Titusville Area Hospital — 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 |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $179,106 – $400,655 · median $290,164 | 8 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $59,798 – $133,766 · median $96,877 | 8 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $136,271 – $304,835 · median $220,769 | 8 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $89,845 – $200,980 · median $145,554 | 8 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $67,713 – $151,473 · median $109,700 | 8 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $30,833 – $68,973 · median $49,952 | 8 plans |
| 007 | LUNG TRANSPLANT | $83,097 – $185,886 · median $134,623 | 8 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $34,597 – $77,392 · median $56,049 | 8 plans |
| 010 | PANCREAS TRANSPLANT | $50,696 – $113,405 · median $82,131 | 8 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $34,309 – $76,749 · median $55,584 | 8 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $26,093 – $58,369 · median $42,273 | 8 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $16,850 – $37,693 · median $27,298 | 8 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $83,307 – $186,355 · median $134,963 | 8 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $38,379 – $85,852 · median $62,176 | 8 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $38,379 – $85,852 · median $62,176 | 8 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $239,794 – $536,413 · median $388,483 | 8 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $50,405 – $112,755 · median $81,660 | 8 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $51,256 – $114,658 · median $83,038 | 8 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $33,960 – $75,967 · median $55,017 | 8 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $17,562 – $39,286 · median $28,452 | 8 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $36,275 – $81,147 · median $58,769 | 8 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $24,173 – $54,074 · median $39,162 | 8 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $28,437 – $63,612 · median $46,070 | 8 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $19,448 – $43,504 · median $31,507 | 8 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $15,691 – $35,101 · median $25,421 | 8 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $38,656 – $86,473 · median $62,625 | 8 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $21,343 – $47,744 · median $34,578 | 8 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $14,150 – $31,653 · median $22,924 | 8 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $26,646 – $59,606 · median $43,168 | 8 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $13,579 – $30,376 · median $21,999 | 8 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $10,145 – $22,694 · median $16,435 | 8 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $24,726 – $55,311 · median $40,058 | 8 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $14,464 – $32,356 · median $23,433 | 8 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,656 – $26,073 · median $18,883 | 8 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $21,116 – $47,235 · median $34,209 | 8 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $10,245 – $22,919 · median $16,598 | 8 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,237 – $16,189 · median $11,725 | 8 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $23,985 – $53,653 · median $38,857 | 8 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $14,359 – $32,120 · median $23,262 | 8 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $11,176 – $24,999 · median $18,105 | 8 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $12,796 – $28,625 · median $20,731 | 8 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,859 – $13,106 · median $9,491 | 8 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,532 – $21,323 · median $15,442 | 8 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,937 – $15,518 · median $11,238 | 8 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $15,922 – $35,617 · median $25,795 | 8 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,485 – $18,980 · median $13,746 | 8 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $11,737 – $26,255 · median $19,015 | 8 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,780 – $17,404 · median $12,604 | 8 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,674 – $12,693 · median $9,193 | 8 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $17,189 – $38,452 · median $27,848 | 8 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $11,324 – $25,331 · median $18,345 | 8 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,932 – $19,981 · median $14,471 | 8 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $12,648 – $28,294 · median $20,491 | 8 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,466 – $14,464 · median $10,475 | 8 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,377 – $9,790 · median $7,090 | 8 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,251 – $20,694 · median $14,987 | 8 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,605 – $12,538 · median $9,080 | 8 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,087 – $11,380 · median $8,242 | 8 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $11,056 – $24,732 · median $17,912 | 8 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $6,701 – $14,990 · median $10,856 | 8 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,770 – $10,671 · median $7,728 | 8 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $9,828 – $21,984 · median $15,921 | 8 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,628 – $14,827 · median $10,738 | 8 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $10,569 – $23,643 · median $17,122 | 8 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,830 – $13,042 · median $9,445 | 8 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $9,832 – $21,994 · median $15,929 | 8 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $6,345 – $14,194 · median $10,279 | 8 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,207 – $9,410 · median $6,815 | 8 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $12,520 – $28,006 · median $20,283 | 8 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,753 – $12,870 · median $9,320 | 8 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $14,753 – $33,002 · median $23,901 | 8 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,841 – $19,777 · median $14,323 | 8 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,079 – $13,599 · median $9,849 | 8 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $14,408 – $32,231 · median $23,342 | 8 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,340 – $18,656 · median $13,511 | 8 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,621 – $12,574 · median $9,106 | 8 plans |
| 088 | CONCUSSION WITH MCC | $8,970 – $20,065 · median $14,532 | 8 plans |
| 089 | CONCUSSION WITH CC | $6,817 – $15,249 · median $11,044 | 8 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,451 – $12,194 · median $8,831 | 8 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $11,591 – $25,928 · median $18,778 | 8 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,732 – $15,059 · median $10,906 | 8 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,019 – $11,227 · median $8,131 | 8 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $23,200 – $51,898 · median $37,586 | 8 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $15,242 – $34,097 · median $24,694 | 8 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $15,242 – $34,097 · median $24,694 | 8 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $22,792 – $50,986 · median $36,925 | 8 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $13,793 – $30,855 · median $22,346 | 8 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,859 – $19,818 · median $14,352 | 8 plans |
| 100 | SEIZURES WITH MCC | $12,623 – $28,238 · median $20,451 | 8 plans |
| 101 | SEIZURES WITHOUT MCC | $5,861 – $13,110 · median $9,495 | 8 plans |
| 102 | HEADACHES WITH MCC | $7,373 – $16,492 · median $11,944 | 8 plans |
| 103 | HEADACHES WITHOUT MCC | $5,406 – $12,093 · median $8,758 | 8 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $14,225 – $31,821 · median $23,046 | 8 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,516 – $16,814 · median $12,177 | 8 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,735 – $21,776 · median $15,771 | 8 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $10,610 – $23,734 · median $17,188 | 8 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,436 – $14,397 · median $10,427 | 8 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,396 – $16,545 · median $11,982 | 8 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,313 – $9,648 · median $6,987 | 8 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,107 – $11,424 · median $8,274 | 8 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,291 – $18,546 · median $13,432 | 8 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,250 – $11,744 · median $8,506 | 8 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $15,331 – $34,295 · median $24,837 | 8 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,220 – $13,914 · median $10,077 | 8 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $8,893 – $19,893 · median $14,407 | 8 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,173 – $11,571 · median $8,380 | 8 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,730 – $19,529 · median $14,143 | 8 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $26,891 – $60,155 · median $43,565 | 8 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,661 – $30,559 · median $22,132 | 8 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,998 – $22,365 · median $16,197 | 8 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $20,995 – $46,965 · median $34,013 | 8 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $11,170 – $24,987 · median $18,096 | 8 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,533 – $16,852 · median $12,205 | 8 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $14,587 – $32,630 · median $23,632 | 8 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $7,915 – $17,706 · median $12,823 | 8 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,853 – $10,857 · median $7,863 | 8 plans |
| 149 | DYSEQUILIBRIUM | $4,753 – $10,632 · median $7,700 | 8 plans |
| 150 | EPISTAXIS WITH MCC | $8,789 – $19,660 · median $14,238 | 8 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,820 – $10,782 · median $7,808 | 8 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,216 – $16,141 · median $11,690 | 8 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,525 – $10,123 · median $7,331 | 8 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $10,341 – $23,132 · median $16,753 | 8 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $5,936 – $13,279 · median $9,617 | 8 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,275 – $9,564 · median $6,926 | 8 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $10,412 – $23,291 · median $16,868 | 8 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,981 – $13,379 · median $9,689 | 8 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,194 – $9,382 · median $6,795 | 8 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $29,307 – $65,560 · median $47,480 | 8 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $16,004 – $35,801 · median $25,928 | 8 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,852 – $26,513 · median $19,201 | 8 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $24,482 – $54,765 · median $39,662 | 8 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $11,618 – $25,989 · median $18,822 | 8 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,609 – $19,257 · median $13,947 | 8 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $19,511 – $43,647 · median $31,610 | 8 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,960 – $20,043 · median $14,515 | 8 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,179 – $11,585 · median $8,390 | 8 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $10,278 – $22,992 · median $16,652 | 8 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,308 – $14,111 · median $10,220 | 8 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,894 – $10,948 · median $7,929 | 8 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $11,113 – $24,860 · median $18,004 | 8 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,060 – $15,792 · median $11,437 | 8 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,325 – $11,912 · median $8,627 | 8 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $10,093 – $22,577 · median $16,351 | 8 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,791 – $15,192 · median $11,003 | 8 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,945 – $11,062 · median $8,011 | 8 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $10,046 – $22,473 · median $16,276 | 8 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,384 – $14,281 · median $10,342 | 8 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,668 – $10,443 · median $7,563 | 8 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,868 – $17,600 · median $12,747 | 8 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,141 – $15,973 · median $11,568 | 8 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,463 – $12,220 · median $8,850 | 8 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,115 – $9,206 · median $6,667 | 8 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,379 – $18,742 · median $13,574 | 8 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,214 – $11,663 · median $8,447 | 8 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,959 – $8,857 · median $6,414 | 8 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $11,980 – $26,799 · median $19,408 | 8 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,295 – $14,081 · median $10,198 | 8 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,279 – $9,573 · median $6,933 | 8 plans |
| 199 | PNEUMOTHORAX WITH MCC | $11,225 – $25,109 · median $18,185 | 8 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,042 – $15,753 · median $11,408 | 8 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,305 – $9,631 · median $6,975 | 8 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,147 – $13,750 · median $9,958 | 8 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,429 – $9,908 · median $7,176 | 8 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,157 – $11,535 · median $8,354 | 8 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $12,003 – $26,851 · median $19,446 | 8 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,759 – $12,884 · median $9,331 | 8 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $41,121 – $91,987 · median $66,619 | 8 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $17,065 – $38,173 · median $27,646 | 8 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $69,268 – $154,951 · median $112,219 | 8 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $67,366 – $150,696 · median $109,138 | 8 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $61,366 – $137,274 · median $99,417 | 8 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $41,062 – $91,855 · median $66,523 | 8 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $37,828 – $84,621 · median $61,284 | 8 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $49,198 – $110,055 · median $79,705 | 8 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $33,679 – $75,338 · median $54,562 | 8 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $29,202 – $65,323 · median $47,309 | 8 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $31,686 – $70,881 · median $51,333 | 8 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $19,751 – $44,183 · median $31,998 | 8 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $53,881 – $120,530 · median $87,290 | 8 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $38,842 – $86,888 · median $62,926 | 8 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $49,700 – $111,178 · median $80,517 | 8 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $33,828 – $75,673 · median $54,804 | 8 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $37,414 – $83,695 · median $60,614 | 8 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $26,147 – $58,489 · median $42,359 | 8 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $32,027 – $71,643 · median $51,886 | 8 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $18,517 – $41,422 · median $29,999 | 8 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,601 – $21,476 · median $15,554 | 8 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $21,568 – $48,247 · median $34,941 | 8 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $14,324 – $32,043 · median $23,206 | 8 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $11,475 – $25,669 · median $18,590 | 8 plans |
| 245 | AICD GENERATOR PROCEDURES | $31,072 – $69,508 · median $50,339 | 8 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $14,705 – $32,894 · median $23,822 | 8 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $9,936 – $22,226 · median $16,096 | 8 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $21,812 – $48,793 · median $35,337 | 8 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $16,233 – $36,313 · median $26,299 | 8 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $11,123 – $24,883 · median $18,021 | 8 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $16,637 – $37,216 · median $26,953 | 8 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,769 – $24,091 · median $17,447 | 8 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $5,040 – $11,274 · median $8,165 | 8 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $17,839 – $39,904 · median $28,900 | 8 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $11,176 – $25,001 · median $18,106 | 8 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $21,658 – $48,448 · median $35,088 | 8 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $12,066 – $26,991 · median $19,547 | 8 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,651 – $21,589 · median $15,635 | 8 plans |
| 263 | VEIN LIGATION AND STRIPPING | $17,054 – $38,149 · median $27,629 | 8 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $22,223 – $49,713 · median $36,003 | 8 plans |
| 265 | AICD LEAD PROCEDURES | $22,682 – $50,739 · median $36,746 | 8 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $38,092 – $85,211 · median $61,712 | 8 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $29,915 – $66,918 · median $48,464 | 8 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $42,395 – $94,837 · median $68,683 | 8 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $26,456 – $59,180 · median $42,860 | 8 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $32,638 – $73,010 · median $52,875 | 8 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $21,901 – $48,992 · median $35,481 | 8 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $15,910 – $35,590 · median $25,775 | 8 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $24,863 – $55,619 · median $40,280 | 8 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $19,845 – $44,392 · median $32,150 | 8 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $44,935 – $100,518 · median $72,798 | 8 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $39,387 – $88,107 · median $63,809 | 8 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $29,579 – $66,167 · median $47,920 | 8 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $31,813 – $71,165 · median $51,539 | 8 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $20,375 – $45,578 · median $33,009 | 8 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $10,437 – $23,347 · median $16,908 | 8 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,861 – $13,111 · median $9,496 | 8 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,611 – $10,314 · median $7,469 | 8 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $12,433 – $27,813 · median $20,143 | 8 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,712 – $10,540 · median $7,633 | 8 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,570 – $7,985 · median $5,783 | 8 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $14,073 – $31,481 · median $22,799 | 8 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,929 – $15,499 · median $11,225 | 8 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $17,368 – $38,852 · median $28,137 | 8 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $10,025 – $22,426 · median $16,242 | 8 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,225 – $13,925 · median $10,085 | 8 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,296 – $18,559 · median $13,441 | 8 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,476 – $12,249 · median $8,871 | 8 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,489 – $7,805 · median $5,652 | 8 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $7,808 – $17,467 · median $12,650 | 8 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,022 – $11,234 · median $8,136 | 8 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $10,418 – $23,304 · median $16,877 | 8 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,479 – $10,019 · median $7,256 | 8 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,809 – $6,283 · median $4,550 | 8 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $10,285 – $23,008 · median $16,663 | 8 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,807 – $15,228 · median $11,028 | 8 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,536 – $10,147 · median $7,349 | 8 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,397 – $16,546 · median $11,983 | 8 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,275 – $9,564 · median $6,926 | 8 plans |
| 304 | HYPERTENSION WITH MCC | $7,470 – $16,710 · median $12,102 | 8 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,773 – $10,678 · median $7,733 | 8 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,521 – $21,298 · median $15,425 | 8 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,890 – $13,177 · median $9,543 | 8 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,668 – $17,152 · median $12,422 | 8 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,701 – $10,516 · median $7,616 | 8 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,558 – $7,958 · median $5,763 | 8 plans |
| 311 | ANGINA PECTORIS | $4,440 – $9,932 · median $7,193 | 8 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,540 – $12,393 · median $8,975 | 8 plans |
| 313 | CHEST PAIN | $4,536 – $10,147 · median $7,349 | 8 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $13,693 – $30,631 · median $22,183 | 8 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,119 – $13,687 · median $9,913 | 8 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,341 – $9,710 · median $7,033 | 8 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $39,336 – $87,993 · median $63,727 | 8 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $27,931 – $62,482 · median $45,251 | 8 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $14,718 – $32,925 · median $23,845 | 8 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $18,101 – $40,492 · median $29,325 | 8 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $11,504 – $25,733 · median $18,637 | 8 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $27,083 – $60,584 · median $43,876 | 8 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $20,316 – $45,446 · median $32,913 | 8 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $18,198 – $40,709 · median $29,483 | 8 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $32,294 – $72,242 · median $52,319 | 8 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $15,439 – $34,536 · median $25,012 | 8 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $10,132 – $22,665 · median $16,415 | 8 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $29,197 – $65,313 · median $47,302 | 8 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $15,029 – $33,620 · median $24,349 | 8 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,498 – $23,483 · median $17,007 | 8 plans |
| 332 | RECTAL RESECTION WITH MCC | $22,055 – $49,337 · median $35,731 | 8 plans |
| 333 | RECTAL RESECTION WITH CC | $13,514 – $30,229 · median $21,893 | 8 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,546 – $23,591 · median $17,085 | 8 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $23,039 – $51,538 · median $37,325 | 8 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $13,431 – $30,045 · median $21,759 | 8 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,761 – $21,835 · median $15,813 | 8 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $17,133 – $38,326 · median $27,756 | 8 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,466 – $21,175 · median $15,335 | 8 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,918 – $17,713 · median $12,828 | 8 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $15,049 – $33,664 · median $24,381 | 8 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,005 – $17,906 · median $12,968 | 8 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,601 – $12,530 · median $9,074 | 8 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $15,379 – $34,403 · median $24,915 | 8 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,566 – $21,399 · median $15,498 | 8 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,011 – $15,683 · median $11,358 | 8 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $18,649 – $41,718 · median $30,213 | 8 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,816 – $24,196 · median $17,523 | 8 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,477 – $18,963 · median $13,733 | 8 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $27,123 – $60,674 · median $43,941 | 8 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $14,319 – $32,032 · median $23,198 | 8 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,616 – $19,274 · median $13,959 | 8 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,619 – $23,753 · median $17,203 | 8 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,470 – $14,474 · median $10,482 | 8 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,438 – $9,928 · median $7,190 | 8 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $11,115 – $24,863 · median $18,006 | 8 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,545 – $14,640 · median $10,603 | 8 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,612 – $10,318 · median $7,472 | 8 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $13,425 – $30,032 · median $21,750 | 8 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,813 – $17,477 · median $12,657 | 8 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,614 – $12,559 · median $9,096 | 8 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $11,561 – $25,861 · median $18,729 | 8 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,269 – $14,023 · median $10,156 | 8 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,048 – $9,056 · median $6,559 | 8 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $12,236 – $27,371 · median $19,822 | 8 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,925 – $15,491 · median $11,219 | 8 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,764 – $10,658 · median $7,719 | 8 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $8,038 – $17,982 · median $13,023 | 8 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,529 – $12,369 · median $8,958 | 8 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $10,331 – $23,111 · median $16,737 | 8 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,311 – $14,117 · median $10,224 | 8 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,262 – $9,534 · median $6,905 | 8 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,346 – $20,907 · median $15,142 | 8 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,097 – $11,402 · median $8,257 | 8 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,479 – $7,783 · median $5,637 | 8 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $8,167 – $18,270 · median $13,232 | 8 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,961 – $11,099 · median $8,038 | 8 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $10,530 – $23,554 · median $17,059 | 8 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,985 – $13,389 · median $9,696 | 8 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,047 – $9,052 · median $6,556 | 8 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $15,755 – $35,243 · median $25,524 | 8 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $9,622 – $21,523 · median $15,588 | 8 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,146 – $15,985 · median $11,576 | 8 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $24,875 – $55,646 · median $40,300 | 8 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $34,518 – $77,216 · median $55,921 | 8 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $17,857 – $39,946 · median $28,930 | 8 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $13,580 – $30,379 · median $22,001 | 8 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $22,263 – $49,801 · median $36,067 | 8 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $13,330 – $29,820 · median $21,596 | 8 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,863 – $22,062 · median $15,978 | 8 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $17,253 – $38,594 · median $27,951 | 8 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $13,554 – $30,319 · median $21,958 | 8 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,571 – $23,647 · median $17,126 | 8 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $22,279 – $49,837 · median $36,093 | 8 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $12,578 – $28,136 · median $20,377 | 8 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,712 – $19,489 · median $14,115 | 8 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $15,111 – $33,802 · median $24,481 | 8 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,545 – $23,588 · median $17,083 | 8 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,378 – $18,741 · median $13,573 | 8 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $22,442 – $50,202 · median $36,358 | 8 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,413 – $23,293 · median $16,869 | 8 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,343 – $20,900 · median $15,136 | 8 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $25,862 – $57,853 · median $41,899 | 8 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $14,518 – $32,477 · median $23,520 | 8 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,829 – $21,987 · median $15,923 | 8 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $66,607 – $148,998 · median $107,908 | 8 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $45,162 – $101,026 · median $73,165 | 8 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $34,997 – $78,288 · median $56,698 | 8 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $53,033 – $118,634 · median $85,917 | 8 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $34,784 – $77,810 · median $56,352 | 8 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $12,457 – $27,865 · median $20,181 | 8 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,802 – $15,216 · median $11,020 | 8 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,429 – $9,907 · median $7,175 | 8 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,602 – $25,952 · median $18,795 | 8 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,170 – $16,040 · median $11,617 | 8 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,993 – $11,168 · median $8,088 | 8 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,579 – $23,664 · median $17,138 | 8 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,470 – $12,235 · median $8,861 | 8 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,911 – $8,749 · median $6,336 | 8 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $12,020 – $26,888 · median $19,473 | 8 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,144 – $13,743 · median $9,953 | 8 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,468 – $9,995 · median $7,239 | 8 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $10,710 – $23,958 · median $17,351 | 8 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,896 – $15,426 · median $11,172 | 8 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,070 – $11,340 · median $8,213 | 8 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $42,631 – $95,365 · median $69,066 | 8 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $25,965 – $58,082 · median $42,064 | 8 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $32,747 – $73,253 · median $53,052 | 8 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $19,622 – $43,894 · median $31,789 | 8 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $53,851 – $120,463 · median $87,242 | 8 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $36,494 – $81,635 · median $59,122 | 8 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $27,456 – $61,418 · median $44,480 | 8 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $38,092 – $85,211 · median $61,712 | 8 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $18,209 – $40,734 · median $29,500 | 8 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $34,342 – $76,822 · median $55,636 | 8 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,748 – $41,940 · median $30,374 | 8 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,039 – $24,694 · median $17,884 | 8 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $32,394 – $72,464 · median $52,480 | 8 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $21,779 – $48,719 · median $35,283 | 8 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $16,680 – $37,313 · median $27,023 | 8 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $20,784 – $46,493 · median $33,671 | 8 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $11,989 – $26,819 · median $19,423 | 8 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $30,885 – $69,088 · median $50,035 | 8 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $18,422 – $41,209 · median $29,844 | 8 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $15,053 – $33,673 · median $24,387 | 8 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $28,516 – $63,789 · median $46,197 | 8 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,717 – $30,685 · median $22,223 | 8 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,395 – $16,543 · median $11,981 | 8 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $21,867 – $48,915 · median $35,425 | 8 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $14,870 – $33,263 · median $24,090 | 8 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $11,291 – $25,258 · median $18,293 | 8 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $18,700 – $41,832 · median $30,295 | 8 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $13,193 – $29,513 · median $21,374 | 8 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $10,087 – $22,564 · median $16,342 | 8 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $16,203 – $36,245 · median $26,249 | 8 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $20,470 – $45,790 · median $33,162 | 8 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $13,486 – $30,167 · median $21,848 | 8 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,048 – $22,476 · median $16,278 | 8 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $12,497 – $27,955 · median $20,246 | 8 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,874 – $17,615 · median $12,757 | 8 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $22,580 – $50,511 · median $36,581 | 8 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $15,267 – $34,151 · median $24,733 | 8 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $11,988 – $26,817 · median $19,422 | 8 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $22,385 – $50,076 · median $36,266 | 8 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,545 – $28,063 · median $20,324 | 8 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,537 – $19,097 · median $13,830 | 8 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $16,054 – $35,913 · median $26,009 | 8 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $6,986 – $15,627 · median $11,318 | 8 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $20,148 – $45,070 · median $32,641 | 8 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $11,348 – $25,385 · median $18,384 | 8 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,884 – $19,873 · median $14,393 | 8 plans |
| 503 | FOOT PROCEDURES WITH MCC | $16,828 – $37,644 · median $27,263 | 8 plans |
| 504 | FOOT PROCEDURES WITH CC | $11,159 – $24,962 · median $18,078 | 8 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $11,159 – $24,962 · median $18,078 | 8 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,532 – $21,323 · median $15,442 | 8 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $12,324 – $27,568 · median $19,966 | 8 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $7,894 – $17,659 · median $12,789 | 8 plans |
| 509 | ARTHROSCOPY | $11,170 – $24,987 · median $18,096 | 8 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $18,173 – $40,653 · median $29,442 | 8 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $12,470 – $27,895 · median $20,202 | 8 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $10,223 – $22,869 · median $16,562 | 8 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,573 – $21,415 · median $15,509 | 8 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,483 – $14,502 · median $10,503 | 8 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $19,663 – $43,985 · median $31,855 | 8 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $12,791 – $28,614 · median $20,723 | 8 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,491 – $21,232 · median $15,376 | 8 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $22,789 – $50,977 · median $36,919 | 8 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,538 – $28,048 · median $20,313 | 8 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $9,113 – $20,385 · median $14,764 | 8 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $18,533 – $41,458 · median $30,025 | 8 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $13,404 – $29,985 · median $21,716 | 8 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,696 – $21,690 · median $15,708 | 8 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,176 – $11,578 · median $8,385 | 8 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,456 – $18,916 · median $13,699 | 8 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,156 – $11,534 · median $8,353 | 8 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,843 – $13,072 · median $9,467 | 8 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,270 – $9,551 · median $6,917 | 8 plans |
| 539 | OSTEOMYELITIS WITH MCC | $12,859 – $28,766 · median $20,833 | 8 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,228 – $18,407 · median $13,331 | 8 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,563 – $12,444 · median $9,012 | 8 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,859 – $26,528 · median $19,213 | 8 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,746 – $15,090 · median $10,928 | 8 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,805 – $10,749 · median $7,785 | 8 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $16,067 – $35,942 · median $26,030 | 8 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,361 – $16,467 · median $11,926 | 8 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,745 – $10,614 · median $7,687 | 8 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,810 – $28,655 · median $20,753 | 8 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,663 – $17,141 · median $12,414 | 8 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,482 – $12,262 · median $8,881 | 8 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $10,850 – $24,271 · median $17,578 | 8 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,128 – $13,709 · median $9,928 | 8 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,304 – $18,576 · median $13,453 | 8 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,307 – $11,871 · median $8,597 | 8 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,562 – $19,154 · median $13,871 | 8 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,192 – $11,614 · median $8,411 | 8 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,854 – $22,042 · median $15,964 | 8 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,492 – $12,286 · median $8,898 | 8 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,803 – $26,403 · median $19,122 | 8 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,240 – $16,196 · median $11,730 | 8 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,199 – $11,629 · median $8,422 | 8 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $9,306 – $20,816 · median $15,076 | 8 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $5,683 – $12,713 · median $9,207 | 8 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,978 – $22,320 · median $16,164 | 8 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,484 – $14,504 · median $10,504 | 8 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,757 – $10,641 · median $7,706 | 8 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $19,140 – $42,816 · median $31,008 | 8 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,646 – $23,815 · median $17,247 | 8 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,264 – $16,249 · median $11,768 | 8 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $39,156 – $87,592 · median $63,436 | 8 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $22,031 – $49,283 · median $35,692 | 8 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,696 – $28,400 · median $20,568 | 8 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $34,306 – $76,741 · median $55,577 | 8 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $16,931 – $37,875 · median $27,430 | 8 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,748 – $24,044 · median $17,413 | 8 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $20,725 – $46,360 · median $33,575 | 8 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $11,274 – $25,218 · median $18,264 | 8 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $9,151 – $20,471 · median $14,825 | 8 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $11,135 – $24,908 · median $18,039 | 8 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $10,445 – $23,365 · median $16,922 | 8 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $13,018 – $29,121 · median $21,090 | 8 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $12,622 – $28,235 · median $20,449 | 8 plans |
| 592 | SKIN ULCERS WITH MCC | $13,075 – $29,248 · median $21,182 | 8 plans |
| 593 | SKIN ULCERS WITH CC | $7,774 – $17,391 · median $12,595 | 8 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,396 – $12,072 · median $8,743 | 8 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $13,449 – $30,084 · median $21,788 | 8 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,874 – $15,377 · median $11,136 | 8 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $11,170 – $24,987 · median $18,096 | 8 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $6,745 – $15,088 · median $10,927 | 8 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,436 – $12,160 · median $8,806 | 8 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,082 – $13,606 · median $9,854 | 8 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,812 – $8,527 · median $6,176 | 8 plans |
| 602 | CELLULITIS WITH MCC | $9,342 – $20,897 · median $15,134 | 8 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,601 – $12,528 · median $9,073 | 8 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,447 – $21,132 · median $15,304 | 8 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,873 – $13,138 · median $9,515 | 8 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $10,239 – $22,904 · median $16,588 | 8 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,495 – $12,292 · median $8,902 | 8 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $14,491 – $32,416 · median $23,476 | 8 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $9,112 – $20,382 · median $14,761 | 8 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $24,575 – $54,974 · median $39,814 | 8 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,282 – $27,474 · median $19,898 | 8 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,917 – $17,710 · median $12,826 | 8 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $17,336 – $38,781 · median $28,086 | 8 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $10,154 – $22,715 · median $16,451 | 8 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,295 – $20,792 · median $15,058 | 8 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,793 – $53,225 · median $38,547 | 8 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,162 – $27,207 · median $19,704 | 8 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,332 – $14,165 · median $10,259 | 8 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $18,230 – $40,781 · median $29,534 | 8 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,597 – $21,468 · median $15,547 | 8 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,055 – $18,020 · median $13,050 | 8 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $25,088 – $56,122 · median $40,645 | 8 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $14,301 – $31,990 · median $23,168 | 8 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,910 – $19,932 · median $14,435 | 8 plans |
| 637 | DIABETES WITH MCC | $9,260 – $20,714 · median $15,001 | 8 plans |
| 638 | DIABETES WITH CC | $5,832 – $13,046 · median $9,448 | 8 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,984 – $8,913 · median $6,455 | 8 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,444 – $18,889 · median $13,680 | 8 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,968 – $11,114 · median $8,049 | 8 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $7,891 – $17,653 · median $12,785 | 8 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,538 – $23,573 · median $17,072 | 8 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,571 – $14,699 · median $10,645 | 8 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,951 – $11,076 · median $8,021 | 8 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $29,295 – $65,532 · median $47,460 | 8 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $22,080 – $49,392 · median $35,771 | 8 plans |
| 652 | KIDNEY TRANSPLANT | $19,529 – $43,686 · median $31,639 | 8 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $35,446 – $79,291 · median $57,424 | 8 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $17,944 – $40,140 · median $29,071 | 8 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,208 – $29,547 · median $21,398 | 8 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $20,716 – $46,341 · median $33,561 | 8 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,624 – $26,002 · median $18,831 | 8 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,563 – $21,392 · median $15,493 | 8 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $16,432 – $36,758 · median $26,621 | 8 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,520 – $19,060 · median $13,803 | 8 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,528 – $14,602 · median $10,575 | 8 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $19,836 – $44,372 · median $32,135 | 8 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,712 – $21,725 · median $15,734 | 8 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,866 – $15,359 · median $11,123 | 8 plans |
| 665 | PROSTATECTOMY WITH MCC | $21,832 – $48,838 · median $35,370 | 8 plans |
| 666 | PROSTATECTOMY WITH CC | $10,474 – $23,431 · median $16,969 | 8 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,535 – $14,619 · median $10,587 | 8 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $18,543 – $41,480 · median $30,041 | 8 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $9,840 – $22,011 · median $15,941 | 8 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,077 – $13,594 · median $9,845 | 8 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $10,960 – $24,517 · median $17,756 | 8 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,959 – $15,566 · median $11,274 | 8 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $26,639 – $59,591 · median $43,157 | 8 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $14,678 – $32,834 · median $23,779 | 8 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $9,953 – $22,264 · median $16,124 | 8 plans |
| 682 | RENAL FAILURE WITH MCC | $9,550 – $21,362 · median $15,471 | 8 plans |
| 683 | RENAL FAILURE WITH CC | $5,652 – $12,643 · median $9,157 | 8 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,862 – $8,639 · median $6,257 | 8 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $11,990 – $26,821 · median $19,425 | 8 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,694 – $14,973 · median $10,844 | 8 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,605 – $10,301 · median $7,460 | 8 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,441 – $16,646 · median $12,055 | 8 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,103 – $11,416 · median $8,268 | 8 plans |
| 693 | URINARY STONES WITH MCC | $9,349 – $20,914 · median $15,147 | 8 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,968 – $11,114 · median $8,049 | 8 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,171 – $16,041 · median $11,618 | 8 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,399 – $9,840 · median $7,126 | 8 plans |
| 697 | URETHRAL STRICTURE | $6,185 – $13,837 · median $10,021 | 8 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,688 – $23,908 · median $17,315 | 8 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,485 – $14,507 · median $10,506 | 8 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,414 – $9,874 · median $7,151 | 8 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $12,339 – $27,602 · median $19,990 | 8 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,426 – $21,087 · median $15,271 | 8 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $14,288 – $31,962 · median $23,148 | 8 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,547 – $21,355 · median $15,466 | 8 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $12,129 – $27,133 · median $19,650 | 8 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $5,634 – $12,604 · median $9,128 | 8 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,194 – $20,567 · median $14,895 | 8 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $5,975 – $13,366 · median $9,680 | 8 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $14,359 – $32,121 · median $23,263 | 8 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $9,025 – $20,188 · median $14,620 | 8 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,798 – $26,392 · median $19,114 | 8 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,833 – $17,522 · median $12,690 | 8 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $10,993 – $24,591 · median $17,810 | 8 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,140 – $15,972 · median $11,567 | 8 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,177 – $9,344 · median $6,767 | 8 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,028 – $17,959 · median $13,006 | 8 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,733 – $10,588 · median $7,668 | 8 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,343 – $20,900 · median $15,136 | 8 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,195 – $11,622 · median $8,417 | 8 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,000 – $15,659 · median $11,340 | 8 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,859 – $8,632 · median $6,252 | 8 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $13,371 – $29,909 · median $21,661 | 8 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $7,719 – $17,266 · median $12,504 | 8 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $25,037 – $56,007 · median $40,562 | 8 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $12,707 – $28,424 · median $20,586 | 8 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,645 – $21,576 · median $15,626 | 8 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $25,312 – $56,623 · median $41,008 | 8 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $11,562 – $25,863 · median $18,730 | 8 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,734 – $19,538 · median $14,150 | 8 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $11,615 – $25,982 · median $18,817 | 8 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,622 – $17,050 · median $12,348 | 8 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $12,424 – $27,793 · median $20,128 | 8 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,516 – $14,576 · median $10,557 | 8 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,648 – $23,819 · median $17,250 | 8 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,074 – $13,586 · median $9,840 | 8 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,662 – $19,377 · median $14,033 | 8 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $16,459 – $36,819 · median $26,665 | 8 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,199 – $18,341 · median $13,283 | 8 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,504 – $25,735 · median $18,638 | 8 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,058 – $15,790 · median $11,435 | 8 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,072 – $13,584 · median $9,838 | 8 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,999 – $20,131 · median $14,579 | 8 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,481 – $14,498 · median $10,500 | 8 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,069 – $9,103 · median $6,593 | 8 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,267 – $14,019 · median $10,153 | 8 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,031 – $9,016 · median $6,530 | 8 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $6,430 – $14,383 · median $10,416 | 8 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $8,751 – $19,576 · median $14,177 | 8 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,842 – $15,305 · median $11,084 | 8 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,537 – $10,149 · median $7,350 | 8 plans |
| 779 | ABORTION WITHOUT D&C | $5,944 – $13,296 · median $9,629 | 8 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $11,713 – $26,201 · median $18,976 | 8 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,886 – $15,404 · median $11,156 | 8 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,554 – $12,424 · median $8,998 | 8 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $10,275 – $22,984 · median $16,646 | 8 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,751 – $15,103 · median $10,938 | 8 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $5,752 – $12,868 · median $9,319 | 8 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $11,462 – $25,640 · median $18,569 | 8 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $37,800 – $84,557 · median $61,238 | 8 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $25,815 – $57,746 · median $41,821 | 8 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $15,576 – $34,844 · median $25,235 | 8 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $26,518 – $59,320 · median $42,961 | 8 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $9,386 – $20,997 · median $15,206 | 8 plans |
| 795 | NORMAL NEWBORN | $1,270 – $2,842 · median $2,058 | 8 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $6,746 – $15,091 · median $10,929 | 8 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,156 – $13,771 · median $9,974 | 8 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,156 – $13,771 · median $9,974 | 8 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $30,233 – $67,630 · median $48,980 | 8 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $18,527 – $41,445 · median $30,015 | 8 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $10,439 – $23,351 · median $16,911 | 8 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $22,794 – $50,989 · median $36,927 | 8 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $11,318 – $25,318 · median $18,336 | 8 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,030 – $15,726 · median $11,389 | 8 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $6,346 – $14,195 · median $10,280 | 8 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,601 – $10,292 · median $7,454 | 8 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,052 – $9,065 · median $6,565 | 8 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $14,563 – $32,576 · median $23,593 | 8 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,875 – $17,616 · median $12,758 | 8 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,052 – $13,538 · median $9,805 | 8 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,946 – $20,011 · median $14,493 | 8 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,868 – $13,127 · median $9,507 | 8 plans |
| 813 | COAGULATION DISORDERS | $9,843 – $22,018 · median $15,946 | 8 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $13,292 – $29,734 · median $21,534 | 8 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,461 – $14,453 · median $10,467 | 8 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,193 – $9,379 · median $6,793 | 8 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $13,899 – $31,091 · median $22,517 | 8 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $6,291 – $14,073 · median $10,192 | 8 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,294 – $9,607 · median $6,957 | 8 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $37,021 – $82,814 · median $59,976 | 8 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $14,195 – $31,753 · median $22,996 | 8 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,272 – $16,268 · median $11,781 | 8 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $29,754 – $66,559 · median $48,204 | 8 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $13,985 – $31,283 · median $22,656 | 8 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,826 – $17,506 · median $12,679 | 8 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $30,365 – $67,925 · median $49,193 | 8 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $15,005 – $33,566 · median $24,310 | 8 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,192 – $22,799 · median $16,512 | 8 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $19,608 – $43,863 · median $31,766 | 8 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,299 – $20,802 · median $15,065 | 8 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $7,319 – $16,371 · median $11,857 | 8 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,752 – $10,631 · median $7,699 | 8 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,305 – $7,393 · median $5,355 | 8 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $35,145 – $78,618 · median $56,937 | 8 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $13,581 – $30,380 · median $22,002 | 8 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $7,900 – $17,671 · median $12,798 | 8 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $31,838 – $71,221 · median $51,580 | 8 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $12,896 – $28,848 · median $20,893 | 8 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,714 – $19,492 · median $14,117 | 8 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $20,277 – $45,359 · median $32,850 | 8 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $9,970 – $22,303 · median $16,152 | 8 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,688 – $14,962 · median $10,836 | 8 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $12,038 – $26,930 · median $19,503 | 8 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,600 – $17,000 · median $12,312 | 8 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,321 – $11,902 · median $8,620 | 8 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $16,238 – $36,324 · median $26,307 | 8 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $8,080 – $18,074 · median $13,090 | 8 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,207 – $11,648 · median $8,436 | 8 plans |
| 849 | RADIOTHERAPY | $16,984 – $37,993 · median $27,515 | 8 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $58,573 – $131,027 · median $94,893 | 8 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $31,800 – $71,137 · median $51,519 | 8 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $12,705 – $28,420 · median $20,583 | 8 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,336 – $23,122 · median $16,745 | 8 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $28,687 – $64,171 · median $46,474 | 8 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,854 – $30,992 · median $22,445 | 8 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,192 – $18,326 · median $13,272 | 8 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $11,691 – $26,153 · median $18,941 | 8 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,358 – $14,222 · median $10,300 | 8 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,710 – $12,773 · median $9,250 | 8 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,223 – $20,631 · median $14,942 | 8 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,626 – $12,585 · median $9,114 | 8 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $13,634 – $30,500 · median $22,089 | 8 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,677 – $14,936 · median $10,817 | 8 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,576 – $10,235 · median $7,413 | 8 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $44,232 – $98,947 · median $71,659 | 8 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $12,476 – $27,908 · median $20,212 | 8 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,556 – $14,665 · median $10,620 | 8 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $24,986 – $55,893 · median $40,479 | 8 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,095 – $13,635 · median $9,875 | 8 plans |
| 881 | DEPRESSIVE NEUROSES | $5,812 – $13,002 · median $9,416 | 8 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $6,117 – $13,683 · median $9,910 | 8 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $11,788 – $26,369 · median $19,097 | 8 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $10,620 – $23,756 · median $17,205 | 8 plans |
| 885 | PSYCHOSES | $8,963 – $20,050 · median $14,520 | 8 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $11,423 – $25,553 · median $18,506 | 8 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,563 – $16,918 · median $12,252 | 8 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,968 – $8,877 · median $6,429 | 8 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $8,923 – $19,960 · median $14,456 | 8 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $11,323 – $25,329 · median $18,344 | 8 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $5,609 – $12,548 · median $9,088 | 8 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $28,171 – $63,018 · median $45,639 | 8 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $12,066 – $26,991 · median $19,547 | 8 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,752 – $17,340 · median $12,558 | 8 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $24,551 – $54,919 · median $39,774 | 8 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,480 – $23,443 · median $16,978 | 8 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $13,877 – $31,043 · median $22,482 | 8 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $25,330 – $56,663 · median $41,036 | 8 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,826 – $28,690 · median $20,778 | 8 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,064 – $18,040 · median $13,065 | 8 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $10,290 – $23,018 · median $16,670 | 8 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,827 – $13,035 · median $9,440 | 8 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $11,050 – $24,719 · median $17,902 | 8 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,223 – $9,446 · median $6,841 | 8 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $10,426 – $23,322 · median $16,891 | 8 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,625 – $12,582 · median $9,112 | 8 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $11,595 – $25,938 · median $18,785 | 8 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,460 – $14,450 · median $10,465 | 8 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,373 – $9,782 · median $7,084 | 8 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $10,742 – $24,029 · median $17,403 | 8 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,485 – $14,507 · median $10,506 | 8 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $127,883 – $286,070 · median $207,178 | 8 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $42,467 – $94,998 · median $68,800 | 8 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $20,222 – $45,237 · median $32,762 | 8 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $27,512 – $61,544 · median $44,572 | 8 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $13,644 – $30,521 · median $22,104 | 8 plans |
| 935 | NON-EXTENSIVE BURNS | $13,966 – $31,241 · median $22,625 | 8 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $20,182 – $45,146 · median $32,696 | 8 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $13,425 – $30,032 · median $21,750 | 8 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $12,426 – $27,797 · median $20,131 | 8 plans |
| 945 | REHABILITATION WITH CC/MCC | $9,706 – $21,712 · median $15,725 | 8 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,099 – $15,881 · median $11,501 | 8 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,178 – $18,294 · median $13,249 | 8 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,052 – $11,301 · median $8,184 | 8 plans |
| 949 | AFTERCARE WITH CC/MCC | $6,861 – $15,347 · median $11,115 | 8 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,727 – $8,336 · median $6,037 | 8 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,605 – $8,065 · median $5,841 | 8 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $43,417 – $97,123 · median $70,339 | 8 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $24,304 – $54,368 · median $39,375 | 8 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $47,461 – $106,168 · median $76,889 | 8 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $26,132 – $58,456 · median $42,335 | 8 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $16,811 – $37,606 · median $27,235 | 8 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $17,274 – $38,641 · median $27,985 | 8 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,538 – $21,337 · median $15,453 | 8 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,803 – $12,980 · median $9,401 | 8 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $40,213 – $89,954 · median $65,147 | 8 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $16,871 – $37,740 · median $27,332 | 8 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $18,988 – $42,475 · median $30,761 | 8 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,038 – $20,217 · median $14,642 | 8 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,378 – $14,266 · median $10,332 | 8 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,168 – $20,509 · median $14,853 | 8 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $30,227 – $67,618 · median $48,970 | 8 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,567 – $34,824 · median $25,220 | 8 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,607 – $23,728 · median $17,184 | 8 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $22,272 – $49,821 · median $36,082 | 8 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,911 – $24,408 · median $17,677 | 8 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,347 – $16,435 · median $11,903 | 8 plans |
No procedures match that keyword.