Schuyler Hospital — Pricing
765 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 765 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 765 procedures
Procedures with negotiated rates only
These 765 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $200,707 – $336,343 · median $268,525 | 2 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $81,158 – $136,004 · median $108,581 | 2 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $152,015 – $254,745 · median $203,380 | 2 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $99,204 – $166,245 · median $132,724 | 2 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $73,844 – $123,747 · median $98,795 | 2 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $33,210 – $55,653 · median $44,432 | 2 plans |
| 007 | Lung transplant | $92,749 – $155,428 · median $124,089 | 2 plans |
| 008 | Simultaneous pancreas/kidney transplant | $40,140 – $67,266 · median $53,703 | 2 plans |
| 010 | Pancreas transplant | $51,392 – $86,123 · median $68,758 | 2 plans |
| 011 | Tracheostomy for face,mouth & neck diagnoses w MCC | $39,062 – $65,460 · median $52,261 | 2 plans |
| 012 | Tracheostomy for face,mouth & neck diagnoses w CC | $30,195 – $50,600 · median $40,398 | 2 plans |
| 013 | Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC | $20,639 – $34,587 · median $27,613 | 2 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $86,072 – $144,239 · median $115,156 | 2 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $42,469 – $71,168 · median $56,818 | 2 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $38,906 – $65,198 · median $52,052 | 2 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $309,275 – $518,280 · median $413,778 | 2 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $51,098 – $85,629 · median $68,364 | 2 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $56,356 – $94,441 · median $75,399 | 2 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $37,914 – $63,536 · median $50,725 | 2 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $22,757 – $38,135 · median $30,446 | 2 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $41,040 – $68,775 · median $54,908 | 2 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $28,017 – $46,951 · median $37,484 | 2 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $32,563 – $54,569 · median $43,566 | 2 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $22,268 – $37,317 · median $29,792 | 2 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $18,069 – $30,280 · median $24,174 | 2 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $43,031 – $72,112 · median $57,572 | 2 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $24,434 – $40,946 · median $32,690 | 2 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $15,722 – $26,347 · median $21,034 | 2 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $32,089 – $53,775 · median $42,932 | 2 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $15,262 – $25,576 · median $20,419 | 2 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,910 – $19,958 · median $15,934 | 2 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $27,722 – $46,456 · median $37,089 | 2 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,121 – $28,691 · median $22,906 | 2 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,914 – $23,317 · median $18,616 | 2 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $23,578 – $39,512 · median $31,545 | 2 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,621 – $19,474 · median $15,548 | 2 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,419 – $14,108 · median $11,264 | 2 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $27,654 – $46,342 · median $36,998 | 2 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $15,747 – $26,389 · median $21,068 | 2 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,374 – $20,736 · median $16,555 | 2 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $12,973 – $21,739 · median $17,356 | 2 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,013 – $11,752 · median $9,383 | 2 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,936 – $18,326 · median $14,631 | 2 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,302 – $12,237 · median $9,770 | 2 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $16,638 – $27,882 · median $22,260 | 2 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,279 – $15,550 · median $12,414 | 2 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $12,243 – $20,517 · median $16,380 | 2 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,887 – $14,893 · median $11,890 | 2 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,588 – $11,039 · median $8,814 | 2 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $19,746 – $33,091 · median $26,419 | 2 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $12,585 – $21,090 · median $16,837 | 2 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,054 – $16,848 · median $13,451 | 2 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,403 – $24,136 · median $19,269 | 2 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,236 – $12,126 · median $9,681 | 2 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,902 – $8,214 · median $6,558 | 2 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,519 – $17,627 · median $14,073 | 2 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,191 – $10,375 · median $8,283 | 2 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,721 – $9,587 · median $7,654 | 2 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $11,923 – $19,981 · median $15,952 | 2 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $7,348 – $12,314 · median $9,831 | 2 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,416 – $9,076 · median $7,246 | 2 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,490 – $19,255 · median $15,372 | 2 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,383 – $12,372 · median $9,877 | 2 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $13,733 – $23,014 · median $18,373 | 2 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,910 – $9,904 · median $7,907 | 2 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $12,963 – $21,724 · median $17,343 | 2 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,414 – $10,749 · median $8,582 | 2 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $16,369 – $27,432 · median $21,901 | 2 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $9,997 – $16,752 · median $13,375 | 2 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,845 – $11,472 · median $9,158 | 2 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,271 – $27,267 · median $21,769 | 2 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,330 – $15,635 · median $12,482 | 2 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,551 – $10,978 · median $8,765 | 2 plans |
| 088 | CONCUSSION WITH MCC | $9,682 – $16,224 · median $12,953 | 2 plans |
| 089 | CONCUSSION WITH CC | $7,868 – $13,185 · median $10,527 | 2 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,896 – $9,880 · median $7,888 | 2 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $12,578 – $21,078 · median $16,828 | 2 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,327 – $12,278 · median $9,802 | 2 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,703 – $9,557 · median $7,630 | 2 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $25,206 – $42,240 · median $33,723 | 2 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $18,472 – $30,956 · median $24,714 | 2 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $18,472 – $30,956 · median $24,714 | 2 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $25,868 – $43,349 · median $34,608 | 2 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $16,436 – $27,543 · median $21,990 | 2 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $9,758 – $16,352 · median $13,055 | 2 plans |
| 100 | SEIZURES WITH MCC | $13,871 – $23,245 · median $18,558 | 2 plans |
| 101 | SEIZURES WITHOUT MCC | $6,464 – $10,833 · median $8,649 | 2 plans |
| 102 | HEADACHES WITH MCC | $8,028 – $13,453 · median $10,740 | 2 plans |
| 103 | HEADACHES WITHOUT MCC | $5,990 – $10,037 · median $8,013 | 2 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $16,839 – $28,218 · median $22,528 | 2 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,690 – $16,239 · median $12,964 | 2 plans |
| 115 | Extraocular procedures except orbit | $10,993 – $18,422 · median $14,707 | 2 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $12,950 – $21,701 · median $17,325 | 2 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,770 – $13,021 · median $10,396 | 2 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,332 – $13,962 · median $11,147 | 2 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,628 – $9,431 · median $7,530 | 2 plans |
| 123 | Neurological eye disorders | $5,720 – $9,585 · median $7,652 | 2 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,476 – $15,880 · median $12,678 | 2 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,499 – $9,215 · median $7,357 | 2 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $15,542 – $26,044 · median $20,793 | 2 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,272 – $12,186 · median $9,729 | 2 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,694 – $17,921 · median $14,308 | 2 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,347 – $10,636 · median $8,492 | 2 plans |
| 139 | Salivary gland procedures | $8,850 – $14,831 · median $11,840 | 2 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $30,548 – $51,192 · median $40,870 | 2 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,621 – $26,178 · median $20,899 | 2 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,433 – $19,160 · median $15,297 | 2 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $26,833 – $44,967 · median $35,900 | 2 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,411 – $20,798 · median $16,605 | 2 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,611 – $14,430 · median $11,520 | 2 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $15,165 – $25,413 · median $20,289 | 2 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,106 – $15,261 · median $12,184 | 2 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,709 – $9,567 · median $7,638 | 2 plans |
| 149 | Dysequilibrium | $5,383 – $9,021 · median $7,202 | 2 plans |
| 150 | EPISTAXIS WITH MCC | $9,536 – $15,981 · median $12,758 | 2 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,257 – $8,809 · median $7,033 | 2 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,467 – $14,189 · median $11,328 | 2 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,287 – $8,860 · median $7,073 | 2 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,198 – $18,765 · median $14,981 | 2 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $6,564 – $11,000 · median $8,782 | 2 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,950 – $8,295 · median $6,622 | 2 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,296 – $20,605 · median $16,450 | 2 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,516 – $10,919 · median $8,718 | 2 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,074 – $8,503 · median $6,789 | 2 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $32,099 – $53,791 · median $42,945 | 2 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $18,077 – $30,293 · median $24,185 | 2 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,710 – $22,974 · median $18,342 | 2 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $26,769 – $44,860 · median $35,815 | 2 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $12,916 – $21,644 · median $17,280 | 2 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,786 – $16,400 · median $13,093 | 2 plans |
| 173 | Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism | $21,317 – $35,723 · median $28,520 | 2 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $9,838 – $16,486 · median $13,162 | 2 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,765 – $9,662 · median $7,714 | 2 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,192 – $18,756 · median $14,974 | 2 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,990 – $11,714 · median $9,352 | 2 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,407 – $9,062 · median $7,234 | 2 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $12,648 – $21,196 · median $16,922 | 2 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,671 – $12,854 · median $10,262 | 2 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,399 – $9,047 · median $7,223 | 2 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $10,957 – $18,362 · median $14,660 | 2 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,621 – $12,771 · median $10,196 | 2 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,633 – $9,440 · median $7,536 | 2 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,162 – $18,705 · median $14,934 | 2 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,084 – $11,871 · median $9,478 | 2 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,137 – $8,608 · median $6,872 | 2 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $8,848 – $14,827 · median $11,838 | 2 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,933 – $13,295 · median $10,614 | 2 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,038 – $10,118 · median $8,078 | 2 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,598 – $7,705 · median $6,152 | 2 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,414 – $15,775 · median $12,595 | 2 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,772 – $9,672 · median $7,722 | 2 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,501 – $7,543 · median $6,022 | 2 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,516 – $22,650 · median $18,083 | 2 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,797 – $11,391 · median $9,094 | 2 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,129 – $8,596 · median $6,863 | 2 plans |
| 199 | PNEUMOTHORAX WITH MCC | $12,634 – $21,173 · median $16,904 | 2 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,873 – $13,194 · median $10,533 | 2 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,122 – $8,583 · median $6,852 | 2 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,956 – $11,656 · median $9,306 | 2 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,799 – $8,041 · median $6,420 | 2 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,783 – $9,690 · median $7,737 | 2 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $13,114 – $21,976 · median $17,545 | 2 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,740 – $11,295 · median $9,018 | 2 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $46,085 – $77,229 · median $61,657 | 2 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $19,686 – $32,990 · median $26,338 | 2 plans |
| 212 | Concomitant Aortic and Mitral Valve Procedures | $77,880 – $130,511 · median $104,196 | 2 plans |
| 215 | Other heart assist system implant | $71,312 – $119,504 · median $95,408 | 2 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $70,064 – $117,413 · median $93,739 | 2 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $47,092 – $78,917 · median $63,005 | 2 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $47,092 – $78,917 · median $63,005 | 2 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $54,992 – $92,155 · median $73,573 | 2 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $38,194 – $64,004 · median $51,099 | 2 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $36,098 – $60,492 · median $48,295 | 2 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $35,433 – $59,379 · median $47,406 | 2 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $22,557 – $37,800 · median $30,179 | 2 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $60,375 – $101,176 · median $80,775 | 2 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $43,420 – $72,763 · median $58,092 | 2 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $54,755 – $91,758 · median $73,256 | 2 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $39,124 – $65,563 · median $52,344 | 2 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $42,031 – $70,435 · median $56,233 | 2 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $30,000 – $50,274 · median $40,137 | 2 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $35,249 – $59,070 · median $47,160 | 2 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $20,415 – $34,212 · median $27,313 | 2 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,915 – $16,616 · median $13,265 | 2 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $22,867 – $38,320 · median $30,593 | 2 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $15,262 – $25,575 · median $20,418 | 2 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $12,945 – $21,694 · median $17,319 | 2 plans |
| 245 | AICD generator procedures | $32,676 – $54,758 · median $43,717 | 2 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $15,631 – $26,194 · median $20,913 | 2 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $10,704 – $17,937 · median $14,320 | 2 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $24,983 – $41,867 · median $33,425 | 2 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $18,590 – $31,152 · median $24,871 | 2 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $12,761 – $21,384 · median $17,072 | 2 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $19,319 – $32,374 · median $25,846 | 2 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,160 – $20,378 · median $16,269 | 2 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,822 – $13,109 · median $10,465 | 2 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $22,504 – $37,711 · median $30,108 | 2 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $14,482 – $24,269 · median $19,376 | 2 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $23,297 – $39,040 · median $31,168 | 2 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $13,540 – $22,690 · median $18,115 | 2 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $11,673 – $19,562 · median $15,618 | 2 plans |
| 263 | VEIN LIGATION AND STRIPPING | $21,897 – $36,695 · median $29,296 | 2 plans |
| 264 | Other circulatory system O.R. procedures | $23,925 – $40,094 · median $32,010 | 2 plans |
| 265 | AICD lead procedures | $25,914 – $43,426 · median $34,670 | 2 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $43,892 – $73,553 · median $58,722 | 2 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $34,097 – $57,139 · median $45,618 | 2 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $49,260 – $82,549 · median $65,904 | 2 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $30,247 – $50,687 · median $40,467 | 2 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $37,789 – $63,326 · median $50,558 | 2 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $25,470 – $42,683 · median $34,076 | 2 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $18,285 – $30,641 · median $24,463 | 2 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $29,547 – $49,514 · median $39,531 | 2 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $23,575 – $39,507 · median $31,541 | 2 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $51,068 – $85,579 · median $68,323 | 2 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $43,019 – $72,091 · median $57,555 | 2 plans |
| 277 | Cardiac Defibrillator Implant without MCC | $33,078 – $55,431 · median $44,254 | 2 plans |
| 278 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC | $39,865 – $66,806 · median $53,335 | 2 plans |
| 279 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC | $25,829 – $43,284 · median $34,557 | 2 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $11,489 – $19,252 · median $15,370 | 2 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,583 – $11,031 · median $8,807 | 2 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,179 – $8,679 · median $6,929 | 2 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $14,186 – $23,774 · median $18,980 | 2 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,958 – $8,308 · median $6,633 | 2 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,289 – $7,188 · median $5,739 | 2 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $15,848 – $26,558 · median $21,203 | 2 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,664 – $12,843 · median $10,254 | 2 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $19,382 – $32,480 · median $25,931 | 2 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,225 – $20,486 · median $16,356 | 2 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,659 – $11,158 · median $8,908 | 2 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,195 – $15,408 · median $12,301 | 2 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,081 – $10,190 · median $8,135 | 2 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,054 – $6,793 · median $5,423 | 2 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,186 – $18,746 · median $14,966 | 2 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,541 – $7,609 · median $6,075 | 2 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,259 – $5,462 · median $4,361 | 2 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $11,693 – $19,596 · median $15,645 | 2 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,645 – $12,812 · median $10,229 | 2 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,154 – $8,638 · median $6,896 | 2 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,570 – $14,362 · median $11,466 | 2 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,821 – $8,080 · median $6,451 | 2 plans |
| 304 | HYPERTENSION WITH MCC | $8,523 – $14,282 · median $11,403 | 2 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,408 – $9,063 · median $7,235 | 2 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,286 – $18,913 · median $15,099 | 2 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,540 – $10,960 · median $8,750 | 2 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,623 – $14,450 · median $11,537 | 2 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,269 – $8,830 · median $7,049 | 2 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,054 – $6,794 · median $5,424 | 2 plans |
| 311 | Angina pectoris | $5,027 – $8,424 · median $6,726 | 2 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,242 – $10,461 · median $8,352 | 2 plans |
| 313 | Chest pain | $5,157 – $8,641 · median $6,899 | 2 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $14,934 – $25,027 · median $19,980 | 2 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,899 – $11,562 · median $9,230 | 2 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,885 – $8,187 · median $6,536 | 2 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $47,889 – $80,251 · median $64,070 | 2 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $31,963 – $53,564 · median $42,764 | 2 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $17,227 – $28,868 · median $23,048 | 2 plans |
| 321 | Percutaneous Cardiovascular Procedures with Intraluminal Device with MMC or 4+ Arteries/Intraluminal Devices | $19,486 – $32,655 · median $26,071 | 2 plans |
| 322 | Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC | $12,627 – $21,160 · median $16,893 | 2 plans |
| 323 | Coronary Intravascular Lithotripsy with Intraluminal Device with MCC | $30,993 – $51,937 · median $41,465 | 2 plans |
| 324 | Coronary Intravascular Lithotripsy with Intraluminal Device without MCC | $22,567 – $37,818 · median $30,193 | 2 plans |
| 325 | Coronary Intravascular Lithotripsy without Intraluminal Device | $22,993 – $38,531 · median $30,762 | 2 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $35,720 – $59,859 · median $47,789 | 2 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,505 – $29,335 · median $23,420 | 2 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,476 – $19,231 · median $15,353 | 2 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $32,920 – $55,167 · median $44,044 | 2 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,169 – $28,771 · median $22,970 | 2 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,053 – $20,198 · median $16,126 | 2 plans |
| 332 | RECTAL RESECTION WITH MCC | $25,931 – $43,456 · median $34,694 | 2 plans |
| 333 | RECTAL RESECTION WITH CC | $16,775 – $28,111 · median $22,443 | 2 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $11,731 – $19,658 · median $15,694 | 2 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $25,575 – $42,858 · median $34,216 | 2 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $15,103 – $25,309 · median $20,206 | 2 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $10,994 – $18,423 · median $14,708 | 2 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $18,498 – $30,999 · median $24,748 | 2 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,777 – $18,059 · median $14,418 | 2 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,496 – $14,237 · median $11,366 | 2 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $16,441 – $27,552 · median $21,996 | 2 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,374 – $15,708 · median $12,541 | 2 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,235 – $10,449 · median $8,342 | 2 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $17,847 – $29,908 · median $23,877 | 2 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $10,918 – $18,297 · median $14,608 | 2 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,364 – $14,016 · median $11,190 | 2 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $20,784 – $34,830 · median $27,807 | 2 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,049 – $20,192 · median $16,121 | 2 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,633 – $16,143 · median $12,888 | 2 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $31,461 – $52,722 · median $42,092 | 2 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $16,655 – $27,911 · median $22,283 | 2 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,012 – $16,778 · median $13,395 | 2 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $11,401 – $19,106 · median $15,254 | 2 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,163 – $12,004 · median $9,584 | 2 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,019 – $8,411 · median $6,715 | 2 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $12,699 – $21,281 · median $16,990 | 2 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,312 – $12,254 · median $9,783 | 2 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,210 – $8,730 · median $6,970 | 2 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $15,317 – $25,669 · median $20,493 | 2 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,663 – $14,518 · median $11,590 | 2 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,620 – $11,093 · median $8,857 | 2 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,092 – $21,940 · median $17,516 | 2 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,024 – $11,770 · median $9,397 | 2 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,515 – $7,566 · median $6,040 | 2 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,053 – $23,550 · median $18,802 | 2 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,760 – $13,004 · median $10,382 | 2 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,734 – $9,609 · median $7,671 | 2 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,889 – $16,571 · median $13,230 | 2 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,122 – $10,259 · median $8,191 | 2 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,332 – $18,991 · median $15,162 | 2 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,992 – $11,718 · median $9,355 | 2 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,879 – $8,177 · median $6,528 | 2 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,577 – $17,725 · median $14,151 | 2 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,657 – $9,479 · median $7,568 | 2 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,896 – $6,529 · median $5,213 | 2 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,084 – $15,222 · median $12,153 | 2 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,584 – $9,357 · median $7,470 | 2 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $11,454 – $19,195 · median $15,324 | 2 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,701 – $11,230 · median $8,966 | 2 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,648 – $7,789 · median $6,219 | 2 plans |
| 397 | Appendix Procedures with MCC | $17,152 – $28,744 · median $22,948 | 2 plans |
| 398 | Appendix Procedures without MCC/CC | $10,840 – $18,166 · median $14,503 | 2 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,198 – $13,739 · median $10,969 | 2 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $28,795 – $48,254 · median $38,524 | 2 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $39,180 – $65,657 · median $52,418 | 2 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $20,771 – $34,808 · median $27,790 | 2 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $15,897 – $26,640 · median $21,268 | 2 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $25,537 – $42,794 · median $34,166 | 2 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $15,594 – $26,132 · median $20,863 | 2 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,371 – $19,056 · median $15,213 | 2 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $23,658 – $39,646 · median $31,652 | 2 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $15,058 – $25,234 · median $20,146 | 2 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $11,893 – $19,929 · median $15,911 | 2 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $25,515 – $42,758 · median $34,137 | 2 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $14,802 – $24,805 · median $19,803 | 2 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $9,764 – $16,362 · median $13,063 | 2 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $17,091 – $28,642 · median $22,866 | 2 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,115 – $20,303 · median $16,209 | 2 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,782 – $16,392 · median $13,087 | 2 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $24,402 – $40,892 · median $32,647 | 2 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,444 – $20,853 · median $16,649 | 2 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,023 – $16,797 · median $13,410 | 2 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $29,744 – $49,844 · median $39,794 | 2 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $15,670 – $26,259 · median $20,964 | 2 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $10,745 – $18,007 · median $14,376 | 2 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $78,934 – $132,276 · median $105,605 | 2 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $51,700 – $86,638 · median $69,169 | 2 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $40,265 – $67,475 · median $53,870 | 2 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $64,527 – $108,133 · median $86,330 | 2 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $41,304 – $69,217 · median $55,260 | 2 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,096 – $23,622 · median $18,859 | 2 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,565 – $12,677 · median $10,121 | 2 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,103 – $8,551 · median $6,827 | 2 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,154 – $22,044 · median $17,599 | 2 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,101 – $13,575 · median $10,838 | 2 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,111 – $10,241 · median $8,176 | 2 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $11,675 – $19,566 · median $15,621 | 2 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,025 – $10,096 · median $8,060 | 2 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,450 – $7,458 · median $5,954 | 2 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $12,854 – $21,540 · median $17,197 | 2 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,913 – $11,586 · median $9,250 | 2 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,011 – $8,398 · median $6,705 | 2 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $11,967 – $20,054 · median $16,011 | 2 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,838 – $13,135 · median $10,487 | 2 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,925 – $9,929 · median $7,927 | 2 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $47,854 – $80,193 · median $64,023 | 2 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $30,373 – $50,898 · median $40,635 | 2 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $38,171 – $63,966 · median $51,068 | 2 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $23,136 – $38,771 · median $30,954 | 2 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $60,185 – $100,858 · median $80,521 | 2 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $42,708 – $71,569 · median $57,138 | 2 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $29,884 – $50,080 · median $39,982 | 2 plans |
| 461 | Bilateral or multiple major joint procs of lower extremity w MCC | $39,556 – $66,287 · median $52,921 | 2 plans |
| 462 | Bilateral or multiple major joint procs of lower extremity w/o MCC | $19,051 – $31,925 · median $25,488 | 2 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $40,820 – $68,405 · median $54,613 | 2 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,307 – $37,383 · median $29,845 | 2 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,061 – $21,888 · median $17,475 | 2 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $37,281 – $62,475 · median $49,878 | 2 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $25,258 – $42,326 · median $33,792 | 2 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $19,681 – $32,982 · median $26,331 | 2 plans |
| 469 | Major joint replacement or reattachment of lower extremity w MCC | $21,724 – $36,404 · median $29,064 | 2 plans |
| 470 | Major joint replacement or reattachment of lower extremity w/o MCC | $13,815 – $23,151 · median $18,483 | 2 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $34,583 – $57,954 · median $46,269 | 2 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $21,100 – $35,359 · median $28,230 | 2 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $17,485 – $29,300 · median $23,393 | 2 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $30,746 – $51,523 · median $41,135 | 2 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,299 – $27,313 · median $21,806 | 2 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,453 – $14,165 · median $11,309 | 2 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $24,742 – $41,462 · median $33,102 | 2 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,613 – $29,515 · median $23,564 | 2 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,313 – $22,311 · median $17,812 | 2 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $20,858 – $34,953 · median $27,906 | 2 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,001 – $25,138 · median $20,070 | 2 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,681 – $19,575 · median $15,628 | 2 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $19,852 – $33,268 · median $26,560 | 2 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $23,112 – $38,732 · median $30,922 | 2 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $14,976 – $25,097 · median $20,037 | 2 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,217 – $18,798 · median $15,007 | 2 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $12,669 – $21,230 · median $16,950 | 2 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,999 – $13,404 · median $10,701 | 2 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $26,296 – $44,067 · median $35,181 | 2 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $18,164 – $30,438 · median $24,301 | 2 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $14,371 – $24,082 · median $19,226 | 2 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $25,967 – $43,516 · median $34,741 | 2 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,920 – $21,650 · median $17,285 | 2 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,654 – $14,502 · median $11,578 | 2 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $21,606 – $36,208 · median $28,907 | 2 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $14,430 – $24,182 · median $19,306 | 2 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $22,666 – $37,984 · median $30,325 | 2 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $12,520 – $20,981 · median $16,750 | 2 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $9,639 – $16,153 · median $12,896 | 2 plans |
| 503 | FOOT PROCEDURES WITH MCC | $19,990 – $33,499 · median $26,744 | 2 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,387 – $22,434 · median $17,911 | 2 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $12,840 – $21,517 · median $17,179 | 2 plans |
| 506 | Major thumb or joint procedures | $9,663 – $16,193 · median $12,928 | 2 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $12,937 – $21,680 · median $17,309 | 2 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,846 – $18,176 · median $14,511 | 2 plans |
| 510 | Shoulder,elbow or forearm proc,exc major joint proc w MCC | $21,633 – $36,252 · median $28,942 | 2 plans |
| 511 | Shoulder,elbow or forearm proc,exc major joint proc w CC | $14,893 – $24,957 · median $19,925 | 2 plans |
| 512 | Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC | $11,856 – $19,868 · median $15,862 | 2 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,275 – $18,895 · median $15,085 | 2 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,322 – $12,270 · median $9,796 | 2 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $22,825 – $38,249 · median $30,537 | 2 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $14,883 – $24,941 · median $19,912 | 2 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,006 – $18,443 · median $14,725 | 2 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $26,767 – $44,855 · median $35,811 | 2 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $14,325 – $24,006 · median $19,166 | 2 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,699 – $17,930 · median $14,315 | 2 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $20,556 – $34,448 · median $27,502 | 2 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,167 – $25,417 · median $20,292 | 2 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,228 – $18,816 · median $15,022 | 2 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,773 – $9,675 · median $7,724 | 2 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,182 – $15,387 · median $12,284 | 2 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,784 – $9,693 · median $7,738 | 2 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,835 – $11,454 · median $9,144 | 2 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,159 – $8,645 · median $6,902 | 2 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,107 – $23,640 · median $18,874 | 2 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,284 – $15,558 · median $12,421 | 2 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,639 – $9,450 · median $7,545 | 2 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $12,652 – $21,202 · median $16,927 | 2 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,363 – $12,338 · median $9,850 | 2 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,404 – $9,057 · median $7,231 | 2 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $17,774 – $29,785 · median $23,780 | 2 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,261 – $13,843 · median $11,052 | 2 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,989 – $10,036 · median $8,012 | 2 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $13,829 – $23,175 · median $18,502 | 2 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,646 – $14,489 · median $11,567 | 2 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,260 – $10,491 · median $8,376 | 2 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,004 – $20,117 · median $16,060 | 2 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,885 – $11,538 · median $9,211 | 2 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,284 – $15,558 · median $12,421 | 2 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,945 – $9,963 · median $7,954 | 2 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,467 – $15,864 · median $12,665 | 2 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,949 – $9,969 · median $7,959 | 2 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $10,649 – $17,846 · median $14,247 | 2 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,397 – $10,720 · median $8,559 | 2 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,356 – $22,383 · median $17,869 | 2 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,065 – $13,515 · median $10,790 | 2 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,758 – $9,648 · median $7,703 | 2 plans |
| 562 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC | $10,204 – $17,100 · median $13,652 | 2 plans |
| 563 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC | $6,414 – $10,748 · median $8,581 | 2 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,055 – $18,526 · median $14,791 | 2 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,979 – $11,695 · median $9,337 | 2 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,366 – $8,993 · median $7,180 | 2 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $21,064 – $35,299 · median $28,182 | 2 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,100 – $20,277 · median $16,189 | 2 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,210 – $13,758 · median $10,984 | 2 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $46,921 – $78,630 · median $62,776 | 2 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $24,862 – $41,664 · median $33,263 | 2 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,870 – $21,568 · median $17,219 | 2 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $35,102 – $58,824 · median $46,963 | 2 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $18,984 – $31,814 · median $25,399 | 2 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,505 – $19,280 · median $15,393 | 2 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $23,194 – $38,868 · median $31,031 | 2 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,376 – $20,739 · median $16,558 | 2 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,335 – $17,320 · median $13,828 | 2 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,798 – $23,123 · median $18,461 | 2 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,350 – $20,696 · median $16,523 | 2 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $15,332 – $25,693 · median $20,512 | 2 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $13,816 – $23,153 · median $18,485 | 2 plans |
| 592 | SKIN ULCERS WITH MCC | $13,861 – $23,227 · median $18,544 | 2 plans |
| 593 | SKIN ULCERS WITH CC | $8,496 – $14,238 · median $11,367 | 2 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,208 – $10,403 · median $8,306 | 2 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $15,188 – $25,453 · median $20,321 | 2 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,753 – $12,992 · median $10,373 | 2 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $11,940 – $20,009 · median $15,974 | 2 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,102 – $13,578 · median $10,840 | 2 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,510 – $9,234 · median $7,372 | 2 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,460 – $12,501 · median $9,981 | 2 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,333 – $7,261 · median $5,797 | 2 plans |
| 602 | CELLULITIS WITH MCC | $10,179 – $17,058 · median $13,619 | 2 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,237 – $10,453 · median $8,345 | 2 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,543 – $17,668 · median $14,106 | 2 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,560 – $10,994 · median $8,777 | 2 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $10,838 – $18,161 · median $14,499 | 2 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,492 – $10,879 · median $8,685 | 2 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $15,698 – $26,306 · median $21,002 | 2 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,022 – $16,794 · median $13,408 | 2 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $24,977 – $41,856 · median $33,416 | 2 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,395 – $22,447 · median $17,921 | 2 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,158 – $17,022 · median $13,590 | 2 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $20,680 – $34,655 · median $27,667 | 2 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,461 – $19,207 · median $15,334 | 2 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,803 – $18,104 · median $14,453 | 2 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,491 – $42,718 · median $34,104 | 2 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,848 – $21,530 · median $17,189 | 2 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,966 – $15,025 · median $11,996 | 2 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $21,630 – $36,247 · median $28,939 | 2 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $10,739 – $17,996 · median $14,367 | 2 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,513 – $15,942 · median $12,728 | 2 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $26,691 – $44,729 · median $35,710 | 2 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $15,605 – $26,150 · median $20,877 | 2 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,453 – $17,517 · median $13,985 | 2 plans |
| 637 | DIABETES WITH MCC | $10,290 – $17,243 · median $13,766 | 2 plans |
| 638 | DIABETES WITH CC | $6,419 – $10,756 · median $8,587 | 2 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,449 – $7,456 · median $5,952 | 2 plans |
| 640 | Nutritional & misc metabolic disorders w MCC | $9,566 – $16,030 · median $12,798 | 2 plans |
| 641 | Nutritional & misc metabolic disorders w/o MCC | $5,573 – $9,340 · median $7,457 | 2 plans |
| 642 | Inborn errors of metabolism | $10,185 – $17,068 · median $13,627 | 2 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $11,789 – $19,756 · median $15,773 | 2 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,341 – $12,302 · median $9,822 | 2 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,503 – $9,221 · median $7,362 | 2 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $33,671 – $56,426 · median $45,049 | 2 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $26,541 – $44,477 · median $35,509 | 2 plans |
| 652 | Kidney transplant | $23,130 – $38,760 · median $30,945 | 2 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $37,217 – $62,367 · median $49,792 | 2 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $20,049 – $33,597 · median $26,823 | 2 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $15,159 – $25,403 · median $20,281 | 2 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $22,802 – $38,212 · median $30,507 | 2 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,106 – $21,964 · median $17,535 | 2 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,114 – $18,625 · median $14,869 | 2 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,198 – $30,496 · median $24,347 | 2 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,466 – $15,863 · median $12,665 | 2 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,416 – $12,427 · median $9,921 | 2 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $21,926 – $36,744 · median $29,335 | 2 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $10,888 – $18,245 · median $14,567 | 2 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,498 – $12,565 · median $10,031 | 2 plans |
| 665 | PROSTATECTOMY WITH MCC | $22,354 – $37,461 · median $29,907 | 2 plans |
| 666 | PROSTATECTOMY WITH CC | $12,528 – $20,995 · median $16,762 | 2 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,923 – $13,277 · median $10,600 | 2 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $20,913 – $35,046 · median $27,979 | 2 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,115 – $18,627 · median $14,871 | 2 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,999 – $11,730 · median $9,364 | 2 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $12,856 – $21,544 · median $17,200 | 2 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,731 – $12,956 · median $10,344 | 2 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $30,092 – $50,428 · median $40,260 | 2 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $16,749 – $28,068 · median $22,408 | 2 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,756 – $19,700 · median $15,728 | 2 plans |
| 682 | RENAL FAILURE WITH MCC | $10,607 – $17,775 · median $14,191 | 2 plans |
| 683 | RENAL FAILURE WITH CC | $6,272 – $10,511 · median $8,392 | 2 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,299 – $7,205 · median $5,752 | 2 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $12,918 – $21,648 · median $17,283 | 2 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,504 – $12,576 · median $10,040 | 2 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,660 – $9,485 · median $7,573 | 2 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,310 – $13,926 · median $11,118 | 2 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,798 – $9,716 · median $7,757 | 2 plans |
| 693 | URINARY STONES WITH MCC | $9,629 – $16,137 · median $12,883 | 2 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,599 – $9,382 · median $7,490 | 2 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,192 – $13,728 · median $10,960 | 2 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,935 – $8,269 · median $6,602 | 2 plans |
| 697 | Urethral stricture | $7,719 – $12,936 · median $10,327 | 2 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $11,849 – $19,856 · median $15,852 | 2 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,269 – $12,182 · median $9,726 | 2 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,941 – $8,280 · median $6,611 | 2 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,326 – $24,008 · median $19,167 | 2 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,988 – $18,413 · median $14,701 | 2 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $16,667 – $27,930 · median $22,298 | 2 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,035 – $16,817 · median $13,426 | 2 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $14,924 – $25,010 · median $19,967 | 2 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,876 – $13,199 · median $10,537 | 2 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,767 – $18,044 · median $14,406 | 2 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,573 – $12,691 · median $10,132 | 2 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $16,024 – $26,852 · median $21,438 | 2 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,535 – $17,655 · median $14,095 | 2 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,540 – $22,690 · median $18,115 | 2 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,619 – $16,120 · median $12,870 | 2 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $12,961 – $21,720 · median $17,341 | 2 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,184 – $13,715 · median $10,949 | 2 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,696 – $7,870 · median $6,283 | 2 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,381 – $14,045 · median $11,213 | 2 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,171 – $8,665 · median $6,918 | 2 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,621 – $17,798 · median $14,209 | 2 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,810 – $9,736 · median $7,773 | 2 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,582 – $12,707 · median $10,144 | 2 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,813 – $8,065 · median $6,439 | 2 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $15,255 – $25,564 · median $20,410 | 2 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,636 – $16,149 · median $12,893 | 2 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $25,601 – $42,901 · median $34,251 | 2 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $14,758 – $24,731 · median $19,745 | 2 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,517 – $17,625 · median $14,071 | 2 plans |
| 739 | Uterine,adnexa proc for non-ovarian/adnexal malig w MCC | $25,660 – $43,001 · median $34,330 | 2 plans |
| 740 | Uterine,adnexa proc for non-ovarian/adnexal malig w CC | $12,960 – $21,719 · median $17,340 | 2 plans |
| 741 | Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC | $10,214 – $17,116 · median $13,665 | 2 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,141 – $22,021 · median $17,581 | 2 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $8,886 – $14,891 · median $11,888 | 2 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $14,676 – $24,593 · median $19,634 | 2 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,147 – $13,652 · median $10,900 | 2 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,441 – $20,849 · median $16,645 | 2 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,157 – $10,318 · median $8,238 | 2 plans |
| 748 | Female reproductive system reconstructive procedures | $9,936 – $16,650 · median $13,293 | 2 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $18,389 – $30,816 · median $24,603 | 2 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,570 – $17,713 · median $14,141 | 2 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,190 – $22,104 · median $17,647 | 2 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,791 – $13,056 · median $10,423 | 2 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,879 – $11,528 · median $9,204 | 2 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,255 – $17,186 · median $13,720 | 2 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,012 – $11,750 · median $9,381 | 2 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,753 – $7,965 · median $6,359 | 2 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,216 – $12,092 · median $9,654 | 2 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,086 – $6,847 · median $5,467 | 2 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $7,675 – $12,861 · median $10,268 | 2 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,102 – $20,281 · median $16,192 | 2 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,181 – $12,034 · median $9,608 | 2 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,689 – $7,858 · median $6,273 | 2 plans |
| 779 | ABORTION WITHOUT D&C | $6,025 – $10,097 · median $8,061 | 2 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $17,583 – $29,466 · median $23,525 | 2 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,592 – $12,723 · median $10,158 | 2 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,860 – $11,496 · median $9,178 | 2 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $11,814 – $19,797 · median $15,806 | 2 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,999 – $13,404 · median $10,701 | 2 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,867 – $11,508 · median $9,187 | 2 plans |
| 789 | Neonates, died or transferred to another acute care facility | $12,907 – $21,630 · median $17,269 | 2 plans |
| 790 | Extreme immaturity or respiratory distress syndrome, neonate | $42,567 – $71,334 · median $56,951 | 2 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $29,071 – $48,716 · median $38,893 | 2 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $17,541 – $29,395 · median $23,468 | 2 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $29,863 – $50,044 · median $39,953 | 2 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $10,570 – $17,714 · median $14,142 | 2 plans |
| 795 | Normal newborn | $1,431 – $2,398 · median $1,914 | 2 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $8,358 – $14,006 · median $11,182 | 2 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,165 – $12,007 · median $9,586 | 2 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,855 – $11,487 · median $9,171 | 2 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $32,436 – $54,356 · median $43,396 | 2 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $20,121 – $33,718 · median $26,920 | 2 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $13,672 – $22,911 · median $18,291 | 2 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $28,534 – $47,817 · median $38,176 | 2 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,313 – $22,311 · median $17,812 | 2 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,712 – $16,275 · median $12,993 | 2 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,729 – $12,953 · median $10,341 | 2 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,400 – $9,050 · median $7,225 | 2 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,829 – $8,092 · median $6,460 | 2 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $15,813 – $26,499 · median $21,156 | 2 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,066 – $15,193 · median $12,130 | 2 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,496 – $12,561 · median $10,029 | 2 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,058 – $16,854 · median $13,456 | 2 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,576 – $11,020 · median $8,798 | 2 plans |
| 813 | Coagulation disorders | $10,924 – $18,307 · median $14,615 | 2 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,231 – $25,525 · median $20,378 | 2 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,262 – $12,170 · median $9,716 | 2 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,526 – $7,585 · median $6,056 | 2 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $16,341 – $27,384 · median $21,862 | 2 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,302 – $13,913 · median $11,107 | 2 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,159 – $10,321 · median $8,240 | 2 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $42,004 – $70,389 · median $56,197 | 2 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $16,033 – $26,868 · median $21,450 | 2 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,623 – $14,450 · median $11,537 | 2 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $32,836 – $55,027 · median $43,932 | 2 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $16,226 – $27,192 · median $21,709 | 2 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,664 – $16,196 · median $12,930 | 2 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $33,502 – $56,143 · median $44,823 | 2 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $16,553 – $27,739 · median $22,146 | 2 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,203 – $20,449 · median $16,326 | 2 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $22,632 – $37,926 · median $30,279 | 2 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,779 – $18,063 · median $14,421 | 2 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,612 – $14,432 · median $11,522 | 2 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,168 – $8,661 · median $6,914 | 2 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,745 – $6,276 · median $5,010 | 2 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $39,319 – $65,890 · median $52,604 | 2 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $14,939 – $25,034 · median $19,986 | 2 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,734 – $14,636 · median $11,685 | 2 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $34,408 – $57,661 · median $46,035 | 2 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $14,950 – $25,053 · median $20,001 | 2 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,341 – $17,330 · median $13,835 | 2 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $23,168 – $38,825 · median $30,997 | 2 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,684 – $19,580 · median $15,632 | 2 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,236 – $12,127 · median $9,682 | 2 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $14,287 – $23,942 · median $19,114 | 2 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,719 – $14,611 · median $11,665 | 2 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,099 – $10,221 · median $8,160 | 2 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $18,567 – $31,115 · median $24,841 | 2 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,369 – $15,701 · median $12,535 | 2 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,083 – $10,195 · median $8,139 | 2 plans |
| 849 | Radiotherapy | $19,405 – $32,519 · median $25,962 | 2 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $62,019 – $103,931 · median $82,975 | 2 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $35,370 – $59,273 · median $47,322 | 2 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $14,310 – $23,981 · median $19,146 | 2 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,723 – $17,969 · median $14,346 | 2 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $32,578 – $54,594 · median $43,586 | 2 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,337 – $25,702 · median $20,520 | 2 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,976 – $16,718 · median $13,347 | 2 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,061 – $21,888 · median $17,475 | 2 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,147 – $11,977 · median $9,562 | 2 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,358 – $10,654 · median $8,506 | 2 plans |
| 865 | VIRAL ILLNESS WITH MCC | $10,731 – $17,983 · median $14,357 | 2 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,228 – $10,437 · median $8,333 | 2 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $14,992 – $25,123 · median $20,057 | 2 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,385 – $12,375 · median $9,880 | 2 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,226 – $8,758 · median $6,992 | 2 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $49,502 – $82,955 · median $66,229 | 2 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $13,912 – $23,314 · median $18,613 | 2 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,329 – $12,282 · median $9,805 | 2 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $27,680 – $46,387 · median $37,033 | 2 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,877 – $11,524 · median $9,201 | 2 plans |
| 881 | Depressive neuroses | $6,739 – $11,293 · median $9,016 | 2 plans |
| 882 | Neuroses except depressive | $7,691 – $12,888 · median $10,289 | 2 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $14,083 – $23,600 · median $18,841 | 2 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $11,523 – $19,310 · median $15,416 | 2 plans |
| 885 | Psychoses | $10,004 – $16,764 · median $13,384 | 2 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $14,863 – $24,908 · median $19,886 | 2 plans |
| 887 | Other mental disorder diagnoses | $7,670 – $12,853 · median $10,261 | 2 plans |
| 894 | Alcohol/drug abuse or dependence, left AMA | $4,418 – $7,404 · median $5,911 | 2 plans |
| 895 | Alcohol/drug abuse or dependence w rehabilitation therapy | $10,139 – $16,990 · median $13,564 | 2 plans |
| 896 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC | $12,498 – $20,945 · median $16,722 | 2 plans |
| 897 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC | $6,323 – $10,595 · median $8,459 | 2 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $30,056 – $50,368 · median $40,212 | 2 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $13,712 – $22,978 · median $18,345 | 2 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,377 – $14,038 · median $11,207 | 2 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $26,307 – $44,085 · median $35,196 | 2 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,624 – $17,804 · median $14,214 | 2 plans |
| 906 | Hand procedures for injuries | $14,068 – $23,576 · median $18,822 | 2 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $27,497 – $46,079 · median $36,788 | 2 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,290 – $23,946 · median $19,118 | 2 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,402 – $15,755 · median $12,578 | 2 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $11,707 – $19,618 · median $15,663 | 2 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,342 – $10,628 · median $8,485 | 2 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,044 – $20,183 · median $16,113 | 2 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,772 – $7,997 · median $6,384 | 2 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $11,233 – $18,824 · median $15,028 | 2 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,139 – $10,287 · median $8,213 | 2 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,112 – $21,973 · median $17,543 | 2 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,178 – $12,030 · median $9,604 | 2 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,930 – $8,262 · median $6,596 | 2 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,529 – $20,996 · median $16,763 | 2 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,289 – $12,214 · median $9,752 | 2 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $152,912 – $256,249 · median $204,580 | 2 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $51,371 – $86,087 · median $68,729 | 2 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $23,067 – $38,656 · median $30,862 | 2 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $27,890 – $46,738 · median $37,314 | 2 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $15,832 – $26,532 · median $21,182 | 2 plans |
| 935 | Non-extensive burns | $14,754 – $24,724 · median $19,739 | 2 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $25,987 – $43,549 · median $34,768 | 2 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,737 – $28,047 · median $22,392 | 2 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $14,522 – $24,336 · median $19,429 | 2 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,091 – $18,586 · median $14,839 | 2 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,213 – $13,764 · median $10,989 | 2 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,091 – $15,235 · median $12,163 | 2 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,733 – $9,608 · median $7,670 | 2 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,521 – $14,279 · median $11,400 | 2 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,496 – $7,534 · median $6,015 | 2 plans |
| 951 | Other factors influencing health status | $3,982 – $6,673 · median $5,328 | 2 plans |
| 955 | Craniotomy for multiple significant trauma | $48,208 – $80,787 · median $64,497 | 2 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $26,951 – $45,164 · median $36,057 | 2 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $54,574 – $91,454 · median $73,014 | 2 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $30,180 – $50,575 · median $40,378 | 2 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $21,086 – $35,335 · median $28,210 | 2 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $19,579 – $32,811 · median $26,195 | 2 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,976 – $18,394 · median $14,685 | 2 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,736 – $11,288 · median $9,012 | 2 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $43,841 – $73,468 · median $58,654 | 2 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $18,889 – $31,654 · median $25,272 | 2 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $20,670 – $34,638 · median $27,654 | 2 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,275 – $15,543 · median $12,409 | 2 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,465 – $10,834 · median $8,650 | 2 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,294 – $15,575 · median $12,435 | 2 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $33,603 – $56,311 · median $44,957 | 2 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,608 – $29,507 · median $23,557 | 2 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,276 – $20,571 · median $16,424 | 2 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $24,554 – $41,148 · median $32,851 | 2 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,771 – $19,726 · median $15,749 | 2 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,589 – $14,393 · median $11,491 | 2 plans |
No procedures match that keyword.