Shore Medical Center — Pricing
776 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 776 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Showing all 776 procedures
Procedures with negotiated rates only
These 776 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $8,945 – $26,836 · median $9,388 | 17 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $14,871 – $44,612 · median $15,541 | 16 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,840 – $26,519 · median $10,106 | 16 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,175 – $21,526 · median $8,174 | 16 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $13,073 – $39,220 · median $14,643 | 16 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,671 – $26,014 · median $9,910 | 16 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,423 – $22,270 · median $8,461 | 16 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $9,388 – $31,133 · median $10,378 | 16 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,928 – $23,783 · median $8,658 | 16 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $7,928 – $23,783 · median $8,658 | 16 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $8,164 – $24,493 · median $8,776 | 16 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,984 – $17,953 · median $6,791 | 16 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,299 – $15,896 · median $5,995 | 16 plans |
| 100 | SEIZURES WITH MCC | $10,210 – $48,025 · median $16,008 | 15 plans |
| 101 | SEIZURES WITHOUT MCC | $5,185 – $22,675 · median $7,558 | 15 plans |
| 102 | HEADACHES WITH MCC | $6,976 – $28,342 · median $9,447 | 15 plans |
| 103 | HEADACHES WITHOUT MCC | $4,700 – $20,971 · median $6,990 | 15 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $13,135 – $54,491 · median $18,164 | 15 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,896 – $28,881 · median $9,627 | 15 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $8,586 – $37,197 · median $12,399 | 15 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $9,803 – $40,476 · median $13,492 | 15 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $5,445 – $26,414 · median $8,805 | 15 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $6,486 – $28,431 · median $9,477 | 15 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $3,819 – $16,874 · median $5,625 | 15 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,682 – $19,850 · median $6,617 | 15 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $7,941 – $31,784 · median $10,595 | 15 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,737 – $20,387 · median $6,796 | 15 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $12,470 – $58,173 · median $19,391 | 15 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,773 – $24,021 · median $8,007 | 15 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $9,311 – $34,041 · median $11,347 | 15 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,401 – $20,096 · median $6,699 | 15 plans |
| 139 | SALIVARY GLAND PROCEDURES | $6,417 – $33,431 · median $11,144 | 15 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $12,235 – $55,385 · median $18,462 | 15 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $8,108 – $30,376 · median $10,125 | 15 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,284 – $19,791 · median $6,597 | 15 plans |
| 149 | DYSEQUILIBRIUM | $4,379 – $18,523 · median $6,174 | 15 plans |
| 150 | EPISTAXIS WITH MCC | $8,200 – $33,650 · median $11,217 | 15 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,592 – $18,773 · median $6,258 | 15 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $6,928 – $27,754 · median $9,251 | 15 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,598 – $17,670 · median $5,890 | 15 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $9,199 – $39,468 · median $13,156 | 15 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $5,702 – $22,958 · median $7,653 | 15 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,350 – $16,733 · median $5,578 | 15 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $9,760 – $39,735 · median $13,245 | 15 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,603 – $23,125 · median $7,708 | 15 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,032 – $16,428 · median $5,476 | 15 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $32,655 – $110,563 · median $36,854 | 15 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $16,859 – $60,697 · median $20,232 | 15 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,849 – $45,134 · median $15,045 | 15 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $24,024 – $92,475 · median $30,825 | 15 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $12,644 – $44,256 · median $14,752 | 15 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,455 – $32,976 · median $10,992 | 15 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $9,688 – $34,291 · median $11,430 | 15 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,121 – $20,120 · median $6,707 | 15 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,426 – $39,235 · median $13,078 | 15 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,118 – $24,353 · median $8,118 | 15 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,306 – $19,052 · median $6,351 | 15 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $10,947 – $42,364 · median $14,121 | 15 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,688 – $27,170 · median $9,057 | 15 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,584 – $20,668 · median $6,889 | 15 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $9,612 – $38,539 · median $12,846 | 15 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,610 – $26,164 · median $8,721 | 15 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,689 – $19,243 · median $6,414 | 15 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $10,273 – $38,365 · median $12,788 | 15 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,074 – $24,636 · median $8,212 | 15 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,132 – $18,206 · median $6,069 | 15 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $8,008 – $30,199 · median $10,066 | 15 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,559 – $27,473 · median $9,158 | 15 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,086 – $21,183 · median $7,061 | 15 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,775 – $16,132 · median $5,377 | 15 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,311 – $32,113 · median $10,704 | 15 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,330 – $20,251 · median $6,750 | 15 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,643 – $15,548 · median $5,183 | 15 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $10,652 – $45,613 · median $15,204 | 15 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,794 – $24,303 · median $8,101 | 15 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,076 – $17,400 · median $5,800 | 15 plans |
| 199 | PNEUMOTHORAX WITH MCC | $11,427 – $42,781 · median $14,260 | 15 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,818 – $27,103 · median $9,034 | 15 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,801 – $16,845 · median $5,615 | 15 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $5,863 – $23,747 · median $7,916 | 15 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,372 – $17,310 · median $5,770 | 15 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,760 – $20,036 · median $6,679 | 15 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $9,452 – $45,701 · median $15,234 | 15 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,330 – $22,296 · median $7,432 | 15 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $34,928 – $154,846 · median $51,615 | 15 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $15,052 – $64,673 · median $21,558 | 15 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $84,408 – $253,224 · median $84,408 | 15 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $61,790 – $230,732 · median $76,911 | 15 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $40,855 – $154,625 · median $51,542 | 15 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $35,788 – $142,503 · median $47,501 | 15 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $49,352 – $185,123 · median $61,708 | 15 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $33,346 – $126,949 · median $42,316 | 15 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $29,645 – $110,167 · median $36,722 | 15 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $39,826 – $119,479 · median $39,826 | 15 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $24,914 – $74,743 · median $24,914 | 15 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $50,962 – $202,674 · median $67,558 | 15 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $37,723 – $146,302 · median $48,767 | 15 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $48,040 – $187,003 · median $62,334 | 15 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $32,041 – $127,509 · median $42,503 | 15 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $37,935 – $140,951 · median $46,984 | 15 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $24,818 – $98,715 · median $32,905 | 15 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $31,587 – $120,757 · median $40,252 | 15 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $17,520 – $70,116 · median $23,372 | 15 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,451 – $36,694 · median $12,231 | 15 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $24,703 – $81,552 · median $27,184 | 15 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $17,265 – $54,400 · median $18,133 | 15 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,968 – $43,720 · median $14,573 | 15 plans |
| 245 | AICD GENERATOR PROCEDURES | $30,597 – $117,179 · median $39,060 | 15 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $17,612 – $55,826 · median $18,609 | 15 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,010 – $37,950 · median $12,650 | 15 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $21,462 – $82,467 · median $27,489 | 15 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $16,993 – $61,555 · median $20,518 | 15 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $11,251 – $42,402 · median $14,134 | 15 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $17,107 – $63,069 · median $21,023 | 15 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,604 – $41,075 · median $13,692 | 15 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,080 – $21,964 · median $7,321 | 15 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $18,666 – $67,573 · median $22,524 | 15 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $12,703 – $42,600 · median $14,200 | 15 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $24,352 – $81,890 · median $27,297 | 15 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $12,169 – $45,934 · median $15,311 | 15 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,875 – $36,882 · median $12,294 | 15 plans |
| 263 | VEIN LIGATION AND STRIPPING | $13,615 – $64,632 · median $21,544 | 15 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $18,333 – $84,009 · median $28,003 | 15 plans |
| 265 | AICD LEAD PROCEDURES | $19,378 – $85,728 · median $28,576 | 15 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $47,831 – $143,492 · median $47,831 | 15 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $37,613 – $112,839 · median $37,613 | 15 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $41,006 – $159,623 · median $53,208 | 15 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $25,489 – $99,873 · median $33,291 | 15 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $30,914 – $123,047 · median $41,016 | 15 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $20,518 – $82,801 · median $27,600 | 15 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $14,695 – $60,344 · median $20,115 | 15 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $23,177 – $93,905 · median $31,302 | 15 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $15,798 – $75,093 · median $25,031 | 15 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $11,080 – $39,828 · median $13,276 | 15 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,680 – $22,677 · median $7,559 | 15 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,934 – $17,989 · median $5,996 | 15 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $10,846 – $47,312 · median $15,771 | 15 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,110 – $18,368 · median $6,123 | 15 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,573 – $14,087 · median $4,696 | 15 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $14,217 – $53,459 · median $17,820 | 15 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,549 – $26,679 · median $8,893 | 15 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $18,237 – $65,810 · median $21,937 | 15 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $11,079 – $38,286 · median $12,762 | 15 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,885 – $24,040 · median $8,013 | 15 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,669 – $31,806 · median $10,602 | 15 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,338 – $21,233 · median $7,078 | 15 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,398 – $13,785 · median $4,595 | 15 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $6,415 – $29,975 · median $9,992 | 15 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $4,849 – $19,531 · median $6,510 | 15 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $8,399 – $39,757 · median $13,252 | 15 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,236 – $17,496 · median $5,832 | 15 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,923 – $11,234 · median $3,745 | 15 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $9,281 – $39,261 · median $13,087 | 15 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,525 – $26,224 · median $8,741 | 15 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,585 – $17,710 · median $5,903 | 15 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $6,914 – $28,433 · median $9,478 | 15 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,196 – $16,733 · median $5,578 | 15 plans |
| 304 | HYPERTENSION WITH MCC | $6,600 – $28,707 · median $9,569 | 15 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,326 – $18,599 · median $6,200 | 15 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,159 – $36,396 · median $12,132 | 15 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,252 – $22,787 · median $7,596 | 15 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,933 – $29,448 · median $9,816 | 15 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,126 – $18,327 · median $6,109 | 15 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,661 – $14,042 · median $4,681 | 15 plans |
| 311 | ANGINA PECTORIS | $3,977 – $17,350 · median $5,783 | 15 plans |
| 312 | SYNCOPE AND COLLAPSE | $4,982 – $21,473 · median $7,158 | 15 plans |
| 313 | CHEST PAIN | $4,323 – $17,710 · median $5,903 | 15 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $12,623 – $52,034 · median $17,345 | 15 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,347 – $23,642 · median $7,881 | 15 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,242 – $16,978 · median $5,659 | 15 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $35,551 – $121,760 · median $40,587 | 15 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,236 – $58,578 · median $19,526 | 15 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $9,894 – $38,686 · median $12,895 | 15 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $33,107 – $110,150 · median $36,717 | 15 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $16,656 – $57,043 · median $19,014 | 15 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,767 – $40,057 · median $13,352 | 15 plans |
| 332 | RECTAL RESECTION WITH MCC | $27,793 – $83,380 · median $27,793 | 15 plans |
| 333 | RECTAL RESECTION WITH CC | $15,835 – $51,361 · median $17,120 | 15 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,760 – $40,238 · median $13,413 | 15 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $26,939 – $87,067 · median $29,022 | 15 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $15,238 – $51,052 · median $17,017 | 15 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $10,234 – $37,295 · median $12,432 | 15 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $20,258 – $64,928 · median $21,643 | 15 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,621 – $36,189 · median $12,063 | 15 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,928 – $30,387 · median $10,129 | 15 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $15,968 – $57,117 · median $19,039 | 15 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,458 – $30,712 · median $10,237 | 15 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,049 – $21,702 · median $7,234 | 15 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $16,310 – $58,354 · median $19,451 | 15 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,212 – $36,565 · median $12,188 | 15 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $6,375 – $26,986 · median $8,995 | 15 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $19,026 – $70,612 · median $23,537 | 15 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,864 – $41,251 · median $13,750 | 15 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,074 – $32,482 · median $10,827 | 15 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $24,541 – $102,376 · median $34,125 | 15 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $13,581 – $54,381 · median $18,127 | 15 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,824 – $33,004 · median $11,001 | 15 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $11,653 – $40,510 · median $13,503 | 15 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,940 – $24,960 · median $8,320 | 15 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,802 – $17,343 · median $5,781 | 15 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $11,657 – $42,369 · median $14,123 | 15 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,241 – $25,239 · median $8,413 | 15 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,104 – $17,996 · median $5,999 | 15 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $13,283 – $51,030 · median $17,010 | 15 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,032 – $29,992 · median $9,997 | 15 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,937 – $21,752 · median $7,251 | 15 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $11,431 – $44,042 · median $14,681 | 15 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,496 – $24,205 · median $8,068 | 15 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,382 – $15,882 · median $5,294 | 15 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $12,763 – $46,571 · median $15,524 | 15 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,979 – $26,665 · median $8,888 | 15 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,378 – $18,566 · median $6,189 | 15 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $8,843 – $30,838 · median $10,279 | 15 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,537 – $21,433 · median $7,144 | 15 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,226 – $39,432 · median $13,144 | 15 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,526 – $24,362 · median $8,121 | 15 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,818 – $16,683 · median $5,561 | 15 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,324 – $35,741 · median $11,914 | 15 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,685 – $19,812 · median $6,604 | 15 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,961 – $13,749 · median $4,583 | 15 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $7,786 – $31,322 · median $10,441 | 15 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,831 – $19,305 · median $6,435 | 15 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $10,665 – $40,176 · median $13,392 | 15 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,204 – $23,142 · median $7,714 | 15 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,411 – $15,875 · median $5,292 | 15 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $36,488 – $130,095 · median $43,365 | 15 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $18,330 – $67,642 · median $22,547 | 15 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $13,075 – $51,612 · median $17,204 | 15 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $23,815 – $84,157 · median $28,052 | 15 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $16,092 – $50,675 · median $16,892 | 15 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $10,169 – $37,676 · median $12,559 | 15 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $21,975 – $65,926 · median $21,975 | 15 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $16,310 – $51,512 · median $17,171 | 15 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $11,749 – $40,331 · median $13,444 | 15 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $23,036 – $84,217 · median $28,072 | 15 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $13,104 – $47,853 · median $15,951 | 15 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,711 – $33,364 · median $11,121 | 15 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $16,148 – $57,349 · median $19,116 | 15 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,827 – $40,233 · median $13,411 | 15 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,187 – $32,111 · median $10,704 | 15 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $23,902 – $84,829 · median $28,276 | 15 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $11,394 – $39,738 · median $13,246 | 15 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $8,449 – $35,729 · median $11,910 | 15 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $27,846 – $97,649 · median $32,550 | 15 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $15,048 – $55,127 · median $18,376 | 15 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $10,446 – $37,550 · median $12,517 | 15 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $10,816 – $47,400 · median $15,800 | 15 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $5,983 – $26,205 · median $8,735 | 15 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,071 – $17,307 · median $5,769 | 15 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,410 – $44,195 · median $14,732 | 15 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,630 – $27,585 · median $9,195 | 15 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,909 – $19,421 · median $6,474 | 15 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,846 – $40,360 · median $13,453 | 15 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,760 – $21,209 · median $7,070 | 15 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,158 – $15,367 · median $5,122 | 15 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $12,253 – $45,763 · median $15,254 | 15 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,118 – $23,735 · median $7,912 | 15 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,273 – $17,455 · median $5,818 | 15 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $10,378 – $40,853 · median $13,618 | 15 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,890 – $26,555 · median $8,852 | 15 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,983 – $19,710 · median $6,570 | 15 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $61,411 – $202,562 · median $67,521 | 15 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $45,833 – $137,500 · median $45,833 | 15 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $34,541 – $103,622 · median $34,541 | 15 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $33,282 – $146,969 · median $48,990 | 15 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $20,987 – $68,963 · median $22,988 | 15 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $33,315 – $129,435 · median $43,145 | 15 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $20,198 – $70,984 · median $23,661 | 15 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,633 – $42,085 · median $14,028 | 15 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $32,902 – $122,132 · median $40,711 | 15 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $22,444 – $82,343 · median $27,448 | 15 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $17,963 – $63,231 · median $21,077 | 15 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $21,520 – $78,613 · median $26,204 | 15 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $13,590 – $45,646 · median $15,215 | 15 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $32,013 – $116,476 · median $38,825 | 15 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $18,967 – $69,759 · median $23,253 | 15 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $14,788 – $57,132 · median $19,044 | 15 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $23,674 – $107,595 · median $35,865 | 15 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,711 – $52,124 · median $17,375 | 15 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,461 – $28,428 · median $9,476 | 15 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $20,377 – $82,672 · median $27,557 | 15 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $14,358 – $56,445 · median $18,815 | 15 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $11,202 – $43,031 · median $14,344 | 15 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $19,580 – $70,803 · median $23,601 | 15 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $12,921 – $50,160 · median $16,720 | 15 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $10,595 – $38,517 · median $12,839 | 15 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $15,752 – $61,441 · median $20,480 | 15 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $20,979 – $77,436 · median $25,812 | 15 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $13,508 – $51,257 · median $17,086 | 15 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,109 – $38,369 · median $12,790 | 15 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $11,485 – $47,550 · median $15,850 | 15 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,482 – $30,223 · median $10,074 | 15 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $20,621 – $85,346 · median $28,449 | 15 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $13,421 – $57,932 · median $19,311 | 15 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $10,313 – $45,644 · median $15,215 | 15 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $19,685 – $84,617 · median $28,206 | 15 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $11,394 – $47,731 · median $15,910 | 15 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,119 – $32,706 · median $10,902 | 15 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $14,685 – $60,885 · median $20,295 | 15 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $6,863 – $28,373 · median $9,458 | 15 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $20,908 – $76,230 · median $25,410 | 15 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $10,488 – $43,244 · median $14,415 | 15 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $7,673 – $34,008 · median $11,336 | 15 plans |
| 503 | FOOT PROCEDURES WITH MCC | $14,807 – $63,786 · median $21,262 | 15 plans |
| 504 | FOOT PROCEDURES WITH CC | $10,408 – $42,536 · median $14,179 | 15 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $8,220 – $42,536 · median $14,179 | 15 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $8,807 – $36,437 · median $12,146 | 15 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $12,208 – $46,902 · median $15,634 | 15 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,489 – $31,467 · median $10,489 | 15 plans |
| 509 | ARTHROSCOPY | $10,813 – $42,576 · median $14,192 | 15 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $15,943 – $68,827 · median $22,942 | 15 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $11,111 – $47,450 · median $15,817 | 15 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $8,834 – $39,027 · median $13,009 | 15 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,810 – $36,591 · median $12,197 | 15 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $5,912 – $25,008 · median $8,336 | 15 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $20,802 – $74,411 · median $24,804 | 15 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $13,495 – $48,654 · median $16,218 | 15 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,567 – $36,284 · median $12,095 | 15 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $19,096 – $86,128 · median $28,709 | 15 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $10,972 – $47,705 · median $15,902 | 15 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $7,712 – $34,866 · median $11,622 | 15 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,421 – $37,051 · median $12,350 | 15 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,801 – $20,108 · median $6,703 | 15 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $7,988 – $32,404 · median $10,801 | 15 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,728 – $20,034 · median $6,678 | 15 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,906 – $22,610 · median $7,537 | 15 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,101 – $16,711 · median $5,570 | 15 plans |
| 539 | OSTEOMYELITIS WITH MCC | $11,990 – $48,909 · median $16,303 | 15 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,378 – $31,551 · median $10,517 | 15 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,940 – $21,559 · median $7,186 | 15 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $12,470 – $45,160 · median $15,053 | 15 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,293 – $25,992 · median $8,664 | 15 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,096 – $18,718 · median $6,239 | 15 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $15,936 – $60,933 · median $20,311 | 15 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,603 – $28,300 · median $9,433 | 15 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,146 – $18,492 · median $6,164 | 15 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,231 – $48,723 · median $16,241 | 15 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,720 – $29,429 · median $9,810 | 15 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,307 – $21,254 · median $7,085 | 15 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $10,167 – $41,377 · median $13,792 | 15 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,646 – $23,678 · median $7,893 | 15 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,022 – $31,834 · median $10,611 | 15 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $4,790 – $20,599 · median $6,866 | 15 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,263 – $32,802 · median $10,934 | 15 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $4,857 – $20,167 · median $6,722 | 15 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,333 – $37,643 · median $12,548 | 15 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,521 – $21,295 · median $7,098 | 15 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,537 – $44,950 · median $14,983 | 15 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,060 – $27,847 · median $9,282 | 15 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $4,467 – $20,194 · median $6,731 | 15 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $8,920 – $35,588 · median $11,863 | 15 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $5,138 – $22,010 · median $7,337 | 15 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,940 – $38,107 · median $12,702 | 15 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,266 – $25,010 · median $8,337 | 15 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,674 – $18,537 · median $6,179 | 15 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $15,998 – $72,452 · median $24,151 | 15 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $9,512 – $40,612 · median $13,537 | 15 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $6,784 – $27,935 · median $9,312 | 15 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $25,547 – $147,482 · median $49,161 | 15 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $18,562 – $83,289 · median $27,763 | 15 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,538 – $48,296 · median $16,099 | 15 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $34,925 – $129,299 · median $43,100 | 15 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $14,742 – $64,172 · median $21,391 | 15 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $9,018 – $40,996 · median $13,665 | 15 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $17,529 – $78,392 · median $26,131 | 15 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $10,547 – $42,965 · median $14,322 | 15 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $7,726 – $35,009 · median $11,670 | 15 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $8,729 – $42,445 · median $14,148 | 15 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $7,741 – $39,859 · median $13,286 | 15 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $10,965 – $49,505 · median $16,502 | 15 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $9,913 – $48,020 · median $16,007 | 15 plans |
| 592 | SKIN ULCERS WITH MCC | $9,307 – $49,717 · median $16,572 | 15 plans |
| 593 | SKIN ULCERS WITH CC | $6,658 – $29,849 · median $9,950 | 15 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $4,602 – $20,935 · median $6,978 | 15 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $12,065 – $51,118 · median $17,039 | 15 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,121 – $26,474 · median $8,825 | 15 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $11,358 – $42,576 · median $14,192 | 15 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $6,932 – $26,421 · median $8,807 | 15 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,708 – $21,083 · median $7,028 | 15 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,426 – $23,507 · median $7,836 | 15 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,439 – $14,995 · median $4,998 | 15 plans |
| 602 | CELLULITIS WITH MCC | $9,383 – $35,724 · median $11,908 | 15 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,503 – $21,700 · median $7,233 | 15 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $8,832 – $36,117 · median $12,039 | 15 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,235 – $22,722 · median $7,574 | 15 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $8,950 – $39,087 · median $13,029 | 15 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $4,739 – $21,304 · median $7,101 | 15 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $15,614 – $55,025 · median $18,342 | 15 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $9,306 – $34,861 · median $11,620 | 15 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $26,151 – $92,825 · median $30,942 | 15 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,100 – $46,745 · median $15,582 | 15 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,707 – $30,383 · median $10,128 | 15 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $19,207 – $65,690 · median $21,897 | 15 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,018 – $38,770 · median $12,923 | 15 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,109 – $35,548 · median $11,849 | 15 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,007 – $89,894 · median $29,965 | 15 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,159 – $46,297 · median $15,432 | 15 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,372 – $24,615 · median $8,205 | 15 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $17,062 – $69,041 · median $23,014 | 15 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,099 – $36,680 · median $12,227 | 15 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $5,946 – $30,902 · median $10,301 | 15 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $22,468 – $94,749 · median $31,583 | 15 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $14,332 – $54,312 · median $18,104 | 15 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,880 – $34,106 · median $11,369 | 15 plans |
| 637 | DIABETES WITH MCC | $9,025 – $35,416 · median $11,805 | 15 plans |
| 638 | DIABETES WITH CC | $5,525 – $22,568 · median $7,523 | 15 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,922 – $15,641 · median $5,214 | 15 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $7,389 – $32,359 · median $10,786 | 15 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,714 – $19,331 · median $6,444 | 15 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $7,995 – $30,287 · median $10,096 | 15 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,609 – $40,207 · median $13,402 | 15 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,609 – $25,337 · median $8,446 | 15 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,737 – $19,266 · median $6,422 | 15 plans |
| 652 | KIDNEY TRANSPLANT | $20,592 – $73,911 · median $24,637 | 15 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $39,471 – $133,572 · median $44,524 | 15 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $19,761 – $67,969 · median $22,656 | 15 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $14,883 – $50,217 · median $16,739 | 15 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $22,601 – $78,358 · median $26,119 | 15 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,117 – $44,278 · median $14,759 | 15 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $10,013 – $36,553 · median $12,184 | 15 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $20,767 – $62,301 · median $20,767 | 15 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,882 – $32,645 · median $10,882 | 15 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,392 – $25,175 · median $8,392 | 15 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $18,866 – $75,060 · median $25,020 | 15 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $10,872 – $37,111 · median $12,370 | 15 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,479 – $26,443 · median $8,814 | 15 plans |
| 665 | PROSTATECTOMY WITH MCC | $20,326 – $82,543 · median $27,514 | 15 plans |
| 666 | PROSTATECTOMY WITH CC | $11,672 – $39,969 · median $13,323 | 15 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,505 – $25,204 · median $8,401 | 15 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $16,009 – $70,214 · median $23,405 | 15 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $8,560 – $37,590 · median $12,530 | 15 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,011 – $23,485 · median $7,828 | 15 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $10,254 – $41,790 · median $13,930 | 15 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $5,708 – $26,791 · median $8,930 | 15 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $21,910 – $100,562 · median $33,521 | 15 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $15,113 – $55,725 · median $18,575 | 15 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $10,182 – $38,014 · median $12,671 | 15 plans |
| 682 | RENAL FAILURE WITH MCC | $9,849 – $36,503 · median $12,168 | 15 plans |
| 683 | RENAL FAILURE WITH CC | $6,141 – $21,893 · median $7,298 | 15 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,095 – $15,184 · median $5,061 | 15 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $10,884 – $45,651 · median $15,217 | 15 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,634 – $25,797 · median $8,599 | 15 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,314 – $17,968 · median $5,989 | 15 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,065 – $28,600 · median $9,533 | 15 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,111 – $19,836 · median $6,612 | 15 plans |
| 693 | URINARY STONES WITH MCC | $8,698 – $35,752 · median $11,917 | 15 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,762 – $19,331 · median $6,444 | 15 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,157 – $27,587 · median $9,196 | 15 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,527 – $17,195 · median $5,732 | 15 plans |
| 697 | URETHRAL STRICTURE | $6,148 – $24,584 · median $8,195 | 15 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,135 – $40,770 · median $13,590 | 15 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,689 – $25,015 · median $8,338 | 15 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,677 – $17,252 · median $5,751 | 15 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $11,591 – $46,959 · median $15,653 | 15 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $8,583 – $36,041 · median $12,014 | 15 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $12,876 – $54,264 · median $18,088 | 15 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,251 – $36,491 · median $12,164 | 15 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $13,031 – $46,244 · median $15,415 | 15 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,186 – $26,200 · median $8,733 | 15 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,844 – $35,171 · median $11,724 | 15 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $5,270 – $23,104 · median $7,701 | 15 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $12,270 – $54,531 · median $18,177 | 15 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $7,513 – $34,535 · median $11,512 | 15 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,520 – $44,931 · median $14,977 | 15 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,921 – $30,068 · median $10,023 | 15 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $11,341 – $41,914 · median $13,971 | 15 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,168 – $27,470 · median $9,157 | 15 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,273 – $18,072 · median $6,024 | 15 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,617 – $30,800 · median $10,267 | 15 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,835 – $18,449 · median $6,150 | 15 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,441 – $35,729 · median $11,910 | 15 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,117 – $20,182 · median $6,727 | 15 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,292 – $26,946 · median $8,982 | 15 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,941 – $15,172 · median $5,057 | 15 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,489 – $50,825 · median $16,942 | 15 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $7,970 – $29,639 · median $9,880 | 15 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $28,261 – $94,556 · median $31,519 | 15 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $13,082 – $48,337 · median $16,112 | 15 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,813 – $36,861 · median $12,287 | 15 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $22,252 – $95,588 · median $31,863 | 15 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $11,047 – $44,044 · median $14,681 | 15 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $7,817 – $33,445 · median $11,148 | 15 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $10,176 – $44,245 · median $14,748 | 15 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $6,588 – $29,277 · median $9,759 | 15 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $11,002 – $47,279 · median $15,760 | 15 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,345 – $25,132 · median $8,377 | 15 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $9,550 – $40,619 · median $13,540 | 15 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,941 – $23,473 · median $7,824 | 15 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $7,339 – $33,176 · median $11,059 | 15 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $17,270 – $62,404 · median $20,801 | 15 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,713 – $31,441 · median $10,480 | 15 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,538 – $43,830 · median $14,610 | 15 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,394 – $27,165 · median $9,055 | 15 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,857 – $23,468 · median $7,823 | 15 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,956 – $34,439 · median $11,480 | 15 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,588 – $25,001 · median $8,334 | 15 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,959 – $15,961 · median $5,320 | 15 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $5,565 – $24,198 · median $8,066 | 15 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,496 – $15,815 · median $5,272 | 15 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $11,275 – $33,824 · median $11,275 | 15 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $5,401 – $26,352 · median $8,784 | 15 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,417 – $17,712 · median $5,904 | 15 plans |
| 779 | ABORTION WITHOUT D&C | $4,472 – $22,987 · median $7,662 | 15 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $3,208 – $43,670 · median $14,557 | 15 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $6,534 – $142,396 · median $47,465 | 15 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $4,158 – $97,471 · median $32,490 | 15 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $3,208 – $59,093 · median $19,698 | 15 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $4,158 – $100,107 · median $33,369 | 15 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $3,208 – $35,891 · median $11,964 | 15 plans |
| 795 | NORMAL NEWBORN | $1,782 – $5,469 · median $1,823 | 15 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $31,057 – $114,033 · median $38,011 | 15 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $17,866 – $70,155 · median $23,385 | 15 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $11,398 – $39,835 · median $13,278 | 15 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $22,120 – $86,147 · median $28,716 | 15 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $12,221 – $43,131 · median $14,377 | 15 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,649 – $27,058 · median $9,019 | 15 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $14,589 – $55,294 · median $18,431 | 15 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,988 – $30,225 · median $10,075 | 15 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $5,644 – $23,392 · median $7,797 | 15 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,482 – $34,239 · median $11,413 | 15 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,597 – $22,703 · median $7,568 | 15 plans |
| 813 | COAGULATION DISORDERS | $11,328 – $37,602 · median $12,534 | 15 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $10,852 – $50,532 · median $16,844 | 15 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,400 – $24,925 · median $8,308 | 15 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,545 – $16,423 · median $5,474 | 15 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $2,558 – $61,129 · median $20,376 | 15 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $2,558 – $31,405 · median $10,468 | 15 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,558 – $20,167 · median $6,722 | 15 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $38,620 – $139,476 · median $46,492 | 15 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $15,090 – $53,914 · median $17,971 | 15 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,390 – $27,966 · median $9,322 | 15 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $29,077 – $112,238 · median $37,413 | 15 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $15,321 – $53,127 · median $17,709 | 15 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,119 – $30,042 · median $10,014 | 15 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $33,829 – $114,526 · median $38,175 | 15 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $15,108 – $56,953 · median $18,984 | 15 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,884 – $38,910 · median $12,970 | 15 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $21,703 – $74,206 · median $24,735 | 15 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,925 – $35,564 · median $11,855 | 15 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $2,558 – $28,140 · median $9,380 | 15 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $2,558 – $18,520 · median $6,173 | 15 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,558 – $13,096 · median $4,365 | 15 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $36,555 – $132,445 · median $44,148 | 15 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $15,032 – $51,614 · median $17,205 | 15 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,431 – $30,993 · median $10,331 | 15 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $40,016 – $120,049 · median $40,016 | 15 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $16,349 – $49,047 · median $16,349 | 15 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,612 – $33,369 · median $11,123 | 15 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $20,533 – $76,714 · median $25,571 | 15 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $10,523 – $38,079 · median $12,693 | 15 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,291 – $25,778 · median $8,593 | 15 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $12,055 – $45,832 · median $15,277 | 15 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,334 – $29,193 · median $9,731 | 15 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,393 – $20,651 · median $6,884 | 15 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $16,073 – $61,574 · median $20,525 | 15 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $7,758 – $30,993 · median $10,331 | 15 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,106 – $20,225 · median $6,742 | 15 plans |
| 849 | RADIOTHERAPY | $10,933 – $64,370 · median $21,457 | 15 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $33,515 – $119,908 · median $39,969 | 15 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,541 – $48,330 · median $16,110 | 15 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,874 – $39,452 · median $13,151 | 15 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $30,404 – $108,237 · median $36,079 | 15 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,395 – $52,639 · median $17,546 | 15 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,683 – $31,415 · median $10,472 | 15 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $12,111 – $44,531 · median $14,844 | 15 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,587 – $24,539 · median $8,180 | 15 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,537 – $22,110 · median $7,370 | 15 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,972 – $35,884 · median $11,961 | 15 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,053 – $21,795 · median $7,265 | 15 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $17,019 – $51,814 · median $17,271 | 15 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,720 – $25,735 · median $8,578 | 15 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,630 – $17,858 · median $5,953 | 15 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $38,378 – $166,508 · median $55,503 | 15 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $11,704 – $47,472 · median $15,824 | 15 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,808 – $25,280 · median $8,427 | 15 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $20,136 – $94,365 · median $31,455 | 15 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,971 – $23,554 · median $7,851 | 15 plans |
| 881 | DEPRESSIVE NEUROSES | $1,971 – $22,494 · median $7,498 | 15 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,971 – $23,635 · median $7,878 | 15 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,971 – $44,893 · median $14,964 | 15 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,971 – $40,515 · median $13,505 | 15 plans |
| 885 | PSYCHOSES | $1,971 – $34,303 · median $11,434 | 15 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,971 – $43,525 · median $14,508 | 15 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,971 – $29,055 · median $9,685 | 15 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $1,971 – $15,582 · median $5,194 | 15 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $1,971 – $35,216 · median $11,739 | 15 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $1,971 – $43,151 · median $14,384 | 15 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $1,971 – $21,733 · median $7,244 | 15 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $25,704 – $106,304 · median $35,435 | 15 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $11,925 – $45,934 · median $15,311 | 15 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,654 – $29,763 · median $9,921 | 15 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $20,984 – $92,733 · median $30,911 | 15 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $9,293 – $39,990 · median $13,330 | 15 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $10,231 – $52,725 · median $17,575 | 15 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $24,857 – $95,655 · median $31,885 | 15 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,995 – $48,783 · median $16,261 | 15 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,482 – $30,936 · median $10,312 | 15 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $8,854 – $39,278 · median $13,093 | 15 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $4,777 – $22,548 · median $7,516 | 15 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $10,472 – $42,128 · median $14,043 | 15 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $3,644 – $16,535 · median $5,512 | 15 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $9,183 – $39,788 · median $13,263 | 15 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $4,478 – $21,791 · median $7,264 | 15 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $11,498 – $44,171 · median $14,724 | 15 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,523 – $24,920 · median $8,307 | 15 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,544 – $17,098 · median $5,699 | 15 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $10,337 – $40,972 · median $13,657 | 15 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $5,299 – $25,015 · median $8,338 | 15 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $104,248 – $566,117 · median $188,706 | 15 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $37,475 – $159,892 · median $53,297 | 15 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $16,101 – $76,509 · median $25,503 | 15 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $18,728 – $103,834 · median $34,611 | 15 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $10,914 – $51,850 · median $17,283 | 15 plans |
| 935 | NON-EXTENSIVE BURNS | $9,885 – $53,056 · median $17,685 | 15 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $19,499 – $76,356 · median $25,452 | 15 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $12,475 – $51,030 · median $17,010 | 15 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $8,872 – $47,286 · median $15,762 | 15 plans |
| 945 | REHABILITATION WITH CC/MCC | $8,345 – $37,090 · median $12,363 | 15 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $6,627 – $27,318 · median $9,106 | 15 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $7,393 – $31,362 · median $10,454 | 15 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,803 – $19,643 · median $6,548 | 15 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,310 – $26,424 · median $8,808 | 15 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,785 – $14,676 · median $4,892 | 15 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,740 – $14,221 · median $4,740 | 15 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $37,066 – $163,453 · median $54,484 | 15 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $24,233 – $91,810 · median $30,603 | 15 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $42,767 – $178,609 · median $59,536 | 15 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $25,179 – $98,660 · median $32,887 | 15 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $14,171 – $63,722 · median $21,241 | 15 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $17,168 – $65,457 · median $21,819 | 15 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,274 – $36,460 · median $12,153 | 15 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,018 – $22,458 · median $7,486 | 15 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $32,834 – $151,441 · median $50,480 | 15 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $18,197 – $63,946 · median $21,315 | 15 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $17,322 – $71,880 · median $23,960 | 15 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,872 – $34,585 · median $11,528 | 15 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,924 – $24,612 · median $8,204 | 15 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $7,558 – $35,073 · median $11,691 | 15 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $31,686 – $114,012 · median $38,004 | 15 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,900 – $59,060 · median $19,687 | 15 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,501 – $40,467 · median $13,489 | 15 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $20,973 – $84,190 · median $28,063 | 15 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,447 – $41,606 · median $13,869 | 15 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $6,806 – $27,340 · median $9,113 | 15 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $33,835 – $101,506 · median $33,835 | 14 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $17,305 – $51,914 · median $17,305 | 14 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,728 – $38,184 · median $12,728 | 14 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $26,468 – $79,405 · median $26,468 | 14 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $14,192 – $42,576 · median $14,192 | 14 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,648 – $28,945 · median $9,648 | 14 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $24,615 – $73,844 · median $24,615 | 14 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE?PROCEDURES | $86,784 – $260,353 · median $86,784 | 14 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $56,381 – $169,142 · median $56,381 | 14 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC | $49,448 – $148,344 · median $49,448 | 14 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $37,193 – $111,580 · median $37,193 | 14 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $39,985 – $119,956 · median $39,985 | 14 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $25,694 – $77,081 · median $25,694 | 14 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $35,135 – $105,405 · median $35,135 | 14 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $18,626 – $55,878 · median $18,626 | 14 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $22,853 – $68,558 · median $22,853 | 14 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $14,609 – $43,827 · median $14,609 | 14 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $34,075 – $102,226 · median $34,075 | 14 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $25,620 – $76,859 · median $25,620 | 14 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $22,974 – $68,922 · median $22,974 | 14 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $19,921 – $59,763 · median $19,921 | 14 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $12,258 – $36,773 · median $12,258 | 14 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $9,164 – $27,492 · median $9,164 | 14 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $23,392 – $70,176 · median $23,392 | 14 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $16,984 – $50,951 · median $16,984 | 14 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $36,839 – $110,517 · median $36,839 | 14 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $27,824 – $83,471 · median $27,824 | 14 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $49,385 – $148,154 · median $49,385 | 13 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $31,317 – $93,950 · median $31,317 | 13 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $83,459 – $250,378 · median $83,459 | 13 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $56,664 – $169,993 · median $56,664 | 13 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $43,964 – $131,892 · median $43,964 | 13 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $66,499 – $199,497 · median $66,499 | 13 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $43,697 – $131,091 · median $43,697 | 13 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $53,502 – $160,507 · median $53,502 | 13 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $32,678 – $98,033 · median $32,678 | 13 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $41,152 – $123,455 · median $41,152 | 13 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $24,753 – $74,259 · median $24,753 | 13 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $73,421 – $220,264 · median $73,421 | 13 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $224,024 – $672,071 · median $224,024 | 10 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $87,784 – $263,351 · median $87,784 | 10 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $170,503 – $511,508 · median $170,503 | 10 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $112,494 – $337,482 · median $112,494 | 10 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $84,842 – $254,525 · median $84,842 | 10 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $38,761 – $116,283 · median $38,761 | 10 plans |
| 007 | LUNG TRANSPLANT | $104,063 – $312,189 · median $104,063 | 10 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $43,463 – $130,390 · median $43,463 | 10 plans |
| 010 | PANCREAS TRANSPLANT | $63,579 – $190,736 · median $63,579 | 10 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $43,104 – $129,313 · median $43,104 | 10 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $32,838 – $98,515 · median $32,838 | 10 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $21,289 – $63,867 · median $21,289 | 10 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $104,325 – $312,976 · median $104,325 | 10 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $48,189 – $144,567 · median $48,189 | 10 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $48,189 – $144,567 · median $48,189 | 10 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $299,852 – $899,555 · median $299,852 | 10 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $63,215 – $189,646 · median $63,215 | 10 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $64,278 – $192,835 · median $64,278 | 10 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $44,148 – $132,445 · median $44,148 | 10 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $28,284 – $84,851 · median $28,284 | 10 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $45,561 – $136,682 · median $45,561 | 10 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $30,439 – $91,317 · median $30,439 | 10 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $35,767 – $107,300 · median $35,767 | 10 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $24,535 – $73,606 · median $24,535 | 10 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $19,842 – $59,525 · median $19,842 | 10 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $48,535 – $145,606 · median $48,535 | 10 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $26,904 – $80,711 · median $26,904 | 10 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,916 – $53,747 · median $17,916 | 10 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $33,529 – $100,586 · median $33,529 | 10 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $17,202 – $51,607 · median $17,202 | 10 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,911 – $38,734 · median $12,911 | 10 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $31,130 – $93,390 · median $31,130 | 10 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $18,308 – $54,925 · median $18,308 | 10 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,799 – $44,397 · median $14,799 | 10 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $26,619 – $79,857 · median $26,619 | 10 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $13,037 – $39,111 · median $13,037 | 10 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,278 – $27,835 · median $9,278 | 10 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $30,204 – $90,611 · median $30,204 | 10 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $18,176 – $54,529 · median $18,176 | 10 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $14,199 – $42,598 · median $14,199 | 10 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $16,224 – $48,673 · median $16,224 | 10 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,556 – $22,668 · median $7,556 | 10 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $12,146 – $36,437 · median $12,146 | 10 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,903 – $26,710 · median $8,903 | 10 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $20,130 – $60,390 · median $20,130 | 10 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,837 – $32,511 · median $10,837 | 10 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $14,901 – $44,702 · median $14,901 | 10 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,957 – $29,870 · median $9,957 | 10 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,325 – $21,976 · median $7,325 | 10 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $21,713 – $65,140 · median $21,713 | 10 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $14,384 – $43,153 · median $14,384 | 10 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $11,396 – $34,189 · median $11,396 | 10 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $16,039 – $48,118 · median $16,039 | 10 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $8,315 – $24,944 · median $8,315 | 10 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,704 – $17,112 · median $5,704 | 10 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,794 – $35,383 · median $11,794 | 10 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,239 – $21,717 · median $7,239 | 10 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,592 – $19,777 · median $6,592 | 10 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $14,050 – $42,150 · median $14,050 | 10 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $8,609 – $25,826 · median $8,609 | 10 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,196 – $18,587 · median $6,196 | 10 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,515 – $37,545 · median $12,515 | 10 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,517 – $25,552 · median $8,517 | 10 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $13,920 – $41,759 · median $13,920 | 10 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,520 – $22,560 · median $7,520 | 10 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $12,520 – $37,561 · median $12,520 | 10 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $8,164 – $24,491 · median $8,164 | 10 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,532 – $16,597 · median $5,532 | 10 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $16,028 – $48,084 · median $16,028 | 10 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,424 – $22,272 · median $7,424 | 10 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $18,669 – $56,007 · median $18,669 | 10 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $11,282 – $33,846 · median $11,282 | 10 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,832 – $23,495 · median $7,832 | 10 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $18,238 – $54,715 · median $18,238 | 10 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,656 – $31,968 · median $10,656 | 10 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,259 – $21,776 · median $7,259 | 10 plans |
| 088 | CONCUSSION WITH MCC | $11,443 – $34,330 · median $11,443 | 10 plans |
| 089 | CONCUSSION WITH CC | $8,753 – $26,259 · median $8,753 | 10 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,047 – $21,140 · median $7,047 | 10 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $14,718 – $44,154 · median $14,718 | 10 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,647 – $25,940 · median $8,647 | 10 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,506 – $19,519 · median $6,506 | 10 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $29,223 – $87,670 · median $29,223 | 10 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $19,281 – $57,842 · median $19,281 | 10 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $19,281 – $57,842 · median $19,281 | 10 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $28,714 – $86,142 · median $28,714 | 10 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $17,470 – $52,410 · median $17,470 | 10 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $11,305 – $33,915 · median $11,305 | 10 plans |
| 453 | Combined anterior/posterior spinal fusion w MCC | $74,627 – $74,627 · median $74,627 | 1 plans |
| 454 | Combined anterior/posterior spinal fusion w CC | $52,687 – $52,687 · median $52,687 | 1 plans |
| 455 | Combined anterior/posterior spinal fusion w/o CC/MCC | $40,436 – $40,436 · median $40,436 | 1 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $42,735 – $42,735 · median $42,735 | 1 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $25,931 – $25,931 · median $25,931 | 1 plans |
No procedures match that keyword.