Glenbeigh Health Sources — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Procedures published 771
Lowest published price —
Average published price —
Highest published price —
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Showing all 771 procedures
Procedures with negotiated rates only
These 771 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,144 – $21,150 · median $16,653 | 7 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,144 – $14,003 · median $11,026 | 7 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $1,144 – $7,347 · median $5,785 | 7 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $1,144 – $17,046 · median $13,422 | 7 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $1,144 – $20,965 · median $16,508 | 7 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $1,144 – $10,386 · median $8,178 | 7 plans |
| 945 | REHABILITATION WITH CC/MCC | $1,144 – $17,971 · median $14,151 | 7 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $1,144 – $13,144 · median $10,350 | 7 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $1,144 – $46,263 · median $34,704 | 6 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,144 – $11,285 · median $8,649 | 6 plans |
| 881 | DEPRESSIVE NEUROSES | $1,144 – $10,762 · median $8,258 | 6 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,144 – $11,325 · median $8,678 | 6 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,144 – $21,826 · median $16,500 | 6 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,144 – $19,663 · median $14,889 | 6 plans |
| 885 | PSYCHOSES | $1,144 – $16,595 · median $12,604 | 6 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $230,819 – $274,175 · median $230,819 | 3 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $90,593 – $107,260 · median $90,593 | 3 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $175,732 – $208,603 · median $175,732 | 3 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $116,026 – $137,534 · median $116,026 | 3 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $87,565 – $103,655 · median $87,565 | 3 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $40,136 – $47,199 · median $40,136 | 3 plans |
| 007 | LUNG TRANSPLANT | $107,349 – $127,204 · median $107,349 | 3 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $44,976 – $52,961 · median $44,976 | 3 plans |
| 010 | PANCREAS TRANSPLANT | $65,680 – $77,605 · median $65,680 | 3 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $44,606 – $52,521 · median $44,606 | 3 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $34,040 – $39,943 · median $34,040 | 3 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $22,153 – $25,794 · median $22,153 | 3 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $107,618 – $127,526 · median $107,618 | 3 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $49,840 – $58,750 · median $49,840 | 3 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $49,840 – $58,750 · median $49,840 | 3 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $308,865 – $367,076 · median $308,865 | 3 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $65,306 – $77,160 · median $65,306 | 3 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $66,400 – $78,462 · median $66,400 | 3 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $45,681 – $53,800 · median $45,681 | 3 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $29,352 – $34,363 · median $29,352 | 3 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $47,135 – $55,530 · median $47,135 | 3 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $31,570 – $37,004 · median $31,570 | 3 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $37,054 – $43,531 · median $37,054 | 3 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $25,494 – $29,771 · median $25,494 | 3 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $20,663 – $24,020 · median $20,663 | 3 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $50,196 – $59,174 · median $50,196 | 3 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $27,932 – $32,672 · median $27,932 | 3 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $18,681 – $21,661 · median $18,681 | 3 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $34,750 – $40,789 · median $34,750 | 3 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $17,947 – $20,787 · median $17,947 | 3 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $13,530 – $15,530 · median $13,530 | 3 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $32,282 – $37,850 · median $32,282 | 3 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $19,085 – $22,142 · median $19,085 | 3 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $15,473 – $17,842 · median $15,473 | 3 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $27,639 – $32,324 · median $27,639 | 3 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $13,659 – $15,684 · median $13,659 | 3 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,791 – $11,079 · median $9,791 | 3 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $31,328 – $36,716 · median $31,328 | 3 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $18,949 – $21,980 · median $18,949 | 3 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $14,856 – $17,108 · median $14,856 | 3 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $16,940 – $19,589 · median $16,940 | 3 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,018 – $8,968 · median $8,018 | 3 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $12,742 – $14,591 · median $12,742 | 3 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $9,405 – $10,619 · median $9,405 | 3 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $20,960 – $24,374 · median $20,960 | 3 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $11,395 – $12,988 · median $11,395 | 3 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $15,578 – $17,967 · median $15,578 | 3 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $10,489 – $11,910 · median $10,489 | 3 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,781 – $8,686 · median $7,781 | 3 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $22,590 – $26,313 · median $22,590 | 3 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $15,046 – $17,334 · median $15,046 | 3 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $11,971 – $13,674 · median $11,971 | 3 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $16,749 – $19,362 · median $16,749 | 3 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $8,799 – $9,898 · median $8,799 | 3 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,112 – $6,700 · median $6,112 | 3 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $12,380 – $14,161 · median $12,380 | 3 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,692 – $8,580 · median $7,692 | 3 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $7,026 – $7,788 · median $7,026 | 3 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $14,702 – $16,925 · median $14,702 | 3 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $9,101 – $10,258 · median $9,101 | 3 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,618 – $7,302 · median $6,618 | 3 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $13,122 – $15,044 · median $13,122 | 3 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $9,007 – $10,146 · median $9,007 | 3 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $14,568 – $16,765 · median $14,568 | 3 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,981 – $8,925 · median $7,981 | 3 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $13,128 – $15,051 · median $13,128 | 3 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $8,643 – $9,713 · median $8,643 | 3 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,935 – $6,489 · median $5,935 | 3 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $16,738 – $19,348 · median $16,738 | 3 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,882 – $8,807 · median $7,882 | 3 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $19,456 – $22,584 · median $19,456 | 3 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $11,853 – $13,533 · median $11,853 | 3 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,302 – $9,306 · median $8,302 | 3 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $19,013 – $22,056 · median $19,013 | 3 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $11,209 – $12,766 · median $11,209 | 3 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,712 – $8,604 · median $7,712 | 3 plans |
| 088 | CONCUSSION WITH MCC | $12,019 – $13,731 · median $12,019 | 3 plans |
| 089 | CONCUSSION WITH CC | $9,250 – $10,435 · median $9,250 | 3 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,494 – $8,344 · median $7,494 | 3 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $15,390 – $17,743 · median $15,390 | 3 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $9,141 – $10,305 · median $9,141 | 3 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,938 – $7,683 · median $6,938 | 3 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $30,319 – $35,514 · median $30,319 | 3 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $20,086 – $23,333 · median $20,086 | 3 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $20,086 – $23,333 · median $20,086 | 3 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $29,795 – $34,891 · median $29,795 | 3 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $18,222 – $21,115 · median $18,222 | 3 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $11,877 – $13,562 · median $11,877 | 3 plans |
| 100 | SEIZURES WITH MCC | $16,718 – $19,324 · median $16,718 | 3 plans |
| 101 | SEIZURES WITHOUT MCC | $8,020 – $8,971 · median $8,020 | 3 plans |
| 102 | HEADACHES WITH MCC | $9,965 – $11,286 · median $9,965 | 3 plans |
| 103 | HEADACHES WITHOUT MCC | $7,436 – $8,275 · median $7,436 | 3 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $18,936 – $21,965 · median $18,936 | 3 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,150 – $11,506 · median $10,150 | 3 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $13,003 – $14,902 · median $13,003 | 3 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $14,128 – $16,241 · median $14,128 | 3 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $9,303 – $10,499 · median $9,303 | 3 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,995 – $11,322 · median $9,995 | 3 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,030 – $6,602 · median $6,030 | 3 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $7,051 – $7,818 · median $7,051 | 3 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $11,146 – $12,691 · median $11,146 | 3 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $7,235 – $8,037 · median $7,235 | 3 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $20,199 – $23,468 · median $20,199 | 3 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,482 – $9,521 · median $8,482 | 3 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,920 – $13,613 · median $11,920 | 3 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,136 – $7,918 · median $7,136 | 3 plans |
| 139 | SALIVARY GLAND PROCEDURES | $11,711 – $13,364 · median $11,711 | 3 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $35,066 – $41,165 · median $35,066 | 3 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $18,052 – $20,912 · median $18,052 | 3 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $13,341 – $15,305 · median $13,341 | 3 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $27,483 – $32,139 · median $27,483 | 3 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $14,848 – $17,099 · median $14,848 | 3 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $10,172 – $11,532 · median $10,172 | 3 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $19,243 – $22,330 · median $19,243 | 3 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $10,662 – $12,116 · median $10,662 | 3 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $7,031 – $7,794 · median $7,031 | 3 plans |
| 149 | DYSEQUILIBRIUM | $6,596 – $7,276 · median $6,596 | 3 plans |
| 150 | EPISTAXIS WITH MCC | $11,786 – $13,454 · median $11,786 | 3 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,682 – $7,378 · median $6,682 | 3 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,763 – $11,046 · median $9,763 | 3 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,303 – $6,927 · median $6,303 | 3 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $13,782 – $15,830 · median $13,782 | 3 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $8,118 – $9,087 · median $8,118 | 3 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,982 – $6,545 · median $5,982 | 3 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $13,874 – $15,939 · median $13,874 | 3 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $8,175 – $9,155 · median $8,175 | 3 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,877 – $6,420 · median $5,877 | 3 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $38,173 – $44,863 · median $38,173 | 3 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $21,065 – $24,499 · median $21,065 | 3 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $15,726 – $18,143 · median $15,726 | 3 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $31,968 – $37,477 · median $31,968 | 3 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $15,425 – $17,785 · median $15,425 | 3 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,554 – $13,178 · median $11,554 | 3 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $25,576 – $29,868 · median $25,576 | 3 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $12,006 – $13,715 · median $12,006 | 3 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $7,144 – $7,928 · median $7,144 | 3 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $13,702 – $15,734 · median $13,702 | 3 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,596 – $9,657 · median $8,596 | 3 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,777 – $7,492 · median $6,777 | 3 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $14,775 – $17,012 · median $14,775 | 3 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $9,563 – $10,807 · median $9,563 | 3 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $7,332 – $8,152 · median $7,332 | 3 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $13,463 – $15,450 · median $13,463 | 3 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $9,217 – $10,396 · median $9,217 | 3 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,843 – $7,570 · median $6,843 | 3 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $13,403 – $15,379 · median $13,403 | 3 plans |
| 187 | PLEURAL EFFUSION WITH CC | $8,693 – $9,772 · median $8,693 | 3 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,487 – $7,146 · median $6,487 | 3 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $10,602 – $12,044 · median $10,602 | 3 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $9,666 – $10,931 · median $9,666 | 3 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $7,508 – $8,362 · median $7,508 | 3 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,776 – $6,299 · median $5,776 | 3 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $11,258 – $12,826 · median $11,258 | 3 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $7,189 – $7,981 · median $7,189 | 3 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,575 – $6,061 · median $5,575 | 3 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $15,890 – $18,339 · median $15,890 | 3 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,579 – $9,636 · median $8,579 | 3 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,211 – $6,817 · median $6,211 | 3 plans |
| 199 | PNEUMOTHORAX WITH MCC | $14,919 – $17,182 · median $14,919 | 3 plans |
| 200 | PNEUMOTHORAX WITH CC | $9,540 – $10,780 · median $9,540 | 3 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,020 – $6,591 · median $6,020 | 3 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $8,388 – $9,409 · median $8,388 | 3 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $6,180 – $6,780 · median $6,180 | 3 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $7,115 – $7,894 · median $7,115 | 3 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $15,920 – $18,375 · median $15,920 | 3 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,890 – $8,817 · median $7,890 | 3 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $53,367 – $62,948 · median $53,367 | 3 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $22,429 – $26,123 · median $22,429 | 3 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $89,564 – $106,035 · median $89,564 | 3 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $87,118 – $103,124 · median $87,118 | 3 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $79,402 – $93,938 · median $79,402 | 3 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $53,290 – $62,858 · median $53,290 | 3 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $49,132 – $57,907 · median $49,132 | 3 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $63,754 – $75,313 · median $63,754 | 3 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $43,795 – $51,555 · median $43,795 | 3 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $38,038 – $44,702 · median $38,038 | 3 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $41,232 – $48,505 · median $41,232 | 3 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $25,884 – $30,235 · median $25,884 | 3 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $69,776 – $82,480 · median $69,776 | 3 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $50,435 – $59,459 · median $50,435 | 3 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $64,399 – $76,081 · median $64,399 | 3 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $43,987 – $51,784 · median $43,987 | 3 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $48,599 – $57,274 · median $48,599 | 3 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $34,109 – $40,025 · median $34,109 | 3 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $41,671 – $49,026 · median $41,671 | 3 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $24,297 – $28,346 · median $24,297 | 3 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $12,830 – $14,697 · median $12,830 | 3 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $28,220 – $33,016 · median $28,220 | 3 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $18,905 – $21,928 · median $18,905 | 3 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $15,241 – $17,566 · median $15,241 | 3 plans |
| 245 | AICD GENERATOR PROCEDURES | $40,443 – $47,565 · median $40,443 | 3 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $19,394 – $22,510 · median $19,394 | 3 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $13,261 – $15,209 · median $13,261 | 3 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $28,534 – $33,390 · median $28,534 | 3 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $21,360 – $24,849 · median $21,360 | 3 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $14,789 – $17,028 · median $14,789 | 3 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $21,879 – $25,468 · median $21,879 | 3 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $14,333 – $16,486 · median $14,333 | 3 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,777 – $8,681 · median $7,777 | 3 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $23,424 – $27,307 · median $23,424 | 3 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $14,856 – $17,108 · median $14,856 | 3 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $28,336 – $33,154 · median $28,336 | 3 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $16,000 – $18,470 · median $16,000 | 3 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $12,895 – $14,773 · median $12,895 | 3 plans |
| 263 | VEIN LIGATION AND STRIPPING | $22,415 – $26,106 · median $22,415 | 3 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $29,063 – $34,019 · median $29,063 | 3 plans |
| 265 | AICD LEAD PROCEDURES | $29,653 – $34,721 · median $29,653 | 3 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $49,471 – $58,311 · median $49,471 | 3 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $38,954 – $45,793 · median $38,954 | 3 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $55,005 – $64,899 · median $55,005 | 3 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $34,506 – $40,498 · median $34,506 | 3 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $42,457 – $49,962 · median $42,457 | 3 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $28,649 – $33,526 · median $28,649 | 3 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $20,944 – $24,355 · median $20,944 | 3 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $32,458 – $38,061 · median $32,458 | 3 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $26,004 – $30,378 · median $26,004 | 3 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $58,271 – $68,786 · median $58,271 | 3 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $51,136 – $60,293 · median $51,136 | 3 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $38,523 – $45,279 · median $38,523 | 3 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $41,396 – $48,699 · median $41,396 | 3 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $26,686 – $31,190 · median $26,686 | 3 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $13,905 – $15,976 · median $13,905 | 3 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $8,021 – $8,972 · median $8,021 | 3 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,413 – $7,058 · median $6,413 | 3 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $16,473 – $19,033 · median $16,473 | 3 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,543 – $7,212 · median $6,543 | 3 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,074 – $5,464 · median $5,074 | 3 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $18,582 – $21,543 · median $18,582 | 3 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $9,394 – $10,607 · median $9,394 | 3 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $22,819 – $26,587 · median $22,819 | 3 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $13,376 – $15,347 · median $13,376 | 3 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,489 – $9,529 · median $8,489 | 3 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $11,153 – $12,700 · median $11,153 | 3 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,526 – $8,382 · median $7,526 | 3 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,970 – $5,341 · median $4,970 | 3 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $10,525 – $11,953 · median $10,525 | 3 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $6,942 – $7,687 · median $6,942 | 3 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $13,881 – $15,947 · median $13,881 | 3 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $6,243 – $6,856 · median $6,243 | 3 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,095 – $4,299 · median $4,095 | 3 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $13,711 – $15,745 · median $13,711 | 3 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $9,238 – $10,421 · median $9,238 | 3 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,317 – $6,944 · median $6,317 | 3 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,996 – $11,323 · median $9,996 | 3 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,982 – $6,545 · median $5,982 | 3 plans |
| 304 | HYPERTENSION WITH MCC | $10,090 – $11,435 · median $10,090 | 3 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,622 – $7,307 · median $6,622 | 3 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,728 – $14,575 · median $12,728 | 3 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $8,059 – $9,017 · median $8,059 | 3 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $10,344 – $11,738 · median $10,344 | 3 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,529 – $7,196 · median $6,529 | 3 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,059 – $5,446 · median $5,059 | 3 plans |
| 311 | ANGINA PECTORIS | $6,194 – $6,797 · median $6,194 | 3 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,608 – $8,481 · median $7,608 | 3 plans |
| 313 | CHEST PAIN | $6,317 – $6,944 · median $6,317 | 3 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $18,093 – $20,961 · median $18,093 | 3 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $8,352 – $9,366 · median $8,352 | 3 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,066 – $6,645 · median $6,066 | 3 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $51,070 – $60,215 · median $51,070 | 3 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $36,404 – $42,757 · median $36,404 | 3 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $19,412 – $22,531 · median $19,412 | 3 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $23,762 – $27,709 · median $23,762 | 3 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $15,278 – $17,610 · median $15,278 | 3 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $35,313 – $41,459 · median $35,313 | 3 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $26,610 – $31,099 · median $26,610 | 3 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $23,887 – $27,858 · median $23,887 | 3 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $42,015 – $49,436 · median $42,015 | 3 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $20,338 – $23,634 · median $20,338 | 3 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $13,514 – $15,510 · median $13,514 | 3 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $38,032 – $44,695 · median $38,032 | 3 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $19,812 – $23,007 · median $19,812 | 3 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,984 – $16,070 · median $13,984 | 3 plans |
| 332 | RECTAL RESECTION WITH MCC | $28,847 – $33,762 · median $28,847 | 3 plans |
| 333 | RECTAL RESECTION WITH CC | $17,862 – $20,686 · median $17,862 | 3 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $14,046 – $16,144 · median $14,046 | 3 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $30,112 – $35,268 · median $30,112 | 3 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $17,756 – $20,560 · median $17,756 | 3 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $13,036 – $14,942 · median $13,036 | 3 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $22,517 – $26,227 · median $22,517 | 3 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,657 – $14,490 · median $12,657 | 3 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,666 – $12,121 · median $10,666 | 3 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $19,837 – $23,037 · median $19,837 | 3 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,778 – $12,253 · median $10,778 | 3 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,687 – $8,574 · median $7,687 | 3 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $20,261 – $23,542 · median $20,261 | 3 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $12,786 – $14,644 · median $12,786 | 3 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,500 – $10,732 · median $9,500 | 3 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $24,467 – $28,548 · median $24,467 | 3 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $14,394 – $16,558 · median $14,394 | 3 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $11,385 – $12,977 · median $11,385 | 3 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $35,365 – $41,520 · median $35,365 | 3 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $18,898 – $21,920 · median $18,898 | 3 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,564 – $13,190 · median $11,564 | 3 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $14,139 – $16,255 · median $14,139 | 3 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,805 – $9,905 · median $8,805 | 3 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,191 – $6,794 · median $6,191 | 3 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $14,777 – $17,014 · median $14,777 | 3 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,900 – $10,019 · median $8,900 | 3 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,415 – $7,061 · median $6,415 | 3 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $17,749 – $20,551 · median $17,749 | 3 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $10,531 – $11,959 · median $10,531 | 3 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,704 – $8,595 · median $7,704 | 3 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $15,351 – $17,697 · median $15,351 | 3 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $8,545 – $9,596 · median $8,545 | 3 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,690 – $6,197 · median $5,690 | 3 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $16,219 – $18,730 · median $16,219 | 3 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $9,389 – $10,601 · median $9,389 | 3 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,611 – $7,293 · median $6,611 | 3 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,821 – $12,305 · median $10,821 | 3 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,594 – $8,464 · median $7,594 | 3 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $13,770 – $15,815 · median $13,770 | 3 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $8,599 – $9,660 · median $8,599 | 3 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,965 – $6,524 · median $5,965 | 3 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $12,503 – $14,307 · median $12,503 | 3 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $7,038 – $7,802 · median $7,038 | 3 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,958 – $5,326 · median $4,958 | 3 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $10,987 – $12,503 · median $10,987 | 3 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,864 – $7,595 · median $6,864 | 3 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $14,025 – $16,119 · median $14,025 | 3 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $8,181 – $9,162 · median $8,181 | 3 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,687 – $6,194 · median $5,687 | 3 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $20,745 – $24,118 · median $20,745 | 3 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $12,857 – $14,729 · median $12,857 | 3 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $9,673 – $10,938 · median $9,673 | 3 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $32,474 – $38,079 · median $32,474 | 3 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $44,875 – $52,840 · median $44,875 | 3 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $23,448 – $27,335 · median $23,448 | 3 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $17,948 – $20,789 · median $17,948 | 3 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $29,114 – $34,080 · median $29,114 | 3 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $17,627 – $20,406 · median $17,627 | 3 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $13,167 – $15,098 · median $13,167 | 3 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $22,859 – $26,635 · median $22,859 | 3 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $17,914 – $20,748 · median $17,914 | 3 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $14,078 – $16,182 · median $14,078 | 3 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $29,134 – $34,104 · median $29,134 | 3 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $16,659 – $19,254 · median $16,659 | 3 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $11,688 – $13,337 · median $11,688 | 3 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $19,916 – $23,132 · median $19,916 | 3 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $14,044 – $16,142 · median $14,044 | 3 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $11,258 – $12,825 · median $11,258 | 3 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $29,345 – $34,354 · median $29,345 | 3 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,874 – $15,939 · median $13,874 | 3 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $12,499 – $14,302 · median $12,499 | 3 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $33,743 – $39,590 · median $33,743 | 3 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $19,154 – $22,224 · median $19,154 | 3 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $13,124 – $15,046 · median $13,124 | 3 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $86,142 – $101,962 · median $86,142 | 3 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $58,563 – $69,134 · median $58,563 | 3 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $45,491 – $53,574 · median $45,491 | 3 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $68,686 – $81,183 · median $68,686 | 3 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $45,216 – $53,247 · median $45,216 | 3 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $16,503 – $19,069 · median $16,503 | 3 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,231 – $10,413 · median $9,231 | 3 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,179 – $6,779 · median $6,179 | 3 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $15,403 – $17,760 · median $15,403 | 3 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $9,705 – $10,976 · median $9,705 | 3 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,904 – $7,643 · median $6,904 | 3 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $14,088 – $16,194 · median $14,088 | 3 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $7,517 – $8,373 · median $7,517 | 3 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,513 – $5,987 · median $5,513 | 3 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $15,941 – $18,400 · median $15,941 | 3 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $8,384 – $9,404 · median $8,384 | 3 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,230 – $6,840 · median $6,230 | 3 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $14,257 – $16,395 · median $14,257 | 3 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $9,352 – $10,556 · median $9,352 | 3 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $7,003 – $7,760 · median $7,003 | 3 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $55,309 – $65,260 · median $55,309 | 3 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $33,875 – $39,747 · median $33,875 | 3 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $42,596 – $50,128 · median $42,596 | 3 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $25,718 – $30,037 · median $25,718 | 3 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $69,737 – $82,435 · median $69,737 | 3 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $47,415 – $55,864 · median $47,415 | 3 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $35,792 – $42,029 · median $35,792 | 3 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $50,664 – $59,731 · median $50,664 | 3 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $23,901 – $27,875 · median $23,901 | 3 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $44,648 – $52,570 · median $44,648 | 3 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $24,595 – $28,700 · median $24,595 | 3 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,680 – $16,898 · median $14,680 | 3 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $42,143 – $49,588 · median $42,143 | 3 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $28,492 – $33,339 · median $28,492 | 3 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $21,935 – $25,534 · median $21,935 | 3 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $27,212 – $31,816 · median $27,212 | 3 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $15,901 – $18,352 · median $15,901 | 3 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $40,202 – $47,278 · median $40,202 | 3 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $24,174 – $28,200 · median $24,174 | 3 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $19,842 – $23,043 · median $19,842 | 3 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $37,155 – $43,652 · median $37,155 | 3 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,124 – $20,998 · median $18,124 | 3 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,994 – $11,321 · median $9,994 | 3 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $28,605 – $33,473 · median $28,605 | 3 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $19,606 – $22,763 · median $19,606 | 3 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $15,004 – $17,285 · median $15,004 | 3 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $24,532 – $28,626 · median $24,532 | 3 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $17,450 – $20,196 · median $17,450 | 3 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $13,456 – $15,441 · median $13,456 | 3 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $21,320 – $24,803 · median $21,320 | 3 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $26,808 – $31,335 · median $26,808 | 3 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $17,826 – $20,644 · median $17,826 | 3 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,405 – $15,381 · median $13,405 | 3 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $16,555 – $19,130 · median $16,555 | 3 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,610 – $12,054 · median $10,610 | 3 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $29,522 – $34,565 · median $29,522 | 3 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $20,117 – $23,370 · median $20,117 | 3 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $15,901 – $18,351 · median $15,901 | 3 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $29,272 – $34,268 · median $29,272 | 3 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $16,617 – $19,204 · median $16,617 | 3 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $11,462 – $13,068 · median $11,462 | 3 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $21,130 – $24,576 · median $21,130 | 3 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $9,975 – $11,299 · median $9,975 | 3 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $26,394 – $30,842 · median $26,394 | 3 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $15,077 – $17,371 · median $15,077 | 3 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $11,909 – $13,600 · median $11,909 | 3 plans |
| 503 | FOOT PROCEDURES WITH MCC | $22,125 – $25,761 · median $22,125 | 3 plans |
| 504 | FOOT PROCEDURES WITH CC | $14,834 – $17,082 · median $14,834 | 3 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,834 – $17,082 · median $14,834 | 3 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $12,742 – $14,591 · median $12,742 | 3 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $16,332 – $18,865 · median $16,332 | 3 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,037 – $12,562 · median $11,037 | 3 plans |
| 509 | ARTHROSCOPY | $14,848 – $17,099 · median $14,848 | 3 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $23,854 – $27,819 · median $23,854 | 3 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $16,520 – $19,089 · median $16,520 | 3 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $13,631 – $15,649 · median $13,631 | 3 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,795 – $14,655 · median $12,795 | 3 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,821 – $9,924 · median $8,821 | 3 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $25,770 – $30,100 · median $25,770 | 3 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $16,933 – $19,581 · median $16,933 | 3 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $12,689 – $14,529 · median $12,689 | 3 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $29,790 – $34,885 · median $29,790 | 3 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $16,608 – $19,193 · median $16,608 | 3 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $12,203 – $13,950 · median $12,203 | 3 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $24,317 – $28,370 · median $24,317 | 3 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $17,722 – $20,519 · median $17,722 | 3 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $12,953 – $14,843 · median $12,953 | 3 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $7,140 – $7,923 · median $7,140 | 3 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $11,358 – $12,945 · median $11,358 | 3 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $7,114 – $7,893 · median $7,114 | 3 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,998 – $8,945 · median $7,998 | 3 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,974 – $6,536 · median $5,974 | 3 plans |
| 539 | OSTEOMYELITIS WITH MCC | $17,021 – $19,685 · median $17,021 | 3 plans |
| 540 | OSTEOMYELITIS WITH CC | $11,065 – $12,596 · median $11,065 | 3 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $7,638 – $8,516 · median $7,638 | 3 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $15,735 – $18,154 · median $15,735 | 3 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $9,159 – $10,326 · median $9,159 | 3 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,663 – $7,356 · median $6,663 | 3 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $21,146 – $24,595 · median $21,146 | 3 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,950 – $11,268 · median $9,950 | 3 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,585 – $7,263 · median $6,585 | 3 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $16,957 – $19,609 · median $16,957 | 3 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $10,338 – $11,730 · median $10,338 | 3 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,533 – $8,391 · median $7,533 | 3 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $14,437 – $16,609 · median $14,437 | 3 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $8,365 – $9,381 · median $8,365 | 3 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $11,163 – $12,712 · median $11,163 | 3 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,308 – $8,124 · median $7,308 | 3 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,495 – $13,107 · median $11,495 | 3 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,160 – $7,947 · median $7,160 | 3 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $13,156 – $15,084 · median $13,156 | 3 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,547 – $8,408 · median $7,547 | 3 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $15,663 – $18,068 · median $15,663 | 3 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,795 – $11,083 · median $9,795 | 3 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,169 – $7,958 · median $7,169 | 3 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $12,451 – $14,245 · median $12,451 | 3 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,792 – $8,700 · median $7,792 | 3 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $13,315 – $15,274 · median $13,315 | 3 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $8,822 – $9,925 · median $8,822 | 3 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,601 – $7,282 · median $6,601 | 3 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $25,098 – $29,300 · median $25,098 | 3 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $14,174 – $16,297 · median $14,174 | 3 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $9,825 – $11,119 · median $9,825 | 3 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $50,840 – $59,941 · median $50,840 | 3 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $28,816 – $33,725 · median $28,816 | 3 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $16,811 – $19,435 · median $16,811 | 3 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $44,601 – $52,515 · median $44,601 | 3 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $22,258 – $25,918 · median $22,258 | 3 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,306 – $16,453 · median $14,306 | 3 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $27,136 – $31,725 · median $27,136 | 3 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $14,982 – $17,257 · median $14,982 | 3 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $12,252 – $14,008 · median $12,252 | 3 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $14,803 – $17,045 · median $14,803 | 3 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $13,916 – $15,989 · median $13,916 | 3 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $17,225 – $19,928 · median $17,225 | 3 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $16,716 – $19,322 · median $16,716 | 3 plans |
| 592 | SKIN ULCERS WITH MCC | $17,298 – $20,015 · median $17,298 | 3 plans |
| 593 | SKIN ULCERS WITH CC | $10,482 – $11,901 · median $10,482 | 3 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,423 – $8,261 · median $7,423 | 3 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $17,779 – $20,587 · median $17,779 | 3 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $9,324 – $10,523 · median $9,324 | 3 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $14,848 – $17,099 · median $14,848 | 3 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,306 – $10,501 · median $9,306 | 3 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,474 – $8,321 · median $7,474 | 3 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,306 – $9,311 · median $8,306 | 3 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,386 – $5,835 · median $5,386 | 3 plans |
| 602 | CELLULITIS WITH MCC | $12,497 – $14,300 · median $12,497 | 3 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,686 – $8,573 · median $7,686 | 3 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $12,632 – $14,461 · median $12,632 | 3 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $8,037 – $8,991 · median $8,037 | 3 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $13,651 – $15,674 · median $13,651 | 3 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,550 – $8,412 · median $7,550 | 3 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $19,119 – $22,183 · median $19,119 | 3 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $12,201 – $13,948 · median $12,201 | 3 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $32,088 – $37,620 · median $32,088 | 3 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $16,278 – $18,801 · median $16,278 | 3 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,665 – $12,119 · median $10,665 | 3 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $22,778 – $26,538 · median $22,778 | 3 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $13,542 – $15,544 · median $13,542 | 3 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $12,437 – $14,228 · median $12,437 | 3 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $31,082 – $36,423 · median $31,082 | 3 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $16,125 – $18,618 · median $16,125 | 3 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,686 – $9,764 · median $8,686 | 3 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $23,928 – $27,907 · median $23,928 | 3 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $12,825 – $14,691 · median $12,825 | 3 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,843 – $12,331 · median $10,843 | 3 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $32,748 – $38,405 · median $32,748 | 3 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $18,875 – $21,891 · median $18,875 | 3 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,942 – $13,639 · median $11,942 | 3 plans |
| 637 | DIABETES WITH MCC | $12,392 – $14,175 · median $12,392 | 3 plans |
| 638 | DIABETES WITH CC | $7,984 – $8,928 · median $7,984 | 3 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,607 – $6,099 · median $5,607 | 3 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $11,343 – $12,926 · median $11,343 | 3 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,873 – $7,606 · median $6,873 | 3 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,632 – $12,080 · median $10,632 | 3 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $14,035 – $16,131 · median $14,035 | 3 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,934 – $10,059 · median $8,934 | 3 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,851 – $7,579 · median $6,851 | 3 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $38,158 – $44,845 · median $38,158 | 3 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $28,879 – $33,799 · median $28,879 | 3 plans |
| 652 | KIDNEY TRANSPLANT | $25,599 – $29,895 · median $25,599 | 3 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $46,068 – $54,260 · median $46,068 | 3 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $23,560 – $27,469 · median $23,560 | 3 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $17,470 – $20,219 · median $17,470 | 3 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $27,125 – $31,712 · median $27,125 | 3 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $15,432 – $17,794 · median $15,432 | 3 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $12,782 – $14,639 · median $12,782 | 3 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $21,616 – $25,154 · median $21,616 | 3 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $11,441 – $13,043 · median $11,441 | 3 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,878 – $9,992 · median $8,878 | 3 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $25,993 – $30,364 · median $25,993 | 3 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $12,973 – $14,867 · median $12,973 | 3 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,313 – $10,510 · median $9,313 | 3 plans |
| 665 | PROSTATECTOMY WITH MCC | $28,560 – $33,421 · median $28,560 | 3 plans |
| 666 | PROSTATECTOMY WITH CC | $13,954 – $16,034 · median $13,954 | 3 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,888 – $10,004 · median $8,888 | 3 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $24,330 – $28,386 · median $24,330 | 3 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $13,138 – $15,063 · median $13,138 | 3 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $8,298 – $9,302 · median $8,298 | 3 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $14,578 – $16,778 · median $14,578 | 3 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $9,433 – $10,652 · median $9,433 | 3 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $34,742 – $40,779 · median $34,742 | 3 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $19,360 – $22,469 · median $19,360 | 3 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $13,283 – $15,236 · median $13,283 | 3 plans |
| 682 | RENAL FAILURE WITH MCC | $12,765 – $14,619 · median $12,765 | 3 plans |
| 683 | RENAL FAILURE WITH CC | $7,752 – $8,652 · median $7,752 | 3 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,450 – $5,912 · median $5,450 | 3 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $15,903 – $18,354 · median $15,903 | 3 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $9,092 – $10,246 · median $9,092 | 3 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,405 – $7,049 · median $6,405 | 3 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $10,053 – $11,391 · median $10,053 | 3 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $7,046 – $7,812 · median $7,046 | 3 plans |
| 693 | URINARY STONES WITH MCC | $12,507 – $14,312 · median $12,507 | 3 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,873 – $7,606 · median $6,873 | 3 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,706 – $10,977 · median $9,706 | 3 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,140 – $6,734 · median $6,140 | 3 plans |
| 697 | URETHRAL STRICTURE | $8,675 – $9,751 · median $8,675 | 3 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $14,228 – $16,361 · median $14,228 | 3 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,823 – $9,927 · median $8,823 | 3 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $6,160 – $6,757 · median $6,160 | 3 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $16,352 – $18,889 · median $16,352 | 3 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $12,606 – $14,430 · median $12,606 | 3 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $18,858 – $21,872 · median $18,858 | 3 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $12,761 – $14,614 · median $12,761 | 3 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $16,107 – $18,597 · median $16,107 | 3 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $9,230 – $10,411 · median $9,230 | 3 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $12,308 – $14,075 · median $12,308 | 3 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,168 – $9,147 · median $8,168 | 3 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $18,950 – $21,981 · median $18,950 | 3 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $12,089 – $13,815 · median $12,089 | 3 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $15,656 – $18,060 · median $15,656 | 3 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,557 – $11,991 · median $10,557 | 3 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $14,621 – $16,828 · median $14,621 | 3 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,666 – $10,930 · median $9,666 | 3 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,441 – $7,092 · median $6,441 | 3 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $10,808 – $12,289 · median $10,808 | 3 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,571 – $7,246 · median $6,571 | 3 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $12,499 – $14,302 · median $12,499 | 3 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,165 – $7,953 · median $7,165 | 3 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $9,486 – $10,716 · median $9,486 | 3 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,446 – $5,907 · median $5,446 | 3 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $17,678 – $20,467 · median $17,678 | 3 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,410 – $11,815 · median $10,410 | 3 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $32,682 – $38,326 · median $32,682 | 3 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $16,825 – $19,451 · median $16,825 | 3 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,887 – $14,765 · median $12,887 | 3 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $33,036 – $38,748 · median $33,036 | 3 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $15,352 – $17,698 · median $15,352 | 3 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,716 – $13,370 · median $11,716 | 3 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $15,421 – $17,780 · median $15,421 | 3 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $10,285 – $11,667 · median $10,285 | 3 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $16,462 – $19,019 · median $16,462 | 3 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,863 – $9,975 · median $8,863 | 3 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $14,177 – $16,300 · median $14,177 | 3 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $8,294 – $9,297 · median $8,294 | 3 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $11,623 – $13,260 · median $11,623 | 3 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $21,651 – $25,196 · median $21,651 | 3 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,028 – $12,551 · median $11,028 | 3 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $15,278 – $17,611 · median $15,278 | 3 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,561 – $10,805 · median $9,561 | 3 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,293 – $9,295 · median $8,293 | 3 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,057 – $13,776 · median $12,057 | 3 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,818 – $9,921 · median $8,818 | 3 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,717 – $6,229 · median $5,717 | 3 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $8,543 – $9,593 · median $8,543 | 3 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,667 – $6,170 · median $5,667 | 3 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $9,448 – $10,671 · median $9,448 | 3 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $11,846 – $13,525 · median $11,846 | 3 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $9,282 – $10,473 · median $9,282 | 3 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $6,318 – $6,945 · median $6,318 | 3 plans |
| 779 | ABORTION WITHOUT D&C | $8,127 – $9,099 · median $8,127 | 3 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $15,547 – $17,930 · median $15,547 | 3 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $9,339 – $10,541 · median $9,339 | 3 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,626 – $8,502 · median $7,626 | 3 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $13,697 – $15,728 · median $13,697 | 3 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $9,166 – $10,335 · median $9,166 | 3 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,881 – $8,806 · median $7,881 | 3 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $15,224 – $17,546 · median $15,224 | 3 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $49,095 – $57,863 · median $49,095 | 3 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $33,682 – $39,517 · median $33,682 | 3 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $20,515 – $23,844 · median $20,515 | 3 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $34,586 – $40,593 · median $34,586 | 3 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $12,555 – $14,369 · median $12,555 | 3 plans |
| 795 | NORMAL NEWBORN | $1,945 – $2,117 · median $2,117 | 3 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $10,922 – $12,426 · median $10,922 | 3 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $8,401 – $9,424 · median $8,401 | 3 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $8,401 – $9,424 · median $8,401 | 3 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $39,364 – $46,281 · median $39,364 | 3 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $24,310 – $28,361 · median $24,310 | 3 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $13,908 – $15,979 · median $13,908 | 3 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $29,797 – $34,892 · median $29,797 | 3 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $15,039 – $17,326 · median $15,039 | 3 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,524 – $10,761 · median $9,524 | 3 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $8,644 – $9,714 · median $8,644 | 3 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $6,400 – $7,043 · median $6,400 | 3 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,695 – $6,203 · median $5,695 | 3 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $19,212 – $22,293 · median $19,212 | 3 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $10,611 – $12,055 · median $10,611 | 3 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,266 – $9,264 · median $8,266 | 3 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $11,988 – $13,694 · median $11,988 | 3 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $8,030 – $8,983 · median $8,030 | 3 plans |
| 813 | COAGULATION DISORDERS | $13,142 – $15,067 · median $13,142 | 3 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $17,578 – $20,348 · median $17,578 | 3 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $8,792 – $9,890 · median $8,792 | 3 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,875 – $6,418 · median $5,875 | 3 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $21,213 – $24,675 · median $21,213 | 3 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $11,016 – $12,537 · median $11,016 | 3 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,160 – $7,947 · median $7,160 | 3 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $48,093 – $56,671 · median $48,093 | 3 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $18,738 – $21,729 · median $18,738 | 3 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,836 – $11,132 · median $9,836 | 3 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $38,748 – $45,548 · median $38,748 | 3 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $18,468 – $21,408 · median $18,468 | 3 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,548 – $11,980 · median $10,548 | 3 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $39,533 – $46,482 · median $39,533 | 3 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $19,781 – $22,970 · median $19,781 | 3 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,591 – $15,602 · median $13,591 | 3 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $25,700 – $30,016 · median $25,700 | 3 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,443 – $14,235 · median $12,443 | 3 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,895 – $11,203 · median $9,895 | 3 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,595 – $7,275 · median $6,595 | 3 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,734 – $5,059 · median $4,734 | 3 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $45,681 – $53,800 · median $45,681 | 3 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $17,949 – $20,790 · median $17,949 | 3 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $10,874 – $12,368 · median $10,874 | 3 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $41,428 – $48,737 · median $41,428 | 3 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $17,068 – $19,741 · median $17,068 | 3 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,689 – $13,339 · median $11,689 | 3 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $26,560 – $31,040 · median $26,560 | 3 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $13,305 – $15,262 · median $13,305 | 3 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $9,085 – $10,239 · median $9,085 | 3 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $15,965 – $18,428 · median $15,965 | 3 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $10,257 – $11,633 · median $10,257 | 3 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,326 – $8,145 · median $7,326 | 3 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $21,366 – $24,857 · median $21,366 | 3 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $10,874 – $12,368 · median $10,874 | 3 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,180 – $7,971 · median $7,180 | 3 plans |
| 849 | RADIOTHERAPY | $22,325 – $25,999 · median $22,325 | 3 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $75,810 – $89,664 · median $75,810 | 3 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $41,380 – $48,680 · median $41,380 | 3 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $16,822 – $19,448 · median $16,822 | 3 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $13,776 – $15,823 · median $13,776 | 3 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $37,375 – $43,913 · median $37,375 | 3 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $18,301 – $21,208 · median $18,301 | 3 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,019 – $12,541 · median $11,019 | 3 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $15,519 – $17,897 · median $15,519 | 3 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,660 – $9,732 · median $8,660 | 3 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,827 – $8,741 · median $7,827 | 3 plans |
| 865 | VIRAL ILLNESS WITH MCC | $12,552 – $14,366 · median $12,552 | 3 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,719 – $8,612 · median $7,719 | 3 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $18,018 – $20,871 · median $18,018 | 3 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $9,070 – $10,221 · median $9,070 | 3 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,368 – $7,004 · median $6,368 | 3 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $57,368 – $67,711 · median $57,368 | 3 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $16,528 – $19,098 · median $16,528 | 3 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,914 – $10,035 · median $8,914 | 3 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $36,712 – $43,124 · median $36,712 | 3 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $16,000 – $18,470 · median $16,000 | 3 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $10,452 – $11,866 · median $10,452 | 3 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $32,056 – $37,582 · median $32,056 | 3 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $13,961 – $16,043 · median $13,961 | 3 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $18,330 – $21,243 · median $18,330 | 3 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $33,059 – $38,775 · median $33,059 | 3 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $16,978 – $19,633 · median $16,978 | 3 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,855 – $12,345 · median $10,855 | 3 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $13,717 – $15,752 · median $13,717 | 3 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,977 – $8,920 · median $7,977 | 3 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $14,695 – $16,916 · median $14,695 | 3 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,914 – $6,464 · median $5,914 | 3 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $13,892 – $15,960 · median $13,892 | 3 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,717 – $8,610 · median $7,717 | 3 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $15,395 – $17,750 · median $15,395 | 3 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $8,791 – $9,888 · median $8,791 | 3 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,107 – $6,694 · median $6,107 | 3 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $14,298 – $16,444 · median $14,298 | 3 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $8,823 – $9,927 · median $8,823 | 3 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $194,467 – $230,905 · median $194,467 | 3 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $55,098 – $65,009 · median $55,098 | 3 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $26,490 – $30,956 · median $26,490 | 3 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $35,865 – $42,116 · median $35,865 | 3 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $18,030 – $20,886 · median $18,030 | 3 plans |
| 935 | NON-EXTENSIVE BURNS | $18,444 – $21,379 · median $18,444 | 3 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $26,438 – $30,894 · median $26,438 | 3 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $17,749 – $20,551 · median $17,749 | 3 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $16,464 – $19,022 · median $16,464 | 3 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $11,001 – $12,519 · median $11,001 | 3 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,980 – $7,733 · median $6,980 | 3 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,307 – $10,502 · median $9,307 | 3 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,276 – $5,705 · median $5,276 | 3 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,120 – $5,519 · median $5,120 | 3 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $56,319 – $66,463 · median $56,319 | 3 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $31,740 – $37,205 · median $31,740 | 3 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $61,519 – $72,652 · median $61,519 | 3 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $34,090 – $40,003 · median $34,090 | 3 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $22,103 – $25,734 · median $22,103 | 3 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $22,698 – $26,443 · median $22,698 | 3 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,750 – $14,601 · median $12,750 | 3 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,946 – $8,883 · median $7,946 | 3 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $52,198 – $61,557 · median $52,198 | 3 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $22,180 – $25,826 · median $22,180 | 3 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $24,902 – $29,066 · median $24,902 | 3 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $12,106 – $13,835 · median $12,106 | 3 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $8,685 – $9,763 · median $8,685 | 3 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $12,274 – $14,035 · median $12,274 | 3 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $39,357 – $46,272 · median $39,357 | 3 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $20,504 – $23,830 · median $20,504 | 3 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $14,125 – $16,237 · median $14,125 | 3 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $29,125 – $34,093 · median $29,125 | 3 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $14,515 – $16,703 · median $14,515 | 3 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,932 – $11,247 · median $9,932 | 3 plans |
No procedures match that keyword.