UR Medicine – F.F. Thompson Hospital — Pricing
756 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 756 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 756 procedures
Procedures with negotiated rates only
These 756 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 |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $155,517 – $280,470 · median $191,997 | 13 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $101,682 – $183,032 · median $125,534 | 13 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $40,375 – $72,070 · median $49,846 | 13 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $31,336 – $55,710 · median $38,686 | 13 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $21,595 – $38,080 · median $26,661 | 13 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $315,826 – $570,618 · median $389,909 | 13 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $58,005 – $103,978 · median $71,611 | 13 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $39,205 – $69,952 · median $48,401 | 13 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $23,753 – $41,986 · median $29,325 | 13 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $42,392 – $75,720 · median $52,335 | 13 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $29,116 – $51,692 · median $35,945 | 13 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $33,750 – $60,080 · median $41,667 | 13 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $23,255 – $41,085 · median $28,710 | 13 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $18,975 – $33,338 · median $23,426 | 13 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $44,421 – $79,394 · median $54,841 | 13 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $25,463 – $45,081 · median $31,436 | 13 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $16,583 – $29,007 · median $20,472 | 13 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $33,267 – $59,205 · median $41,070 | 13 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,114 – $28,159 · median $19,894 | 13 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,696 – $21,974 · median $15,674 | 13 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $28,815 – $51,147 · median $35,574 | 13 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $18,008 – $31,588 · median $22,233 | 13 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,740 – $25,672 · median $18,197 | 13 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $24,591 – $43,502 · median $30,359 | 13 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,402 – $21,441 · median $15,311 | 13 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,068 – $15,533 · median $11,281 | 13 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $28,746 – $51,022 · median $35,489 | 13 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $16,608 – $29,054 · median $20,504 | 13 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,169 – $22,830 · median $16,258 | 13 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $13,780 – $23,935 · median $17,012 | 13 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,554 – $12,939 · median $9,512 | 13 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,703 – $20,176 · median $14,449 | 13 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,865 – $13,473 · median $9,876 | 13 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $17,516 – $30,697 · median $21,625 | 13 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,994 – $17,120 · median $12,364 | 13 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,037 – $22,589 · median $16,094 | 13 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,572 – $16,397 · median $11,871 | 13 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,095 – $12,154 · median $8,977 | 13 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $20,685 – $36,432 · median $25,537 | 13 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,385 – $23,220 · median $16,524 | 13 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,805 – $18,550 · median $13,339 | 13 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $15,238 – $26,573 · median $18,812 | 13 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,793 – $13,350 · median $9,792 | 13 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,279 – $9,044 · median $6,855 | 13 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,278 – $19,407 · median $13,924 | 13 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,668 – $11,422 · median $8,477 | 13 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,162 – $10,555 · median $7,886 | 13 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $12,710 – $21,999 · median $15,692 | 13 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $7,915 – $13,558 · median $9,934 | 13 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,833 – $9,992 · median $7,502 | 13 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,268 – $21,199 · median $15,146 | 13 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,952 – $13,621 · median $9,977 | 13 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $14,555 – $25,338 · median $17,969 | 13 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,366 – $10,904 · median $8,124 | 13 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $13,770 – $23,917 · median $17,000 | 13 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,909 – $11,834 · median $8,758 | 13 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $17,243 – $30,202 · median $21,287 | 13 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,746 – $18,444 · median $13,267 | 13 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,373 – $12,630 · median $9,301 | 13 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,142 – $30,021 · median $21,164 | 13 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,049 – $17,214 · median $12,428 | 13 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,056 – $12,087 · median $8,931 | 13 plans |
| 088 | CONCUSSION WITH MCC | $10,425 – $17,863 · median $12,870 | 13 plans |
| 089 | CONCUSSION WITH CC | $8,475 – $14,517 · median $10,588 | 13 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,350 – $10,878 · median $8,106 | 13 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $13,377 – $23,206 · median $16,515 | 13 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,891 – $13,518 · median $9,907 | 13 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,143 – $10,522 · median $7,863 | 13 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $26,250 – $46,505 · median $32,408 | 13 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $19,386 – $34,082 · median $23,933 | 13 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $19,386 – $34,082 · median $23,933 | 13 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $26,925 – $47,726 · median $33,241 | 13 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $17,310 – $30,325 · median $21,371 | 13 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,502 – $18,003 · median $12,966 | 13 plans |
| 100 | SEIZURES WITH MCC | $14,696 – $25,593 · median $18,143 | 13 plans |
| 101 | SEIZURES WITHOUT MCC | $6,963 – $11,927 · median $8,822 | 13 plans |
| 102 | HEADACHES WITH MCC | $8,647 – $14,812 · median $10,789 | 13 plans |
| 103 | HEADACHES WITHOUT MCC | $6,451 – $11,051 · median $8,224 | 13 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $17,721 – $31,067 · median $21,877 | 13 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,434 – $17,879 · median $12,881 | 13 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,762 – $20,282 · median $14,521 | 13 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $13,756 – $23,892 · median $16,983 | 13 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,369 – $14,336 · median $10,465 | 13 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,974 – $15,372 · median $11,171 | 13 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,062 – $10,384 · median $7,769 | 13 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,160 – $10,553 · median $7,884 | 13 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,206 – $17,483 · median $12,612 | 13 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,923 – $10,146 · median $7,607 | 13 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $16,399 – $28,674 · median $20,245 | 13 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,832 – $13,416 · median $9,837 | 13 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,457 – $19,731 · median $14,145 | 13 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,836 – $11,710 · median $8,674 | 13 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,532 – $16,329 · median $11,824 | 13 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $31,696 – $56,362 · median $39,131 | 13 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $16,480 – $28,821 · median $20,345 | 13 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,211 – $21,095 · median $15,075 | 13 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $27,909 – $49,508 · median $34,456 | 13 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,207 – $22,899 · median $16,305 | 13 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,275 – $15,887 · median $11,523 | 13 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $16,015 – $27,979 · median $19,771 | 13 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,808 – $16,802 · median $12,147 | 13 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,149 – $10,533 · median $7,871 | 13 plans |
| 149 | DYSEQUILIBRIUM | $5,798 – $9,932 · median $7,461 | 13 plans |
| 150 | EPISTAXIS WITH MCC | $10,271 – $17,594 · median $12,687 | 13 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,662 – $9,699 · median $7,302 | 13 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,119 – $15,622 · median $11,342 | 13 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,694 – $9,755 · median $7,340 | 13 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,971 – $20,660 · median $14,778 | 13 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,070 – $12,111 · median $8,947 | 13 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,331 – $9,132 · median $6,915 | 13 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $13,090 – $22,686 · median $16,160 | 13 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,018 – $12,022 · median $8,886 | 13 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,465 – $9,362 · median $7,072 | 13 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $33,277 – $59,223 · median $41,082 | 13 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $18,983 – $33,352 · median $23,436 | 13 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $14,531 – $25,294 · median $17,939 | 13 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $27,844 – $49,390 · median $34,375 | 13 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,722 – $23,830 · median $16,941 | 13 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,532 – $18,056 · median $13,002 | 13 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $22,286 – $39,330 · median $27,513 | 13 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,584 – $18,151 · median $13,067 | 13 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,210 – $10,637 · median $7,942 | 13 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,965 – $20,650 · median $14,771 | 13 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,529 – $12,897 · median $9,483 | 13 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,824 – $9,977 · median $7,491 | 13 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $13,449 – $23,336 · median $16,604 | 13 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,262 – $14,152 · median $10,339 | 13 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,815 – $9,961 · median $7,480 | 13 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,725 – $20,216 · median $14,476 | 13 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,208 – $14,061 · median $10,277 | 13 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,067 – $10,393 · median $7,775 | 13 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,934 – $20,594 · median $14,733 | 13 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,630 – $13,070 · median $9,601 | 13 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,532 – $9,477 · median $7,150 | 13 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,530 – $16,325 · median $11,821 | 13 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,545 – $14,637 · median $10,670 | 13 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,503 – $11,139 · median $8,284 | 13 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,952 – $8,483 · median $6,473 | 13 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,139 – $17,368 · median $12,533 | 13 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,217 – $10,649 · median $7,950 | 13 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,848 – $8,305 · median $6,351 | 13 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $14,334 – $24,937 · median $17,696 | 13 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,321 – $12,541 · median $9,241 | 13 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,525 – $9,464 · median $7,141 | 13 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,435 – $23,311 · median $16,587 | 13 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,480 – $14,526 · median $10,594 | 13 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,516 – $9,449 · median $7,132 | 13 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,492 – $12,833 · median $9,440 | 13 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,168 – $8,853 · median $6,725 | 13 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,228 – $10,669 · median $7,963 | 13 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $13,924 – $24,195 · median $17,190 | 13 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,260 – $12,436 · median $9,169 | 13 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $47,534 – $85,028 · median $58,684 | 13 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $20,624 – $36,321 · median $25,461 | 13 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $83,192 – $149,567 · median $102,707 | 13 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $79,946 – $143,690 · median $98,698 | 13 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $42,221 – $75,411 · median $52,124 | 13 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $73,250 – $131,572 · median $90,432 | 13 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $71,978 – $129,270 · median $88,862 | 13 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $48,561 – $86,886 · median $59,952 | 13 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $48,561 – $86,886 · median $59,952 | 13 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $56,614 – $101,461 · median $69,893 | 13 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $39,490 – $70,468 · median $48,753 | 13 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $37,353 – $66,601 · median $46,115 | 13 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $36,676 – $65,375 · median $45,279 | 13 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $23,550 – $41,617 · median $29,074 | 13 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $62,101 – $111,393 · median $76,668 | 13 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $44,818 – $80,111 · median $55,331 | 13 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $56,372 – $101,024 · median $69,595 | 13 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $40,438 – $72,184 · median $49,923 | 13 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $43,401 – $77,548 · median $53,582 | 13 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $31,137 – $55,351 · median $38,441 | 13 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $36,488 – $65,035 · median $45,047 | 13 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $21,367 – $37,667 · median $26,379 | 13 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $10,663 – $18,293 · median $13,164 | 13 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $23,866 – $42,190 · median $29,464 | 13 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,113 – $28,158 · median $19,893 | 13 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,752 – $23,884 · median $16,978 | 13 plans |
| 245 | AICD GENERATOR PROCEDURES | $33,865 – $60,288 · median $41,809 | 13 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $16,490 – $28,840 · median $20,358 | 13 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,467 – $19,748 · median $14,157 | 13 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $26,023 – $46,094 · median $32,127 | 13 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $19,506 – $34,298 · median $24,081 | 13 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,564 – $23,543 · median $16,745 | 13 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $20,249 – $35,643 · median $24,999 | 13 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,952 – $22,436 · median $15,990 | 13 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,425 – $14,432 · median $10,530 | 13 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $23,496 – $41,520 · median $29,007 | 13 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $15,319 – $26,720 · median $18,912 | 13 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $24,304 – $42,983 · median $30,005 | 13 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,358 – $24,981 · median $17,726 | 13 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $12,455 – $21,538 · median $15,377 | 13 plans |
| 263 | VEIN LIGATION AND STRIPPING | $22,877 – $40,400 · median $28,244 | 13 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $24,945 – $44,143 · median $30,796 | 13 plans |
| 265 | AICD LEAD PROCEDURES | $26,972 – $47,811 · median $33,298 | 13 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $45,298 – $80,981 · median $55,924 | 13 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $35,314 – $62,909 · median $43,597 | 13 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $50,770 – $90,885 · median $62,679 | 13 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $31,389 – $55,805 · median $38,751 | 13 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $39,077 – $69,721 · median $48,243 | 13 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $26,520 – $46,993 · median $32,740 | 13 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $19,195 – $33,735 · median $23,697 | 13 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $30,675 – $54,514 · median $37,871 | 13 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $24,588 – $43,497 · median $30,355 | 13 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $52,614 – $94,221 · median $64,955 | 13 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $44,409 – $79,371 · median $54,826 | 13 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $34,275 – $61,029 · median $42,314 | 13 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $41,194 – $73,552 · median $50,856 | 13 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $26,885 – $47,655 · median $33,192 | 13 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,267 – $21,197 · median $15,144 | 13 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,090 – $12,145 · median $8,970 | 13 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,578 – $9,555 · median $7,204 | 13 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $15,017 – $26,174 · median $18,540 | 13 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,340 – $9,147 · median $6,925 | 13 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,620 – $7,914 · median $6,084 | 13 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $16,711 – $29,240 · median $20,631 | 13 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,255 – $14,140 · median $10,331 | 13 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $20,313 – $35,760 · median $25,078 | 13 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $13,018 – $22,555 · median $16,071 | 13 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,172 – $12,285 · median $9,066 | 13 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,903 – $16,964 · median $12,257 | 13 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,549 – $11,219 · median $8,338 | 13 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,366 – $7,479 · median $5,788 | 13 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,959 – $20,639 · median $14,764 | 13 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,891 – $8,378 · median $6,401 | 13 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,511 – $6,014 · median $4,788 | 13 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,476 – $21,575 · median $15,402 | 13 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,235 – $14,106 · median $10,308 | 13 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,552 – $9,510 · median $7,173 | 13 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,231 – $15,812 · median $11,471 | 13 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,193 – $8,896 · median $6,754 | 13 plans |
| 304 | HYPERTENSION WITH MCC | $9,180 – $15,725 · median $11,412 | 13 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,825 – $9,978 · median $7,492 | 13 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,060 – $20,823 · median $14,889 | 13 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,044 – $12,067 · median $8,917 | 13 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,288 – $15,910 · median $11,538 | 13 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,675 – $9,722 · median $7,317 | 13 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,367 – $7,480 · median $5,789 | 13 plans |
| 311 | ANGINA PECTORIS | $5,414 – $9,275 · median $7,013 | 13 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,724 – $11,517 · median $8,542 | 13 plans |
| 313 | CHEST PAIN | $5,554 – $9,514 · median $7,176 | 13 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $15,779 – $27,554 · median $19,481 | 13 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,431 – $12,729 · median $9,369 | 13 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,262 – $9,013 · median $6,834 | 13 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $49,373 – $88,355 · median $60,954 | 13 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $18,240 – $32,007 · median $22,518 | 13 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $33,139 – $58,973 · median $40,912 | 13 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $18,116 – $31,784 · median $22,366 | 13 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $20,420 – $35,953 · median $25,210 | 13 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $13,427 – $23,296 · median $16,577 | 13 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $32,149 – $57,182 · median $39,691 | 13 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $23,561 – $41,637 · median $29,087 | 13 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $23,994 – $42,422 · median $29,623 | 13 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $36,968 – $65,904 · median $45,639 | 13 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $18,400 – $32,298 · median $22,717 | 13 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,254 – $21,173 · median $15,128 | 13 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $34,114 – $60,738 · median $42,116 | 13 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,057 – $31,677 · median $22,293 | 13 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,842 – $22,238 · median $15,855 | 13 plans |
| 332 | RECTAL RESECTION WITH MCC | $26,990 – $47,844 · median $33,321 | 13 plans |
| 333 | RECTAL RESECTION WITH CC | $17,656 – $30,950 · median $21,797 | 13 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,514 – $21,643 · median $15,449 | 13 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $26,626 – $47,186 · median $32,872 | 13 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $15,951 – $27,864 · median $19,693 | 13 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,763 – $20,283 · median $14,522 | 13 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $19,412 – $34,129 · median $23,966 | 13 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,541 – $19,883 · median $14,249 | 13 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,150 – $15,674 · median $11,378 | 13 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $17,316 – $30,334 · median $21,377 | 13 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,096 – $17,294 · median $12,483 | 13 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,716 – $11,504 · median $8,533 | 13 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $18,749 – $32,928 · median $23,147 | 13 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,686 – $20,145 · median $14,427 | 13 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,008 – $15,431 · median $11,212 | 13 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $21,743 – $38,347 · median $26,843 | 13 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,839 – $22,231 · median $15,850 | 13 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,375 – $17,773 · median $12,809 | 13 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $32,627 – $58,046 · median $40,280 | 13 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,534 – $30,729 · median $21,647 | 13 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,762 – $18,472 · median $13,286 | 13 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $25,660 – $45,438 · median $31,679 | 13 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $18,182 – $31,903 · median $22,447 | 13 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,178 – $21,035 · median $15,034 | 13 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,716 – $13,217 · median $9,701 | 13 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,406 – $9,260 · median $7,003 | 13 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,501 – $23,430 · median $16,668 | 13 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,876 – $13,491 · median $9,889 | 13 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,611 – $9,612 · median $7,242 | 13 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $16,170 – $28,261 · median $19,963 | 13 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,331 – $15,984 · median $11,589 | 13 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,130 – $12,214 · median $9,017 | 13 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,902 – $24,155 · median $17,163 | 13 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,565 – $12,959 · median $9,526 | 13 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,863 – $8,330 · median $6,368 | 13 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,881 – $25,929 · median $18,372 | 13 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,358 – $14,317 · median $10,452 | 13 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,176 – $10,579 · median $7,902 | 13 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,636 – $18,245 · median $13,131 | 13 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,594 – $11,295 · median $8,391 | 13 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,108 – $20,909 · median $14,948 | 13 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,531 – $12,901 · median $9,486 | 13 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,256 – $9,003 · median $6,827 | 13 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,338 – $19,514 · median $13,997 | 13 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,093 – $10,436 · median $7,805 | 13 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,196 – $7,188 · median $5,589 | 13 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,784 – $16,759 · median $12,118 | 13 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,014 – $10,302 · median $7,713 | 13 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,232 – $21,133 · median $15,101 | 13 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,218 – $12,364 · median $9,120 | 13 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,006 – $8,576 · median $6,536 | 13 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $18,040 – $31,646 · median $22,272 | 13 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,606 – $20,001 · median $14,329 | 13 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,830 – $15,126 · median $11,004 | 13 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $29,909 – $53,127 · median $36,924 | 13 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $40,495 – $72,287 · median $49,994 | 13 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $21,730 – $38,323 · median $26,827 | 13 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $16,761 – $29,330 · median $20,692 | 13 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $26,588 – $47,116 · median $32,824 | 13 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $16,452 – $28,771 · median $20,311 | 13 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,147 – $20,980 · median $14,997 | 13 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $24,673 – $43,650 · median $30,460 | 13 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $15,906 – $27,782 · median $19,637 | 13 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,679 – $21,942 · median $15,653 | 13 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $26,566 – $47,076 · median $32,797 | 13 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $15,644 – $27,309 · median $19,314 | 13 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,509 – $18,015 · median $12,974 | 13 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $17,978 – $31,534 · median $22,196 | 13 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,906 – $22,353 · median $15,933 | 13 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,527 – $18,048 · median $12,997 | 13 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $25,430 – $45,021 · median $31,396 | 13 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,241 – $22,959 · median $16,347 | 13 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,773 – $18,493 · median $13,300 | 13 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $30,876 – $54,878 · median $38,119 | 13 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $16,529 – $28,911 · median $20,406 | 13 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,509 – $19,825 · median $14,209 | 13 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $81,020 – $145,634 · median $100,024 | 13 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $53,258 – $95,387 · median $65,750 | 13 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $41,601 – $74,289 · median $51,359 | 13 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $66,333 – $119,053 · median $81,893 | 13 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $42,660 – $76,206 · median $52,667 | 13 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,925 – $26,008 · median $18,426 | 13 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,148 – $13,957 · median $10,206 | 13 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,496 – $9,415 · median $7,108 | 13 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,965 – $24,270 · median $17,241 | 13 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,725 – $14,946 · median $10,881 | 13 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,582 – $11,276 · median $8,377 | 13 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,458 – $21,541 · median $15,380 | 13 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,489 – $11,116 · median $8,268 | 13 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,793 – $8,211 · median $6,287 | 13 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,659 – $23,715 · median $16,862 | 13 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,446 – $12,755 · median $9,387 | 13 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,397 – $9,246 · median $6,993 | 13 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,755 – $22,079 · median $15,747 | 13 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,442 – $14,461 · median $10,550 | 13 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,382 – $10,932 · median $8,143 | 13 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $49,337 – $88,291 · median $60,910 | 13 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $31,517 – $56,038 · median $38,910 | 13 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $39,466 – $70,425 · median $48,724 | 13 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $24,140 – $42,687 · median $29,803 | 13 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $61,908 – $111,043 · median $76,429 | 13 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $44,091 – $78,796 · median $54,434 | 13 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $31,019 – $55,137 · median $38,295 | 13 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $40,878 – $72,981 · median $50,467 | 13 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $19,976 – $35,149 · median $24,662 | 13 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $42,167 – $75,313 · median $52,058 | 13 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $23,296 – $41,158 · median $28,760 | 13 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,870 – $24,098 · median $17,124 | 13 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $38,559 – $68,784 · median $47,604 | 13 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $26,303 – $46,600 · median $32,473 | 13 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $20,618 – $36,312 · median $25,455 | 13 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $22,701 – $40,081 · median $28,025 | 13 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $14,638 – $25,488 · median $18,072 | 13 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $35,809 – $63,806 · median $44,209 | 13 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $22,065 – $38,930 · median $27,240 | 13 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $18,379 – $32,259 · median $22,690 | 13 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $31,897 – $56,726 · median $39,380 | 13 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,170 – $30,071 · median $21,198 | 13 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,104 – $15,595 · median $11,324 | 13 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $25,777 – $45,649 · median $31,824 | 13 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $18,510 – $32,496 · median $22,852 | 13 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $14,127 – $24,564 · median $17,441 | 13 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $21,818 – $38,483 · median $26,936 | 13 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,847 – $27,677 · median $19,565 | 13 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,463 – $21,552 · median $15,387 | 13 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $20,793 – $36,628 · median $25,670 | 13 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $24,116 – $42,643 · median $29,773 | 13 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,823 – $27,632 · median $19,534 | 13 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,990 – $20,696 · median $14,803 | 13 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $13,470 – $23,374 · median $16,630 | 13 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,615 – $14,757 · median $10,752 | 13 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $27,361 – $48,517 · median $33,780 | 13 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $19,071 – $33,512 · median $23,545 | 13 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $15,205 – $26,514 · median $18,771 | 13 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $27,026 – $47,910 · median $33,366 | 13 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $13,726 – $23,837 · median $16,945 | 13 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,321 – $15,966 · median $11,577 | 13 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $22,581 – $39,864 · median $27,878 | 13 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $15,265 – $26,624 · median $18,846 | 13 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $23,661 – $41,820 · median $29,212 | 13 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,318 – $23,099 · median $16,442 | 13 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,382 – $17,785 · median $12,817 | 13 plans |
| 503 | FOOT PROCEDURES WITH MCC | $20,933 – $36,882 · median $25,843 | 13 plans |
| 504 | FOOT PROCEDURES WITH CC | $14,202 – $24,700 · median $17,534 | 13 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,645 – $23,690 · median $16,845 | 13 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,406 – $17,828 · median $12,847 | 13 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $13,744 – $23,870 · median $16,968 | 13 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,612 – $20,011 · median $14,336 | 13 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $22,608 – $39,913 · median $27,911 | 13 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $15,737 – $27,477 · median $19,428 | 13 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,642 – $21,874 · median $15,607 | 13 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,049 – $20,803 · median $14,876 | 13 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,886 – $13,509 · median $9,900 | 13 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $23,823 – $42,112 · median $29,411 | 13 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $15,728 – $27,460 · median $19,417 | 13 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,775 – $20,306 · median $14,537 | 13 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $27,841 – $49,385 · median $34,372 | 13 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $15,159 – $26,431 · median $18,715 | 13 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,462 – $19,740 · median $14,151 | 13 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $21,511 – $37,927 · median $26,556 | 13 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $16,017 – $27,983 · median $19,774 | 13 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $12,001 – $20,716 · median $14,816 | 13 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,218 – $10,652 · median $7,952 | 13 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,889 – $16,940 · median $12,241 | 13 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,230 – $10,672 · median $7,965 | 13 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,361 – $12,610 · median $9,288 | 13 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,556 – $9,518 · median $7,178 | 13 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,936 – $26,028 · median $18,440 | 13 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,000 – $17,129 · median $12,370 | 13 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,074 – $10,405 · median $7,783 | 13 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,453 – $23,343 · median $16,608 | 13 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,930 – $13,584 · median $9,952 | 13 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,821 – $9,971 · median $7,488 | 13 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $18,674 – $32,793 · median $23,055 | 13 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,897 – $15,241 · median $11,082 | 13 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,450 – $11,050 · median $8,223 | 13 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,653 – $25,515 · median $18,090 | 13 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,312 – $15,952 · median $11,567 | 13 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,743 – $11,550 · median $8,565 | 13 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,793 – $22,148 · median $15,793 | 13 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,415 – $12,703 · median $9,351 | 13 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,000 – $17,129 · median $12,370 | 13 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,403 – $10,969 · median $8,168 | 13 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,196 – $17,466 · median $12,600 | 13 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,407 – $10,976 · median $8,173 | 13 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,411 – $19,648 · median $14,088 | 13 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,890 – $11,803 · median $8,737 | 13 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,171 – $24,643 · median $17,495 | 13 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,687 – $14,880 · median $10,836 | 13 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,201 – $10,623 · median $7,932 | 13 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,958 – $18,827 · median $13,528 | 13 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,908 – $11,833 · median $8,758 | 13 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,825 – $20,397 · median $14,599 | 13 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,517 – $12,876 · median $9,469 | 13 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,780 – $9,901 · median $7,440 | 13 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $22,028 – $38,864 · median $27,195 | 13 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,890 – $22,325 · median $15,914 | 13 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,843 – $15,147 · median $11,018 | 13 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $48,386 – $86,570 · median $59,736 | 13 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $25,900 – $45,871 · median $31,975 | 13 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,675 – $23,746 · median $16,883 | 13 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $36,339 – $64,764 · median $44,862 | 13 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $19,908 – $35,026 · median $24,578 | 13 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,284 – $21,227 · median $15,165 | 13 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $24,199 – $42,794 · median $29,876 | 13 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,172 – $22,834 · median $16,261 | 13 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,092 – $19,069 · median $13,693 | 13 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $14,622 – $25,458 · median $18,051 | 13 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $13,145 – $22,786 · median $16,229 | 13 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $16,185 – $28,287 · median $19,981 | 13 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,640 – $25,491 · median $18,074 | 13 plans |
| 592 | SKIN ULCERS WITH MCC | $14,685 – $25,573 · median $18,130 | 13 plans |
| 593 | SKIN ULCERS WITH CC | $9,151 – $15,676 · median $11,379 | 13 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,687 – $11,454 · median $8,499 | 13 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $16,039 – $28,023 · median $19,801 | 13 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,350 – $14,304 · median $10,443 | 13 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,727 – $22,029 · median $15,712 | 13 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,727 – $14,949 · median $10,883 | 13 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,935 – $10,167 · median $7,621 | 13 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,035 – $13,764 · median $10,074 | 13 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,667 – $7,994 · median $6,139 | 13 plans |
| 602 | CELLULITIS WITH MCC | $10,932 – $18,781 · median $13,497 | 13 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,718 – $11,508 · median $8,536 | 13 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,303 – $19,452 · median $13,955 | 13 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,066 – $12,104 · median $8,942 | 13 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,603 – $19,995 · median $14,325 | 13 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,992 – $11,977 · median $8,856 | 13 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $16,558 – $28,962 · median $20,442 | 13 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,772 – $18,490 · median $13,299 | 13 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $26,017 – $46,083 · median $32,119 | 13 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,210 – $24,714 · median $17,544 | 13 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,911 – $18,741 · median $13,470 | 13 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $21,636 – $38,154 · median $26,711 | 13 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,239 – $21,146 · median $15,110 | 13 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,568 – $19,932 · median $14,282 | 13 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $26,541 – $47,031 · median $32,766 | 13 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,653 – $23,705 · median $16,855 | 13 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,657 – $16,543 · median $11,970 | 13 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $22,605 – $39,908 · median $27,907 | 13 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,503 – $19,813 · median $14,201 | 13 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,247 – $17,552 · median $12,659 | 13 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $27,764 – $49,246 · median $34,277 | 13 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $16,463 – $28,791 · median $20,324 | 13 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,211 – $19,286 · median $13,841 | 13 plans |
| 637 | DIABETES WITH MCC | $11,045 – $18,985 · median $13,636 | 13 plans |
| 638 | DIABETES WITH CC | $6,913 – $11,842 · median $8,764 | 13 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,792 – $8,209 · median $6,285 | 13 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,303 – $17,649 · median $12,724 | 13 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,003 – $10,283 · median $7,700 | 13 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,938 – $18,792 · median $13,504 | 13 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,574 – $21,752 · median $15,523 | 13 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,907 – $13,544 · median $9,925 | 13 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,927 – $10,152 · median $7,611 | 13 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $38,494 – $68,665 · median $47,523 | 13 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $20,993 – $36,990 · median $25,917 | 13 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,009 – $27,969 · median $19,764 | 13 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $23,800 – $42,071 · median $29,383 | 13 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,916 – $24,182 · median $17,181 | 13 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,885 – $20,505 · median $14,673 | 13 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $19,106 – $33,575 · median $23,588 | 13 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,196 – $17,465 · median $12,599 | 13 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,987 – $13,682 · median $10,019 | 13 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $22,907 – $40,455 · median $28,281 | 13 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,654 – $20,088 · median $14,388 | 13 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,076 – $13,834 · median $10,122 | 13 plans |
| 665 | PROSTATECTOMY WITH MCC | $23,343 – $41,244 · median $28,819 | 13 plans |
| 666 | PROSTATECTOMY WITH CC | $13,327 – $23,115 · median $16,453 | 13 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,533 – $14,617 · median $10,657 | 13 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $21,874 – $38,585 · median $27,005 | 13 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,887 – $20,508 · median $14,675 | 13 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,539 – $12,914 · median $9,495 | 13 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,661 – $23,719 · median $16,865 | 13 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,327 – $14,265 · median $10,416 | 13 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $31,231 – $55,520 · median $38,557 | 13 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,629 – $30,902 · median $21,765 | 13 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,539 – $21,689 · median $15,481 | 13 plans |
| 682 | RENAL FAILURE WITH MCC | $11,368 – $19,570 · median $14,035 | 13 plans |
| 683 | RENAL FAILURE WITH CC | $6,756 – $11,573 · median $8,580 | 13 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,631 – $7,932 · median $6,097 | 13 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,724 – $23,834 · median $16,944 | 13 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,083 – $13,846 · median $10,130 | 13 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,096 – $10,443 · median $7,809 | 13 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,951 – $15,332 · median $11,144 | 13 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,244 – $10,697 · median $7,982 | 13 plans |
| 693 | URINARY STONES WITH MCC | $10,371 – $17,766 · median $12,805 | 13 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,030 – $10,329 · median $7,732 | 13 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,823 – $15,114 · median $10,996 | 13 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,315 – $9,104 · median $6,896 | 13 plans |
| 697 | URETHRAL STRICTURE | $8,314 – $14,242 · median $10,401 | 13 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,634 – $21,861 · median $15,598 | 13 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,830 – $13,412 · median $9,835 | 13 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,322 – $9,116 · median $6,904 | 13 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $15,160 – $26,432 · median $18,716 | 13 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,757 – $20,273 · median $14,514 | 13 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $17,545 – $30,750 · median $21,661 | 13 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,786 – $18,515 · median $13,316 | 13 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $15,769 – $27,535 · median $19,468 | 13 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,483 – $14,531 · median $10,598 | 13 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,532 – $19,866 · median $14,237 | 13 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,157 – $13,972 · median $10,217 | 13 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $16,890 – $29,564 · median $20,852 | 13 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,295 – $19,438 · median $13,945 | 13 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $14,358 – $24,981 · median $17,726 | 13 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,361 – $17,748 · median $12,792 | 13 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $13,768 – $23,913 · median $16,998 | 13 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,815 – $15,100 · median $10,986 | 13 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,058 – $8,664 · median $6,596 | 13 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,027 – $15,463 · median $11,234 | 13 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,570 – $9,541 · median $7,194 | 13 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,382 – $19,595 · median $14,052 | 13 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,258 – $10,719 · median $7,998 | 13 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,167 – $13,990 · median $10,229 | 13 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,184 – $8,880 · median $6,743 | 13 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,107 – $28,146 · median $19,885 | 13 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,379 – $17,779 · median $12,814 | 13 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $26,653 – $47,233 · median $32,904 | 13 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $15,600 – $27,229 · median $19,259 | 13 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,277 – $19,405 · median $13,922 | 13 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $26,713 – $47,343 · median $32,979 | 13 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,767 – $23,912 · median $16,997 | 13 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,967 – $18,844 · median $13,540 | 13 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,951 – $24,245 · median $17,224 | 13 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,571 – $16,395 · median $11,869 | 13 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $15,516 – $27,077 · median $19,155 | 13 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,775 – $15,031 · median $10,939 | 13 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $13,238 – $22,954 · median $16,343 | 13 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,632 – $11,360 · median $8,435 | 13 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,684 – $18,332 · median $13,190 | 13 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $19,301 – $33,928 · median $23,829 | 13 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,330 – $19,501 · median $13,988 | 13 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,002 – $24,336 · median $17,286 | 13 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,391 – $14,374 · median $10,491 | 13 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,409 – $12,692 · median $9,343 | 13 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,010 – $18,921 · median $13,592 | 13 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,552 – $12,937 · median $9,510 | 13 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,119 – $8,769 · median $6,667 | 13 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,772 – $13,313 · median $9,767 | 13 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,401 – $7,539 · median $5,828 | 13 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $8,266 – $14,160 · median $10,345 | 13 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,893 – $22,329 · median $15,917 | 13 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,735 – $13,250 · median $9,724 | 13 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,050 – $8,651 · median $6,587 | 13 plans |
| 779 | ABORTION WITHOUT D&C | $6,490 – $11,117 · median $8,269 | 13 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $18,480 – $32,442 · median $22,815 | 13 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,178 – $14,008 · median $10,241 | 13 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,388 – $12,656 · median $9,319 | 13 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $12,598 – $21,796 · median $15,554 | 13 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,615 – $14,757 · median $10,752 | 13 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,396 – $12,670 · median $9,328 | 13 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $13,713 – $23,814 · median $16,930 | 13 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $43,948 – $78,537 · median $54,257 | 13 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $30,190 – $53,636 · median $37,271 | 13 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $18,437 – $32,364 · median $22,762 | 13 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $30,997 – $55,097 · median $38,268 | 13 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $11,331 – $19,503 · median $13,989 | 13 plans |
| 795 | NORMAL NEWBORN | $1,541 – $2,640 · median $2,487 | 13 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $9,002 – $15,421 · median $11,205 | 13 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,717 – $13,219 · median $9,703 | 13 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $7,383 – $12,647 · median $9,313 | 13 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $33,620 – $59,845 · median $41,507 | 13 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $21,067 – $37,123 · median $26,008 | 13 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $14,492 – $25,224 · median $17,892 | 13 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $29,643 – $52,646 · median $36,596 | 13 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $14,127 – $24,564 · median $17,441 | 13 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,456 – $17,918 · median $12,908 | 13 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $8,325 – $14,261 · median $10,413 | 13 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,816 – $9,963 · median $7,482 | 13 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,201 – $8,909 · median $6,763 | 13 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $16,675 – $29,175 · median $20,587 | 13 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,765 – $16,728 · median $12,096 | 13 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,073 – $13,830 · median $10,119 | 13 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,808 – $18,556 · median $13,344 | 13 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,083 – $12,133 · median $8,962 | 13 plans |
| 813 | COAGULATION DISORDERS | $11,692 – $20,155 · median $14,434 | 13 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $16,082 – $28,102 · median $19,855 | 13 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,822 – $13,399 · median $9,826 | 13 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,875 – $8,351 · median $6,383 | 13 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $17,213 – $30,149 · median $21,251 | 13 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,942 – $15,318 · median $11,134 | 13 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,633 – $11,363 · median $8,437 | 13 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $43,374 – $77,497 · median $53,548 | 13 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $16,899 – $29,581 · median $20,863 | 13 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,288 – $15,910 · median $11,538 | 13 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $34,029 – $60,584 · median $42,011 | 13 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $17,096 – $29,938 · median $21,107 | 13 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,407 – $17,831 · median $12,849 | 13 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $34,708 – $61,812 · median $42,849 | 13 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $17,429 – $30,540 · median $21,518 | 13 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,995 – $22,514 · median $16,043 | 13 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $23,626 – $41,756 · median $29,168 | 13 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,543 – $19,887 · median $14,251 | 13 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,276 – $15,890 · median $11,525 | 13 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,566 – $9,535 · median $7,190 | 13 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,034 – $6,910 · median $5,399 | 13 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $40,637 – $72,544 · median $50,169 | 13 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $15,784 – $27,562 · median $19,486 | 13 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,407 – $16,114 · median $11,678 | 13 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $35,631 – $63,484 · median $43,989 | 13 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $15,795 – $27,583 · median $19,501 | 13 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,097 – $19,080 · median $13,700 | 13 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $24,173 – $42,746 · median $29,843 | 13 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,466 – $21,557 · median $15,391 | 13 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,794 – $13,351 · median $9,793 | 13 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $15,119 – $26,359 · median $18,666 | 13 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,391 – $16,087 · median $11,659 | 13 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,569 – $11,253 · median $8,362 | 13 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $19,483 – $34,257 · median $24,053 | 13 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $10,091 – $17,287 · median $12,477 | 13 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,552 – $11,224 · median $8,342 | 13 plans |
| 849 | RADIOTHERAPY | $20,337 – $35,803 · median $25,108 | 13 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $63,777 – $114,427 · median $78,737 | 13 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $36,612 – $65,259 · median $45,200 | 13 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,144 – $26,403 · median $18,696 | 13 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,487 – $19,784 · median $14,181 | 13 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $33,765 – $60,107 · median $41,685 | 13 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $16,190 – $28,298 · median $19,988 | 13 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,725 – $18,406 · median $13,241 | 13 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,870 – $24,098 · median $17,124 | 13 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,698 – $13,186 · median $9,681 | 13 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,848 – $11,730 · median $8,687 | 13 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,495 – $19,799 · median $14,191 | 13 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,708 – $11,491 · median $8,524 | 13 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,838 – $27,660 · median $19,553 | 13 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,954 – $13,625 · median $9,980 | 13 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,629 – $9,642 · median $7,263 | 13 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $51,018 – $91,333 · median $62,985 | 13 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,738 – $25,668 · median $18,195 | 13 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,894 – $13,522 · median $9,909 | 13 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $28,773 – $51,071 · median $35,522 | 13 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,407 – $12,688 · median $9,341 | 13 plans |
| 881 | DEPRESSIVE NEUROSES | $7,258 – $12,433 · median $9,167 | 13 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,283 – $14,189 · median $10,365 | 13 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $14,911 – $25,983 · median $18,409 | 13 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,302 – $21,260 · median $15,188 | 13 plans |
| 885 | PSYCHOSES | $10,754 – $18,457 · median $13,276 | 13 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $15,707 – $27,423 · median $19,392 | 13 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,261 – $14,151 · median $10,339 | 13 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,759 – $8,152 · median $6,246 | 13 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $10,891 – $18,706 · median $13,445 | 13 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $13,296 – $23,060 · median $16,415 | 13 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,810 – $11,665 · median $8,643 | 13 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $31,194 – $55,454 · median $38,512 | 13 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,533 – $25,298 · median $17,942 | 13 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,022 – $15,455 · median $11,228 | 13 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $27,372 – $48,536 · median $33,793 | 13 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,386 – $19,602 · median $14,057 | 13 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $14,897 – $25,956 · median $18,391 | 13 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $28,586 – $50,733 · median $35,291 | 13 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $15,122 – $26,365 · median $18,670 | 13 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,126 – $17,346 · median $12,518 | 13 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,490 – $21,600 · median $15,419 | 13 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,831 – $11,701 · median $8,667 | 13 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,833 – $22,221 · median $15,843 | 13 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,140 – $8,804 · median $6,692 | 13 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $12,006 – $20,725 · median $14,823 | 13 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,612 – $11,326 · median $8,411 | 13 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,922 – $24,192 · median $17,188 | 13 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,732 – $13,244 · median $9,720 | 13 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,310 – $9,097 · median $6,891 | 13 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,328 – $23,117 · median $16,454 | 13 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,851 – $13,448 · median $9,859 | 13 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $156,432 – $282,126 · median $193,126 | 13 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $52,922 – $94,780 · median $65,336 | 13 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $24,070 – $42,560 · median $29,716 | 13 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $28,987 – $51,458 · median $35,786 | 13 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $16,695 – $29,211 · median $20,611 | 13 plans |
| 935 | NON-EXTENSIVE BURNS | $15,595 – $27,221 · median $19,254 | 13 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $27,047 – $47,947 · median $33,391 | 13 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $17,617 – $30,880 · median $21,749 | 13 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $15,360 – $26,794 · median $18,963 | 13 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,862 – $20,463 · median $14,644 | 13 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,846 – $15,154 · median $11,023 | 13 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,792 – $16,774 · median $12,128 | 13 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,175 – $10,578 · median $7,901 | 13 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,177 – $15,721 · median $11,409 | 13 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,842 – $8,294 · median $6,344 | 13 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,289 – $7,347 · median $5,698 | 13 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $49,698 – $88,945 · median $61,356 | 13 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $28,029 – $49,724 · median $34,603 | 13 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $56,187 – $100,689 · median $69,367 | 13 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $31,321 – $55,682 · median $38,668 | 13 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $22,050 – $38,903 · median $27,222 | 13 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $20,515 – $36,124 · median $25,327 | 13 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,745 – $20,252 · median $14,500 | 13 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,255 – $12,428 · median $9,163 | 13 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $45,246 – $80,887 · median $55,860 | 13 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $19,811 – $34,851 · median $24,458 | 13 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $21,626 – $38,136 · median $26,699 | 13 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,990 – $17,112 · median $12,358 | 13 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,963 – $11,928 · median $8,822 | 13 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,010 – $17,148 · median $12,383 | 13 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $34,810 – $61,997 · median $42,975 | 13 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,505 – $32,487 · median $22,845 | 13 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,069 – $22,649 · median $16,135 | 13 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $25,586 – $45,303 · median $31,588 | 13 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,555 – $21,719 · median $15,500 | 13 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,251 – $15,846 · median $11,495 | 13 plans |
No procedures match that keyword.