median $9,833 | 8 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $7,973 – $9,036 · median $8,859 | 8 plans |
| 885 | Psychoses | $6,729 – $7,626 · median $7,477 | 8 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $8,576 – $9,719 · median $9,529 | 8 plans |
| 887 | Other mental disorder diagnoses | $5,678 – $6,435 · median $6,309 | 8 plans |
| 894 | Alcohol/drug abuse or dependence, left AMA | $2,979 – $3,376 · median $3,310 | 8 plans |
| 895 | Alcohol/drug abuse or dependence w rehabilitation therapy | $6,912 – $7,833 · median $7,680 | 8 plans |
| 896 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC | $8,501 – $9,634 · median $9,445 | 8 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC | $4,211 – $4,773 · median $4,679 | 8 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $21,149 – $23,969 · median $23,499 | 8 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $9,058 – $10,266 · median $10,065 | 8 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $5,820 – $6,595 · median $6,466 | 8 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $18,431 – $20,889 · median $20,479 | 8 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $7,868 – $8,917 · median $8,742 | 8 plans |
| 906 | Hand procedures for injuries | $10,418 – $11,808 · median $11,576 | 8 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $19,017 – $21,552 · median $21,130 | 8 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $9,629 – $10,913 · median $10,699 | 8 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $6,054 – $6,862 · median $6,727 | 8 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $7,725 – $8,755 · median $8,583 | 8 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $4,375 – $4,958 · median $4,861 | 8 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $8,296 – $9,402 · median $9,218 | 8 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $3,170 – $3,593 · median $3,522 | 8 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $7,827 – $8,871 · median $8,697 | 8 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $4,223 – $4,786 · median $4,692 | 8 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $8,705 – $9,866 · median $9,672 | 8 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $4,850 – $5,496 · median $5,388 | 8 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $3,283 – $3,721 · median $3,648 | 8 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $8,065 – $9,140 · median $8,961 | 8 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $4,869 – $5,518 · median $5,410 | 8 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $113,243 – $128,342 · median $125,826 | 8 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $31,882 – $36,133 · median $35,425 | 8 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $15,182 – $17,206 · median $16,869 | 8 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $20,655 – $23,409 · median $22,950 | 8 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $10,243 – $11,609 · median $11,381 | 8 plans |
| 935 | Non-extensive burns | $10,485 – $11,883 · median $11,650 | 8 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $15,151 – $17,172 · median $16,835 | 8 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $10,079 – $11,423 · median $11,199 | 8 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $9,329 – $10,573 · median $10,366 | 8 plans |
| 945 | REHABILITATION WITH CC/MCC | $7,287 – $8,258 · median $8,097 | 8 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $5,330 – $6,040 · median $5,922 | 8 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $6,140 – $6,958 · median $6,822 | 8 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $3,793 – $4,298 · median $4,214 | 8 plans |
| 949 | AFTERCARE WITH CC/MCC | $5,151 – $5,837 · median $5,723 | 8 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $2,798 – $3,171 · median $3,109 | 8 plans |
| 951 | Other factors influencing health status | $2,707 – $3,068 · median $3,007 | 8 plans |
| 955 | Craniotomy for multiple significant trauma | $32,596 – $36,942 · median $36,217 | 8 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $18,247 – $20,679 · median $20,274 | 8 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $35,631 – $40,382 · median $39,590 | 8 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $19,619 – $22,234 · median $21,798 | 8 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $12,621 – $14,304 · median $14,023 | 8 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $12,968 – $14,698 · median $14,409 | 8 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $7,161 – $8,116 · median $7,957 | 8 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $4,356 – $4,937 · median $4,840 | 8 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $30,190 – $34,215 · median $33,544 | 8 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $12,666 – $14,355 · median $14,073 | 8 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $14,255 – $16,156 · median $15,839 | 8 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $6,785 – $7,690 · median $7,539 | 8 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $4,788 – $5,426 · median $5,320 | 8 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $6,883 – $7,801 · median $7,648 | 8 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $22,693 – $25,719 · median $25,215 | 8 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,687 – $13,246 · median $12,986 | 8 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,963 – $9,025 · median $8,848 | 8 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $16,720 – $18,950 · median $18,578 | 8 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $8,192 – $9,284 · median $9,102 | 8 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $5,516 – $6,251 · median $6,129 | 8 plans |
No procedures match that keyword.