Inspira Medical Center Mullica Hill — Pricing
792 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 792 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 792 procedures
Procedures with negotiated rates only
These 792 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $2,054 – $53,681 · median $18,918 | 12 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $2,925 – $177,026 · median $59,380 | 12 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $2,925 – $120,901 · median $40,968 | 12 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $2,054 – $72,950 · median $25,239 | 12 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $2,925 – $124,191 · median $42,048 | 12 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,054 – $43,956 · median $15,729 | 12 plans |
| 795 | NORMAL NEWBORN | $674 – $5,952 · median $3,261 | 12 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $3,838 – $27,544 · median $11,313 | 12 plans |
| 881 | DEPRESSIVE NEUROSES | $3,838 – $26,100 · median $10,853 | 12 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $3,838 – $26,613 · median $11,349 | 12 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $3,838 – $51,281 · median $20,584 | 12 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $3,838 – $46,444 · median $18,682 | 12 plans |
| 885 | PSYCHOSES | $3,838 – $38,991 · median $15,983 | 12 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $3,838 – $49,693 · median $19,989 | 12 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $3,838 – $38,656 · median $13,703 | 12 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $276,468 – $902,381 · median $647,115 | 11 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $108,954 – $467,217 · median $235,950 | 11 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $210,661 – $596,283 · median $509,129 | 11 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $139,336 – $392,718 · median $351,036 | 11 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $105,336 – $326,528 · median $247,158 | 11 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $48,678 – $146,575 · median $115,505 | 11 plans |
| 007 | LUNG TRANSPLANT | $128,970 – $361,496 · median $292,922 | 11 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $54,460 – $169,573 · median $125,649 | 11 plans |
| 010 | PANCREAS TRANSPLANT | $79,192 – $220,541 · median $112,980 | 11 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $54,018 – $156,718 · median $123,132 | 11 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $41,396 – $119,622 · median $95,637 | 11 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $27,195 – $85,010 · median $64,135 | 11 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $129,292 – $362,409 · median $273,686 | 11 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $60,270 – $210,240 · median $147,507 | 11 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $60,270 – $166,959 · median $126,170 | 11 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $369,702 – $1,168,818 · median $879,804 | 11 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $78,746 – $219,277 · median $190,885 | 11 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $80,053 – $322,618 · median $201,843 | 11 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $55,302 – $235,433 · median $133,998 | 11 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $35,795 – $151,144 · median $69,296 | 11 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $57,039 – $177,020 · median $135,371 | 11 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $38,445 – $122,936 · median $90,477 | 11 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $44,996 – $140,364 · median $105,454 | 11 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $31,187 – $95,565 · median $70,520 | 11 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $25,415 – $78,471 · median $58,098 | 11 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $60,696 – $181,739 · median $143,903 | 11 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $34,099 – $102,893 · median $81,865 | 11 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $23,048 – $73,556 · median $55,378 | 11 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $42,244 – $136,441 · median $98,304 | 11 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $22,170 – $69,177 · median $51,433 | 11 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $16,894 – $53,750 · median $38,755 | 11 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $39,295 – $124,157 · median $93,165 | 11 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $23,530 – $73,022 · median $54,912 | 11 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $19,215 – $57,810 · median $43,180 | 11 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $33,749 – $102,294 · median $80,609 | 11 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $17,049 – $51,771 · median $38,206 | 11 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $12,427 – $35,551 · median $27,247 | 11 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $38,156 – $120,620 · median $91,950 | 11 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $23,368 – $73,334 · median $53,269 | 11 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $18,478 – $59,336 · median $41,546 | 11 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $20,968 – $57,848 · median $46,435 | 11 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $10,310 – $35,467 · median $23,117 | 11 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $15,953 – $42,705 · median $35,187 | 11 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $11,966 – $32,602 · median $25,628 | 11 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $25,770 – $69,266 · median $57,169 | 11 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $14,344 – $39,559 · median $32,553 | 11 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $19,340 – $54,237 · median $41,262 | 11 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $13,262 – $35,183 · median $28,350 | 11 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $10,026 – $28,641 · median $21,430 | 11 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $27,717 – $90,234 · median $66,931 | 11 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $18,706 – $62,055 · median $44,681 | 11 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $15,032 – $53,360 · median $35,245 | 11 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $20,740 – $59,889 · median $47,832 | 11 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $11,243 – $31,834 · median $24,272 | 11 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $8,033 – $22,209 · median $16,418 | 11 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $15,521 – $44,499 · median $33,836 | 11 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $9,920 – $27,743 · median $20,799 | 11 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $9,125 – $24,565 · median $19,073 | 11 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $18,294 – $52,420 · median $42,733 | 11 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $11,604 – $32,179 · median $25,356 | 11 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $8,637 – $24,085 · median $18,698 | 11 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $16,407 – $45,345 · median $36,130 | 11 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $11,492 – $31,803 · median $24,506 | 11 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $18,134 – $53,704 · median $41,703 | 11 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $10,266 – $30,739 · median $22,029 | 11 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $16,414 – $47,842 · median $36,080 | 11 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $11,057 – $30,009 · median $24,284 | 11 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $7,822 – $22,746 · median $16,599 | 11 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $20,727 – $65,397 · median $49,400 | 11 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $10,147 – $27,324 · median $21,719 | 11 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $23,974 – $70,656 · median $54,406 | 11 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $14,891 – $41,946 · median $32,391 | 11 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $10,649 – $28,264 · median $21,962 | 11 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $23,444 – $72,148 · median $54,274 | 11 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $14,121 – $39,777 · median $31,452 | 11 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $9,944 – $26,953 · median $21,162 | 11 plans |
| 088 | CONCUSSION WITH MCC | $15,089 – $46,623 · median $35,393 | 11 plans |
| 089 | CONCUSSION WITH CC | $11,782 – $34,989 · median $26,898 | 11 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $9,683 – $26,672 · median $21,509 | 11 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $19,116 – $51,521 · median $42,726 | 11 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $11,651 – $30,864 · median $24,503 | 11 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $9,019 – $24,412 · median $18,493 | 11 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $36,951 – $113,539 · median $86,510 | 11 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $24,726 – $78,253 · median $56,935 | 11 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $24,726 – $72,804 · median $52,051 | 11 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $36,325 – $117,362 · median $86,849 | 11 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $22,500 – $65,931 · median $51,449 | 11 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $14,919 – $43,753 · median $31,526 | 11 plans |
| 100 | SEIZURES WITH MCC | $20,702 – $58,562 · median $47,342 | 11 plans |
| 101 | SEIZURES WITHOUT MCC | $10,313 – $27,727 · median $21,721 | 11 plans |
| 102 | HEADACHES WITH MCC | $12,635 – $35,988 · median $28,814 | 11 plans |
| 103 | HEADACHES WITHOUT MCC | $9,614 – $25,889 · median $20,117 | 11 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $23,352 – $68,487 · median $56,129 | 11 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $12,856 – $45,180 · median $29,415 | 11 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $16,264 – $45,460 · median $37,358 | 11 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $17,609 – $58,759 · median $41,864 | 11 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $11,845 – $32,496 · median $25,395 | 11 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $12,672 – $37,159 · median $29,184 | 11 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,935 – $21,411 · median $17,018 | 11 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $9,155 – $24,343 · median $19,200 | 11 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $14,046 – $43,756 · median $31,567 | 11 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $9,375 – $26,288 · median $19,044 | 11 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $24,862 – $71,519 · median $60,492 | 11 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $10,864 – $39,184 · median $22,426 | 11 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $14,971 – $47,118 · median $35,089 | 11 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $9,256 – $26,920 · median $20,410 | 11 plans |
| 139 | SALIVARY GLAND PROCEDURES | $14,721 – $38,516 · median $28,362 | 11 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $42,621 – $124,150 · median $90,221 | 11 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $22,296 – $68,852 · median $49,472 | 11 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $16,669 – $50,193 · median $36,895 | 11 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $33,563 – $93,000 · median $79,415 | 11 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $18,469 – $54,976 · median $41,324 | 11 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $12,883 – $38,220 · median $29,160 | 11 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $23,719 – $63,703 · median $50,411 | 11 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $13,469 – $40,607 · median $29,511 | 11 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $9,131 – $25,021 · median $19,150 | 11 plans |
| 149 | DYSEQUILIBRIUM | $8,611 – $23,239 · median $17,783 | 11 plans |
| 150 | EPISTAXIS WITH MCC | $14,811 – $41,431 · median $31,390 | 11 plans |
| 151 | EPISTAXIS WITHOUT MCC | $8,713 – $23,694 · median $18,404 | 11 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $12,394 – $35,843 · median $28,374 | 11 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $8,261 – $22,259 · median $17,547 | 11 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $17,195 – $48,276 · median $36,732 | 11 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $10,429 – $28,385 · median $22,605 | 11 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $7,877 – $21,151 · median $15,653 | 11 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $17,305 – $49,342 · median $40,763 | 11 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $10,497 – $28,196 · median $22,411 | 11 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $7,752 – $23,093 · median $16,124 | 11 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $46,333 – $156,262 · median $112,561 | 11 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $25,896 – $82,881 · median $60,904 | 11 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $19,517 – $59,817 · median $44,808 | 11 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $38,920 – $116,210 · median $96,600 | 11 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $19,158 – $56,762 · median $43,457 | 11 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,534 – $42,271 · median $32,374 | 11 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $15,074 – $48,251 · median $33,504 | 11 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $9,265 – $27,708 · median $19,477 | 11 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $17,100 – $57,710 · median $40,510 | 11 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $11,000 – $37,695 · median $23,562 | 11 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $8,828 – $27,237 · median $18,228 | 11 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $18,382 – $54,302 · median $41,508 | 11 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $12,155 – $34,958 · median $26,294 | 11 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $9,490 – $27,011 · median $18,125 | 11 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $16,814 – $48,653 · median $37,599 | 11 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $11,743 – $32,486 · median $25,119 | 11 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $8,906 – $24,185 · median $18,046 | 11 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $16,743 – $48,182 · median $37,064 | 11 plans |
| 187 | PLEURAL EFFUSION WITH CC | $11,116 – $32,237 · median $23,792 | 11 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $8,481 – $22,768 · median $17,826 | 11 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $13,396 – $38,267 · median $29,420 | 11 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $12,279 – $35,114 · median $26,316 | 11 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $9,701 – $27,599 · median $20,274 | 11 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $7,631 – $21,710 · median $15,326 | 11 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $14,181 – $40,948 · median $31,679 | 11 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $9,319 – $26,962 · median $19,634 | 11 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $7,392 – $20,780 · median $14,939 | 11 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $19,714 – $54,262 · median $45,262 | 11 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $10,980 – $31,428 · median $23,820 | 11 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $8,151 – $23,202 · median $16,885 | 11 plans |
| 199 | PNEUMOTHORAX WITH MCC | $18,553 – $55,866 · median $42,366 | 11 plans |
| 200 | PNEUMOTHORAX WITH CC | $12,128 – $33,598 · median $25,719 | 11 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $7,923 – $22,467 · median $16,862 | 11 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $10,752 – $30,180 · median $22,865 | 11 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $8,114 – $22,065 · median $16,594 | 11 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $9,231 – $24,787 · median $19,651 | 11 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $19,750 – $52,583 · median $43,230 | 11 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $10,157 – $27,652 · median $21,814 | 11 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $64,483 – $188,690 · median $162,256 | 11 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $27,525 – $79,423 · median $64,567 | 11 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $104,803 – $329,528 · median $243,929 | 11 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $95,585 – $313,327 · median $231,763 | 11 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $64,392 – $202,350 · median $152,003 | 11 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $59,424 – $190,671 · median $136,037 | 11 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $76,892 – $251,478 · median $184,143 | 11 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $53,049 – $168,699 · median $125,241 | 11 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $46,171 – $142,939 · median $111,009 | 11 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $49,988 – $166,359 · median $120,324 | 11 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $31,653 – $107,400 · median $75,929 | 11 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $84,085 – $272,023 · median $193,791 | 11 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $60,981 – $185,818 · median $142,053 | 11 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $77,663 – $247,255 · median $186,254 | 11 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $53,279 – $166,537 · median $124,126 | 11 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $58,788 – $190,509 · median $140,429 | 11 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $41,478 – $127,867 · median $96,504 | 11 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $50,511 – $150,307 · median $114,786 | 11 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $29,757 – $87,038 · median $67,084 | 11 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $16,058 – $49,699 · median $33,188 | 11 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $34,443 – $116,338 · median $82,508 | 11 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $23,315 – $78,602 · median $54,389 | 11 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $18,938 – $64,396 · median $43,688 | 11 plans |
| 245 | AICD GENERATOR PROCEDURES | $49,045 – $169,090 · median $108,210 | 11 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $23,899 – $78,705 · median $56,137 | 11 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $16,573 – $51,759 · median $37,895 | 11 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $34,818 – $103,795 · median $80,089 | 11 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $26,248 – $82,819 · median $60,920 | 11 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $18,398 – $56,674 · median $41,434 | 11 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $26,868 – $79,127 · median $65,608 | 11 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $17,854 – $51,315 · median $39,156 | 11 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $10,021 – $36,366 · median $19,886 | 11 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $28,714 – $98,876 · median $64,681 | 11 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $18,479 – $65,204 · median $44,099 | 11 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $34,582 – $111,335 · median $79,167 | 11 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $19,845 – $62,230 · median $44,937 | 11 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $16,135 – $53,251 · median $38,080 | 11 plans |
| 263 | VEIN LIGATION AND STRIPPING | $27,509 – $81,066 · median $67,291 | 11 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $35,451 – $101,545 · median $77,992 | 11 plans |
| 265 | AICD LEAD PROCEDURES | $36,155 – $105,037 · median $84,394 | 11 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $59,829 – $219,965 · median $149,157 | 11 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $47,266 – $174,714 · median $116,539 | 11 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $66,441 – $217,325 · median $163,690 | 11 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $41,952 – $134,674 · median $99,307 | 11 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $51,450 – $161,886 · median $120,759 | 11 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $34,955 – $111,276 · median $82,534 | 11 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $25,751 – $83,902 · median $58,255 | 11 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $39,506 – $119,431 · median $93,060 | 11 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $31,796 – $102,575 · median $77,390 | 11 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $17,343 – $50,151 · median $37,886 | 11 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $10,314 – $29,044 · median $21,802 | 11 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $8,392 – $22,662 · median $17,148 | 11 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $20,410 – $58,197 · median $47,077 | 11 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $8,547 – $22,680 · median $17,664 | 11 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $6,793 – $17,168 · median $11,670 | 11 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $22,929 – $66,674 · median $51,476 | 11 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $11,954 – $34,802 · median $25,829 | 11 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $27,991 – $83,811 · median $61,921 | 11 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $16,711 – $51,297 · median $35,287 | 11 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $10,872 – $36,071 · median $24,482 | 11 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $14,055 – $39,584 · median $30,660 | 11 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $9,722 – $26,950 · median $20,453 | 11 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $6,669 – $18,411 · median $13,409 | 11 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $13,305 – $40,036 · median $26,118 | 11 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $9,024 – $30,714 · median $15,080 | 11 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $17,314 – $49,786 · median $38,284 | 11 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $8,190 – $22,065 · median $17,399 | 11 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $5,624 – $15,651 · median $10,481 | 11 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $17,110 – $47,832 · median $37,640 | 11 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $11,767 – $32,577 · median $25,480 | 11 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $8,278 – $23,192 · median $16,950 | 11 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $12,673 – $36,074 · median $26,772 | 11 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $7,877 – $21,148 · median $15,715 | 11 plans |
| 304 | HYPERTENSION WITH MCC | $12,785 – $34,237 · median $27,438 | 11 plans |
| 305 | HYPERTENSION WITHOUT MCC | $8,642 – $23,092 · median $17,994 | 11 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $15,936 – $47,046 · median $36,699 | 11 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $10,358 – $27,692 · median $22,509 | 11 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $13,089 – $37,480 · median $28,709 | 11 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $8,531 – $23,423 · median $17,783 | 11 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $6,774 – $17,453 · median $13,206 | 11 plans |
| 311 | ANGINA PECTORIS | $8,130 – $21,800 · median $16,671 | 11 plans |
| 312 | SYNCOPE AND COLLAPSE | $9,820 – $26,176 · median $20,620 | 11 plans |
| 313 | CHEST PAIN | $8,278 – $22,515 · median $17,280 | 11 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $22,345 – $65,063 · median $49,993 | 11 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $10,709 – $30,380 · median $23,099 | 11 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,978 – $22,577 · median $16,542 | 11 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $44,220 – $134,762 · median $104,162 | 11 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $23,921 – $75,079 · median $53,157 | 11 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $50,923 – $165,922 · median $121,287 | 11 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $25,028 – $80,044 · median $59,638 | 11 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $16,875 – $52,024 · median $38,144 | 11 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $46,164 – $152,498 · median $107,861 | 11 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $24,399 – $79,564 · median $56,646 | 11 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $17,437 – $53,385 · median $39,927 | 11 plans |
| 332 | RECTAL RESECTION WITH MCC | $35,193 – $129,880 · median $86,627 | 11 plans |
| 333 | RECTAL RESECTION WITH CC | $22,070 – $66,830 · median $49,658 | 11 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $17,511 – $50,558 · median $38,330 | 11 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $36,704 – $122,140 · median $85,371 | 11 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $21,943 – $71,511 · median $50,275 | 11 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $16,304 – $51,100 · median $35,734 | 11 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $27,630 – $87,962 · median $65,441 | 11 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $15,851 – $49,274 · median $36,790 | 11 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,474 – $39,805 · median $30,753 | 11 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $24,429 – $76,923 · median $59,381 | 11 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $13,606 – $42,074 · median $31,077 | 11 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $9,914 – $30,564 · median $22,101 | 11 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $24,936 – $76,614 · median $57,312 | 11 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $16,006 – $46,587 · median $34,760 | 11 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $12,080 – $34,468 · median $26,483 | 11 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $29,960 – $94,407 · median $69,832 | 11 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $17,926 – $55,704 · median $41,021 | 11 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $14,332 – $42,452 · median $32,539 | 11 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $42,978 – $134,446 · median $102,175 | 11 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $23,307 – $70,800 · median $52,460 | 11 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,546 – $42,105 · median $30,593 | 11 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $17,622 – $60,831 · median $39,450 | 11 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $11,249 – $33,619 · median $23,601 | 11 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $8,127 – $23,348 · median $17,512 | 11 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $18,384 – $54,031 · median $41,735 | 11 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $11,364 – $32,124 · median $24,890 | 11 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $8,395 – $23,239 · median $17,110 | 11 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $21,934 – $64,720 · median $50,124 | 11 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $13,311 – $37,689 · median $28,615 | 11 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $9,935 – $28,055 · median $21,287 | 11 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $19,070 – $56,215 · median $42,752 | 11 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $10,940 – $31,007 · median $23,493 | 11 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $7,529 – $19,887 · median $15,121 | 11 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $20,106 – $58,881 · median $46,530 | 11 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $11,948 – $33,061 · median $25,623 | 11 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $8,628 – $23,988 · median $18,080 | 11 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $13,658 – $40,966 · median $31,718 | 11 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $9,804 – $27,864 · median $20,912 | 11 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $17,181 – $50,632 · median $37,418 | 11 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $11,004 – $31,057 · median $23,202 | 11 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $7,857 – $22,306 · median $16,336 | 11 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $15,668 – $47,271 · median $34,710 | 11 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $9,139 – $25,692 · median $19,018 | 11 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $6,654 – $18,199 · median $13,349 | 11 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $13,857 – $38,988 · median $30,464 | 11 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $8,931 – $24,167 · median $18,760 | 11 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $17,485 – $51,846 · median $38,676 | 11 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $10,504 – $29,365 · median $22,373 | 11 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,526 – $20,333 · median $15,462 | 11 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $54,339 – $179,070 · median $131,464 | 11 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $28,743 – $89,913 · median $68,951 | 11 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $22,172 – $66,103 · median $51,366 | 11 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $35,511 – $117,128 · median $87,844 | 11 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $21,788 – $66,053 · median $46,740 | 11 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $16,461 – $50,080 · median $37,377 | 11 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $28,039 – $117,147 · median $68,076 | 11 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $22,131 – $71,081 · median $48,847 | 11 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $17,549 – $54,021 · median $36,049 | 11 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $35,535 – $113,239 · median $84,182 | 11 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $20,632 – $63,409 · median $47,182 | 11 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $14,694 – $44,390 · median $31,980 | 11 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $24,524 – $75,662 · median $55,349 | 11 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $17,509 – $52,714 · median $39,037 | 11 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $14,180 – $41,051 · median $31,359 | 11 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $35,787 – $109,750 · median $76,435 | 11 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $17,306 – $59,533 · median $40,825 | 11 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $15,663 – $45,367 · median $33,695 | 11 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $41,041 – $130,642 · median $93,392 | 11 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $23,613 – $71,287 · median $49,845 | 11 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $16,409 – $48,148 · median $38,253 | 11 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $20,446 – $58,700 · median $45,754 | 11 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $11,759 – $32,143 · median $24,620 | 11 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,113 – $19,614 · median $15,988 | 11 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $19,132 – $54,724 · median $42,026 | 11 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $12,325 – $35,002 · median $26,285 | 11 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $8,979 – $27,961 · median $19,700 | 11 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $17,561 – $49,867 · median $39,851 | 11 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $9,712 – $26,507 · median $20,422 | 11 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,318 – $19,007 · median $14,701 | 11 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $19,775 – $58,659 · median $43,657 | 11 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $10,747 – $29,025 · median $22,722 | 11 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,173 – $20,698 · median $17,067 | 11 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $17,763 – $52,171 · median $39,001 | 11 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $11,903 – $33,629 · median $25,953 | 11 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $9,097 – $25,486 · median $19,140 | 11 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $84,039 – $268,406 · median $201,294 | 11 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $57,374 – $202,737 · median $143,996 | 11 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $43,489 – $156,287 · median $108,200 | 11 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $61,255 – $189,810 · median $150,303 | 11 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $29,284 – $98,043 · median $67,970 | 11 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $54,068 – $167,607 · median $135,249 | 11 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $30,112 – $92,878 · median $71,673 | 11 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $18,268 – $58,479 · median $43,557 | 11 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $51,075 – $166,839 · median $123,856 | 11 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $34,768 – $111,654 · median $83,253 | 11 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $26,934 – $87,463 · median $63,750 | 11 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $33,239 – $96,311 · median $79,516 | 11 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $19,727 – $59,308 · median $44,935 | 11 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $48,757 – $156,665 · median $117,466 | 11 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $29,610 – $95,306 · median $70,575 | 11 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $24,435 – $79,242 · median $58,759 | 11 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $45,117 – $127,215 · median $102,751 | 11 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,382 – $68,547 · median $51,215 | 11 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,671 – $36,692 · median $28,104 | 11 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $34,902 – $104,831 · median $80,452 | 11 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $24,153 – $73,606 · median $56,923 | 11 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $18,656 – $56,474 · median $44,512 | 11 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $30,038 – $94,435 · median $70,420 | 11 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $21,577 – $65,419 · median $49,549 | 11 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $16,806 – $51,365 · median $37,931 | 11 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $26,201 – $74,458 · median $59,323 | 11 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $32,756 – $106,414 · median $78,661 | 11 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $22,027 – $67,083 · median $47,958 | 11 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $16,745 – $51,191 · median $36,892 | 11 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $20,508 – $66,352 · median $49,310 | 11 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,406 – $40,517 · median $29,556 | 11 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $35,998 – $108,299 · median $82,675 | 11 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $24,763 – $72,588 · median $57,353 | 11 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $19,726 – $57,792 · median $44,636 | 11 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $35,700 – $113,664 · median $85,519 | 11 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $20,582 – $61,996 · median $47,462 | 11 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $14,424 – $45,301 · median $33,684 | 11 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $25,973 – $80,637 · median $62,351 | 11 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $12,648 – $39,288 · median $27,565 | 11 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $32,262 – $99,544 · median $77,438 | 11 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $18,743 – $54,745 · median $41,449 | 11 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $14,957 – $41,597 · median $33,019 | 11 plans |
| 503 | FOOT PROCEDURES WITH MCC | $27,162 – $82,413 · median $64,044 | 11 plans |
| 504 | FOOT PROCEDURES WITH CC | $18,453 – $55,398 · median $41,243 | 11 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $18,453 – $55,398 · median $40,732 | 11 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $15,953 – $46,303 · median $34,927 | 11 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $20,242 – $64,321 · median $48,627 | 11 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $13,916 – $43,997 · median $31,148 | 11 plans |
| 509 | ARTHROSCOPY | $18,469 – $52,636 · median $31,670 | 11 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $29,228 – $85,631 · median $64,968 | 11 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $20,467 – $61,403 · median $47,612 | 11 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $17,015 – $48,516 · median $38,538 | 11 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $16,016 – $49,062 · median $37,774 | 11 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $11,269 – $31,182 · median $24,871 | 11 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $31,517 – $98,018 · median $75,497 | 11 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $20,960 – $61,259 · median $48,734 | 11 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $15,890 – $44,732 · median $35,686 | 11 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $36,319 – $111,947 · median $87,205 | 11 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $20,571 – $61,172 · median $47,010 | 11 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $15,309 – $44,265 · median $34,184 | 11 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $29,781 – $95,696 · median $71,501 | 11 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $21,902 – $68,331 · median $50,439 | 11 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $16,205 – $44,200 · median $38,258 | 11 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $9,260 – $24,662 · median $19,343 | 11 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $14,300 – $38,476 · median $30,965 | 11 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $9,230 – $24,085 · median $18,796 | 11 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $10,286 – $30,026 · median $23,057 | 11 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $7,869 – $22,571 · median $16,847 | 11 plans |
| 539 | OSTEOMYELITIS WITH MCC | $21,065 – $60,788 · median $47,387 | 11 plans |
| 540 | OSTEOMYELITIS WITH CC | $13,950 – $40,623 · median $31,001 | 11 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $9,855 – $26,316 · median $20,487 | 11 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $19,528 – $56,465 · median $43,550 | 11 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $11,672 – $32,748 · median $26,046 | 11 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $8,691 – $24,272 · median $18,328 | 11 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $25,993 – $78,122 · median $59,538 | 11 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $12,618 – $37,702 · median $28,639 | 11 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,598 – $27,788 · median $18,721 | 11 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $20,988 – $64,005 · median $46,561 | 11 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $13,081 – $39,009 · median $28,804 | 11 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $9,730 – $31,590 · median $21,629 | 11 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $17,978 – $50,791 · median $40,641 | 11 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $10,724 – $29,444 · median $23,075 | 11 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $14,067 – $39,684 · median $32,274 | 11 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $9,462 – $25,095 · median $19,625 | 11 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,463 – $42,711 · median $33,408 | 11 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $9,285 – $25,240 · median $19,687 | 11 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $16,447 – $43,666 · median $37,176 | 11 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $9,747 – $26,884 · median $20,976 | 11 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $19,442 – $58,216 · median $44,190 | 11 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $12,432 – $33,582 · median $27,035 | 11 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $9,296 – $24,731 · median $18,631 | 11 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $15,605 – $44,062 · median $36,314 | 11 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $10,040 – $27,221 · median $21,387 | 11 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $16,638 – $47,552 · median $37,298 | 11 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $11,270 – $31,500 · median $23,866 | 11 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $8,617 – $23,467 · median $17,922 | 11 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $30,714 – $88,689 · median $69,782 | 11 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $17,664 – $51,041 · median $40,403 | 11 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $12,468 – $36,011 · median $27,214 | 11 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $61,465 – $172,875 · median $148,488 | 11 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $35,155 – $104,374 · median $81,331 | 11 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $20,814 – $60,099 · median $48,858 | 11 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $54,012 – $162,583 · median $135,363 | 11 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $27,320 – $79,573 · median $63,261 | 11 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $17,822 – $50,501 · median $38,459 | 11 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $33,148 – $98,152 · median $79,812 | 11 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $18,628 – $53,956 · median $41,709 | 11 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $15,368 – $42,970 · median $32,159 | 11 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $18,415 – $56,830 · median $39,810 | 11 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $17,356 – $48,110 · median $36,343 | 11 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $21,309 – $62,553 · median $46,771 | 11 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $20,700 – $54,910 · median $40,214 | 11 plans |
| 592 | SKIN ULCERS WITH MCC | $21,396 – $56,879 · median $49,912 | 11 plans |
| 593 | SKIN ULCERS WITH CC | $13,253 – $35,598 · median $28,892 | 11 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $9,599 – $25,467 · median $18,803 | 11 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $21,970 – $62,935 · median $51,939 | 11 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $11,870 – $32,828 · median $24,095 | 11 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $18,469 – $51,309 · median $38,220 | 11 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $11,848 – $34,734 · median $26,614 | 11 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $9,660 – $23,647 · median $14,839 | 11 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $10,653 – $31,385 · median $24,000 | 11 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,165 – $21,784 · median $14,868 | 11 plans |
| 602 | CELLULITIS WITH MCC | $15,661 – $45,255 · median $35,522 | 11 plans |
| 603 | CELLULITIS WITHOUT MCC | $9,913 – $26,849 · median $21,127 | 11 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $15,822 – $46,125 · median $35,968 | 11 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $10,332 – $28,211 · median $21,702 | 11 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $17,039 – $47,193 · median $37,869 | 11 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $9,751 – $25,892 · median $21,337 | 11 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $23,571 – $74,583 · median $53,787 | 11 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $15,307 – $49,156 · median $35,130 | 11 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $39,064 – $123,785 · median $94,510 | 11 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $20,178 – $63,350 · median $47,390 | 11 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $13,472 – $40,673 · median $27,737 | 11 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $27,943 – $95,556 · median $61,813 | 11 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $16,909 – $55,014 · median $38,738 | 11 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $15,588 – $49,845 · median $36,233 | 11 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $37,862 – $112,821 · median $91,355 | 11 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $19,994 – $58,410 · median $44,450 | 11 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,108 – $34,297 · median $24,986 | 11 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $29,316 – $88,643 · median $69,758 | 11 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $16,052 – $51,587 · median $35,627 | 11 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $13,685 – $38,070 · median $29,516 | 11 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $39,852 – $114,834 · median $95,866 | 11 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $23,279 – $73,197 · median $54,036 | 11 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $14,997 – $43,984 · median $33,344 | 11 plans |
| 637 | DIABETES WITH MCC | $15,535 – $42,964 · median $34,609 | 11 plans |
| 638 | DIABETES WITH CC | $10,269 – $27,446 · median $21,478 | 11 plans |
| 639 | DIABETES WITHOUT CC/MCC | $7,430 – $19,026 · median $14,865 | 11 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $14,281 – $38,413 · median $31,407 | 11 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $8,942 – $23,671 · median $18,660 | 11 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $13,433 – $41,697 · median $31,123 | 11 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $17,498 – $52,049 · median $39,285 | 11 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $11,404 – $31,828 · median $25,353 | 11 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $8,916 – $23,988 · median $18,170 | 11 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $46,315 – $141,091 · median $107,400 | 11 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $35,230 – $115,427 · median $82,587 | 11 plans |
| 652 | KIDNEY TRANSPLANT | $31,312 – $99,407 · median $71,745 | 11 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $55,764 – $170,382 · median $129,277 | 11 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $28,876 – $90,596 · median $65,372 | 11 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $21,601 – $64,926 · median $50,334 | 11 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $33,134 – $102,525 · median $74,926 | 11 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $19,167 – $60,382 · median $44,039 | 11 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $16,001 – $49,246 · median $35,352 | 11 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $26,553 – $83,218 · median $61,823 | 11 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $14,399 – $45,039 · median $32,140 | 11 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $11,337 – $33,198 · median $25,036 | 11 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $31,782 – $91,673 · median $71,561 | 11 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $16,229 – $49,920 · median $34,841 | 11 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $11,857 – $36,946 · median $25,351 | 11 plans |
| 665 | PROSTATECTOMY WITH MCC | $34,850 – $94,977 · median $73,768 | 11 plans |
| 666 | PROSTATECTOMY WITH CC | $17,400 – $54,296 · median $41,012 | 11 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $11,349 – $31,132 · median $25,064 | 11 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $29,797 – $87,585 · median $67,294 | 11 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $16,426 – $48,797 · median $36,646 | 11 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $10,645 – $30,539 · median $22,987 | 11 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $18,147 – $55,594 · median $40,880 | 11 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $12,000 – $35,904 · median $22,034 | 11 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $42,235 – $115,889 · median $88,308 | 11 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $23,858 – $74,380 · median $56,887 | 11 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $16,599 – $54,764 · median $37,886 | 11 plans |
| 682 | RENAL FAILURE WITH MCC | $15,980 – $45,963 · median $35,839 | 11 plans |
| 683 | RENAL FAILURE WITH CC | $9,992 – $27,443 · median $21,511 | 11 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $7,242 – $18,973 · median $14,531 | 11 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $19,729 – $58,528 · median $43,925 | 11 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $11,592 – $32,774 · median $24,962 | 11 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $8,383 – $26,410 · median $18,169 | 11 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $12,741 – $34,774 · median $28,045 | 11 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $9,149 – $24,781 · median $19,269 | 11 plans |
| 693 | URINARY STONES WITH MCC | $15,672 – $42,480 · median $33,821 | 11 plans |
| 694 | URINARY STONES WITHOUT MCC | $8,942 – $24,437 · median $18,691 | 11 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $12,326 – $35,508 · median $28,295 | 11 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $8,067 – $21,594 · median $16,527 | 11 plans |
| 697 | URETHRAL STRICTURE | $11,095 – $31,188 · median $24,407 | 11 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $17,729 – $50,267 · median $39,507 | 11 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $11,272 – $32,053 · median $24,377 | 11 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $8,090 – $23,298 · median $16,914 | 11 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $20,266 – $59,992 · median $46,850 | 11 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $15,791 – $46,540 · median $34,829 | 11 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $23,260 – $72,279 · median $50,626 | 11 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $15,975 – $49,986 · median $29,475 | 11 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $19,972 – $66,527 · median $47,860 | 11 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $11,757 – $37,093 · median $22,231 | 11 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $15,434 – $46,609 · median $34,643 | 11 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $10,488 – $29,024 · median $22,889 | 11 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $23,369 – $65,327 · median $52,715 | 11 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $15,173 – $39,818 · median $33,962 | 11 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $19,434 – $56,197 · median $43,311 | 11 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $13,343 – $38,532 · median $28,078 | 11 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $18,198 – $53,450 · median $43,376 | 11 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $12,278 – $34,554 · median $26,609 | 11 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,426 – $23,526 · median $16,481 | 11 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $13,643 – $40,120 · median $29,633 | 11 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $8,581 – $23,711 · median $17,454 | 11 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $15,663 – $44,349 · median $36,866 | 11 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $9,291 – $25,146 · median $19,106 | 11 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $12,063 – $32,429 · median $23,973 | 11 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,237 – $20,414 · median $14,844 | 11 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $21,850 – $69,420 · median $51,906 | 11 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $13,167 – $44,118 · median $30,094 | 11 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $39,773 – $132,976 · median $92,826 | 11 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $20,830 – $64,233 · median $47,134 | 11 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $16,127 – $46,063 · median $32,587 | 11 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $40,196 – $119,347 · median $86,357 | 11 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $19,071 – $56,228 · median $42,674 | 11 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $14,727 – $39,946 · median $31,027 | 11 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $19,153 – $53,622 · median $42,552 | 11 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $13,018 – $35,355 · median $27,749 | 11 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $20,396 – $56,034 · median $44,952 | 11 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $11,320 – $36,516 · median $24,737 | 11 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $17,667 – $50,295 · median $40,025 | 11 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $10,640 – $29,605 · median $21,186 | 11 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $14,616 – $42,093 · median $33,549 | 11 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $26,595 – $84,698 · median $60,111 | 11 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,905 – $45,685 · median $32,352 | 11 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $18,983 – $56,996 · median $44,238 | 11 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $12,153 – $35,245 · median $25,903 | 11 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $10,638 – $30,123 · median $23,634 | 11 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $15,134 – $47,586 · median $35,508 | 11 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $11,266 – $30,264 · median $23,703 | 11 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,561 – $21,329 · median $15,431 | 11 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $10,937 – $29,263 · median $23,770 | 11 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $7,501 – $18,439 · median $14,462 | 11 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $8,278 – $36,503 · median $12,619 | 11 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $14,882 – $50,485 · median $34,530 | 11 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $11,820 – $29,763 · median $19,073 | 11 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $8,279 – $24,172 · median $17,115 | 11 plans |
| 779 | ABORTION WITHOUT D&C | $10,441 – $33,051 · median $23,453 | 11 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $14,760 – $58,516 · median $20,269 | 11 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $11,888 – $34,203 · median $14,760 | 11 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $9,842 – $28,613 · median $14,760 | 11 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $14,760 – $49,761 · median $17,948 | 11 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $11,681 – $33,220 · median $14,760 | 11 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $10,146 – $27,696 · median $14,760 | 11 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $8,278 – $33,420 · median $14,468 | 11 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $8,278 – $28,694 · median $11,305 | 11 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $8,278 – $26,337 · median $11,305 | 11 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $25,196 – $160,650 · median $51,099 | 11 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $18,008 – $92,191 · median $31,856 | 11 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $15,731 – $52,878 · median $18,560 | 11 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $36,327 – $115,842 · median $80,960 | 11 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $18,697 – $60,204 · median $44,374 | 11 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $12,109 – $42,630 · median $27,738 | 11 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $8,278 – $32,143 · median $11,611 | 11 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $8,278 – $22,927 · median $8,796 | 11 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $7,534 – $20,046 · median $8,278 | 11 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $23,682 – $68,219 · median $52,300 | 11 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $13,407 – $38,182 · median $28,761 | 11 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $10,607 – $30,015 · median $23,880 | 11 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $15,052 – $43,048 · median $33,518 | 11 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $10,324 – $27,474 · median $21,509 | 11 plans |
| 813 | COAGULATION DISORDERS | $16,430 – $48,223 · median $37,253 | 11 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $21,730 – $59,040 · median $50,819 | 11 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $11,235 – $31,100 · median $23,741 | 11 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $7,750 – $22,498 · median $16,544 | 11 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $26,073 – $90,855 · median $53,849 | 11 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $13,891 – $47,016 · median $24,823 | 11 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,285 – $30,811 · median $16,945 | 11 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $58,183 – $177,638 · median $144,395 | 11 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $23,116 – $67,264 · median $53,303 | 11 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,481 – $39,059 · median $28,694 | 11 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $47,020 – $140,501 · median $107,505 | 11 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $22,794 – $73,793 · median $53,322 | 11 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,332 – $43,741 · median $30,839 | 11 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $47,958 – $157,439 · median $104,805 | 11 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $24,361 – $78,044 · median $55,335 | 11 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $16,967 – $52,246 · median $39,173 | 11 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $31,433 – $100,134 · median $75,313 | 11 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $15,595 – $46,253 · median $36,693 | 11 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $12,552 – $35,761 · median $24,114 | 11 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $8,610 – $24,291 · median $17,616 | 11 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $6,387 – $16,760 · median $12,222 | 11 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $55,302 – $188,889 · median $133,704 | 11 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $22,173 – $65,969 · median $53,384 | 11 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $13,722 – $46,409 · median $28,592 | 11 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $50,221 – $177,875 · median $113,588 | 11 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $21,121 – $70,541 · median $46,623 | 11 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $14,696 – $46,416 · median $31,118 | 11 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $32,460 – $100,512 · median $74,630 | 11 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $16,626 – $50,610 · median $37,575 | 11 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $11,584 – $34,237 · median $25,466 | 11 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $19,803 – $59,536 · median $44,431 | 11 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $12,984 – $36,959 · median $27,634 | 11 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $9,483 – $26,494 · median $20,654 | 11 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $26,256 – $83,421 · median $58,363 | 11 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $13,722 – $41,700 · median $28,957 | 11 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,308 – $32,218 · median $18,137 | 11 plans |
| 849 | RADIOTHERAPY | $27,401 – $77,825 · median $64,271 | 11 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $50,164 – $155,045 · median $119,383 | 11 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $20,827 – $66,234 · median $48,672 | 11 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $17,189 – $47,433 · median $40,639 | 11 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $45,380 – $145,560 · median $105,750 | 11 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $22,593 – $65,616 · median $51,001 | 11 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $13,895 – $42,433 · median $30,648 | 11 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $19,270 – $59,196 · median $43,987 | 11 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $11,076 – $31,566 · median $24,011 | 11 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $10,081 – $27,356 · median $21,081 | 11 plans |
| 865 | VIRAL ILLNESS WITH MCC | $15,726 – $49,371 · median $36,392 | 11 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $9,952 – $27,358 · median $21,915 | 11 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $22,255 – $69,820 · median $49,964 | 11 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $11,567 – $33,270 · median $25,922 | 11 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $8,338 – $22,834 · median $16,494 | 11 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $69,263 – $200,961 · median $166,322 | 11 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $20,476 – $58,431 · median $47,344 | 11 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $11,380 – $32,031 · median $24,594 | 11 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $39,695 – $108,697 · median $89,108 | 11 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,591 – $18,022 · median $7,924 | 11 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $3,838 – $46,122 · median $16,534 | 11 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $3,838 – $51,728 · median $20,014 | 11 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $3,838 – $25,980 · median $10,622 | 11 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $44,588 – $133,226 · median $103,348 | 11 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $19,845 – $61,306 · median $45,007 | 11 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $13,218 – $36,353 · median $29,647 | 11 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $39,026 – $116,320 · median $77,758 | 11 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $17,409 – $51,497 · median $37,819 | 11 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $22,629 – $60,370 · median $44,933 | 11 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $40,223 – $123,223 · median $88,822 | 11 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $21,013 – $63,993 · median $47,858 | 11 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $13,698 – $42,789 · median $31,820 | 11 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $17,117 – $51,141 · median $35,689 | 11 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $10,261 – $27,680 · median $21,676 | 11 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $18,285 – $53,565 · median $42,363 | 11 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $7,796 – $20,653 · median $15,732 | 11 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $17,326 – $46,144 · median $38,110 | 11 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $9,950 – $25,024 · median $20,558 | 11 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $19,123 – $57,554 · median $43,574 | 11 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $11,233 – $31,978 · median $24,687 | 11 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $8,027 – $22,467 · median $16,663 | 11 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $17,812 – $49,568 · median $41,668 | 11 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $11,272 – $29,331 · median $24,152 | 11 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $233,042 – $658,259 · median $504,597 | 11 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $66,551 – $203,851 · median $165,242 | 11 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $32,376 – $94,064 · median $76,786 | 11 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $43,576 – $119,686 · median $70,625 | 11 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $22,270 – $60,575 · median $49,969 | 11 plans |
| 935 | NON-EXTENSIVE BURNS | $22,764 – $60,755 · median $48,741 | 11 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $32,314 – $105,321 · median $76,781 | 11 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $21,934 – $69,314 · median $51,738 | 11 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $20,399 – $60,020 · median $44,321 | 11 plans |
| 945 | REHABILITATION WITH CC/MCC | $16,220 – $46,250 · median $36,047 | 11 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $12,215 – $35,149 · median $24,183 | 11 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $13,873 – $37,265 · median $29,888 | 11 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $9,070 – $24,565 · median $19,128 | 11 plans |
| 949 | AFTERCARE WITH CC/MCC | $11,849 – $35,681 · median $24,742 | 11 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $7,034 – $23,102 · median $14,705 | 11 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $6,848 – $17,948 · median $14,089 | 11 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $68,010 – $196,289 · median $145,434 | 11 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $38,648 – $120,159 · median $92,611 | 11 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $74,222 – $231,606 · median $172,712 | 11 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $41,455 – $131,260 · median $96,590 | 11 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $27,136 – $85,394 · median $60,474 | 11 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $27,847 – $85,200 · median $65,295 | 11 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $15,963 – $46,559 · median $35,844 | 11 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $10,224 – $28,479 · median $22,827 | 11 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $63,087 – $208,099 · median $158,670 | 11 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $27,227 – $93,277 · median $57,417 | 11 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $30,479 – $83,971 · median $69,646 | 11 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $15,194 – $40,911 · median $32,556 | 11 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $11,107 – $29,637 · median $20,186 | 11 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $15,394 – $41,331 · median $33,816 | 11 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $47,747 – $144,019 · median $113,201 | 11 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $25,225 – $79,167 · median $59,366 | 11 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $17,605 – $51,568 · median $39,049 | 11 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $35,525 – $102,241 · median $80,636 | 11 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,072 – $53,257 · median $40,524 | 11 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,596 – $35,068 · median $25,798 | 11 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $31,284 – $84,881 · median $33,474 | 9 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $107,725 – $301,336 · median $115,265 | 9 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $70,342 – $195,480 · median $75,266 | 9 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $61,818 – $171,343 · median $66,146 | 9 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $46,751 – $128,676 · median $50,023 | 9 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $50,183 – $138,396 · median $53,696 | 9 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $32,611 – $88,637 · median $34,894 | 9 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $29,118 – $78,745 · median $31,156 | 9 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $18,982 – $50,044 · median $20,311 | 9 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $42,916 – $117,819 · median $45,921 | 9 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $32,520 – $88,380 · median $34,796 | 9 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $29,267 – $79,169 · median $31,316 | 9 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $25,513 – $68,538 · median $27,299 | 9 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $16,091 – $41,857 · median $17,217 | 9 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $12,287 – $31,085 · median $13,147 | 9 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $61,740 – $171,122 · median $65,445 | 8 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $39,525 – $108,215 · median $41,896 | 8 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $103,637 – $289,760 · median $109,855 | 8 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $70,691 – $196,468 · median $74,932 | 8 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $55,075 – $152,249 · median $58,380 | 8 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $82,783 – $230,709 · median $87,750 | 8 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $54,747 – $151,320 · median $58,032 | 8 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $66,803 – $185,459 · median $70,811 | 8 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $41,198 – $112,954 · median $43,670 | 8 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $51,617 – $142,457 · median $54,714 | 8 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $31,454 – $85,362 · median $33,342 | 8 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $91,294 – $254,810 · median $96,772 | 8 plans |
| 453 | DRG | $211,610 – $286,757 · median $262,402 | 3 plans |
| 454 | DRG | $146,057 – $190,166 · median $175,165 | 3 plans |
| 455 | DRG | $109,982 – $149,224 · median $138,068 | 3 plans |
| 459 | DRG | $158,379 – $210,153 · median $190,600 | 3 plans |
| 460 | DRG | $87,351 – $122,677 · median $108,969 | 3 plans |
| 222 | DRG | $219,745 – $248,151 · median $233,948 | 2 plans |
| 223 | DRG | $150,332 – $180,974 · median $165,653 | 2 plans |
| 224 | DRG | $203,589 – $234,671 · median $219,130 | 2 plans |
| 225 | DRG | $145,747 – $175,332 · median $160,540 | 2 plans |
| 226 | DRG | $183,992 – $204,894 · median $194,443 | 2 plans |
| 227 | DRG | $144,694 – $162,670 · median $153,682 | 2 plans |
| 246 | DRG | $87,028 – $97,509 · median $92,269 | 2 plans |
| 247 | DRG | $56,110 – $61,584 · median $58,847 | 2 plans |
| 248 | DRG | $87,438 – $98,692 · median $93,065 | 2 plans |
| 249 | DRG | $53,468 – $58,478 · median $55,973 | 2 plans |
| 338 | DRG | $77,379 – $87,304 · median $82,342 | 2 plans |
| 339 | DRG | $48,106 – $52,976 · median $50,541 | 2 plans |
| 340 | DRG | $35,906 – $38,335 · median $37,120 | 2 plans |
| 341 | DRG | $66,061 – $72,482 · median $69,272 | 2 plans |
| 342 | DRG | $43,118 – $44,721 · median $43,920 | 2 plans |
| 343 | DRG | $32,854 – $34,599 · median $33,726 | 2 plans |
No procedures match that keyword.