Beaver County Memorial Hospital — Pricing
759 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 759 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 759
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 759 procedures
Procedures with negotiated rates only
These 759 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $1,400 – $13,151 · median $9,721 | 5 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $2,100 – $22,098 · median $16,334 | 5 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $2,100 – $12,992 · median $9,603 | 5 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $2,100 – $10,479 · median $7,745 | 5 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $2,100 – $19,384 · median $14,328 | 5 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $2,100 – $12,737 · median $9,415 | 5 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $2,100 – $10,853 · median $8,022 | 5 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $1,400 – $15,314 · median $11,320 | 5 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $1,400 – $11,615 · median $8,585 | 5 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $1,400 – $11,615 · median $8,585 | 5 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $1,400 – $11,972 · median $8,849 | 5 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $1,400 – $8,680 · median $6,416 | 5 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $1,400 – $7,645 · median $5,651 | 5 plans |
| 945 | REHABILITATION WITH CC/MCC | $550 – $1,500 · median $1,500 | 5 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $550 – $1,200 · median $1,200 | 5 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $205,741 – $337,907 · median $271,810 | 4 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $80,488 – $132,192 · median $106,335 | 4 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $156,536 – $257,093 · median $206,804 | 4 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $103,206 – $169,503 · median $136,347 | 4 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $77,783 – $127,750 · median $102,761 | 4 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $35,419 – $58,171 · median $46,792 | 4 plans |
| 007 | Lung transplant | $95,455 – $156,773 · median $126,107 | 4 plans |
| 008 | Simultaneous pancreas/kidney transplant | $39,742 – $65,271 · median $52,504 | 4 plans |
| 010 | Pancreas transplant | $58,235 – $95,644 · median $76,935 | 4 plans |
| 011 | Tracheostomy for face,mouth & neck diagnoses w MCC | $39,412 – $64,729 · median $52,068 | 4 plans |
| 012 | Tracheostomy for face,mouth & neck diagnoses w CC | $29,973 – $49,228 · median $39,599 | 4 plans |
| 013 | Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC | $19,356 – $31,789 · median $25,571 | 4 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $95,696 – $157,169 · median $126,426 | 4 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $44,086 – $72,407 · median $58,243 | 4 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $44,086 – $72,407 · median $58,243 | 4 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $275,454 – $452,403 · median $363,910 | 4 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $57,901 – $95,096 · median $76,494 | 4 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $58,878 – $96,701 · median $77,786 | 4 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $40,371 – $66,305 · median $53,336 | 4 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $25,786 – $42,351 · median $34,067 | 4 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $41,670 – $68,438 · median $55,051 | 4 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $27,768 – $45,605 · median $36,685 | 4 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $32,666 – $53,650 · median $43,155 | 4 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $22,340 – $36,691 · median $29,514 | 4 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $18,025 – $29,604 · median $23,813 | 4 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $44,405 – $72,930 · median $58,664 | 4 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $24,517 – $40,267 · median $32,390 | 4 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $16,254 – $26,696 · median $21,474 | 4 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $30,608 – $50,270 · median $40,437 | 4 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $15,598 – $25,619 · median $20,607 | 4 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,654 – $19,140 · median $15,396 | 4 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $28,403 – $46,649 · median $37,524 | 4 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $16,615 – $27,289 · median $21,951 | 4 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,389 – $21,990 · median $17,689 | 4 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $24,256 – $39,838 · median $32,045 | 4 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,769 – $19,329 · median $15,548 | 4 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,313 – $13,654 · median $10,983 | 4 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $27,551 – $45,250 · median $36,399 | 4 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $16,494 – $27,089 · median $21,791 | 4 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,838 – $21,084 · median $16,960 | 4 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,699 – $24,142 · median $19,420 | 4 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,730 – $11,053 · median $8,891 | 4 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,949 – $17,983 · median $14,466 | 4 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,969 – $13,088 · median $10,528 | 4 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $18,290 – $30,039 · median $24,163 | 4 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,746 – $16,007 · median $12,876 | 4 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,482 – $22,143 · median $17,812 | 4 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,937 – $14,678 · median $11,807 | 4 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,518 – $10,705 · median $8,611 | 4 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $19,746 – $32,430 · median $26,086 | 4 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,008 – $21,364 · median $17,185 | 4 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,261 – $16,852 · median $13,556 | 4 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,529 – $23,862 · median $19,195 | 4 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,427 – $12,199 · median $9,813 | 4 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,027 – $8,257 · median $6,642 | 4 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,627 – $17,453 · median $14,039 | 4 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,438 – $10,574 · median $8,506 | 4 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,844 – $9,598 · median $7,721 | 4 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $12,700 – $20,859 · median $16,779 | 4 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $7,698 – $12,643 · median $10,170 | 4 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,479 – $8,999 · median $7,239 | 4 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,289 – $18,541 · median $14,914 | 4 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,614 – $12,505 · median $10,059 | 4 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $12,580 – $20,662 · median $16,620 | 4 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,697 – $10,999 · median $8,848 | 4 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $11,294 – $18,549 · median $14,921 | 4 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,289 – $11,971 · median $9,629 | 4 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,870 – $7,998 · median $6,433 | 4 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $14,519 – $23,846 · median $19,181 | 4 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,609 – $10,854 · median $8,731 | 4 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $16,947 – $27,833 · median $22,389 | 4 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,155 – $16,679 · median $13,417 | 4 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,983 – $11,469 · median $9,226 | 4 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,551 – $27,183 · median $21,866 | 4 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,580 – $15,734 · median $12,656 | 4 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,457 – $10,604 · median $8,530 | 4 plans |
| 088 | CONCUSSION WITH MCC | $10,304 – $16,923 · median $13,613 | 4 plans |
| 089 | CONCUSSION WITH CC | $7,831 – $12,861 · median $10,345 | 4 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,262 – $10,284 · median $8,273 | 4 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $13,314 – $21,868 · median $17,590 | 4 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,733 – $12,700 · median $10,216 | 4 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,765 – $9,468 · median $7,616 | 4 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $26,650 – $43,770 · median $35,208 | 4 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $17,509 – $28,757 · median $23,132 | 4 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $17,509 – $28,757 · median $23,132 | 4 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $26,182 – $43,001 · median $34,590 | 4 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $15,845 – $26,023 · median $20,933 | 4 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,177 – $16,714 · median $13,445 | 4 plans |
| 100 | SEIZURES WITH MCC | $14,501 – $23,816 · median $19,157 | 4 plans |
| 101 | SEIZURES WITHOUT MCC | $6,732 – $11,057 · median $8,894 | 4 plans |
| 102 | HEADACHES WITH MCC | $8,469 – $13,909 · median $11,189 | 4 plans |
| 103 | HEADACHES WITHOUT MCC | $6,210 – $10,199 · median $8,204 | 4 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $16,482 – $27,070 · median $21,775 | 4 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,634 – $14,180 · median $11,407 | 4 plans |
| 115 | Extraocular procedures except orbit | $11,182 – $18,366 · median $14,773 | 4 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $12,187 – $20,017 · median $16,101 | 4 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,878 – $12,939 · median $10,408 | 4 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,496 – $13,954 · median $11,224 | 4 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,954 – $8,137 · median $6,545 | 4 plans |
| 123 | Neurological eye disorders | $5,867 – $9,635 · median $7,750 | 4 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,524 – $15,642 · median $12,582 | 4 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,031 – $9,905 · median $7,968 | 4 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $17,611 – $28,924 · median $23,266 | 4 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,145 – $11,734 · median $9,439 | 4 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,215 – $16,778 · median $13,496 | 4 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,942 – $9,759 · median $7,850 | 4 plans |
| 139 | Salivary gland procedures | $10,028 – $16,471 · median $13,249 | 4 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $30,890 – $50,733 · median $40,810 | 4 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,693 – $25,773 · median $20,732 | 4 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,485 – $18,863 · median $15,173 | 4 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $24,117 – $39,610 · median $31,862 | 4 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,831 – $21,073 · median $16,951 | 4 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,654 – $14,213 · median $11,433 | 4 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $16,756 – $27,520 · median $22,137 | 4 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,092 – $14,933 · median $12,012 | 4 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,848 – $9,605 · median $7,726 | 4 plans |
| 149 | Dysequilibrium | $5,460 – $8,967 · median $7,213 | 4 plans |
| 150 | EPISTAXIS WITH MCC | $10,096 – $16,581 · median $13,338 | 4 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,536 – $9,093 · median $7,314 | 4 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,289 – $13,613 · median $10,950 | 4 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,198 – $8,538 · median $6,868 | 4 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,879 – $19,509 · median $15,693 | 4 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $6,819 – $11,199 · median $9,009 | 4 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,911 – $8,066 · median $6,488 | 4 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $11,960 – $19,643 · median $15,801 | 4 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,870 – $11,283 · median $9,076 | 4 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,818 – $7,913 · median $6,365 | 4 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $33,666 – $55,292 · median $44,476 | 4 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $18,384 – $30,194 · median $24,288 | 4 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,615 – $22,361 · median $17,987 | 4 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $28,123 – $46,188 · median $37,153 | 4 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,346 – $21,919 · median $17,632 | 4 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,889 – $16,241 · median $13,064 | 4 plans |
| 173 | Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism | $22,413 – $36,811 · median $29,610 | 4 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,292 – $16,904 · median $13,597 | 4 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,949 – $9,771 · median $7,860 | 4 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,807 – $19,392 · median $15,598 | 4 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,246 – $11,901 · median $9,573 | 4 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,622 – $9,233 · median $7,427 | 4 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $12,766 – $20,967 · median $16,865 | 4 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,110 – $13,319 · median $10,714 | 4 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,117 – $10,047 · median $8,081 | 4 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,594 – $19,041 · median $15,317 | 4 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,801 – $12,813 · median $10,307 | 4 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,680 – $9,329 · median $7,504 | 4 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,540 – $18,954 · median $15,246 | 4 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,333 – $12,044 · median $9,688 | 4 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,363 – $8,807 · median $7,085 | 4 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,038 – $14,844 · median $11,940 | 4 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,202 – $13,472 · median $10,836 | 4 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,275 – $10,306 · median $8,290 | 4 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,727 – $7,764 · median $6,245 | 4 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,624 – $15,807 · median $12,715 | 4 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,989 – $9,837 · median $7,913 | 4 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,548 – $7,470 · median $6,009 | 4 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,761 – $22,602 · median $18,181 | 4 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,231 – $11,876 · median $9,553 | 4 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,116 – $8,402 · median $6,759 | 4 plans |
| 199 | PNEUMOTHORAX WITH MCC | $12,894 – $21,177 · median $17,034 | 4 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,089 – $13,286 · median $10,687 | 4 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,946 – $8,122 · median $6,534 | 4 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,061 – $11,597 · median $9,328 | 4 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,088 – $8,356 · median $6,722 | 4 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,924 – $9,729 · median $7,826 | 4 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $13,788 – $22,646 · median $18,216 | 4 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,616 – $10,866 · median $8,741 | 4 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $47,236 – $77,581 · median $62,405 | 4 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $19,602 – $32,195 · median $25,897 | 4 plans |
| 212 | Concomitant Aortic and Mitral Valve Procedures | $79,569 – $130,683 · median $105,121 | 4 plans |
| 215 | Other heart assist system implant | $77,384 – $127,095 · median $102,235 | 4 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $70,492 – $115,775 · median $93,128 | 4 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $47,169 – $77,469 · median $62,316 | 4 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $43,454 – $71,368 · median $57,408 | 4 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $56,515 – $92,819 · median $74,663 | 4 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $38,687 – $63,539 · median $51,111 | 4 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $33,544 – $55,093 · median $44,316 | 4 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $36,398 – $59,780 · median $48,086 | 4 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $22,688 – $37,263 · median $29,974 | 4 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $61,893 – $101,653 · median $81,769 | 4 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $44,618 – $73,280 · median $58,946 | 4 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $57,091 – $93,766 · median $75,424 | 4 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $38,859 – $63,821 · median $51,337 | 4 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $42,978 – $70,587 · median $56,780 | 4 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $30,035 – $49,329 · median $39,680 | 4 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $36,790 – $60,423 · median $48,604 | 4 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $21,271 – $34,935 · median $28,101 | 4 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,028 – $18,113 · median $14,570 | 4 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $24,775 – $40,690 · median $32,731 | 4 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,454 – $27,025 · median $21,738 | 4 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,182 – $21,649 · median $17,414 | 4 plans |
| 245 | AICD generator procedures | $35,693 – $58,622 · median $47,155 | 4 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $16,891 – $27,742 · median $22,315 | 4 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,413 – $18,745 · median $15,078 | 4 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $25,056 – $41,151 · median $33,102 | 4 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $18,647 – $30,626 · median $24,635 | 4 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $12,778 – $20,986 · median $16,881 | 4 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $19,111 – $31,388 · median $25,248 | 4 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,371 – $20,318 · median $16,343 | 4 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,514 – $10,699 · median $8,606 | 4 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $20,491 – $33,655 · median $27,072 | 4 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $12,838 – $21,085 · median $16,961 | 4 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $24,879 – $40,861 · median $32,868 | 4 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $13,860 – $22,764 · median $18,311 | 4 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $11,086 – $18,208 · median $14,646 | 4 plans |
| 263 | VEIN LIGATION AND STRIPPING | $19,590 – $32,174 · median $25,881 | 4 plans |
| 264 | Other circulatory system O.R. procedures | $25,528 – $41,927 · median $33,726 | 4 plans |
| 265 | AICD lead procedures | $26,055 – $42,792 · median $34,422 | 4 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $43,757 – $71,866 · median $57,808 | 4 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $34,363 – $56,438 · median $45,398 | 4 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $48,700 – $79,985 · median $64,339 | 4 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $30,390 – $49,912 · median $40,149 | 4 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $37,491 – $61,575 · median $49,531 | 4 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $25,158 – $41,319 · median $33,237 | 4 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $18,276 – $30,016 · median $24,145 | 4 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $28,561 – $46,908 · median $37,732 | 4 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $22,796 – $37,440 · median $30,116 | 4 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $51,617 – $84,776 · median $68,193 | 4 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $45,244 – $74,308 · median $59,773 | 4 plans |
| 277 | Cardiac Defibrillator Implant without MCC | $33,977 – $55,804 · median $44,889 | 4 plans |
| 278 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC | $36,544 – $60,020 · median $48,279 | 4 plans |
| 279 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC | $23,405 – $38,440 · median $30,921 | 4 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $11,989 – $19,690 · median $15,839 | 4 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,733 – $11,058 · median $8,895 | 4 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,296 – $8,698 · median $6,997 | 4 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $14,282 – $23,457 · median $18,869 | 4 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,412 – $8,889 · median $7,150 | 4 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,100 – $6,735 · median $5,417 | 4 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $16,166 – $26,551 · median $21,357 | 4 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,959 – $13,072 · median $10,515 | 4 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $19,951 – $32,767 · median $26,358 | 4 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $11,516 – $18,914 · median $15,214 | 4 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,151 – $11,744 · median $9,447 | 4 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,530 – $15,652 · median $12,591 | 4 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,290 – $10,331 · median $8,310 | 4 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,008 – $6,582 · median $5,295 | 4 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $8,969 – $14,731 · median $11,850 | 4 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,769 – $9,474 · median $7,621 | 4 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,967 – $19,654 · median $15,810 | 4 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,145 – $8,450 · median $6,797 | 4 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,226 – $5,299 · median $4,262 | 4 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $11,815 – $19,405 · median $15,609 | 4 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,820 – $12,843 · median $10,331 | 4 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,211 – $8,558 · median $6,884 | 4 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,497 – $13,955 · median $11,225 | 4 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,911 – $8,066 · median $6,488 | 4 plans |
| 304 | HYPERTENSION WITH MCC | $8,581 – $14,093 · median $11,336 | 4 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,483 – $9,005 · median $7,244 | 4 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $10,937 – $17,963 · median $14,449 | 4 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,766 – $11,113 · median $8,939 | 4 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,808 – $14,466 · median $11,636 | 4 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,400 – $8,869 · median $7,134 | 4 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,087 – $6,712 · median $5,399 | 4 plans |
| 311 | Angina pectoris | $5,100 – $8,377 · median $6,738 | 4 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,364 – $10,452 · median $8,408 | 4 plans |
| 313 | Chest pain | $5,211 – $8,558 · median $6,884 | 4 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $15,729 – $25,833 · median $20,780 | 4 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,029 – $11,544 · median $9,286 | 4 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,986 – $8,190 · median $6,588 | 4 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $32,085 – $52,696 · median $42,388 | 4 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $16,907 – $27,768 · median $22,337 | 4 plans |
| 321 | Percutaneous Cardiovascular Procedures with Intraluminal Device with MMC or 4+ Arteries/Intraluminal Devices | $20,793 – $34,150 · median $27,470 | 4 plans |
| 322 | Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC | $13,214 – $21,703 · median $17,458 | 4 plans |
| 323 | Coronary Intravascular Lithotripsy with Intraluminal Device with MCC | $31,111 – $51,096 · median $41,101 | 4 plans |
| 324 | Coronary Intravascular Lithotripsy with Intraluminal Device without MCC | $23,337 – $38,328 · median $30,831 | 4 plans |
| 325 | Coronary Intravascular Lithotripsy without Intraluminal Device | $20,905 – $34,334 · median $27,618 | 4 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $37,097 – $60,928 · median $49,010 | 4 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,735 – $29,127 · median $23,430 | 4 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,639 – $19,116 · median $15,376 | 4 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $33,539 – $55,084 · median $44,310 | 4 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,264 – $28,355 · median $22,809 | 4 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,059 – $19,805 · median $15,931 | 4 plans |
| 332 | RECTAL RESECTION WITH MCC | $25,335 – $41,611 · median $33,471 | 4 plans |
| 333 | RECTAL RESECTION WITH CC | $15,523 – $25,495 · median $20,508 | 4 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,114 – $19,897 · median $16,005 | 4 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $26,465 – $43,466 · median $34,964 | 4 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $15,428 – $25,339 · median $20,383 | 4 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,212 – $18,415 · median $14,813 | 4 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $19,681 – $32,323 · median $26,001 | 4 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,873 – $17,858 · median $14,365 | 4 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,096 – $14,939 · median $12,017 | 4 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $17,287 – $28,392 · median $22,838 | 4 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,195 – $15,102 · median $12,148 | 4 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,434 – $10,567 · median $8,500 | 4 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $17,666 – $29,015 · median $23,339 | 4 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $10,989 – $18,048 · median $14,518 | 4 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,053 – $13,227 · median $10,640 | 4 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $21,423 – $35,184 · median $28,302 | 4 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,425 – $20,406 · median $16,415 | 4 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,738 – $15,993 · median $12,865 | 4 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $31,157 – $51,171 · median $41,162 | 4 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $16,449 – $27,015 · median $21,731 | 4 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,898 – $16,256 · median $13,076 | 4 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,198 – $20,033 · median $16,115 | 4 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,433 – $12,207 · median $9,819 | 4 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,098 – $8,373 · median $6,735 | 4 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $12,767 – $20,969 · median $16,867 | 4 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,518 – $12,347 · median $9,932 | 4 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,298 – $8,702 · median $7,000 | 4 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $15,422 – $25,328 · median $20,374 | 4 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,974 – $14,739 · median $11,856 | 4 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,449 – $10,592 · median $8,521 | 4 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,280 – $21,811 · median $17,545 | 4 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,201 – $11,827 · median $9,513 | 4 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,650 – $7,638 · median $6,144 | 4 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,055 – $23,084 · median $18,569 | 4 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,955 – $13,065 · median $10,509 | 4 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,473 – $8,989 · median $7,230 | 4 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,234 – $15,165 · median $12,199 | 4 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,352 – $10,432 · median $8,391 | 4 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,868 – $19,491 · median $15,679 | 4 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,249 – $11,906 · median $9,577 | 4 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,896 – $8,041 · median $6,468 | 4 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,736 – $17,633 · median $14,184 | 4 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,855 – $9,616 · median $7,735 | 4 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,997 – $6,564 · median $5,280 | 4 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,382 – $15,409 · median $12,395 | 4 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,699 – $9,360 · median $7,530 | 4 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,095 – $19,865 · median $15,980 | 4 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,875 – $11,292 · median $9,083 | 4 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,648 – $7,634 · median $6,141 | 4 plans |
| 397 | Appendix Procedures with MCC | $18,098 – $29,724 · median $23,910 | 4 plans |
| 398 | Appendix Procedures without MCC/CC | $11,052 – $18,152 · median $14,602 | 4 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,208 – $13,481 · median $10,844 | 4 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $39,651 – $65,123 · median $52,384 | 4 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $20,513 – $33,690 · median $27,100 | 4 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $15,600 – $25,621 · median $20,609 | 4 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $25,574 – $42,002 · median $33,786 | 4 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $15,313 – $25,150 · median $20,230 | 4 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,329 – $18,607 · median $14,967 | 4 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $19,987 – $32,826 · median $26,405 | 4 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $15,569 – $25,571 · median $20,569 | 4 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,143 – $19,943 · median $16,042 | 4 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $25,592 – $42,032 · median $33,810 | 4 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $14,448 – $23,729 · median $19,088 | 4 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,008 – $16,437 · median $13,222 | 4 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $17,358 – $28,508 · median $22,932 | 4 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,113 – $19,894 · median $16,003 | 4 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,624 – $15,806 · median $12,714 | 4 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $25,779 – $42,340 · median $34,058 | 4 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $11,961 – $19,645 · median $15,802 | 4 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,733 – $17,627 · median $14,179 | 4 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $29,708 – $48,793 · median $39,248 | 4 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $16,677 – $27,390 · median $22,033 | 4 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,291 – $18,543 · median $14,916 | 4 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,309 – $23,501 · median $18,904 | 4 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,814 – $12,833 · median $10,323 | 4 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,087 – $8,355 · median $6,721 | 4 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,327 – $21,888 · median $17,606 | 4 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,237 – $13,528 · median $10,882 | 4 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,735 – $9,419 · median $7,577 | 4 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,152 – $19,958 · median $16,054 | 4 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,283 – $10,319 · median $8,301 | 4 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,493 – $7,379 · median $5,935 | 4 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,807 – $22,677 · median $18,241 | 4 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,057 – $11,591 · median $9,323 | 4 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,133 – $8,430 · median $6,781 | 4 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,303 – $20,206 · median $16,254 | 4 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,921 – $13,010 · median $10,465 | 4 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,823 – $9,564 · median $7,694 | 4 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $61,859 – $101,597 · median $81,724 | 4 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $41,921 – $68,850 · median $55,382 | 4 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $31,539 – $51,799 · median $41,667 | 4 plans |
| 461 | Bilateral or multiple major joint procs of lower extremity w MCC | $44,822 – $73,616 · median $59,216 | 4 plans |
| 462 | Bilateral or multiple major joint procs of lower extremity w/o MCC | $20,917 – $34,354 · median $27,634 | 4 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $39,449 – $64,790 · median $52,117 | 4 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $21,537 – $35,371 · median $28,453 | 4 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,680 – $20,826 · median $16,753 | 4 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $37,211 – $61,115 · median $49,160 | 4 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $25,018 – $41,089 · median $33,051 | 4 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $19,161 – $31,469 · median $25,314 | 4 plans |
| 469 | Major joint replacement or reattachment of lower extremity w MCC | $23,875 – $39,211 · median $31,541 | 4 plans |
| 470 | Major joint replacement or reattachment of lower extremity w/o MCC | $13,772 – $22,618 · median $18,194 | 4 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $35,478 – $58,268 · median $46,871 | 4 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $21,161 – $34,755 · median $27,957 | 4 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $17,291 – $28,399 · median $22,844 | 4 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $32,756 – $53,798 · median $43,275 | 4 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $15,757 – $25,879 · median $20,817 | 4 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,495 – $13,953 · median $11,223 | 4 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $25,118 – $41,254 · median $33,185 | 4 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,081 – $28,054 · median $22,566 | 4 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,970 – $21,303 · median $17,136 | 4 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $21,481 – $35,280 · median $28,379 | 4 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,155 – $24,891 · median $20,022 | 4 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,587 – $19,030 · median $15,308 | 4 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $18,612 – $30,568 · median $24,589 | 4 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $23,514 – $38,619 · median $31,065 | 4 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,491 – $25,442 · median $20,466 | 4 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,542 – $18,956 · median $15,248 | 4 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $14,355 – $23,577 · median $18,965 | 4 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,045 – $14,856 · median $11,950 | 4 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $25,938 – $42,600 · median $34,267 | 4 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $17,537 – $28,802 · median $23,168 | 4 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $13,771 – $22,617 · median $18,193 | 4 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $25,714 – $42,233 · median $33,972 | 4 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,411 – $23,668 · median $19,038 | 4 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,806 – $16,106 · median $12,955 | 4 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $18,442 – $30,289 · median $24,364 | 4 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $8,478 – $13,925 · median $11,201 | 4 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $23,144 – $38,012 · median $30,576 | 4 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,035 – $21,409 · median $17,221 | 4 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,205 – $16,761 · median $13,482 | 4 plans |
| 503 | FOOT PROCEDURES WITH MCC | $19,331 – $31,749 · median $25,538 | 4 plans |
| 504 | FOOT PROCEDURES WITH CC | $12,819 – $21,053 · median $16,935 | 4 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $12,819 – $21,053 · median $16,935 | 4 plans |
| 506 | Major thumb or joint procedures | $10,949 – $17,983 · median $14,466 | 4 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,157 – $23,251 · median $18,703 | 4 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,427 – $15,482 · median $12,454 | 4 plans |
| 509 | Arthroscopy | $12,831 – $21,073 · median $16,951 | 4 plans |
| 510 | Shoulder,elbow or forearm proc,exc major joint proc w MCC | $20,876 – $34,286 · median $27,579 | 4 plans |
| 511 | Shoulder,elbow or forearm proc,exc major joint proc w CC | $14,325 – $23,527 · median $18,925 | 4 plans |
| 512 | Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC | $11,743 – $19,287 · median $15,514 | 4 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $10,997 – $18,061 · median $14,528 | 4 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,447 – $12,231 · median $9,839 | 4 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $22,587 – $37,096 · median $29,840 | 4 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $14,693 – $24,132 · median $19,412 | 4 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $10,903 – $17,906 · median $14,404 | 4 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $26,178 – $42,994 · median $34,584 | 4 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $14,403 – $23,655 · median $19,028 | 4 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,468 – $17,193 · median $13,830 | 4 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $21,289 – $34,965 · median $28,125 | 4 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,398 – $25,289 · median $20,342 | 4 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,138 – $18,293 · median $14,715 | 4 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,945 – $9,765 · median $7,855 | 4 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,714 – $15,953 · median $12,833 | 4 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,923 – $9,728 · median $7,825 | 4 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,712 – $11,024 · median $8,868 | 4 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,905 – $8,055 · median $6,480 | 4 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,772 – $24,261 · median $19,515 | 4 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,452 – $15,524 · median $12,487 | 4 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,390 – $10,495 · median $8,442 | 4 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,623 – $22,374 · median $17,997 | 4 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,749 – $12,727 · median $10,237 | 4 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,520 – $9,065 · median $7,292 | 4 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $18,456 – $30,313 · median $24,383 | 4 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,456 – $13,888 · median $11,171 | 4 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,450 – $8,951 · median $7,200 | 4 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,715 – $24,167 · median $19,440 | 4 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,802 – $14,456 · median $11,629 | 4 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,297 – $10,342 · median $8,319 | 4 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,464 – $20,470 · median $16,466 | 4 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,040 – $11,562 · median $9,300 | 4 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,539 – $15,667 · median $12,602 | 4 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,096 – $10,012 · median $8,053 | 4 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,836 – $16,154 · median $12,994 | 4 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,964 – $9,795 · median $7,879 | 4 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,319 – $18,590 · median $14,954 | 4 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,309 – $10,362 · median $8,335 | 4 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,558 – $22,268 · median $17,912 | 4 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,317 – $13,660 · median $10,988 | 4 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,972 – $9,808 · median $7,889 | 4 plans |
| 562 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC | $10,689 – $17,556 · median $14,122 | 4 plans |
| 563 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC | $6,528 – $10,722 · median $8,625 | 4 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,461 – $18,824 · median $15,142 | 4 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,448 – $12,232 · median $9,840 | 4 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,464 – $8,974 · median $7,219 | 4 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $21,987 – $36,110 · median $29,047 | 4 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,229 – $20,085 · median $16,156 | 4 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,344 – $13,704 · median $11,024 | 4 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $44,979 – $73,874 · median $59,424 | 4 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $25,308 – $41,565 · median $33,435 | 4 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,584 – $23,952 · median $19,267 | 4 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $39,407 – $64,722 · median $52,062 | 4 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $19,449 – $31,943 · median $25,695 | 4 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,347 – $20,278 · median $16,312 | 4 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $23,807 – $39,100 · median $31,452 | 4 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,950 – $21,269 · median $17,109 | 4 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,512 – $17,265 · median $13,888 | 4 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $12,791 – $21,007 · median $16,898 | 4 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $11,998 – $19,706 · median $15,851 | 4 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $14,954 – $24,561 · median $19,756 | 4 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,499 – $23,813 · median $19,155 | 4 plans |
| 592 | SKIN ULCERS WITH MCC | $15,019 – $24,667 · median $19,842 | 4 plans |
| 593 | SKIN ULCERS WITH CC | $8,931 – $14,668 · median $11,798 | 4 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,199 – $10,181 · median $8,190 | 4 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $15,449 – $25,373 · median $20,410 | 4 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,896 – $12,969 · median $10,432 | 4 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,831 – $21,073 · median $16,951 | 4 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,880 – $12,942 · median $10,411 | 4 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,244 – $10,255 · median $8,249 | 4 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,987 – $11,475 · median $9,231 | 4 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,379 – $7,192 · median $5,785 | 4 plans |
| 602 | CELLULITIS WITH MCC | $10,731 – $17,625 · median $14,177 | 4 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,433 – $10,566 · median $8,499 | 4 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,852 – $17,822 · median $14,336 | 4 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,747 – $11,081 · median $8,913 | 4 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,762 – $19,317 · median $15,539 | 4 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,312 – $10,367 · median $8,339 | 4 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $16,646 – $27,339 · median $21,991 | 4 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,467 – $17,190 · median $13,828 | 4 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $28,230 – $46,365 · median $37,295 | 4 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,108 – $23,171 · median $18,639 | 4 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,094 – $14,936 · median $12,015 | 4 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $19,914 – $32,707 · median $26,309 | 4 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,664 – $19,158 · median $15,410 | 4 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,677 – $17,536 · median $14,106 | 4 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,332 – $44,889 · median $36,108 | 4 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,971 – $22,946 · median $18,458 | 4 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,327 – $12,033 · median $9,679 | 4 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $20,941 – $34,394 · median $27,666 | 4 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,024 – $18,106 · median $14,564 | 4 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,253 – $15,198 · median $12,225 | 4 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $28,819 – $47,333 · median $38,074 | 4 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $16,427 – $26,980 · median $21,703 | 4 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,235 – $16,810 · median $13,522 | 4 plans |
| 637 | DIABETES WITH MCC | $10,637 – $17,470 · median $14,053 | 4 plans |
| 638 | DIABETES WITH CC | $6,699 – $11,003 · median $8,851 | 4 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,577 – $7,517 · median $6,046 | 4 plans |
| 640 | Nutritional & misc metabolic disorders w MCC | $9,700 – $15,931 · median $12,815 | 4 plans |
| 641 | Nutritional & misc metabolic disorders w/o MCC | $5,707 – $9,374 · median $7,540 | 4 plans |
| 642 | Inborn errors of metabolism | $9,065 – $14,888 · median $11,976 | 4 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,105 – $19,881 · median $15,992 | 4 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,548 – $12,397 · median $9,972 | 4 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,688 – $9,341 · median $7,514 | 4 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $33,652 – $55,269 · median $44,458 | 4 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $25,363 – $41,656 · median $33,508 | 4 plans |
| 652 | Kidney transplant | $22,434 – $36,845 · median $29,637 | 4 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $40,717 – $66,873 · median $53,792 | 4 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $20,613 – $33,854 · median $27,232 | 4 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $15,173 – $24,919 · median $20,045 | 4 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $23,796 – $39,083 · median $31,438 | 4 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,352 – $21,930 · median $17,640 | 4 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $10,985 – $18,042 · median $14,513 | 4 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,876 – $31,001 · median $24,937 | 4 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,787 – $16,075 · median $12,930 | 4 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,498 – $12,315 · median $9,906 | 4 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $22,786 – $37,423 · median $30,103 | 4 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,156 – $18,323 · median $14,739 | 4 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,887 – $12,953 · median $10,420 | 4 plans |
| 665 | PROSTATECTOMY WITH MCC | $25,079 – $41,189 · median $33,133 | 4 plans |
| 666 | PROSTATECTOMY WITH CC | $12,032 – $19,761 · median $15,896 | 4 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,507 – $12,329 · median $9,918 | 4 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $21,301 – $34,984 · median $28,141 | 4 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,303 – $18,564 · median $14,933 | 4 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,980 – $11,465 · median $9,222 | 4 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $12,590 – $20,678 · median $16,633 | 4 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,994 – $13,128 · median $10,560 | 4 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $30,601 – $50,258 · median $40,428 | 4 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $16,861 – $27,692 · median $22,275 | 4 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,433 – $18,777 · median $15,104 | 4 plans |
| 682 | RENAL FAILURE WITH MCC | $10,970 – $18,017 · median $14,493 | 4 plans |
| 683 | RENAL FAILURE WITH CC | $6,493 – $10,663 · median $8,577 | 4 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,436 – $7,286 · median $5,861 | 4 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,773 – $22,621 · median $18,196 | 4 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,689 – $12,628 · median $10,158 | 4 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,290 – $8,688 · median $6,988 | 4 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,548 – $14,039 · median $11,293 | 4 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,862 – $9,628 · median $7,745 | 4 plans |
| 693 | URINARY STONES WITH MCC | $10,740 – $17,639 · median $14,189 | 4 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,707 – $9,374 · median $7,540 | 4 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,237 – $13,529 · median $10,883 | 4 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,053 – $8,299 · median $6,676 | 4 plans |
| 697 | Urethral stricture | $7,317 – $12,018 · median $9,667 | 4 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,277 – $20,164 · median $16,220 | 4 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,449 – $12,235 · median $9,842 | 4 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,070 – $8,328 · median $6,699 | 4 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,174 – $23,279 · median $18,726 | 4 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,828 – $17,784 · median $14,305 | 4 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $16,413 – $26,956 · median $21,683 | 4 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,966 – $18,011 · median $14,488 | 4 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $13,955 – $22,920 · median $18,436 | 4 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,812 – $12,831 · median $10,321 | 4 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,562 – $17,346 · median $13,953 | 4 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,864 – $11,273 · median $9,068 | 4 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $16,495 – $27,091 · median $21,791 | 4 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,367 – $17,026 · median $13,696 | 4 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,553 – $22,259 · median $17,905 | 4 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,998 – $14,778 · median $11,887 | 4 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $12,628 – $20,740 · median $16,683 | 4 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,202 – $13,470 · median $10,835 | 4 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,322 – $8,740 · median $7,031 | 4 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,222 – $15,146 · median $12,183 | 4 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,437 – $8,930 · median $7,183 | 4 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,733 – $17,627 · median $14,179 | 4 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,968 – $9,802 · median $7,885 | 4 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,041 – $13,206 · median $10,623 | 4 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,433 – $7,280 · median $5,856 | 4 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $15,359 – $25,225 · median $20,291 | 4 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,866 – $14,562 · median $11,714 | 4 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $28,760 – $47,235 · median $37,996 | 4 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $14,596 – $23,973 · median $19,284 | 4 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,079 – $18,197 · median $14,637 | 4 plans |
| 739 | Uterine,adnexa proc for non-ovarian/adnexal malig w MCC | $29,076 – $47,755 · median $38,414 | 4 plans |
| 740 | Uterine,adnexa proc for non-ovarian/adnexal malig w CC | $13,281 – $21,812 · median $17,546 | 4 plans |
| 741 | Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC | $10,033 – $16,478 · median $13,255 | 4 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,342 – $21,913 · median $17,627 | 4 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $8,755 – $14,380 · median $11,567 | 4 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $14,272 – $23,440 · median $18,855 | 4 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,485 – $12,294 · median $9,889 | 4 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,231 – $20,089 · median $16,159 | 4 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,977 – $11,459 · median $9,217 | 4 plans |
| 748 | Female reproductive system reconstructive procedures | $9,950 – $16,342 · median $13,146 | 4 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $18,907 – $31,053 · median $24,979 | 4 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,419 – $15,469 · median $12,443 | 4 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,215 – $21,704 · median $17,459 | 4 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,108 – $13,317 · median $10,712 | 4 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,975 – $11,456 · median $9,215 | 4 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,337 – $16,978 · median $13,657 | 4 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,445 – $12,228 · median $9,836 | 4 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,675 – $7,677 · median $6,176 | 4 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,199 – $11,823 · median $9,511 | 4 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,630 – $7,604 · median $6,117 | 4 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,149 – $16,668 · median $13,408 | 4 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,859 – $12,908 · median $10,383 | 4 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,211 – $8,559 · median $6,885 | 4 plans |
| 779 | ABORTION WITHOUT D&C | $6,828 – $11,214 · median $9,020 | 4 plans |
| 789 | Neonates, died or transferred to another acute care facility | $13,166 – $21,624 · median $17,394 | 4 plans |
| 790 | Extreme immaturity or respiratory distress syndrome, neonate | $43,421 – $71,314 · median $57,364 | 4 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $29,654 – $48,703 · median $39,176 | 4 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $17,893 – $29,387 · median $23,638 | 4 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $30,461 – $50,029 · median $40,243 | 4 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $10,782 – $17,709 · median $14,245 | 4 plans |
| 795 | Normal newborn | $1,459 – $2,397 · median $1,928 | 4 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $34,729 – $57,039 · median $45,881 | 4 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $21,282 – $34,954 · median $28,117 | 4 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $11,991 – $19,694 · median $15,842 | 4 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $26,183 – $43,003 · median $34,592 | 4 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,001 – $21,353 · median $17,176 | 4 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,075 – $13,263 · median $10,668 | 4 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $16,728 – $27,474 · median $22,100 | 4 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,046 – $14,857 · median $11,951 | 4 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,952 – $11,418 · median $9,184 | 4 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,276 – $16,877 · median $13,576 | 4 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,741 – $11,071 · median $8,906 | 4 plans |
| 813 | Coagulation disorders | $11,307 – $18,570 · median $14,937 | 4 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,269 – $25,078 · median $20,172 | 4 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,422 – $12,189 · median $9,805 | 4 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,816 – $7,910 · median $6,363 | 4 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $18,516 – $30,411 · median $24,462 | 4 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,408 – $15,451 · median $12,429 | 4 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,964 – $9,795 · median $7,879 | 4 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $42,526 – $69,844 · median $56,182 | 4 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $16,305 – $26,780 · median $21,542 | 4 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,354 – $13,720 · median $11,036 | 4 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $34,179 – $56,135 · median $45,155 | 4 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $16,064 – $26,384 · median $21,223 | 4 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,990 – $14,765 · median $11,877 | 4 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $34,880 – $57,287 · median $46,081 | 4 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $17,237 – $28,309 · median $22,772 | 4 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,708 – $19,228 · median $15,467 | 4 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $22,524 – $36,993 · median $29,757 | 4 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,682 – $17,544 · median $14,112 | 4 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,407 – $13,807 · median $11,107 | 4 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,459 – $8,966 · median $7,212 | 4 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,797 – $6,236 · median $5,016 | 4 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $40,371 – $66,305 · median $53,336 | 4 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $15,601 – $25,622 · median $20,610 | 4 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,281 – $15,243 · median $12,262 | 4 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $36,573 – $60,066 · median $48,317 | 4 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $14,814 – $24,330 · median $19,571 | 4 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,009 – $16,439 · median $13,224 | 4 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $23,292 – $38,255 · median $30,772 | 4 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,453 – $18,810 · median $15,130 | 4 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,683 – $12,619 · median $10,150 | 4 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $13,829 – $22,712 · median $18,269 | 4 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,730 – $14,338 · median $11,533 | 4 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,112 – $10,038 · median $8,075 | 4 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $18,653 – $30,635 · median $24,643 | 4 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,281 – $15,243 · median $12,262 | 4 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,981 – $9,824 · median $7,902 | 4 plans |
| 849 | Radiotherapy | $19,510 – $32,043 · median $25,775 | 4 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $36,530 – $59,996 · median $48,260 | 4 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $14,594 – $23,969 · median $19,281 | 4 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,873 – $19,501 · median $15,686 | 4 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $32,953 – $54,121 · median $43,535 | 4 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,915 – $26,138 · median $21,025 | 4 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,410 – $15,456 · median $12,432 | 4 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,430 – $22,057 · median $17,743 | 4 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,303 – $11,995 · median $9,649 | 4 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,559 – $10,772 · median $8,665 | 4 plans |
| 865 | VIRAL ILLNESS WITH MCC | $10,780 – $17,705 · median $14,242 | 4 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,463 – $10,614 · median $8,538 | 4 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,662 – $25,723 · median $20,691 | 4 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,670 – $12,597 · median $10,133 | 4 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,256 – $8,632 · median $6,944 | 4 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $50,810 – $83,450 · median $67,127 | 4 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,331 – $23,537 · median $18,933 | 4 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,530 – $12,368 · median $9,949 | 4 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $28,702 – $47,139 · median $37,919 | 4 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,002 – $11,499 · median $9,250 | 4 plans |
| 881 | Depressive neuroses | $6,677 – $10,966 · median $8,821 | 4 plans |
| 882 | Neuroses except depressive | $7,026 – $11,540 · median $9,283 | 4 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $13,541 – $22,239 · median $17,889 | 4 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,199 – $20,036 · median $16,117 | 4 plans |
| 885 | Psychoses | $10,296 – $16,910 · median $13,602 | 4 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $13,122 – $21,551 · median $17,335 | 4 plans |
| 887 | Other mental disorder diagnoses | $8,687 – $14,268 · median $11,477 | 4 plans |
| 894 | Alcohol/drug abuse or dependence, left AMA | $4,558 – $7,487 · median $6,022 | 4 plans |
| 895 | Alcohol/drug abuse or dependence w rehabilitation therapy | $10,575 – $17,369 · median $13,972 | 4 plans |
| 896 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC | $13,007 – $21,362 · median $17,184 | 4 plans |
| 897 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC | $6,444 – $10,583 · median $8,513 | 4 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $32,360 – $53,148 · median $42,752 | 4 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $13,860 – $22,764 · median $18,311 | 4 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,904 – $14,624 · median $11,764 | 4 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $28,201 – $46,318 · median $37,258 | 4 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $12,038 – $19,772 · median $15,904 | 4 plans |
| 906 | Hand procedures for injuries | $15,941 – $26,181 · median $21,060 | 4 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $29,097 – $47,788 · median $38,441 | 4 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,733 – $24,197 · median $19,464 | 4 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,264 – $15,215 · median $12,238 | 4 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $11,820 – $19,413 · median $15,616 | 4 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,693 – $10,993 · median $8,843 | 4 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,694 – $20,848 · median $16,770 | 4 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,851 – $7,967 · median $6,408 | 4 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $11,976 – $19,670 · median $15,822 | 4 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,461 – $10,612 · median $8,536 | 4 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,320 – $21,876 · median $17,597 | 4 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,420 – $12,187 · median $9,803 | 4 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,023 – $8,250 · median $6,636 | 4 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,339 – $20,266 · median $16,302 | 4 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,449 – $12,235 · median $9,842 | 4 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $173,271 – $284,579 · median $228,913 | 4 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $48,783 – $80,120 · median $64,448 | 4 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $23,230 – $38,152 · median $30,689 | 4 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $31,604 – $51,905 · median $41,752 | 4 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $15,673 – $25,741 · median $20,706 | 4 plans |
| 935 | Non-extensive burns | $16,043 – $26,348 · median $21,194 | 4 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $23,183 – $38,075 · median $30,628 | 4 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $15,422 – $25,328 · median $20,374 | 4 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $14,274 – $23,444 · median $18,858 | 4 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,394 – $15,429 · median $12,411 | 4 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,803 – $9,531 · median $7,667 | 4 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,881 – $12,944 · median $10,412 | 4 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,281 – $7,031 · median $5,656 | 4 plans |
| 951 | Other factors influencing health status | $4,141 – $6,802 · median $5,471 | 4 plans |
| 955 | Craniotomy for multiple significant trauma | $49,874 – $81,912 · median $65,890 | 4 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $27,919 – $45,854 · median $36,884 | 4 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $54,519 – $89,541 · median $72,026 | 4 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $30,018 – $49,301 · median $39,658 | 4 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $19,311 – $31,716 · median $25,512 | 4 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $19,843 – $32,590 · median $26,215 | 4 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,957 – $17,995 · median $14,475 | 4 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,666 – $10,948 · median $8,806 | 4 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $46,193 – $75,866 · median $61,026 | 4 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $19,380 – $31,829 · median $25,603 | 4 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $21,811 – $35,822 · median $28,815 | 4 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,382 – $17,051 · median $13,716 | 4 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,326 – $12,032 · median $9,678 | 4 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,532 – $17,297 · median $13,914 | 4 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $34,722 – $57,028 · median $45,873 | 4 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,882 – $29,370 · median $23,625 | 4 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,185 – $20,012 · median $16,097 | 4 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $25,584 – $42,018 · median $33,799 | 4 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,534 – $20,585 · median $16,559 | 4 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,440 – $13,861 · median $11,150 | 4 plans |
No procedures match that keyword.