Sanford Usd Medical Center — Pricing
776 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 776 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Showing all 776 procedures
Procedures with negotiated rates only
These 776 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 | $212,225 – $511,001 · median $234,564 | 17 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $72,155 – $199,908 · median $95,780 | 17 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $161,081 – $388,791 · median $178,037 | 17 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $105,612 – $256,332 · median $116,729 | 17 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $78,975 – $193,191 · median $87,288 | 17 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $36,296 – $87,969 · median $40,116 | 17 plans |
| 007 | LUNG TRANSPLANT | $98,832 – $237,081 · median $109,236 | 17 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $41,747 – $98,707 · median $48,161 | 17 plans |
| 010 | PANCREAS TRANSPLANT | $49,932 – $144,638 · median $60,058 | 17 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $41,400 – $97,887 · median $46,910 | 17 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $31,485 – $74,445 · median $36,616 | 17 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $20,332 – $50,155 · median $25,523 | 17 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $91,819 – $237,680 · median $101,484 | 17 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $46,020 – $109,497 · median $50,864 | 17 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $42,278 – $109,497 · median $46,729 | 17 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $289,350 – $751,553 · median $360,601 | 17 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $55,084 – $143,809 · median $60,882 | 17 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $60,607 – $146,236 · median $66,987 | 17 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $40,978 – $100,271 · median $45,577 | 17 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $21,191 – $64,045 · median $27,981 | 17 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $43,772 – $103,496 · median $49,207 | 17 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $29,168 – $68,967 · median $34,088 | 17 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $34,314 – $81,132 · median $39,366 | 17 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $23,467 – $55,486 · median $27,414 | 17 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $18,934 – $44,768 · median $22,539 | 17 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $46,611 – $110,288 · median $51,518 | 17 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $25,754 – $60,894 · median $29,928 | 17 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,074 – $40,371 · median $19,814 | 17 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $32,152 – $77,979 · median $38,815 | 17 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,386 – $38,742 · median $19,280 | 17 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,242 – $28,944 · median $15,389 | 17 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $29,836 – $70,545 · median $33,745 | 17 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,453 – $41,604 · median $21,438 | 17 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,065 – $33,812 · median $17,716 | 17 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $25,480 – $60,244 · median $28,934 | 17 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,362 – $29,231 · median $15,053 | 17 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,733 – $20,648 · median $11,336 | 17 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $28,941 – $68,430 · median $33,666 | 17 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,330 – $40,966 · median $19,843 | 17 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,485 – $31,885 · median $15,927 | 17 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $15,039 – $36,509 · median $16,622 | 17 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,069 – $17,042 · median $9,541 | 17 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,503 – $27,195 · median $14,258 | 17 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,370 – $19,792 · median $9,934 | 17 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $18,889 – $45,427 · median $20,878 | 17 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,241 – $24,207 · median $12,335 | 17 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $14,162 – $33,486 · median $15,776 | 17 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,388 – $22,197 · median $11,880 | 17 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,847 – $16,189 · median $9,035 | 17 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $20,742 – $49,042 · median $24,486 | 17 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,664 – $32,307 · median $16,173 | 17 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,778 – $25,484 · median $13,234 | 17 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $15,262 – $36,086 · median $18,283 | 17 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,803 – $18,448 · median $9,844 | 17 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,281 – $12,486 · median $7,115 | 17 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,170 – $26,393 · median $13,774 | 17 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,765 – $15,991 · median $8,583 | 17 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,140 – $14,515 · median $8,048 | 17 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $13,341 – $31,544 · median $15,404 | 17 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $8,086 – $19,119 · median $9,997 | 17 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,756 – $13,609 · median $7,700 | 17 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,859 – $28,039 · median $14,901 | 17 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,998 – $18,910 · median $10,043 | 17 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $12,753 – $33,372 · median $17,505 | 17 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,035 – $16,633 · median $8,263 | 17 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $15,030 – $36,061 · median $16,612 | 17 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,943 – $16,414 · median $8,837 | 17 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $17,802 – $42,091 · median $20,566 | 17 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,668 – $25,223 · median $13,168 | 17 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,335 – $17,345 · median $9,328 | 17 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,386 – $41,108 · median $20,452 | 17 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,064 – $23,794 · median $12,394 | 17 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,783 – $16,037 · median $8,993 | 17 plans |
| 088 | CONCUSSION WITH MCC | $10,824 – $25,592 · median $12,802 | 17 plans |
| 089 | CONCUSSION WITH CC | $8,226 – $19,449 · median $10,697 | 17 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,577 – $15,552 · median $8,247 | 17 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $13,986 – $33,069 · median $16,164 | 17 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,124 – $19,206 · median $9,967 | 17 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,056 – $14,319 · median $8,027 | 17 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $27,889 – $66,191 · median $30,824 | 17 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $18,392 – $44,888 · median $23,007 | 17 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $18,392 – $44,888 · median $23,007 | 17 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $27,506 – $65,028 · median $31,592 | 17 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $16,644 – $39,940 · median $20,643 | 17 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,690 – $25,276 · median $12,890 | 17 plans |
| 100 | SEIZURES WITH MCC | $15,232 – $36,015 · median $17,666 | 17 plans |
| 101 | SEIZURES WITHOUT MCC | $7,071 – $16,721 · median $8,894 | 17 plans |
| 102 | HEADACHES WITH MCC | $8,896 – $21,034 · median $10,882 | 17 plans |
| 103 | HEADACHES WITHOUT MCC | $6,524 – $15,423 · median $8,354 | 17 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $17,165 – $40,937 · median $21,111 | 17 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,070 – $23,548 · median $12,812 | 17 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,747 – $27,774 · median $14,324 | 17 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $12,802 – $31,468 · median $16,596 | 17 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,767 – $19,567 · median $10,570 | 17 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,924 – $21,102 · median $11,235 | 17 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,205 – $13,676 · median $7,942 | 17 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,163 – $14,571 · median $8,046 | 17 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,004 – $23,654 · median $12,563 | 17 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,336 – $14,979 · median $7,795 | 17 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $17,738 – $43,740 · median $19,605 | 17 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,506 – $17,746 · median $9,892 | 17 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,731 – $25,988 · median $13,978 | 17 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,242 – $15,423 · median $8,761 | 17 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,534 – $24,908 · median $11,837 | 17 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $32,449 – $76,722 · median $37,026 | 17 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $16,484 – $38,976 · median $19,697 | 17 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,064 – $28,525 · median $14,836 | 17 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $25,334 – $65,206 · median $32,713 | 17 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,478 – $31,868 · median $15,971 | 17 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,090 – $21,493 · median $11,559 | 17 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $17,342 – $41,617 · median $19,167 | 17 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,551 – $22,582 · median $12,134 | 17 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,856 – $14,525 · median $8,034 | 17 plans |
| 149 | DYSEQUILIBRIUM | $5,736 – $13,560 · median $7,663 | 17 plans |
| 150 | EPISTAXIS WITH MCC | $10,605 – $25,074 · median $12,633 | 17 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,816 – $13,751 · median $7,519 | 17 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,707 – $20,586 · median $11,392 | 17 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,461 – $12,911 · median $7,554 | 17 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,478 – $29,503 · median $14,562 | 17 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,164 – $16,936 · median $9,008 | 17 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,159 – $12,198 · median $7,169 | 17 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,564 – $29,879 · median $15,837 | 17 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,216 – $17,063 · median $8,953 | 17 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,061 – $12,331 · median $7,311 | 17 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $35,128 – $83,615 · median $38,826 | 17 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $19,311 – $45,661 · median $22,548 | 17 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $14,302 – $33,815 · median $17,478 | 17 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $29,531 – $69,848 · median $32,639 | 17 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,019 – $33,147 · median $16,557 | 17 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,388 – $24,561 · median $12,923 | 17 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $23,544 – $55,667 · median $26,309 | 17 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,812 – $25,562 · median $12,983 | 17 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,250 – $14,776 · median $8,098 | 17 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,403 – $29,325 · median $14,555 | 17 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,612 – $17,998 · median $9,509 | 17 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,906 – $13,963 · median $7,691 | 17 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $13,410 – $31,707 · median $16,246 | 17 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,519 – $20,142 · median $10,435 | 17 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,426 – $15,193 · median $7,681 | 17 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $12,179 – $28,795 · median $14,283 | 17 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,195 – $19,376 · median $10,368 | 17 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,967 – $14,108 · median $7,947 | 17 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $12,123 – $28,663 · median $14,521 | 17 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,703 – $18,214 · median $9,637 | 17 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,633 – $13,319 · median $7,382 | 17 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,495 – $22,448 · median $11,834 | 17 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,619 – $20,372 · median $10,772 | 17 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,592 – $15,585 · median $8,408 | 17 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,966 – $11,741 · median $6,769 | 17 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,111 – $23,904 · median $12,491 | 17 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,292 – $14,876 · median $8,106 | 17 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,779 – $11,296 · median $6,659 | 17 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $14,457 – $34,179 · median $17,253 | 17 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,596 – $17,960 · median $9,274 | 17 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,164 – $12,706 · median $7,374 | 17 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,544 – $32,024 · median $16,230 | 17 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,497 – $20,091 · median $10,703 | 17 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,194 – $12,446 · median $7,365 | 17 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,417 – $17,537 · median $9,463 | 17 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,343 – $12,637 · median $6,997 | 17 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,222 – $14,712 · median $8,118 | 17 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $14,484 – $34,247 · median $16,786 | 17 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,950 – $16,432 · median $9,208 | 17 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $49,627 – $117,321 · median $55,063 | 17 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $20,595 – $48,687 · median $24,416 | 17 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $83,215 – $197,626 · median $91,974 | 17 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $76,316 – $192,200 · median $84,349 | 17 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $74,048 – $175,081 · median $82,901 | 17 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $49,548 – $117,153 · median $56,232 | 17 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $45,647 – $114,437 · median $56,232 | 17 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $59,174 – $140,366 · median $65,403 | 17 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $40,639 – $96,087 · median $45,902 | 17 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $35,237 – $87,720 · median $43,469 | 17 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $38,234 – $90,402 · median $42,697 | 17 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $23,833 – $56,351 · median $27,749 | 17 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $64,828 – $153,725 · median $71,652 | 17 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $46,869 – $110,818 · median $51,969 | 17 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $58,925 – $141,797 · median $65,128 | 17 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $40,820 – $96,514 · median $46,982 | 17 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $45,146 – $106,745 · median $50,356 | 17 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $31,550 – $74,598 · median $36,390 | 17 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $38,437 – $91,374 · median $42,483 | 17 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $22,344 – $52,830 · median $25,263 | 17 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,585 – $27,391 · median $13,073 | 17 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $25,432 – $61,534 · median $28,109 | 17 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $17,285 – $40,868 · median $19,280 | 17 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,847 – $32,739 · median $16,591 | 17 plans |
| 245 | AICD GENERATOR PROCEDURES | $35,735 – $88,651 · median $39,496 | 17 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $17,745 – $41,953 · median $19,709 | 17 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,989 – $28,347 · median $13,988 | 17 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $26,320 – $62,231 · median $30,566 | 17 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $19,588 – $46,314 · median $23,143 | 17 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,422 – $31,736 · median $16,376 | 17 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $20,075 – $47,466 · median $23,990 | 17 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,995 – $30,725 · median $15,680 | 17 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,082 – $19,009 · median $10,441 | 17 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $21,526 – $54,685 · median $27,687 | 17 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $13,486 – $35,193 · median $18,375 | 17 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $25,883 – $61,792 · median $28,608 | 17 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,559 – $34,424 · median $17,281 | 17 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $11,645 – $28,367 · median $15,114 | 17 plans |
| 263 | VEIN LIGATION AND STRIPPING | $20,578 – $53,211 · median $26,983 | 17 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $26,544 – $63,405 · median $29,338 | 17 plans |
| 265 | AICD LEAD PROCEDURES | $27,369 – $64,713 · median $31,646 | 17 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $45,964 – $108,679 · median $52,516 | 17 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $36,097 – $85,348 · median $41,146 | 17 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $51,157 – $120,957 · median $58,748 | 17 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $31,923 – $75,479 · median $36,676 | 17 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $39,384 – $93,118 · median $45,432 | 17 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $26,429 – $62,485 · median $31,131 | 17 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $19,198 – $45,392 · median $22,789 | 17 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $30,001 – $71,800 · median $35,864 | 17 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $23,946 – $57,289 · median $28,931 | 17 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $54,221 – $128,202 · median $60,847 | 17 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $46,599 – $112,373 · median $51,504 | 17 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $35,696 – $84,390 · median $39,963 | 17 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $38,387 – $96,874 · median $47,842 | 17 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $24,586 – $62,766 · median $31,548 | 17 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,595 – $29,777 · median $14,900 | 17 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,073 – $16,722 · median $9,029 | 17 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,564 – $13,154 · median $7,430 | 17 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $15,004 – $35,473 · median $18,032 | 17 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,685 – $13,442 · median $7,178 | 17 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,307 – $10,423 · median $6,417 | 17 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $16,983 – $40,151 · median $19,961 | 17 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,361 – $19,768 · median $10,426 | 17 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $20,957 – $49,552 · median $24,063 | 17 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,097 – $29,707 · median $15,754 | 17 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,512 – $17,760 · median $9,115 | 17 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $10,013 – $23,670 · median $12,237 | 17 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,609 – $15,623 · median $8,457 | 17 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,212 – $9,954 · median $6,149 | 17 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,571 – $29,722 · median $14,549 | 17 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,405 – $12,779 · median $6,704 | 17 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,388 – $8,013 · median $5,245 | 17 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,413 – $29,345 · median $15,137 | 17 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,214 – $19,422 · median $10,401 | 17 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,473 – $12,942 · median $7,403 | 17 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,925 – $21,103 · median $11,512 | 17 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,159 – $12,198 · median $7,023 | 17 plans |
| 304 | HYPERTENSION WITH MCC | $9,014 – $21,312 · median $11,457 | 17 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,760 – $13,618 · median $7,691 | 17 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,490 – $27,425 · median $14,664 | 17 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,108 – $16,806 · median $8,981 | 17 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,254 – $21,876 · median $11,573 | 17 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,673 – $13,412 · median $7,533 | 17 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,293 – $10,150 · median $6,150 | 17 plans |
| 311 | ANGINA PECTORIS | $5,360 – $12,668 · median $7,257 | 17 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,685 – $15,806 · median $8,642 | 17 plans |
| 313 | CHEST PAIN | $5,473 – $12,942 · median $7,405 | 17 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $16,523 – $39,067 · median $18,900 | 17 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,384 – $17,457 · median $9,389 | 17 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,238 – $12,385 · median $7,096 | 17 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $47,465 – $116,372 · median $57,157 | 17 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $33,704 – $79,690 · median $38,669 | 17 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $17,760 – $41,993 · median $21,561 | 17 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $21,843 – $51,644 · median $24,184 | 17 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $13,881 – $32,821 · median $16,221 | 17 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $32,681 – $77,270 · median $37,542 | 17 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $24,515 – $57,962 · median $27,761 | 17 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $21,960 – $55,874 · median $28,255 | 17 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $38,932 – $92,138 · median $43,030 | 17 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $18,631 – $44,048 · median $21,885 | 17 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,226 – $28,908 · median $14,885 | 17 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $35,232 – $83,302 · median $39,780 | 17 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,137 – $42,880 · median $21,494 | 17 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,668 – $29,951 · median $15,555 | 17 plans |
| 332 | RECTAL RESECTION WITH MCC | $26,614 – $63,015 · median $31,666 | 17 plans |
| 333 | RECTAL RESECTION WITH CC | $16,306 – $40,764 · median $21,036 | 17 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,725 – $30,089 · median $15,181 | 17 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $27,806 – $65,732 · median $31,252 | 17 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $16,208 – $38,319 · median $19,095 | 17 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,778 – $27,848 · median $14,325 | 17 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $20,674 – $48,881 · median $23,037 | 17 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,427 – $27,007 · median $14,073 | 17 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,554 – $22,591 · median $11,425 | 17 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $18,159 – $42,936 · median $20,649 | 17 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,659 – $22,838 · median $12,444 | 17 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,759 – $15,980 · median $8,633 | 17 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $18,567 – $43,878 · median $22,281 | 17 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,546 – $27,293 · median $14,238 | 17 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,459 – $20,324 · median $11,272 | 17 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $22,503 – $53,208 · median $25,691 | 17 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,053 – $30,860 · median $15,551 | 17 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,229 – $24,186 · median $12,745 | 17 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $32,728 – $77,384 · median $38,086 | 17 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,279 – $40,854 · median $20,898 | 17 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,397 – $24,583 · median $13,185 | 17 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,813 – $30,295 · median $14,798 | 17 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,808 – $18,460 · median $9,745 | 17 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,355 – $12,662 · median $7,249 | 17 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,415 – $31,710 · median $16,305 | 17 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,898 – $18,673 · median $9,948 | 17 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,565 – $13,159 · median $7,465 | 17 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $16,202 – $38,303 · median $19,345 | 17 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,428 – $22,290 · median $11,620 | 17 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,774 – $16,087 · median $9,071 | 17 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,950 – $32,984 · median $16,761 | 17 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,565 – $17,885 · median $9,555 | 17 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,885 – $11,550 · median $6,674 | 17 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,765 – $34,909 · median $17,877 | 17 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,357 – $19,757 · median $10,557 | 17 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,749 – $13,934 · median $8,062 | 17 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,700 – $24,030 · median $13,042 | 17 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,672 – $15,775 · median $8,505 | 17 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,466 – $29,475 · median $14,718 | 17 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,615 – $18,005 · median $9,512 | 17 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,143 – $12,160 · median $7,089 | 17 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,279 – $26,665 · median $13,841 | 17 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,151 – $14,542 · median $7,974 | 17 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,198 – $9,927 · median $5,970 | 17 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,859 – $23,302 · median $12,108 | 17 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,987 – $14,155 · median $7,891 | 17 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,706 – $30,041 · median $14,860 | 17 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,223 – $17,076 · median $9,164 | 17 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,883 – $11,545 · median $6,826 | 17 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $19,011 – $44,950 · median $21,475 | 17 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,612 – $27,451 · median $14,147 | 17 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,625 – $20,387 · median $11,080 | 17 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $30,149 – $70,971 · median $34,991 | 17 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $41,652 – $98,482 · median $47,046 | 17 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $21,547 – $50,947 · median $25,676 | 17 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $16,386 – $38,746 · median $20,017 | 17 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $26,864 – $63,517 · median $31,208 | 17 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $16,085 – $38,033 · median $19,665 | 17 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,901 – $28,139 · median $14,763 | 17 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $20,820 – $57,491 · median $29,027 | 17 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $16,355 – $38,669 · median $19,044 | 17 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,756 – $30,159 · median $15,369 | 17 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $26,883 – $63,562 · median $31,183 | 17 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $15,177 – $35,969 · median $18,746 | 17 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,514 – $24,857 · median $12,898 | 17 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $18,235 – $43,112 · median $21,404 | 17 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,726 – $30,085 · median $15,627 | 17 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,110 – $23,903 · median $12,918 | 17 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $27,044 – $64,029 · median $29,891 | 17 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,565 – $30,239 · median $16,009 | 17 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,274 – $26,656 · median $13,199 | 17 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $31,207 – $73,787 · median $36,092 | 17 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,518 – $41,421 · median $19,754 | 17 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,860 – $28,042 · median $14,037 | 17 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $80,425 – $191,813 · median $93,197 | 17 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $54,468 – $128,850 · median $61,581 | 17 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $42,241 – $99,850 · median $48,306 | 17 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $63,993 – $156,803 · median $76,472 | 17 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $41,972 – $100,371 · median $49,512 | 17 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $15,032 – $35,540 · median $17,927 | 17 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,208 – $19,407 · median $10,291 | 17 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,343 – $12,635 · median $7,344 | 17 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,999 – $33,100 · median $16,834 | 17 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,652 – $20,458 · median $10,967 | 17 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,024 – $14,851 · median $8,492 | 17 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,766 – $30,181 · median $15,117 | 17 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,600 – $15,605 · median $8,394 | 17 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,720 – $11,159 · median $6,601 | 17 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $14,504 – $34,294 · median $16,484 | 17 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,414 – $17,528 · median $9,406 | 17 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,391 – $12,748 · median $7,240 | 17 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,925 – $30,557 · median $15,455 | 17 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,321 – $19,674 · median $10,662 | 17 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,117 – $14,464 · median $8,280 | 17 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $51,441 – $121,630 · median $57,116 | 17 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $31,330 – $74,079 · median $36,822 | 17 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $39,514 – $93,428 · median $45,875 | 17 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $23,677 – $56,222 · median $28,421 | 17 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $64,629 – $153,640 · median $71,432 | 17 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $44,035 – $104,118 · median $51,142 | 17 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $32,802 – $78,333 · median $36,255 | 17 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $42,961 – $111,326 · median $47,483 | 17 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $21,424 – $51,952 · median $23,679 | 17 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $41,440 – $99,194 · median $48,950 | 17 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,625 – $54,208 · median $27,459 | 17 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,320 – $31,740 · median $16,725 | 17 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $39,089 – $92,421 · median $44,842 | 17 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $26,279 – $62,137 · median $30,884 | 17 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $20,128 – $47,826 · median $24,410 | 17 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $24,231 – $59,297 · median $26,782 | 17 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $14,467 – $34,205 · median $17,600 | 17 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $37,268 – $88,116 · median $41,710 | 17 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $22,229 – $52,558 · median $26,058 | 17 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $18,164 – $42,947 · median $21,860 | 17 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $33,707 – $81,357 · median $37,255 | 17 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,551 – $39,606 · median $20,484 | 17 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,924 – $21,100 · median $11,375 | 17 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $26,386 – $62,387 · median $30,285 | 17 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,943 – $42,800 · median $22,009 | 17 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,625 – $32,352 · median $17,018 | 17 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $22,566 – $53,353 · median $25,777 | 17 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,921 – $37,641 · median $18,977 | 17 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,172 – $28,779 · median $15,123 | 17 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $19,552 – $48,242 · median $24,609 | 17 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $24,735 – $58,401 · median $28,394 | 17 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $16,272 – $38,475 · median $18,949 | 17 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,124 – $28,666 · median $14,585 | 17 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $14,720 – $35,654 · median $16,270 | 17 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,504 – $22,466 · median $10,848 | 17 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $27,247 – $64,422 · median $32,090 | 17 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $18,423 – $44,138 · median $22,649 | 17 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $14,467 – $34,921 · median $18,245 | 17 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $27,011 – $63,867 · median $31,708 | 17 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,984 – $35,792 · median $16,561 | 17 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $10,305 – $24,356 · median $11,609 | 17 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $19,372 – $52,504 · median $26,645 | 17 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $8,430 – $35,066 · median $17,966 | 17 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $24,312 – $57,483 · median $27,876 | 17 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,696 – $32,376 · median $16,097 | 17 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,720 – $25,347 · median $12,753 | 17 plans |
| 503 | FOOT PROCEDURES WITH MCC | $20,307 – $48,576 · median $24,769 | 17 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,471 – $32,532 · median $17,104 | 17 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,471 – $31,837 · median $16,469 | 17 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $11,502 – $27,195 · median $12,780 | 17 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,871 – $35,161 · median $16,582 | 17 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,526 – $26,357 · median $13,884 | 17 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $21,929 – $52,569 · median $26,676 | 17 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $15,050 – $36,190 · median $18,851 | 17 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,336 – $29,167 · median $15,326 | 17 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,552 – $27,399 · median $14,652 | 17 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,823 – $18,497 · median $9,961 | 17 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $23,726 – $56,099 · median $28,060 | 17 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $15,435 – $36,494 · median $18,841 | 17 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,453 – $27,079 · median $14,339 | 17 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $27,499 – $65,044 · median $32,636 | 17 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $15,129 – $35,772 · median $18,193 | 17 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,996 – $26,000 · median $13,983 | 17 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $22,364 – $52,876 · median $25,427 | 17 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $16,176 – $38,243 · median $19,170 | 17 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,700 – $27,663 · median $14,597 | 17 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,245 – $14,767 · median $8,107 | 17 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,204 – $24,126 · median $12,222 | 17 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,222 – $14,711 · median $8,120 | 17 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,051 – $16,672 · median $9,316 | 17 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,152 – $12,536 · median $7,408 | 17 plans |
| 539 | OSTEOMYELITIS WITH MCC | $15,520 – $36,688 · median $17,939 | 17 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,932 – $23,476 · median $12,340 | 17 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,712 – $15,872 · median $7,955 | 17 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $14,309 – $33,835 · median $16,250 | 17 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,140 – $19,246 · median $10,016 | 17 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,798 – $13,709 · median $7,687 | 17 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $19,387 – $45,840 · median $22,196 | 17 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,883 – $21,002 · median $11,152 | 17 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,726 – $14,553 · median $8,353 | 17 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $15,457 – $36,547 · median $17,617 | 17 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,246 – $21,862 · median $11,600 | 17 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,615 – $15,639 · median $8,662 | 17 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,092 – $30,956 · median $15,498 | 17 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,395 – $17,484 · median $9,373 | 17 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,023 – $23,692 · median $12,340 | 17 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,404 – $15,140 · median $8,303 | 17 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,332 – $24,429 · median $12,553 | 17 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,265 – $14,812 · median $8,307 | 17 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,891 – $28,113 · median $13,925 | 17 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,628 – $15,670 · median $8,818 | 17 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,242 – $33,675 · median $17,068 | 17 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,738 – $20,657 · median $10,925 | 17 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,273 – $14,832 · median $8,089 | 17 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $11,231 – $26,549 · median $13,409 | 17 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,857 – $16,214 · median $8,836 | 17 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $12,040 – $28,467 · median $14,397 | 17 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,823 – $18,498 · median $9,494 | 17 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,739 – $13,571 · median $7,644 | 17 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $23,099 – $54,608 · median $26,016 | 17 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,851 – $30,373 · median $15,610 | 17 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,766 – $20,724 · median $11,093 | 17 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $47,249 – $114,021 · median $56,033 | 17 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $26,585 – $62,857 · median $30,425 | 17 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,932 – $36,222 · median $16,504 | 17 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $38,283 – $97,876 · median $42,313 | 17 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,430 – $48,306 · median $23,601 | 17 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,970 – $30,666 · median $14,919 | 17 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $25,007 – $59,129 · median $28,489 | 17 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,603 – $32,164 · median $15,930 | 17 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,042 – $26,109 · median $13,561 | 17 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,436 – $33,531 · median $17,581 | 17 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,603 – $30,011 · median $15,900 | 17 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $15,709 – $37,257 · median $19,361 | 17 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $15,231 – $36,012 · median $17,602 | 17 plans |
| 592 | SKIN ULCERS WITH MCC | $15,777 – $37,303 · median $17,653 | 17 plans |
| 593 | SKIN ULCERS WITH CC | $9,381 – $22,181 · median $11,426 | 17 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,511 – $15,396 · median $8,602 | 17 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $16,228 – $38,370 · median $19,195 | 17 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,295 – $19,612 · median $10,547 | 17 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $13,478 – $31,868 · median $15,423 | 17 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,140 – $19,689 · median $10,969 | 17 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,560 – $15,509 · median $7,808 | 17 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,345 – $18,128 · median $10,149 | 17 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,600 – $10,876 · median $6,467 | 17 plans |
| 602 | CELLULITIS WITH MCC | $11,275 – $26,653 · median $13,380 | 17 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,759 – $15,979 · median $8,636 | 17 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,400 – $26,952 · median $13,802 | 17 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,088 – $16,757 · median $9,004 | 17 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $12,354 – $29,212 · median $14,144 | 17 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,632 – $15,775 · median $8,925 | 17 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,485 – $41,343 · median $19,786 | 17 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,995 – $25,996 · median $13,197 | 17 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,648 – $70,115 · median $30,558 | 17 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,826 – $35,041 · median $17,113 | 17 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,553 – $24,684 · median $13,355 | 17 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $20,920 – $50,252 · median $25,570 | 17 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,253 – $28,971 · median $14,868 | 17 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,216 – $26,519 · median $14,104 | 17 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $28,188 – $67,884 · median $31,155 | 17 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,686 – $34,700 · median $16,478 | 17 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,641 – $21,788 · median $11,743 | 17 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $21,998 – $52,562 · median $26,673 | 17 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,580 – $27,380 · median $14,029 | 17 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,720 – $23,118 · median $12,607 | 17 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $29,449 – $71,579 · median $32,549 | 17 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $17,265 – $40,801 · median $19,678 | 17 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,751 – $25,421 · median $13,697 | 17 plans |
| 637 | DIABETES WITH MCC | $11,174 – $26,419 · median $13,508 | 17 plans |
| 638 | DIABETES WITH CC | $7,038 – $16,639 · median $8,842 | 17 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,808 – $11,367 · median $6,599 | 17 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,191 – $24,091 · median $12,667 | 17 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,996 – $14,175 · median $7,880 | 17 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $9,523 – $24,750 · median $13,386 | 17 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,716 – $30,065 · median $15,249 | 17 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,930 – $18,747 · median $9,987 | 17 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,977 – $14,126 · median $7,799 | 17 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $35,350 – $83,581 · median $40,652 | 17 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $26,642 – $64,496 · median $32,374 | 17 plans |
| 652 | KIDNEY TRANSPLANT | $23,565 – $56,206 · median $28,414 | 17 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $40,504 – $101,129 · median $44,767 | 17 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $21,652 – $51,196 · median $24,837 | 17 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $15,938 – $37,684 · median $19,161 | 17 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $24,996 – $59,103 · median $28,034 | 17 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $14,026 – $33,164 · median $16,778 | 17 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,539 – $27,284 · median $14,465 | 17 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $19,829 – $46,882 · median $22,689 | 17 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,281 – $24,309 · median $12,552 | 17 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,877 – $18,624 · median $10,088 | 17 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $23,935 – $56,593 · median $27,017 | 17 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,719 – $27,709 · median $14,202 | 17 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,285 – $19,589 · median $10,200 | 17 plans |
| 665 | PROSTATECTOMY WITH MCC | $24,893 – $62,289 · median $27,513 | 17 plans |
| 666 | PROSTATECTOMY WITH CC | $12,639 – $30,445 · median $16,107 | 17 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,886 – $19,252 · median $10,760 | 17 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $22,375 – $52,905 · median $25,841 | 17 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,874 – $28,073 · median $14,466 | 17 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,332 – $17,337 · median $9,522 | 17 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,225 – $31,270 · median $16,487 | 17 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,397 – $19,854 · median $10,518 | 17 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $32,150 – $76,004 · median $36,496 | 17 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,712 – $41,877 · median $21,007 | 17 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,010 – $28,567 · median $15,210 | 17 plans |
| 682 | RENAL FAILURE WITH MCC | $11,525 – $27,246 · median $13,876 | 17 plans |
| 683 | RENAL FAILURE WITH CC | $6,821 – $16,126 · median $8,676 | 17 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,661 – $11,019 · median $6,429 | 17 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $14,468 – $34,208 · median $16,559 | 17 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,077 – $19,097 · median $10,209 | 17 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,557 – $13,754 · median $7,978 | 17 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,980 – $21,230 · median $11,210 | 17 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,158 – $14,560 · median $8,135 | 17 plans |
| 693 | URINARY STONES WITH MCC | $11,282 – $26,675 · median $12,741 | 17 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,996 – $14,175 · median $7,908 | 17 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,653 – $20,459 · median $11,073 | 17 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,307 – $12,550 · median $7,152 | 17 plans |
| 697 | URETHRAL STRICTURE | $7,464 – $18,758 · median $10,501 | 17 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,898 – $30,493 · median $15,318 | 17 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,825 – $18,502 · median $9,889 | 17 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,326 – $12,593 · median $7,160 | 17 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,889 – $35,204 · median $18,194 | 17 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,374 – $26,894 · median $14,318 | 17 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $17,241 – $40,765 · median $20,911 | 17 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,519 – $27,237 · median $13,213 | 17 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $14,636 – $36,266 · median $18,888 | 17 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,799 – $19,404 · median $10,502 | 17 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,094 – $26,232 · median $14,062 | 17 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,210 – $18,403 · median $10,285 | 17 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $17,327 – $40,968 · median $20,164 | 17 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,890 – $25,748 · median $13,793 | 17 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $14,236 – $33,661 · median $17,281 | 17 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,452 – $23,375 · median $12,730 | 17 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $13,265 – $31,496 · median $16,609 | 17 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,616 – $20,371 · median $11,063 | 17 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,040 – $13,218 · median $6,881 | 17 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,692 – $22,905 · median $11,292 | 17 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,711 – $13,504 · median $7,421 | 17 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,274 – $26,656 · median $13,892 | 17 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,270 – $14,823 · median $8,149 | 17 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,446 – $19,971 · median $10,315 | 17 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,657 – $11,695 · median $7,014 | 17 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,134 – $38,147 · median $19,272 | 17 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,313 – $23,417 · median $12,750 | 17 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $28,303 – $71,432 · median $31,282 | 17 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $15,333 – $36,253 · median $18,695 | 17 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,638 – $27,518 · median $13,772 | 17 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $28,365 – $72,218 · median $31,351 | 17 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,951 – $32,986 · median $16,608 | 17 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,539 – $24,918 · median $13,420 | 17 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $14,016 – $33,138 · median $16,818 | 17 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,197 – $21,746 · median $11,878 | 17 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $14,992 – $35,663 · median $18,600 | 17 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,863 – $19,797 · median $11,020 | 17 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,848 – $30,379 · median $16,005 | 17 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,328 – $17,328 · median $8,545 | 17 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,452 – $24,713 · median $13,097 | 17 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $19,861 – $46,960 · median $22,911 | 17 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,894 – $25,685 · median $13,833 | 17 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,882 – $32,823 · median $16,875 | 17 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,518 – $20,138 · median $10,599 | 17 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,327 – $17,325 · median $9,367 | 17 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,859 – $25,675 · median $13,468 | 17 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,821 – $18,491 · median $9,539 | 17 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,910 – $11,610 · median $6,945 | 17 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,562 – $17,880 · median $9,816 | 17 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,864 – $11,500 · median $6,186 | 17 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $7,758 – $18,650 · median $10,273 | 17 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,560 – $29,409 · median $15,315 | 17 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,255 – $19,520 · median $9,770 | 17 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,474 – $12,944 · median $6,873 | 17 plans |
| 779 | ABORTION WITHOUT D&C | $7,172 – $16,958 · median $8,394 | 17 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $13,872 – $42,729 · median $21,557 | 17 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,310 – $18,450 · median $10,329 | 17 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,713 – $16,670 · median $9,345 | 17 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $12,398 – $28,708 · median $14,986 | 17 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,147 – $19,437 · median $10,848 | 17 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,944 – $16,687 · median $9,353 | 17 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $13,832 – $32,701 · median $16,547 | 17 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $45,616 – $107,845 · median $50,979 | 17 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $31,153 – $73,651 · median $35,311 | 17 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $18,797 – $44,440 · median $21,926 | 17 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $32,001 – $75,657 · median $36,230 | 17 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $11,327 – $26,780 · median $13,834 | 17 plans |
| 795 | NORMAL NEWBORN | $1,533 – $3,625 · median $3,162 | 17 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $8,140 – $20,310 · median $11,051 | 17 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,429 – $17,411 · median $9,692 | 17 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $7,429 – $16,657 · median $9,339 | 17 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $35,483 – $86,257 · median $39,218 | 17 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $22,356 – $52,859 · median $24,921 | 17 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $12,597 – $33,223 · median $17,434 | 17 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $27,505 – $69,339 · median $34,688 | 17 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,657 – $32,352 · median $17,018 | 17 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,483 – $23,600 · median $12,592 | 17 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,657 – $18,782 · median $10,335 | 17 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,551 – $13,123 · median $7,682 | 17 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,889 – $11,734 · median $7,032 | 17 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $17,574 – $41,548 · median $19,920 | 17 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,503 – $22,468 · median $12,088 | 17 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,302 – $18,215 · median $10,197 | 17 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,794 – $25,523 · median $13,238 | 17 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,081 – $16,742 · median $9,022 | 17 plans |
| 813 | COAGULATION DISORDERS | $11,877 – $28,082 · median $14,244 | 17 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $16,039 – $37,924 · median $19,245 | 17 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,797 – $18,433 · median $9,880 | 17 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,060 – $11,962 · median $6,687 | 17 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $16,771 – $45,989 · median $20,533 | 17 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $7,591 – $23,366 · median $10,987 | 17 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,182 – $14,966 · median $8,546 | 17 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $44,671 – $105,622 · median $50,325 | 17 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,128 – $40,498 · median $20,175 | 17 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,775 – $20,954 · median $11,573 | 17 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $35,903 – $84,891 · median $39,682 | 17 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $16,875 – $39,899 · median $20,400 | 17 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,443 – $23,485 · median $12,782 | 17 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $36,603 – $86,632 · median $40,456 | 17 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $18,106 – $42,811 · median $20,779 | 17 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,298 – $29,653 · median $15,729 | 17 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $23,660 – $55,943 · median $27,836 | 17 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,221 – $26,531 · median $14,076 | 17 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,831 – $20,928 · median $11,561 | 17 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,734 – $13,559 · median $7,418 | 17 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,988 – $9,430 · median $5,798 | 17 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $42,408 – $100,271 · median $47,208 | 17 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $16,388 – $38,747 · median $18,905 | 17 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,532 – $23,052 · median $11,702 | 17 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $37,554 – $90,836 · median $41,507 | 17 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $15,562 – $36,794 · median $18,918 | 17 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,514 – $25,130 · median $13,568 | 17 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $24,472 – $57,852 · median $28,459 | 17 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,031 – $28,445 · median $15,127 | 17 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,070 – $19,083 · median $9,845 | 17 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $14,526 – $34,718 · median $18,148 | 17 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,170 – $21,682 · median $11,684 | 17 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,420 – $15,180 · median $8,478 | 17 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $19,594 – $46,328 · median $23,118 | 17 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,749 – $23,052 · median $12,439 | 17 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,283 – $14,856 · median $8,460 | 17 plans |
| 849 | RADIOTHERAPY | $20,494 – $48,456 · median $24,090 | 17 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $66,555 – $167,113 · median $73,561 | 17 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $38,377 – $90,729 · median $42,624 | 17 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,332 – $36,248 · median $18,176 | 17 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,472 – $29,490 · median $14,011 | 17 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $34,615 – $81,845 · median $39,382 | 17 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $16,719 – $39,527 · median $19,368 | 17 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,886 – $24,242 · median $13,144 | 17 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $14,108 – $33,356 · median $16,725 | 17 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,672 – $18,139 · median $9,723 | 17 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,890 – $16,291 · median $8,773 | 17 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,129 – $26,774 · median $14,020 | 17 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,788 – $16,051 · median $8,625 | 17 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $16,452 – $38,900 · median $18,966 | 17 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,057 – $19,050 · median $10,046 | 17 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,521 – $13,054 · median $7,484 | 17 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $53,377 – $126,198 · median $59,030 | 17 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $15,057 – $35,594 · median $17,713 | 17 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,911 – $18,703 · median $9,970 | 17 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $1,515 – $71,287 · median $33,055 | 17 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,515 – $17,390 · median $9,364 | 17 plans |
| 881 | DEPRESSIVE NEUROSES | $7,014 – $16,583 · median $9,207 | 17 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,381 – $18,688 · median $10,462 | 17 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $14,244 – $34,221 · median $17,911 | 17 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,815 – $30,299 · median $14,940 | 17 plans |
| 885 | PSYCHOSES | $10,815 – $25,572 · median $13,176 | 17 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $13,784 – $36,119 · median $18,817 | 17 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,515 – $21,577 · median $10,267 | 17 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $1,515 – $11,322 · median $6,564 | 17 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $10,767 – $26,266 · median $13,332 | 17 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $13,664 – $32,305 · median $16,072 | 17 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $1,515 – $16,004 · median $8,733 | 17 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $32,983 – $80,374 · median $36,455 | 17 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,559 – $34,424 · median $17,480 | 17 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,353 – $22,116 · median $11,287 | 17 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $29,045 – $70,044 · median $32,102 | 17 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $12,573 – $29,900 · median $13,896 | 17 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $16,190 – $39,593 · median $17,894 | 17 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $30,295 – $72,268 · median $33,484 | 17 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $15,476 – $36,592 · median $18,151 | 17 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,731 – $23,008 · median $12,477 | 17 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,416 – $29,358 · median $15,153 | 17 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,031 – $16,624 · median $8,755 | 17 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $13,334 – $31,527 · median $15,544 | 17 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,095 – $12,047 · median $6,967 | 17 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $12,581 – $29,746 · median $14,603 | 17 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,786 – $16,048 · median $8,523 | 17 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,991 – $33,082 · median $16,785 | 17 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,794 – $18,429 · median $9,766 | 17 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,276 – $12,476 · median $7,147 | 17 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,961 – $30,647 · median $16,108 | 17 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,825 – $18,502 · median $9,916 | 17 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $154,311 – $430,355 · median $179,079 | 17 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $51,244 – $124,834 · median $61,199 | 17 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $24,402 – $57,696 · median $28,342 | 17 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $30,708 – $78,494 · median $33,940 | 17 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $16,464 – $38,927 · median $19,942 | 17 plans |
| 935 | NON-EXTENSIVE BURNS | $16,852 – $39,845 · median $18,690 | 17 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $24,353 – $63,150 · median $31,731 | 17 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,200 – $40,671 · median $20,992 | 17 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $14,995 – $35,453 · median $18,422 | 17 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,712 – $27,692 · median $14,438 | 17 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,566 – $20,254 · median $11,097 | 17 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,868 – $23,333 · median $12,117 | 17 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,096 – $14,413 · median $8,062 | 17 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,278 – $20,706 · median $11,454 | 17 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,497 – $10,924 · median $6,652 | 17 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,350 – $10,286 · median $6,068 | 17 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $52,049 – $123,872 · median $57,528 | 17 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $29,328 – $69,342 · median $32,850 | 17 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $57,269 – $135,408 · median $64,917 | 17 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $31,532 – $74,556 · median $36,599 | 17 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $20,285 – $51,239 · median $26,041 | 17 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $20,844 – $49,284 · median $24,292 | 17 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,511 – $27,213 · median $14,305 | 17 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,002 – $16,555 · median $9,204 | 17 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $47,461 – $114,729 · median $52,457 | 17 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $20,358 – $48,134 · median $23,491 | 17 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $22,912 – $54,173 · median $25,558 | 17 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,906 – $25,786 · median $12,330 | 17 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,695 – $18,195 · median $8,895 | 17 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $11,063 – $26,158 · median $12,352 | 17 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $36,480 – $86,240 · median $40,572 | 17 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,787 – $44,415 · median $22,003 | 17 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,799 – $30,263 · median $15,813 | 17 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $26,879 – $63,542 · median $30,068 | 17 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,167 – $31,130 · median $15,228 | 17 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,865 – $20,962 · median $11,533 | 17 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $86,560 – $196,992 · median $94,760 | 14 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $44,344 – $99,323 · median $48,545 | 14 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $19,635 – $42,156 · median $21,495 | 14 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $27,281 – $59,845 · median $29,865 | 14 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $19,575 – $42,018 · median $21,430 | 14 plans |
| 077 | Inpatient MS-DRG | $11,864 – $28,051 · median $16,925 | 3 plans |
| 078 | Inpatient MS-DRG | $7,656 – $18,103 · median $10,922 | 3 plans |
| 079 | Inpatient MS-DRG | $5,076 – $12,095 · median $7,242 | 3 plans |
| 294 | Inpatient MS-DRG | $9,422 – $22,277 · median $13,441 | 3 plans |
| 295 | Inpatient MS-DRG | $6,060 – $14,328 · median $8,645 | 3 plans |
| 509 | Inpatient MS-DRG | $13,478 – $31,868 · median $19,227 | 3 plans |
No procedures match that keyword.