Baylor Scott & White Medical Center - Brenham — Pricing
764 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 764 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 764 procedures
Procedures with negotiated rates only
These 764 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $169,614 – $332,277 · median $258,946 | 8 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $112,678 – $229,100 · median $178,539 | 8 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $44,571 – $80,361 · median $62,626 | 8 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $34,495 – $62,416 · median $48,642 | 8 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $23,159 – $41,857 · median $32,619 | 8 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $65,354 – $131,731 · median $102,658 | 8 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $45,596 – $95,714 · median $74,590 | 8 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $30,024 – $54,325 · median $42,536 | 8 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $46,982 – $88,348 · median $68,850 | 8 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $32,140 – $59,048 · median $46,017 | 8 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $37,369 – $68,823 · median $53,634 | 8 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $26,345 – $46,024 · median $35,867 | 8 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $21,738 – $37,917 · median $29,549 | 8 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $49,902 – $93,917 · median $73,190 | 8 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $28,670 – $53,429 · median $41,637 | 8 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $19,848 – $36,142 · median $28,166 | 8 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $35,172 – $64,157 · median $49,998 | 8 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $19,148 – $33,567 · median $26,159 | 8 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $14,936 – $25,293 · median $19,711 | 8 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $32,818 – $60,803 · median $47,384 | 8 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $20,233 – $35,838 · median $27,929 | 8 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $16,789 – $28,181 · median $21,962 | 8 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $28,391 – $52,609 · median $40,999 | 8 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $15,060 – $24,934 · median $19,432 | 8 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $10,972 – $17,782 · median $13,870 | 8 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $31,909 – $60,010 · median $46,766 | 8 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $20,104 – $34,765 · median $27,093 | 8 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $16,200 – $27,115 · median $21,131 | 8 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $18,188 – $30,305 · median $23,617 | 8 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $9,460 – $15,333 · median $11,949 | 8 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $14,169 – $22,965 · median $17,897 | 8 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $10,320 – $16,726 · median $13,208 | 8 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $22,021 – $37,310 · median $29,077 | 8 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $12,900 – $21,245 · median $16,557 | 8 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $16,615 – $26,929 · median $20,986 | 8 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $11,416 – $18,503 · median $14,540 | 8 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $8,629 – $13,986 · median $11,177 | 8 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $23,575 – $43,682 · median $34,041 | 8 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $16,382 – $29,170 · median $22,733 | 8 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $13,449 – $23,172 · median $18,058 | 8 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $18,006 – $31,217 · median $24,328 | 8 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $9,774 – $15,841 · median $12,511 | 8 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,611 – $10,715 · median $8,888 | 8 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $13,625 – $22,082 · median $17,209 | 8 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $8,376 – $13,575 · median $10,950 | 8 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $7,680 – $12,448 · median $10,116 | 8 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $16,054 – $27,889 · median $21,734 | 8 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $10,210 – $16,548 · median $12,977 | 8 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $7,529 – $12,203 · median $9,803 | 8 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $14,547 – $23,580 · median $18,376 | 8 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $9,868 – $15,993 · median $12,683 | 8 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $15,926 – $29,827 · median $23,244 | 8 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $8,871 – $14,377 · median $11,451 | 8 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $14,529 – $23,547 · median $18,350 | 8 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $9,779 – $15,848 · median $12,437 | 8 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $7,124 – $11,545 · median $9,169 | 8 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $17,995 – $34,423 · median $26,826 | 8 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $8,746 – $14,175 · median $11,312 | 8 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $20,587 – $35,507 · median $27,671 | 8 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $13,043 – $21,139 · median $16,474 | 8 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,844 – $14,334 · median $11,592 | 8 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $20,165 – $35,422 · median $27,604 | 8 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $12,665 – $20,527 · median $15,997 | 8 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $8,522 – $13,811 · median $11,065 | 8 plans |
| 088 | CONCUSSION WITH MCC | $13,495 – $23,904 · median $18,629 | 8 plans |
| 089 | CONCUSSION WITH CC | $10,855 – $17,921 · median $13,966 | 8 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $8,989 – $14,569 · median $11,354 | 8 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $16,710 – $27,885 · median $21,731 | 8 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $9,867 – $15,992 · median $12,749 | 8 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,447 – $12,069 · median $9,904 | 8 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $30,947 – $56,460 · median $44,000 | 8 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $21,188 – $37,158 · median $28,957 | 8 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $20,960 – $33,971 · median $26,474 | 8 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $30,447 – $56,681 · median $44,172 | 8 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $19,411 – $33,578 · median $26,168 | 8 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $12,695 – $20,575 · median $16,155 | 8 plans |
| 100 | SEIZURES WITH MCC | $17,976 – $30,897 · median $24,079 | 8 plans |
| 101 | SEIZURES WITHOUT MCC | $8,747 – $14,176 · median $11,382 | 8 plans |
| 102 | HEADACHES WITH MCC | $11,536 – $18,805 · median $14,655 | 8 plans |
| 103 | HEADACHES WITHOUT MCC | $8,101 – $13,129 · median $10,623 | 8 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $20,091 – $39,076 · median $30,453 | 8 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $11,713 – $19,198 · median $14,961 | 8 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $14,433 – $24,381 · median $19,000 | 8 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $15,506 – $28,533 · median $22,236 | 8 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $10,906 – $18,677 · median $14,555 | 8 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $11,565 – $19,968 · median $15,561 | 8 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,159 – $11,603 · median $9,242 | 8 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $7,731 – $12,530 · median $10,165 | 8 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $12,662 – $20,602 · median $16,055 | 8 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $7,669 – $12,429 · median $10,213 | 8 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $21,296 – $41,333 · median $32,211 | 8 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $9,030 – $14,636 · median $11,901 | 8 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $13,401 – $23,451 · median $18,276 | 8 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $8,325 – $13,492 · median $10,635 | 8 plans |
| 139 | SALIVARY GLAND PROCEDURES | $11,421 – $18,510 · median $15,155 | 8 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $35,473 – $58,882 · median $45,887 | 8 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $19,248 – $32,287 · median $25,162 | 8 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $14,756 – $24,079 · median $18,765 | 8 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $28,242 – $51,829 · median $40,391 | 8 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $16,193 – $26,970 · median $21,018 | 8 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $11,734 – $19,031 · median $14,831 | 8 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $20,299 – $32,900 · median $25,639 | 8 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $11,883 – $19,260 · median $15,010 | 8 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $8,555 – $13,866 · median $10,806 | 8 plans |
| 149 | DYSEQUILIBRIUM | $7,161 – $11,606 · median $9,526 | 8 plans |
| 150 | EPISTAXIS WITH MCC | $12,640 – $20,486 · median $16,071 | 8 plans |
| 151 | EPISTAXIS WITHOUT MCC | $7,411 – $12,011 · median $9,749 | 8 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $11,344 – $18,518 · median $14,431 | 8 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $7,066 – $11,452 · median $9,311 | 8 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $14,791 – $23,973 · median $18,682 | 8 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $9,103 – $14,753 · median $11,686 | 8 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,303 – $10,216 · median $8,602 | 8 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $15,264 – $26,604 · median $20,732 | 8 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $9,025 – $14,627 · median $11,659 | 8 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,493 – $10,523 · median $8,686 | 8 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $38,437 – $87,079 · median $57,669 | 8 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $22,122 – $47,116 · median $31,203 | 8 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $17,030 – $29,244 · median $22,790 | 8 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $32,519 – $63,241 · median $49,284 | 8 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $16,743 – $28,362 · median $22,102 | 8 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,036 – $21,129 · median $16,466 | 8 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $26,423 – $56,808 · median $37,621 | 8 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $13,483 – $21,866 · median $17,040 | 8 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $7,843 – $12,711 · median $10,292 | 8 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $15,100 – $26,438 · median $20,603 | 8 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $9,488 – $15,378 · median $12,204 | 8 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $7,340 – $11,896 · median $9,746 | 8 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $16,124 – $27,090 · median $21,111 | 8 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $10,588 – $17,161 · median $13,480 | 8 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $7,299 – $11,829 · median $10,062 | 8 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $14,872 – $24,539 · median $19,123 | 8 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $10,115 – $16,394 · median $12,966 | 8 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $7,267 – $11,778 · median $9,727 | 8 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $14,815 – $24,189 · median $18,851 | 8 plans |
| 187 | PLEURAL EFFUSION WITH CC | $9,580 – $15,527 · median $12,319 | 8 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $7,178 – $11,634 · median $9,485 | 8 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $11,847 – $19,201 · median $14,963 | 8 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $10,597 – $17,175 · median $13,538 | 8 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $8,164 – $13,232 · median $10,706 | 8 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $6,172 – $10,002 · median $8,403 | 8 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $12,757 – $20,675 · median $16,112 | 8 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $7,906 – $12,814 · median $10,360 | 8 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $6,016 – $9,750 · median $8,191 | 8 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $17,187 – $29,540 · median $23,020 | 8 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $9,592 – $15,546 · median $12,270 | 8 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $7,483 – $12,128 · median $9,566 | 8 plans |
| 199 | PNEUMOTHORAX WITH MCC | $16,260 – $27,649 · median $21,548 | 8 plans |
| 200 | PNEUMOTHORAX WITH CC | $10,356 – $16,785 · median $13,301 | 8 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,790 – $11,005 · median $8,971 | 8 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $9,207 – $14,923 · median $11,897 | 8 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $6,682 – $10,830 · median $8,974 | 8 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $7,913 – $12,825 · median $10,328 | 8 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $17,216 – $28,214 · median $21,987 | 8 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $8,784 – $14,237 · median $11,344 | 8 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $52,925 – $107,661 · median $83,901 | 8 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $23,423 – $42,139 · median $32,839 | 8 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVEÂ PROCEDURES | $87,443 – $198,978 · median $131,774 | 8 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $85,111 – $159,198 · median $124,064 | 8 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $77,752 – $179,296 · median $118,739 | 8 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $52,852 – $117,593 · median $77,876 | 8 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $48,886 – $105,241 · median $69,696 | 8 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $62,830 – $142,457 · median $94,343 | 8 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $43,798 – $96,889 · median $64,165 | 8 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $38,307 – $85,878 · median $56,873 | 8 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $41,354 – $93,085 · median $61,646 | 8 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $26,717 – $58,740 · median $38,901 | 8 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $68,573 – $149,920 · median $99,285 | 8 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $50,129 – $109,894 · median $72,778 | 8 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $63,446 – $144,090 · median $95,424 | 8 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $43,981 – $96,026 · median $63,594 | 8 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $48,379 – $108,638 · median $71,946 | 8 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $34,560 – $74,657 · median $49,442 | 8 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $41,772 – $74,914 · median $58,381 | 8 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $25,204 – $43,781 · median $34,119 | 8 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $13,364 – $21,660 · median $17,144 | 8 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $28,945 – $53,848 · median $41,964 | 8 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $20,062 – $35,496 · median $27,662 | 8 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $16,568 – $28,513 · median $22,220 | 8 plans |
| 245 | AICD GENERATOR PROCEDURES | $40,601 – $70,622 · median $55,036 | 8 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $20,528 – $43,429 · median $28,761 | 8 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $14,680 – $29,316 · median $19,415 | 8 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $29,245 – $52,269 · median $40,734 | 8 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $22,403 – $39,759 · median $30,984 | 8 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $16,136 – $27,042 · median $21,073 | 8 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $22,898 – $42,818 · median $33,369 | 8 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $15,702 – $25,555 · median $19,915 | 8 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $9,450 – $15,445 · median $12,036 | 8 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $24,372 – $42,214 · median $32,897 | 8 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $16,201 – $29,091 · median $22,671 | 8 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $29,056 – $51,667 · median $40,265 | 8 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $17,292 – $29,328 · median $22,855 | 8 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $14,330 – $25,642 · median $19,983 | 8 plans |
| 263 | VEIN LIGATION AND STRIPPING | $23,409 – $44,031 · median $34,313 | 8 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $29,749 – $50,901 · median $39,667 | 8 plans |
| 265 | AICD LEAD PROCEDURES | $30,311 – $55,079 · median $42,924 | 8 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $49,210 – $115,390 · median $76,418 | 8 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $39,181 – $90,157 · median $59,707 | 8 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $54,488 – $126,634 · median $83,864 | 8 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $34,939 – $76,826 · median $50,878 | 8 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $42,521 – $93,421 · median $61,869 | 8 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $29,354 – $63,850 · median $42,285 | 8 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $22,007 – $45,067 · median $29,846 | 8 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $32,987 – $71,993 · median $47,678 | 8 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $26,832 – $59,871 · median $39,650 | 8 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $57,602 – $129,979 · median $86,079 | 8 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC | $50,798 – $114,727 · median $75,979 | 8 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $38,770 – $88,350 · median $58,510 | 8 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $41,510 – $82,401 · median $54,571 | 8 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $27,482 – $59,128 · median $39,158 | 8 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $15,256 – $24,726 · median $19,269 | 8 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $8,779 – $14,229 · median $11,406 | 8 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,905 – $11,192 · median $9,251 | 8 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $17,743 – $30,724 · median $23,944 | 8 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $7,113 – $11,528 · median $9,465 | 8 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,699 – $7,616 · median $6,864 | 8 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $19,754 – $33,595 · median $26,181 | 8 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $10,401 – $16,857 · median $13,260 | 8 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $23,795 – $40,412 · median $31,493 | 8 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $14,210 – $23,030 · median $17,997 | 8 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $9,858 – $15,978 · median $12,543 | 8 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $12,346 – $20,010 · median $15,594 | 8 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $8,236 – $13,349 · median $10,766 | 8 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,399 – $8,751 · median $7,444 | 8 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $10,517 – $17,045 · median $13,911 | 8 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $6,073 – $11,039 · median $8,972 | 8 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $15,271 – $24,986 · median $19,472 | 8 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $7,006 – $11,355 · median $9,239 | 8 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,220 – $6,840 · median $6,123 | 8 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $15,109 – $24,565 · median $19,144 | 8 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $10,260 – $16,629 · median $13,081 | 8 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,825 – $11,062 · median $9,145 | 8 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $10,781 – $17,472 · median $13,835 | 8 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $6,328 – $10,256 · median $8,620 | 8 plans |
| 304 | HYPERTENSION WITH MCC | $11,049 – $17,907 · median $14,076 | 8 plans |
| 305 | HYPERTENSION WITHOUT MCC | $7,246 – $11,743 · median $9,601 | 8 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $14,171 – $23,951 · median $18,665 | 8 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $9,064 – $14,690 · median $11,629 | 8 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $11,560 – $18,736 · median $14,601 | 8 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $7,161 – $11,606 · median $9,493 | 8 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,318 – $8,619 · median $7,429 | 8 plans |
| 311 | ANGINA PECTORIS | $6,713 – $10,880 · median $9,003 | 8 plans |
| 312 | SYNCOPE AND COLLAPSE | $8,303 – $13,458 · median $10,856 | 8 plans |
| 313 | CHEST PAIN | $6,958 – $11,277 · median $9,241 | 8 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $19,287 – $32,627 · median $25,427 | 8 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $9,302 – $15,075 · median $11,947 | 8 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,661 – $10,796 · median $8,901 | 8 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $36,749 – $80,582 · median $53,366 | 8 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $20,545 – $41,123 · median $27,234 | 8 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $24,694 – $53,107 · median $35,171 | 8 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $16,603 – $33,685 · median $22,308 | 8 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $35,709 – $76,482 · median $50,651 | 8 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $27,410 – $54,842 · median $36,319 | 8 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $24,813 – $48,851 · median $32,352 | 8 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $42,100 – $79,156 · median $61,687 | 8 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $21,429 – $38,922 · median $30,332 | 8 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $14,921 – $24,894 · median $19,400 | 8 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $38,302 – $70,394 · median $54,859 | 8 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $20,927 – $36,969 · median $28,810 | 8 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $15,369 – $26,058 · median $20,308 | 8 plans |
| 332 | RECTAL RESECTION WITH MCC | $29,543 – $56,536 · median $44,244 | 8 plans |
| 333 | RECTAL RESECTION WITH CC | $19,068 – $32,409 · median $25,257 | 8 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $15,428 – $25,015 · median $19,495 | 8 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $30,749 – $55,716 · median $43,420 | 8 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $18,966 – $32,811 · median $25,570 | 8 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $14,389 – $23,321 · median $18,175 | 8 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $23,506 – $42,709 · median $33,284 | 8 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $14,103 – $24,010 · median $18,711 | 8 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,206 – $20,070 · median $15,641 | 8 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $20,951 – $39,728 · median $30,960 | 8 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $12,312 – $20,282 · median $15,806 | 8 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $9,364 – $15,208 · median $11,852 | 8 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $21,355 – $37,404 · median $29,149 | 8 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $13,997 – $22,686 · median $17,679 | 8 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $10,664 – $17,284 · median $13,503 | 8 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $25,366 – $45,575 · median $35,517 | 8 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $15,760 – $26,772 · median $20,864 | 8 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $12,891 – $21,236 · median $16,550 | 8 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $35,758 – $66,684 · median $51,967 | 8 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $20,056 – $34,237 · median $26,681 | 8 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,319 – $19,966 · median $15,728 | 8 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $15,517 – $25,746 · median $20,065 | 8 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $9,503 – $15,403 · median $12,319 | 8 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $7,151 – $11,591 · median $9,317 | 8 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $16,125 – $27,238 · median $21,227 | 8 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $10,023 – $16,244 · median $12,741 | 8 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,890 – $11,167 · median $9,241 | 8 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $18,959 – $32,713 · median $25,493 | 8 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $11,523 – $18,676 · median $14,637 | 8 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $8,572 – $13,892 · median $11,097 | 8 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $16,673 – $27,902 · median $21,744 | 8 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $9,460 – $15,333 · median $12,158 | 8 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $6,089 – $9,868 · median $8,301 | 8 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $17,500 – $30,367 · median $23,666 | 8 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $10,318 – $16,723 · median $13,198 | 8 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $7,280 – $11,799 · median $9,620 | 8 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $12,353 – $21,791 · median $16,982 | 8 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $8,421 – $13,648 · median $10,934 | 8 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $15,067 – $24,420 · median $19,031 | 8 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $9,343 – $15,142 · median $12,101 | 8 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,578 – $10,662 · median $8,791 | 8 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $13,957 – $22,653 · median $17,654 | 8 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $7,658 – $12,412 · median $10,106 | 8 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,375 – $8,712 · median $7,421 | 8 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $12,267 – $19,882 · median $15,494 | 8 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $7,554 – $12,244 · median $9,944 | 8 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $15,408 – $25,241 · median $19,671 | 8 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $9,009 – $14,602 · median $11,651 | 8 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,226 – $10,091 · median $8,399 | 8 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $21,603 – $35,013 · median $27,286 | 8 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $14,295 – $23,585 · median $18,380 | 8 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $10,704 – $17,348 · median $13,618 | 8 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $44,827 – $85,799 · median $66,864 | 8 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $24,394 – $45,000 · median $35,069 | 8 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $19,149 – $33,523 · median $26,125 | 8 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $29,797 – $58,010 · median $45,208 | 8 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $18,821 – $30,505 · median $23,773 | 8 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $14,590 – $24,394 · median $19,010 | 8 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $23,833 – $44,893 · median $35,241 | 8 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $19,117 – $31,879 · median $24,986 | 8 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $14,516 – $23,527 · median $18,569 | 8 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $29,817 – $54,940 · median $42,815 | 8 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $17,920 – $30,793 · median $23,997 | 8 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $12,878 – $20,871 · median $16,265 | 8 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $21,026 – $36,123 · median $28,151 | 8 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $15,427 – $25,477 · median $19,854 | 8 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $12,628 – $20,466 · median $15,950 | 8 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $30,017 – $49,884 · median $38,875 | 8 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $15,265 – $26,644 · median $20,764 | 8 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $13,568 – $21,990 · median $17,137 | 8 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $34,212 – $60,951 · median $47,500 | 8 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $20,071 – $32,531 · median $25,537 | 8 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $14,549 – $24,966 · median $19,456 | 8 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $17,772 – $29,861 · median $23,271 | 8 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,914 – $16,068 · median $12,828 | 8 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,438 – $10,434 · median $8,797 | 8 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $16,723 – $27,428 · median $21,375 | 8 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $10,584 – $17,154 · median $13,548 | 8 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,992 – $12,953 · median $10,279 | 8 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $15,468 – $26,008 · median $20,268 | 8 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $8,224 – $13,328 · median $10,753 | 8 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,920 – $9,594 · median $8,090 | 8 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $17,236 – $28,493 · median $22,205 | 8 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $9,150 – $14,829 · median $11,854 | 8 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,873 – $11,139 · median $9,136 | 8 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $15,630 – $25,453 · median $19,836 | 8 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $10,451 – $16,938 · median $13,275 | 8 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $7,707 – $12,491 · median $10,124 | 8 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $68,536 – $131,372 · median $102,379 | 8 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $47,250 – $94,684 · median $73,788 | 8 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $36,166 – $70,616 · median $55,031 | 8 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $50,348 – $106,266 · median $82,814 | 8 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $24,826 – $44,360 · median $34,570 | 8 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $44,611 – $88,269 · median $68,789 | 8 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $25,488 – $46,777 · median $36,453 | 8 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $16,033 – $29,156 · median $22,722 | 8 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $42,222 – $95,817 · median $63,455 | 8 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $29,204 – $64,406 · median $42,653 | 8 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $22,951 – $49,318 · median $32,661 | 8 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $27,984 – $61,515 · median $40,738 | 8 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $17,198 – $34,763 · median $23,022 | 8 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $40,371 – $76,663 · median $59,744 | 8 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $25,087 – $46,060 · median $35,895 | 8 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $20,955 – $38,348 · median $29,885 | 8 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $37,466 – $67,059 · median $52,259 | 8 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $19,317 – $33,425 · median $26,048 | 8 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,317 – $18,342 · median $14,294 | 8 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $29,312 – $52,506 · median $40,918 | 8 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $20,731 – $37,150 · median $28,951 | 8 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $16,342 – $29,050 · median $22,639 | 8 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $25,428 – $45,959 · median $35,816 | 8 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $18,675 – $32,337 · median $25,201 | 8 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $14,865 – $24,755 · median $19,292 | 8 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $22,365 – $38,716 · median $30,172 | 8 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $27,598 – $51,337 · median $40,007 | 8 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $19,033 – $31,299 · median $24,392 | 8 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $14,817 – $24,077 · median $18,763 | 8 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $17,821 – $32,831 · median $25,586 | 8 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,902 – $19,290 · median $15,033 | 8 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $30,186 – $53,957 · median $42,049 | 8 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $21,217 – $37,430 · median $29,170 | 8 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $17,197 – $29,131 · median $22,703 | 8 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $29,948 – $55,813 · median $43,495 | 8 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $17,880 – $30,975 · median $24,139 | 8 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $12,964 – $22,246 · median $17,336 | 8 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $22,184 – $40,692 · median $31,712 | 8 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $11,547 – $20,102 · median $15,665 | 8 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $27,204 – $50,539 · median $39,386 | 8 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $16,412 – $27,051 · median $21,081 | 8 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $13,296 – $21,549 · median $16,794 | 8 plans |
| 503 | FOOT PROCEDURES WITH MCC | $23,133 – $41,797 · median $32,573 | 8 plans |
| 504 | FOOT PROCEDURES WITH CC | $16,180 – $26,917 · median $20,977 | 8 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $16,180 – $26,583 · median $20,716 | 8 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $14,064 – $22,795 · median $17,764 | 8 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $17,609 – $33,223 · median $25,891 | 8 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $12,559 – $22,349 · median $17,416 | 8 plans |
| 509 | ARTHROSCOPY | $12,753 – $20,669 · median $17,803 | 8 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $24,782 – $42,401 · median $33,043 | 8 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $17,788 – $31,073 · median $24,216 | 8 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $15,032 – $25,151 · median $19,601 | 8 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $14,235 – $25,263 · median $19,688 | 8 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $10,015 – $16,232 · median $12,696 | 8 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $26,609 – $49,272 · median $38,398 | 8 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $18,182 – $31,806 · median $24,787 | 8 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $14,135 – $23,290 · median $18,150 | 8 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $30,442 – $56,913 · median $44,353 | 8 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $17,871 – $30,681 · median $23,910 | 8 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $13,671 – $22,310 · median $17,386 | 8 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $25,223 – $55,315 · median $36,633 | 8 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $18,933 – $39,021 · median $25,842 | 8 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $14,386 – $25,425 · median $19,814 | 8 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $7,789 – $12,624 · median $10,251 | 8 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $12,469 – $20,209 · median $15,749 | 8 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $7,569 – $12,267 · median $10,080 | 8 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $9,299 – $15,071 · median $11,768 | 8 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,819 – $11,051 · median $8,969 | 8 plans |
| 539 | OSTEOMYELITIS WITH MCC | $18,265 – $30,927 · median $24,102 | 8 plans |
| 540 | OSTEOMYELITIS WITH CC | $12,483 – $20,232 · median $15,767 | 8 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $8,250 – $13,370 · median $10,832 | 8 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $17,039 – $28,422 · median $22,150 | 8 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $10,488 – $16,999 · median $13,247 | 8 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $7,380 – $11,961 · median $9,718 | 8 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $22,199 – $38,857 · median $30,281 | 8 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $11,522 – $18,691 · median $14,566 | 8 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,822 – $12,677 · median $10,066 | 8 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $18,204 – $30,388 · median $23,681 | 8 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $11,599 – $18,799 · median $14,650 | 8 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $8,854 – $14,351 · median $11,297 | 8 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $15,801 – $26,524 · median $20,671 | 8 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $9,292 – $15,060 · median $11,946 | 8 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $12,679 – $21,063 · median $16,415 | 8 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,902 – $12,808 · median $10,417 | 8 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,995 – $21,803 · median $16,992 | 8 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,927 – $12,848 · median $10,361 | 8 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $14,579 – $24,263 · median $18,908 | 8 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $8,447 – $13,690 · median $10,929 | 8 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $16,970 – $28,840 · median $22,475 | 8 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $10,886 – $17,644 · median $13,810 | 8 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,502 – $12,159 · median $10,059 | 8 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $13,907 – $23,700 · median $18,470 | 8 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $8,612 – $13,958 · median $11,170 | 8 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $14,731 – $24,342 · median $18,970 | 8 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $9,610 – $15,576 · median $12,405 | 8 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $7,217 – $11,697 · median $9,569 | 8 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $25,968 – $45,542 · median $35,492 | 8 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $15,551 – $26,368 · median $20,549 | 8 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $10,958 – $17,761 · median $13,878 | 8 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $50,515 – $96,909 · median $75,522 | 8 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $29,514 – $53,079 · median $41,365 | 8 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $18,065 – $31,887 · median $24,850 | 8 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $44,566 – $88,571 · median $69,024 | 8 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $23,259 – $41,286 · median $32,174 | 8 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $15,487 – $25,100 · median $19,560 | 8 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $27,911 – $52,088 · median $40,593 | 8 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $16,320 – $27,221 · median $21,214 | 8 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $12,950 – $20,988 · median $16,527 | 8 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $16,031 – $25,982 · median $20,396 | 8 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $14,635 – $23,719 · median $18,573 | 8 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $18,460 – $30,525 · median $23,788 | 8 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $16,193 – $26,245 · median $21,098 | 8 plans |
| 592 | SKIN ULCERS WITH MCC | $18,530 – $32,574 · median $25,385 | 8 plans |
| 593 | SKIN ULCERS WITH CC | $11,634 – $18,856 · median $14,695 | 8 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,572 – $12,272 · median $10,237 | 8 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $18,988 – $33,897 · median $26,417 | 8 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $9,703 – $15,725 · median $12,723 | 8 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $15,390 – $24,944 · median $19,584 | 8 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $10,908 – $18,683 · median $14,560 | 8 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,975 – $9,685 · median $9,181 | 8 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $9,861 – $15,982 · median $12,455 | 8 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,987 – $9,703 · median $8,131 | 8 plans |
| 602 | CELLULITIS WITH MCC | $13,951 – $23,183 · median $18,066 | 8 plans |
| 603 | CELLULITIS WITHOUT MCC | $8,507 – $13,788 · median $11,042 | 8 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $14,080 – $23,474 · median $18,293 | 8 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $8,739 – $14,164 · median $11,384 | 8 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $15,052 – $24,715 · median $19,260 | 8 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $8,592 – $13,925 · median $11,035 | 8 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $20,266 – $35,104 · median $27,356 | 8 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $13,669 – $22,927 · median $17,867 | 8 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $32,633 – $61,681 · median $48,068 | 8 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $17,557 – $30,928 · median $24,103 | 8 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,169 – $18,102 · median $14,207 | 8 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $23,756 – $40,342 · median $31,536 | 8 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $14,948 – $25,282 · median $19,703 | 8 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $13,894 – $23,647 · median $18,428 | 8 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $31,674 – $59,622 · median $46,464 | 8 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $17,411 – $29,010 · median $22,608 | 8 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,317 – $17,369 · median $13,536 | 8 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $24,852 – $45,527 · median $35,480 | 8 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $14,264 – $23,251 · median $18,120 | 8 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $11,885 – $19,263 · median $15,055 | 8 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $33,263 – $62,566 · median $48,758 | 8 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $20,033 – $35,266 · median $27,483 | 8 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $13,422 – $21,761 · median $16,959 | 8 plans |
| 637 | DIABETES WITH MCC | $13,851 – $22,587 · median $17,602 | 8 plans |
| 638 | DIABETES WITH CC | $8,649 – $14,017 · median $11,293 | 8 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,986 – $9,702 · median $8,186 | 8 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $12,647 – $20,497 · median $15,974 | 8 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $7,514 – $12,178 · median $9,920 | 8 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $12,173 – $20,312 · median $15,829 | 8 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $15,418 – $25,639 · median $19,981 | 8 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $10,209 – $16,547 · median $12,895 | 8 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $7,317 – $11,859 · median $9,767 | 8 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $45,965 – $84,371 · median $65,751 | 8 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $24,501 – $42,664 · median $33,248 | 8 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $18,693 – $32,850 · median $25,600 | 8 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $27,900 – $48,900 · median $38,108 | 8 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $16,750 – $28,742 · median $22,399 | 8 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $14,223 – $23,072 · median $17,980 | 8 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $22,647 – $40,348 · median $31,444 | 8 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $12,942 – $20,976 · median $16,346 | 8 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $10,081 – $16,339 · median $12,772 | 8 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $26,821 – $46,704 · median $36,396 | 8 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $14,030 – $22,739 · median $17,720 | 8 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $10,208 – $16,545 · median $13,081 | 8 plans |
| 665 | PROSTATECTOMY WITH MCC | $29,269 – $48,144 · median $37,519 | 8 plans |
| 666 | PROSTATECTOMY WITH CC | $15,340 – $26,766 · median $20,859 | 8 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $10,093 – $16,358 · median $12,785 | 8 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $25,236 – $43,919 · median $34,226 | 8 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $14,562 – $23,917 · median $18,639 | 8 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $9,256 – $15,002 · median $11,888 | 8 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $15,936 – $26,680 · median $20,792 | 8 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,873 – $14,380 · median $12,261 | 8 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $35,165 – $57,633 · median $44,914 | 8 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $20,495 – $37,127 · median $28,933 | 8 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $14,701 – $24,726 · median $19,269 | 8 plans |
| 682 | RENAL FAILURE WITH MCC | $14,206 – $23,390 · median $18,228 | 8 plans |
| 683 | RENAL FAILURE WITH CC | $8,662 – $14,039 · median $11,186 | 8 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,851 – $9,483 · median $8,010 | 8 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $17,199 – $28,667 · median $22,341 | 8 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $10,052 – $16,291 · median $12,857 | 8 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,509 – $12,170 · median $9,682 | 8 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $11,293 – $18,303 · median $14,264 | 8 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $7,759 – $12,576 · median $10,183 | 8 plans |
| 693 | URINARY STONES WITH MCC | $13,619 – $22,073 · median $17,202 | 8 plans |
| 694 | URINARY STONES WITHOUT MCC | $7,526 – $12,198 · median $9,929 | 8 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $11,289 – $18,640 · median $14,526 | 8 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,655 – $10,786 · median $8,934 | 8 plans |
| 697 | URETHRAL STRICTURE | $10,307 – $17,348 · median $13,519 | 8 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $15,602 – $25,784 · median $20,094 | 8 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $9,816 – $15,909 · median $12,554 | 8 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $6,811 – $11,039 · median $9,056 | 8 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $17,627 – $30,576 · median $23,828 | 8 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $14,025 – $22,731 · median $17,714 | 8 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $20,017 – $33,040 · median $25,937 | 8 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,869 – $19,237 · median $16,113 | 8 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $17,393 – $33,085 · median $25,784 | 8 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $10,835 – $18,521 · median $14,434 | 8 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $13,771 – $22,609 · median $17,620 | 8 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $9,217 – $14,938 · median $11,794 | 8 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $20,105 – $34,404 · median $26,811 | 8 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $13,562 – $22,165 · median $17,273 | 8 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $16,964 – $28,267 · median $22,028 | 8 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $11,306 – $18,325 · median $14,495 | 8 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $15,977 – $29,219 · median $22,770 | 8 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $10,715 – $17,366 · median $13,623 | 8 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,784 – $12,616 · median $9,898 | 8 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $11,932 – $19,339 · median $15,071 | 8 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $7,028 – $11,391 · median $9,418 | 8 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $13,953 – $25,263 · median $19,688 | 8 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,694 – $12,470 · median $10,195 | 8 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $9,654 – $15,646 · median $12,768 | 8 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,977 – $9,688 · median $8,099 | 8 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $18,892 – $33,876 · median $26,399 | 8 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $11,961 – $19,640 · median $15,306 | 8 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $33,200 – $60,582 · median $47,212 | 8 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $18,078 – $30,762 · median $23,973 | 8 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $13,122 – $21,267 · median $16,969 | 8 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $33,537 – $56,360 · median $43,922 | 8 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $16,674 – $27,850 · median $21,704 | 8 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,494 – $20,250 · median $15,930 | 8 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $16,739 – $27,771 · median $21,642 | 8 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $11,174 – $18,110 · median $14,264 | 8 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $17,732 – $29,337 · median $22,863 | 8 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $9,961 – $16,145 · median $12,678 | 8 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $15,553 – $26,122 · median $20,357 | 8 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $8,531 – $13,827 · median $11,364 | 8 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $13,118 – $21,895 · median $17,063 | 8 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $22,680 – $39,231 · median $30,573 | 8 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,550 – $21,196 · median $16,518 | 8 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $16,603 – $28,871 · median $22,499 | 8 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,430 – $16,905 · median $13,365 | 8 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,517 – $15,424 · median $12,072 | 8 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,531 – $23,247 · median $18,116 | 8 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,545 – $15,470 · median $12,356 | 8 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,214 – $10,071 · median $8,404 | 8 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $9,572 – $15,513 · median $12,237 | 8 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,823 – $9,438 · median $8,098 | 8 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $11,044 – $34,124 · median $21,959 | 8 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $13,330 – $43,251 · median $27,832 | 8 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $10,885 – $22,375 · median $14,398 | 8 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $6,892 – $11,170 · median $9,194 | 8 plans |
| 779 | ABORTION WITHOUT D&C | $9,512 – $15,417 · median $12,014 | 8 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $16,859 – $49,635 · median $31,940 | 8 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $10,940 – $28,689 · median $18,461 | 8 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $9,306 – $24,269 · median $15,617 | 8 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $15,095 – $49,010 · median $31,538 | 8 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $10,775 – $29,446 · median $18,948 | 8 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $9,550 – $23,952 · median $15,413 | 8 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $554 – $25,197 · median $876 | 8 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $554 – $83,095 · median $876 | 8 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $554 – $56,749 · median $876 | 8 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $554 – $34,242 · median $876 | 8 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $554 – $58,295 · median $876 | 8 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $554 – $20,634 · median $876 | 8 plans |
| 795 | NORMAL NEWBORN | $554 – $4,256 · median $876 | 8 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $12,450 – $39,735 · median $25,570 | 8 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $10,045 – $27,899 · median $17,953 | 8 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $10,045 – $22,725 · median $14,624 | 8 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $39,572 – $77,217 · median $60,176 | 8 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $25,216 – $43,914 · median $34,222 | 8 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $15,297 – $27,892 · median $21,737 | 8 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $30,448 – $52,838 · median $41,457 | 8 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $16,375 – $28,960 · median $22,569 | 8 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $11,116 – $18,864 · median $14,701 | 8 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $10,277 – $28,244 · median $18,175 | 8 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $8,137 – $20,918 · median $13,461 | 8 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $7,464 – $18,330 · median $11,795 | 8 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $20,354 – $34,133 · median $26,600 | 8 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $11,582 – $18,771 · median $14,720 | 8 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $9,659 – $15,655 · median $12,200 | 8 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $13,466 – $21,875 · median $17,047 | 8 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $8,661 – $14,037 · median $11,325 | 8 plans |
| 813 | COAGULATION DISORDERS | $14,566 – $24,313 · median $18,947 | 8 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $18,796 – $33,166 · median $25,847 | 8 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $9,560 – $15,495 · median $12,354 | 8 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $6,829 – $11,068 · median $8,927 | 8 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $21,684 – $39,010 · median $27,589 | 8 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $11,281 – $19,819 · median $14,810 | 8 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,724 – $14,139 · median $11,018 | 8 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $47,896 – $94,238 · median $73,440 | 8 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $19,903 – $34,787 · median $27,110 | 8 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,413 – $19,307 · median $15,046 | 8 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $38,985 – $70,162 · median $54,678 | 8 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $19,645 – $34,800 · median $27,119 | 8 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,092 – $20,126 · median $15,685 | 8 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $39,733 – $68,399 · median $53,695 | 8 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $20,897 – $36,114 · median $28,144 | 8 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $14,994 – $25,566 · median $19,924 | 8 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $26,542 – $49,152 · median $38,304 | 8 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,899 – $24,643 · median $19,204 | 8 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,710 – $15,738 · median $13,104 | 8 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $7,094 – $11,497 · median $9,478 | 8 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,921 – $7,976 · median $6,982 | 8 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $45,596 – $87,260 · median $68,003 | 8 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $19,150 – $34,840 · median $27,151 | 8 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,513 – $19,553 · median $14,909 | 8 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $41,540 – $74,132 · median $58,195 | 8 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $18,310 – $30,428 · median $23,887 | 8 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $12,531 – $20,309 · median $15,944 | 8 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $27,362 – $48,706 · median $37,957 | 8 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $14,722 – $24,523 · median $19,111 | 8 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $10,255 – $16,620 · median $13,001 | 8 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $17,258 – $28,997 · median $22,598 | 8 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $11,128 – $18,035 · median $14,216 | 8 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $8,317 – $13,479 · median $10,725 | 8 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $22,409 – $45,150 · median $29,901 | 8 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $11,660 – $22,402 · median $15,016 | 8 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,303 – $15,448 · median $9,989 | 8 plans |
| 849 | RADIOTHERAPY | $23,324 – $41,945 · median $32,688 | 8 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $41,494 – $77,914 · median $60,719 | 8 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $18,076 – $31,765 · median $24,755 | 8 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $15,171 – $26,523 · median $20,669 | 8 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $37,675 – $69,017 · median $53,785 | 8 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $19,486 – $33,285 · median $25,939 | 8 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,341 – $20,002 · median $15,588 | 8 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $16,833 – $28,708 · median $22,372 | 8 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $9,669 – $15,671 · median $12,366 | 8 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $8,489 – $13,758 · median $11,099 | 8 plans |
| 865 | VIRAL ILLNESS WITH MCC | $14,004 – $25,558 · median $19,917 | 8 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $8,825 – $14,302 · median $11,287 | 8 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $19,216 – $32,609 · median $25,412 | 8 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $10,438 – $16,918 · median $13,184 | 8 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,642 – $10,765 · median $9,039 | 8 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $56,740 – $108,548 · median $84,592 | 8 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $17,795 – $30,899 · median $24,080 | 8 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $9,904 – $16,051 · median $12,662 | 8 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $1,458 – $51,678 · median $2,304 | 8 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,458 – $13,220 · median $2,304 | 8 plans |
| 881 | DEPRESSIVE NEUROSES | $1,458 – $12,554 · median $2,304 | 8 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,458 – $13,008 · median $2,304 | 8 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,458 – $25,972 · median $2,304 | 8 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,458 – $24,331 · median $2,304 | 8 plans |
| 885 | PSYCHOSES | $1,458 – $18,923 · median $2,304 | 8 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,458 – $23,290 · median $2,304 | 8 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,458 – $17,943 · median $2,304 | 8 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $1,458 – $7,956 · median $2,304 | 8 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $1,458 – $22,280 · median $2,304 | 8 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $1,458 – $24,625 · median $2,304 | 8 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $1,458 – $11,849 · median $2,304 | 8 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $37,043 – $67,449 · median $52,563 | 8 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $17,292 – $29,373 · median $22,891 | 8 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $11,938 – $19,349 · median $15,079 | 8 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $31,312 – $50,748 · median $39,664 | 8 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $15,229 – $24,682 · median $19,235 | 8 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $18,093 – $29,325 · median $23,274 | 8 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $33,559 – $57,968 · median $45,175 | 8 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $18,224 – $31,234 · median $24,341 | 8 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $12,385 – $21,138 · median $16,473 | 8 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $14,371 – $23,292 · median $18,283 | 8 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $8,728 – $14,147 · median $11,347 | 8 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $16,047 – $27,648 · median $21,546 | 8 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,335 – $10,267 · median $8,591 | 8 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $15,281 – $24,872 · median $19,383 | 8 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $8,278 – $13,417 · median $10,893 | 8 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $16,715 – $28,438 · median $22,162 | 8 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $9,941 – $16,112 · median $12,627 | 8 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,710 – $10,875 · median $8,957 | 8 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $15,669 – $27,194 · median $21,193 | 8 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $9,726 – $15,763 · median $12,489 | 8 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $27,245 – $50,110 · median $39,052 | 8 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $18,959 – $33,766 · median $26,314 | 8 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $17,734 – $28,926 · median $22,542 | 8 plans |
| 945 | REHABILITATION WITH CC/MCC | $1,047 – $20,905 · median $1,655 | 8 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $1,047 – $14,025 · median $1,655 | 8 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $12,035 – $19,506 · median $15,242 | 8 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $7,702 – $12,484 · median $10,109 | 8 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,963 – $16,148 · median $12,994 | 8 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $6,041 – $9,791 · median $8,115 | 8 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,673 – $9,195 · median $7,717 | 8 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $55,741 – $94,916 · median $73,968 | 8 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $32,301 – $60,442 · median $47,103 | 8 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $60,699 – $112,719 · median $87,842 | 8 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $34,542 – $63,038 · median $49,126 | 8 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $23,112 – $39,467 · median $30,757 | 8 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $23,679 – $42,614 · median $33,209 | 8 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $14,192 – $23,393 · median $18,230 | 8 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $9,192 – $14,898 · median $11,665 | 8 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $51,811 – $107,109 · median $83,471 | 8 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $23,121 – $38,495 · median $29,417 | 8 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $25,781 – $45,454 · median $35,423 | 8 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $13,109 – $21,247 · median $16,569 | 8 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $8,128 – $13,174 · median $11,269 | 8 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $13,617 – $22,070 · median $17,199 | 8 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $39,565 – $73,879 · median $57,575 | 8 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $21,586 – $38,744 · median $30,194 | 8 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $15,503 – $25,485 · median $19,860 | 8 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $29,808 – $52,626 · median $41,012 | 8 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,876 – $26,448 · median $20,611 | 8 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,388 – $16,836 · median $13,521 | 8 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $296,572 – $574,193 · median $384,711 | 7 plans |
| 007 | LUNG TRANSPLANT | $104,403 – $130,500 · median $107,562 | 6 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $85,211 – $138,105 · median $123,510 | 6 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $58,814 – $95,323 · median $85,249 | 6 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $44,287 – $71,778 · median $64,193 | 6 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $63,776 – $103,364 · median $92,441 | 6 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $35,174 – $57,008 · median $50,984 | 6 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $105,000 – $233,253 · median $222,146 | 5 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $88,424 – $115,000 · median $92,846 | 5 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $30,000 – $42,750 · median $38,422 | 5 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $29,573 – $42,750 · median $30,000 | 5 plans |
| 652 | KIDNEY TRANSPLANT | $26,445 – $42,750 · median $27,767 | 5 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $85,537 – $116,500 · median $87,675 | 4 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $40,308 – $116,500 · median $41,316 | 4 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $44,924 – $73,000 · median $46,047 | 4 plans |
| 010 | PANCREAS TRANSPLANT | $64,667 – $79,000 · median $66,283 | 4 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $99,500 – $109,893 · median $104,660 | 4 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $48,250 – $52,040 · median $49,562 | 4 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $48,250 – $52,040 · median $49,562 | 4 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $64,310 – $73,000 · median $65,918 | 4 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $187,481 – $365,042 · median $196,855 | 3 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $54,576 – $95,831 · median $57,304 | 3 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $27,295 – $44,531 · median $28,660 | 3 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $36,235 – $41,990 · median $38,047 | 3 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $19,227 – $28,979 · median $20,189 | 3 plans |
| 935 | NON-EXTENSIVE BURNS | $19,622 – $28,267 · median $20,603 | 3 plans |
No procedures match that keyword.