Hendrick Medical Center — Pricing
797 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 797 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 797 procedures
Procedures with negotiated rates only
These 797 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 | $176,275 – $257,638 · median $212,570 | 5 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $115,036 – $160,775 · median $138,722 | 5 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $45,296 – $67,714 · median $54,623 | 5 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $35,014 – $51,685 · median $42,223 | 5 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $23,933 – $36,730 · median $29,384 | 5 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $358,633 – $505,015 · median $432,476 | 5 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $65,350 – $197,519 · median $158,011 | 5 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $43,965 – $144,141 · median $115,310 | 5 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $26,388 – $92,536 · median $74,027 | 5 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $47,590 – $108,379 · median $86,701 | 5 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $32,488 – $75,266 · median $60,212 | 5 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $37,760 – $85,936 · median $68,747 | 5 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $25,822 – $58,509 · median $46,806 | 5 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $20,953 – $48,043 · median $38,434 | 5 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $49,899 – $111,268 · median $89,012 | 5 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $28,333 – $62,995 · median $50,395 | 5 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $18,231 – $45,034 · median $36,026 | 5 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $37,211 – $83,534 · median $66,826 | 5 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $17,698 – $42,353 · median $33,881 | 5 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $13,810 – $32,908 · median $26,326 | 5 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $32,146 – $76,014 · median $60,809 | 5 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $19,853 – $44,707 · median $35,765 | 5 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $16,135 – $35,394 · median $28,314 | 5 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $27,341 – $62,628 · median $50,101 | 5 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $13,476 – $31,696 · median $25,356 | 5 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,763 – $21,766 · median $17,412 | 5 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $32,067 – $73,849 · median $59,077 | 5 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $18,260 – $44,898 · median $35,918 | 5 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $14,349 – $36,328 · median $29,062 | 5 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $15,043 – $35,417 · median $28,333 | 5 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,132 – $21,714 · median $17,371 | 5 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $12,681 – $26,145 · median $20,916 | 5 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,468 – $19,960 · median $15,968 | 5 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $19,293 – $41,948 · median $33,557 | 5 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,760 – $24,219 · median $19,375 | 5 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $14,197 – $23,434 · median $18,747 | 5 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $10,306 – $15,202 · median $12,428 | 5 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,639 – $12,375 · median $9,900 | 5 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $22,898 – $55,245 · median $44,195 | 5 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $14,594 – $37,992 · median $30,393 | 5 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $11,659 – $32,669 · median $26,134 | 5 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $16,701 – $36,666 · median $29,332 | 5 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $8,391 – $19,490 · median $15,592 | 5 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,684 – $13,597 · median $10,878 | 5 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $12,198 – $27,244 · median $21,795 | 5 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,179 – $16,985 · median $13,588 | 5 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,634 – $15,040 · median $12,032 | 5 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $13,826 – $32,094 · median $25,674 | 5 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $8,521 – $19,333 · median $15,466 | 5 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,280 – $14,746 · median $11,796 | 5 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $13,324 – $27,762 · median $22,209 | 5 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,561 – $19,471 · median $15,576 | 5 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $15,925 – $21,940 · median $19,204 | 5 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,853 – $13,281 · median $10,625 | 5 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $15,032 – $40,039 · median $32,030 | 5 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,438 – $14,774 · median $11,819 | 5 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $18,982 – $43,259 · median $34,606 | 5 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $11,592 – $25,681 · median $20,544 | 5 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,938 – $17,304 · median $13,843 | 5 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $18,868 – $44,172 · median $35,337 | 5 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,819 – $24,353 · median $19,482 | 5 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,597 – $16,502 · median $13,201 | 5 plans |
| 088 | CONCUSSION WITH MCC | $11,227 – $27,806 · median $22,244 | 5 plans |
| 089 | CONCUSSION WITH CC | $9,124 – $20,321 · median $16,257 | 5 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,837 – $16,330 · median $13,063 | 5 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $14,585 – $22,261 · median $17,809 | 5 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,496 – $13,335 · median $10,668 | 5 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,613 – $10,548 · median $8,438 | 5 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $29,229 – $49,057 · median $39,246 | 5 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $21,420 – $33,811 · median $27,049 | 5 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $21,420 – $31,456 · median $25,831 | 5 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $29,996 – $50,709 · median $40,567 | 5 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $19,059 – $28,487 · median $22,983 | 5 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $11,315 – $18,905 · median $15,124 | 5 plans |
| 100 | SEIZURES WITH MCC | $16,085 – $25,303 · median $20,243 | 5 plans |
| 101 | SEIZURES WITHOUT MCC | $7,496 – $11,980 · median $9,584 | 5 plans |
| 102 | HEADACHES WITH MCC | $9,309 – $15,550 · median $12,440 | 5 plans |
| 103 | HEADACHES WITHOUT MCC | $6,945 – $11,186 · median $8,949 | 5 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $19,526 – $29,591 · median $23,673 | 5 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $11,237 – $19,521 · median $15,617 | 5 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $12,747 – $19,642 · median $15,714 | 5 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $15,016 – $25,388 · median $20,311 | 5 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $9,010 – $14,041 · median $11,232 | 5 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,661 – $16,055 · median $12,844 | 5 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,526 – $8,705 · median $7,834 | 5 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,632 – $10,340 · median $8,272 | 5 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,988 – $18,906 · median $15,125 | 5 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,377 – $11,287 · median $9,030 | 5 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $18,022 – $28,905 · median $23,124 | 5 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,432 – $16,930 · median $13,544 | 5 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $12,401 – $20,358 · median $16,287 | 5 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,360 – $11,550 · median $9,240 | 5 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,262 – $16,642 · median $13,313 | 5 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $35,423 – $53,642 · median $42,914 | 5 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $18,114 – $29,749 · median $23,799 | 5 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $13,258 – $21,645 · median $17,316 | 5 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $31,116 – $40,183 · median $36,166 | 5 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $14,392 – $23,754 · median $19,003 | 5 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,985 – $16,514 · median $13,211 | 5 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $17,585 – $27,524 · median $22,019 | 5 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $10,560 – $17,545 · median $14,036 | 5 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,620 – $10,613 · median $8,490 | 5 plans |
| 149 | DYSEQUILIBRIUM | $6,242 – $9,938 · median $7,951 | 5 plans |
| 150 | EPISTAXIS WITH MCC | $11,058 – $17,901 · median $14,321 | 5 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,096 – $9,957 · median $7,966 | 5 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,818 – $14,571 · median $11,840 | 5 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,131 – $9,618 · median $7,694 | 5 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,985 – $20,859 · median $16,687 | 5 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,612 – $12,265 · median $9,812 | 5 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,740 – $8,879 · median $7,103 | 5 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $14,258 – $21,255 · median $17,194 | 5 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,556 – $12,139 · median $9,711 | 5 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,884 – $8,942 · median $7,154 | 5 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $37,221 – $67,517 · median $54,013 | 5 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $20,962 – $35,811 · median $28,649 | 5 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $15,897 – $25,845 · median $20,676 | 5 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $31,042 – $50,211 · median $40,169 | 5 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,977 – $24,525 · median $19,620 | 5 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,348 – $18,264 · median $14,611 | 5 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $11,408 – $20,848 · median $16,678 | 5 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,686 – $11,972 · median $9,578 | 5 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,978 – $24,935 · median $19,948 | 5 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,106 – $16,287 · median $13,030 | 5 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,270 – $11,768 · median $9,415 | 5 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $14,667 – $23,463 · median $18,770 | 5 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,895 – $15,105 · median $12,084 | 5 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,260 – $10,680 · median $8,544 | 5 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $12,706 – $21,022 · median $16,817 | 5 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,837 – $14,037 · median $11,229 | 5 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,532 – $10,450 · median $8,360 | 5 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $12,943 – $20,818 · median $16,655 | 5 plans |
| 187 | PLEURAL EFFUSION WITH CC | $8,214 – $13,929 · median $11,143 | 5 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,956 – $9,837 · median $7,870 | 5 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $10,260 – $16,534 · median $13,227 | 5 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $9,199 – $15,172 · median $12,138 | 5 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $7,001 – $11,925 · median $9,540 | 5 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,332 – $9,380 · median $7,504 | 5 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,916 – $17,692 · median $14,154 | 5 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,693 – $11,650 · median $9,320 | 5 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,220 – $8,978 · median $7,183 | 5 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $15,673 – $23,445 · median $18,900 | 5 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,882 – $13,579 · median $10,864 | 5 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,948 – $10,025 · median $8,020 | 5 plans |
| 199 | PNEUMOTHORAX WITH MCC | $14,651 – $24,138 · median $19,311 | 5 plans |
| 200 | PNEUMOTHORAX WITH CC | $9,130 – $14,517 · median $11,613 | 5 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,939 – $9,569 · median $7,655 | 5 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $8,066 – $13,040 · median $10,432 | 5 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,564 – $9,534 · median $7,627 | 5 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,705 – $10,702 · median $8,561 | 5 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $15,206 – $22,720 · median $18,337 | 5 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,816 – $11,948 · median $9,558 | 5 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $53,440 – $77,351 · median $64,444 | 5 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $22,828 – $34,317 · median $27,528 | 5 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $82,693 – $142,380 · median $113,904 | 5 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $81,246 – $220,192 · median $176,160 | 5 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $54,608 – $142,203 · median $113,766 | 5 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $54,608 – $133,995 · median $107,200 | 5 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $63,768 – $176,727 · median $141,387 | 5 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $44,289 – $118,554 · median $94,847 | 5 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $41,859 – $100,451 · median $80,364 | 5 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $41,088 – $116,909 · median $93,531 | 5 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $26,157 – $46,405 · median $37,124 | 5 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $70,010 – $191,166 · median $152,938 | 5 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $50,350 – $130,585 · median $104,471 | 5 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $63,493 – $106,832 · median $85,466 | 5 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $45,368 – $71,956 · median $57,565 | 5 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $48,739 – $82,314 · median $65,851 | 5 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $34,788 – $55,248 · median $44,198 | 5 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $40,875 – $64,944 · median $51,955 | 5 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $23,673 – $37,607 · median $30,086 | 5 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,497 – $21,474 · median $17,179 | 5 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $26,516 – $81,757 · median $65,408 | 5 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $17,697 – $55,238 · median $44,192 | 5 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $15,011 – $45,254 · median $36,205 | 5 plans |
| 245 | AICD GENERATOR PROCEDURES | $37,891 – $118,829 · median $95,066 | 5 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $18,126 – $34,006 · median $27,205 | 5 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $12,412 – $22,364 · median $17,891 | 5 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $28,970 – $44,847 · median $35,878 | 5 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $21,556 – $35,784 · median $28,627 | 5 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $14,797 – $24,487 · median $19,590 | 5 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $22,402 – $34,189 · median $27,351 | 5 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $14,101 – $22,172 · median $17,738 | 5 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $9,071 – $15,713 · median $12,570 | 5 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $26,095 – $69,486 · median $55,591 | 5 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $16,794 – $45,822 · median $36,659 | 5 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $27,015 – $78,242 · median $62,595 | 5 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $15,701 – $43,732 · median $34,987 | 5 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $13,536 – $37,422 · median $29,939 | 5 plans |
| 263 | VEIN LIGATION AND STRIPPING | $24,955 – $31,194 · median $28,075 | 5 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $27,744 – $43,875 · median $35,100 | 5 plans |
| 265 | AICD LEAD PROCEDURES | $30,049 – $45,384 · median $36,307 | 5 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $50,896 – $95,041 · median $76,033 | 5 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $39,538 – $75,489 · median $60,391 | 5 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $57,121 – $152,726 · median $122,185 | 5 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $35,074 – $94,643 · median $75,717 | 5 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $43,820 – $113,766 · median $91,016 | 5 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $29,535 – $78,200 · median $62,562 | 5 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $21,203 – $58,962 · median $47,172 | 5 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $34,262 – $51,603 · median $41,317 | 5 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $27,338 – $44,320 · median $35,456 | 5 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $13,322 – $21,669 · median $17,335 | 5 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,633 – $12,549 · median $10,039 | 5 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,005 – $9,791 · median $7,833 | 5 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $16,451 – $25,145 · median $20,116 | 5 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,749 – $9,755 · median $7,804 | 5 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,974 – $6,671 · median $5,998 | 5 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $18,377 – $28,808 · median $23,046 | 5 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,887 – $15,037 · median $12,030 | 5 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $22,475 – $36,213 · median $28,970 | 5 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $14,176 – $22,164 · median $17,731 | 5 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,721 – $13,848 · median $11,078 | 5 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $10,662 – $17,103 · median $13,682 | 5 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,051 – $11,644 · median $9,315 | 5 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,701 – $7,955 · median $6,364 | 5 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,972 – $21,511 · median $17,209 | 5 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,265 – $9,534 · median $7,627 | 5 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,780 – $6,591 · median $5,273 | 5 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $13,560 – $20,667 · median $16,534 | 5 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,866 – $14,076 · median $11,261 | 5 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,977 – $10,021 · median $8,017 | 5 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,938 – $14,763 · median $11,984 | 5 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,591 – $9,137 · median $7,310 | 5 plans |
| 304 | HYPERTENSION WITH MCC | $9,883 – $14,793 · median $11,918 | 5 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,271 – $9,978 · median $7,982 | 5 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $13,087 – $20,327 · median $16,262 | 5 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,584 – $11,737 · median $9,390 | 5 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,999 – $16,194 · median $12,955 | 5 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,110 – $10,120 · median $8,096 | 5 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,701 – $7,541 · median $6,033 | 5 plans |
| 311 | ANGINA PECTORIS | $5,829 – $9,419 · median $7,535 | 5 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,239 – $11,310 · median $9,048 | 5 plans |
| 313 | CHEST PAIN | $5,980 – $9,728 · median $7,782 | 5 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $17,318 – $28,112 · median $22,490 | 5 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $8,000 – $13,126 · median $10,501 | 5 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,665 – $9,755 · median $7,804 | 5 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $37,064 – $58,227 · median $46,582 | 5 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $19,976 – $32,440 · median $25,952 | 5 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $41,420 – $71,690 · median $57,352 | 5 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $20,299 – $34,585 · median $27,668 | 5 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $13,307 – $22,478 · median $17,983 | 5 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $38,174 – $65,890 · median $52,712 | 5 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $19,909 – $34,377 · median $27,502 | 5 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,976 – $23,066 · median $18,453 | 5 plans |
| 332 | RECTAL RESECTION WITH MCC | $30,070 – $56,118 · median $44,894 | 5 plans |
| 333 | RECTAL RESECTION WITH CC | $19,452 – $28,875 · median $23,457 | 5 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $13,603 – $21,692 · median $17,354 | 5 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $29,656 – $52,774 · median $42,219 | 5 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $17,513 – $30,898 · median $24,719 | 5 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $12,748 – $22,079 · median $17,663 | 5 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $21,450 – $38,006 · median $30,405 | 5 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,497 – $21,290 · median $17,032 | 5 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,851 – $17,199 · median $13,759 | 5 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $19,065 – $33,236 · median $26,589 | 5 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,870 – $18,179 · median $14,543 | 5 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,230 – $13,206 · median $10,565 | 5 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $20,695 – $33,103 · median $26,482 | 5 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $12,661 – $20,129 · median $16,103 | 5 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,699 – $14,893 · median $11,914 | 5 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $24,101 – $40,791 · median $32,633 | 5 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,972 – $24,068 · median $19,254 | 5 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $11,170 – $18,342 · median $14,674 | 5 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $36,482 – $58,091 · median $46,473 | 5 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $19,313 – $30,591 · median $24,473 | 5 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,610 – $18,193 · median $14,554 | 5 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $13,221 – $26,284 · median $21,027 | 5 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,307 – $14,526 · median $11,621 | 5 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,820 – $10,088 · median $8,071 | 5 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $14,726 – $23,345 · median $18,676 | 5 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,479 – $13,880 · median $11,104 | 5 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,041 – $10,041 · median $8,033 | 5 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $17,762 – $27,964 · median $22,371 | 5 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $10,046 – $16,284 · median $13,028 | 5 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,676 – $12,122 · median $9,697 | 5 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $15,182 – $24,289 · median $19,431 | 5 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $8,145 – $13,397 · median $10,718 | 5 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,235 – $8,593 · median $6,874 | 5 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $16,296 – $25,441 · median $20,353 | 5 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,998 – $14,285 · median $11,428 | 5 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,649 – $10,365 · median $8,292 | 5 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $11,467 – $17,700 · median $14,160 | 5 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,099 – $12,039 · median $9,632 | 5 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $13,141 – $21,877 · median $17,501 | 5 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $8,108 – $13,419 · median $10,735 | 5 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,658 – $9,638 · median $7,710 | 5 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $12,265 – $20,424 · median $16,340 | 5 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,559 – $11,101 · median $8,881 | 5 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,518 – $7,863 · median $6,290 | 5 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $10,533 – $16,845 · median $13,476 | 5 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,475 – $10,327 · median $8,261 | 5 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $13,282 – $22,401 · median $17,921 | 5 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,771 – $12,688 · median $10,150 | 5 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,390 – $8,785 · median $7,028 | 5 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $45,433 – $77,372 · median $61,897 | 5 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $24,086 – $38,849 · median $31,079 | 5 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $18,434 – $28,561 · median $22,849 | 5 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $29,612 – $50,608 · median $40,486 | 5 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $18,082 – $28,540 · median $22,832 | 5 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $13,186 – $21,149 · median $16,919 | 5 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $27,434 – $50,616 · median $40,493 | 5 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $17,461 – $30,712 · median $24,570 | 5 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $13,790 – $23,341 · median $18,673 | 5 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $29,587 – $48,928 · median $39,142 | 5 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $17,164 – $27,397 · median $21,918 | 5 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $11,322 – $19,180 · median $15,344 | 5 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $19,819 – $32,692 · median $26,153 | 5 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $14,049 – $22,776 · median $18,221 | 5 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $11,343 – $17,737 · median $14,189 | 5 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $28,296 – $47,420 · median $37,936 | 5 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $14,430 – $25,723 · median $20,578 | 5 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,623 – $19,602 · median $15,681 | 5 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $34,491 – $56,447 · median $45,157 | 5 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $18,171 – $30,801 · median $24,641 | 5 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $12,460 – $20,803 · median $16,643 | 5 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $16,346 – $25,363 · median $20,290 | 5 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,772 – $13,888 · median $11,111 | 5 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,917 – $8,370 · median $7,136 | 5 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $15,254 – $23,645 · median $18,916 | 5 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $9,394 – $15,123 · median $12,099 | 5 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,087 – $12,081 · median $9,665 | 5 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $13,539 – $21,546 · median $17,237 | 5 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,986 – $11,398 · median $9,118 | 5 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,161 – $8,176 · median $6,541 | 5 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $14,905 – $25,345 · median $20,276 | 5 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $8,017 – $12,541 · median $10,033 | 5 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,811 – $8,943 · median $7,155 | 5 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $13,877 – $22,542 · median $18,033 | 5 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $9,089 – $14,530 · median $11,624 | 5 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,871 – $11,012 · median $8,809 | 5 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $69,790 – $164,329 · median $131,460 | 5 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $49,524 – $124,124 · median $99,296 | 5 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $34,653 – $95,685 · median $76,546 | 5 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $45,869 – $82,012 · median $65,609 | 5 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $22,091 – $66,004 · median $52,807 | 5 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $47,334 – $72,419 · median $57,935 | 5 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $25,868 – $40,130 · median $32,104 | 5 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $15,146 – $24,868 · median $19,894 | 5 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $43,231 – $72,087 · median $57,669 | 5 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $29,288 – $75,167 · median $60,138 | 5 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $22,822 – $58,881 · median $47,108 | 5 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $25,191 – $41,613 · median $33,291 | 5 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $16,020 – $39,927 · median $31,944 | 5 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $40,102 – $95,916 · median $76,731 | 5 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $24,467 – $58,350 · median $46,679 | 5 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $20,275 – $48,515 · median $38,811 | 5 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $35,653 – $54,966 · median $43,973 | 5 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,900 – $29,617 · median $23,694 | 5 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,802 – $15,647 · median $12,517 | 5 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $28,690 – $45,295 · median $36,236 | 5 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $20,424 – $31,803 · median $25,442 | 5 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $15,438 – $24,401 · median $19,521 | 5 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $24,187 – $40,803 · median $32,642 | 5 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $17,395 – $44,041 · median $35,235 | 5 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $13,545 – $34,580 · median $27,666 | 5 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $23,021 – $32,171 · median $27,761 | 5 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $26,801 – $45,978 · median $36,783 | 5 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $17,367 – $28,985 · median $23,188 | 5 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,007 – $22,118 · median $17,694 | 5 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $14,691 – $26,642 · median $21,314 | 5 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,275 – $17,506 · median $14,005 | 5 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $30,493 – $46,793 · median $37,434 | 5 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $21,062 – $31,363 · median $25,399 | 5 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $16,664 – $24,970 · median $20,095 | 5 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $30,111 – $49,111 · median $39,289 | 5 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,981 – $26,787 · median $21,429 | 5 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $10,035 – $19,573 · median $15,659 | 5 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $25,055 – $34,841 · median $30,213 | 5 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $12,935 – $20,178 · median $16,169 | 5 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $26,284 – $43,010 · median $34,408 | 5 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $14,518 – $23,654 · median $18,923 | 5 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $11,178 – $17,973 · median $14,378 | 5 plans |
| 503 | FOOT PROCEDURES WITH MCC | $23,180 – $35,608 · median $28,487 | 5 plans |
| 504 | FOOT PROCEDURES WITH CC | $15,524 – $23,936 · median $19,149 | 5 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,889 – $23,936 · median $19,149 | 5 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $11,205 – $20,006 · median $16,005 | 5 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $15,002 – $27,791 · median $22,233 | 5 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $12,577 – $19,010 · median $15,208 | 5 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $25,085 – $36,999 · median $30,250 | 5 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $17,269 – $26,530 · median $21,224 | 5 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $13,748 – $20,962 · median $16,770 | 5 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $13,075 – $21,198 · median $16,959 | 5 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,490 – $13,473 · median $10,778 | 5 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $26,467 – $42,351 · median $33,881 | 5 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $17,259 – $26,468 · median $21,175 | 5 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $12,762 – $18,855 · median $15,390 | 5 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $31,038 – $68,538 · median $54,829 | 5 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $16,612 – $37,452 · median $29,961 | 5 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $12,407 – $27,101 · median $21,680 | 5 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $23,837 – $64,424 · median $51,543 | 5 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $17,588 – $46,001 · median $36,804 | 5 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $13,020 – $19,097 · median $15,701 | 5 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,695 – $10,656 · median $8,525 | 5 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,647 – $16,624 · median $13,299 | 5 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,707 – $10,406 · median $8,325 | 5 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,925 – $12,614 · median $10,091 | 5 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,982 – $9,752 · median $7,802 | 5 plans |
| 539 | OSTEOMYELITIS WITH MCC | $16,358 – $26,265 · median $21,012 | 5 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,766 – $17,552 · median $14,042 | 5 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,539 – $11,371 · median $9,096 | 5 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $14,671 – $24,397 · median $19,518 | 5 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,538 – $14,095 · median $11,276 | 5 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,267 – $10,487 · median $8,390 | 5 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $20,611 – $33,754 · median $27,003 | 5 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,579 – $16,290 · median $13,032 | 5 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,945 – $11,241 · median $8,993 | 5 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $16,036 – $27,655 · median $22,124 | 5 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $10,026 – $16,855 · median $13,484 | 5 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,259 – $11,852 · median $9,482 | 5 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,920 – $21,945 · median $17,556 | 5 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,984 – $12,722 · median $10,177 | 5 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,766 – $17,146 · median $13,717 | 5 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,894 – $10,687 · median $8,549 | 5 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,978 – $18,454 · median $14,763 | 5 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,898 – $10,905 · median $8,724 | 5 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $12,349 – $18,867 · median $15,093 | 5 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,418 – $11,616 · median $9,293 | 5 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $15,488 – $25,154 · median $20,123 | 5 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,352 – $14,510 · median $11,608 | 5 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,676 – $10,686 · median $8,548 | 5 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $11,833 – $19,038 · median $15,231 | 5 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,437 – $11,762 · median $9,409 | 5 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $12,820 – $20,546 · median $16,437 | 5 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $8,092 – $13,610 · median $10,888 | 5 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,223 – $10,139 · median $8,112 | 5 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $24,426 – $38,320 · median $30,656 | 5 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $14,031 – $22,053 · median $17,643 | 5 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $9,520 – $14,893 · median $11,914 | 5 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $54,409 – $74,695 · median $65,612 | 5 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $28,830 – $43,779 · median $35,023 | 5 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,924 – $23,777 · median $19,021 | 5 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $40,704 – $68,284 · median $54,627 | 5 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $22,014 – $34,381 · median $27,505 | 5 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,341 – $21,511 · median $17,209 | 5 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $26,896 – $42,409 · median $33,927 | 5 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $14,351 – $23,313 · median $18,650 | 5 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,985 – $18,566 · median $14,853 | 5 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $16,000 – $22,157 · median $19,295 | 5 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $14,321 – $20,787 · median $17,270 | 5 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $17,779 – $24,768 · median $21,439 | 5 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $16,021 – $23,459 · median $19,320 | 5 plans |
| 592 | SKIN ULCERS WITH MCC | $16,073 – $22,848 · median $19,382 | 5 plans |
| 593 | SKIN ULCERS WITH CC | $9,852 – $15,381 · median $12,305 | 5 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,199 – $11,004 · median $8,803 | 5 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $17,612 – $27,193 · median $21,754 | 5 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,990 – $13,414 · median $10,841 | 5 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $13,845 – $22,169 · median $17,735 | 5 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,395 – $15,007 · median $12,006 | 5 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,390 – $9,054 · median $7,706 | 5 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,650 – $13,443 · median $10,755 | 5 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,025 – $9,262 · median $7,409 | 5 plans |
| 602 | CELLULITIS WITH MCC | $11,804 – $19,553 · median $15,643 | 5 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,233 – $11,511 · median $9,209 | 5 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $12,226 – $19,929 · median $15,944 | 5 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,607 – $12,189 · median $9,751 | 5 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $12,567 – $20,391 · median $16,313 | 5 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,528 – $11,168 · median $9,078 | 5 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $18,203 – $32,225 · median $25,780 | 5 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,621 – $21,239 · median $16,991 | 5 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $28,963 – $53,484 · median $42,787 | 5 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $15,533 – $27,372 · median $21,897 | 5 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,779 – $17,574 · median $14,204 | 5 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $23,980 – $30,285 · median $27,325 | 5 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $13,290 – $30,285 · median $24,228 | 5 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $12,527 – $30,285 · median $24,228 | 5 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $29,559 – $48,747 · median $38,998 | 5 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,898 – $25,237 · median $20,190 | 5 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,397 – $14,819 · median $12,538 | 5 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $25,082 – $38,300 · median $30,640 | 5 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $12,453 – $22,289 · median $17,831 | 5 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $11,032 – $15,950 · median $13,303 | 5 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $30,951 – $49,617 · median $39,693 | 5 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $18,095 – $31,626 · median $25,301 | 5 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $12,121 – $19,004 · median $15,204 | 5 plans |
| 637 | DIABETES WITH MCC | $11,932 – $18,563 · median $14,851 | 5 plans |
| 638 | DIABETES WITH CC | $7,443 – $11,859 · median $9,487 | 5 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,159 – $8,220 · median $6,576 | 5 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $11,092 – $16,597 · median $13,376 | 5 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,463 – $10,170 · median $8,136 | 5 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $11,811 – $17,393 · median $14,242 | 5 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $13,671 – $22,489 · median $17,991 | 5 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,513 – $13,752 · median $11,002 | 5 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,381 – $10,365 · median $8,292 | 5 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $43,156 – $73,617 · median $58,894 | 5 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $23,248 – $39,144 · median $31,315 | 5 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $17,578 – $28,053 · median $22,442 | 5 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $26,441 – $44,298 · median $35,439 | 5 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $15,198 – $26,089 · median $20,872 | 5 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $12,888 – $21,278 · median $17,022 | 5 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $21,102 – $35,956 · median $28,765 | 5 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,977 – $19,460 · median $15,568 | 5 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,599 – $14,344 · median $11,475 | 5 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $25,426 – $39,609 · median $31,688 | 5 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $12,625 – $21,569 · median $17,255 | 5 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,695 – $15,964 · median $12,771 | 5 plans |
| 665 | PROSTATECTOMY WITH MCC | $25,922 – $41,017 · median $32,814 | 5 plans |
| 666 | PROSTATECTOMY WITH CC | $14,528 – $23,460 · median $18,768 | 5 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $9,187 – $13,451 · median $11,079 | 5 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $24,251 – $37,843 · median $30,274 | 5 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $12,889 – $21,084 · median $16,867 | 5 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $8,116 – $13,195 · median $10,556 | 5 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $14,907 – $24,021 · median $19,217 | 5 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,965 – $15,513 · median $12,411 | 5 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $34,894 – $46,770 · median $42,079 | 5 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $19,422 – $32,137 · median $25,710 | 5 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $13,632 – $23,662 · median $18,930 | 5 plans |
| 682 | RENAL FAILURE WITH MCC | $12,300 – $19,859 · median $15,887 | 5 plans |
| 683 | RENAL FAILURE WITH CC | $7,274 – $11,857 · median $9,486 | 5 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,985 – $8,198 · median $6,558 | 5 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $14,980 – $25,288 · median $20,231 | 5 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,702 – $14,161 · median $11,328 | 5 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,563 – $9,248 · median $7,915 | 5 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,636 – $15,025 · median $12,020 | 5 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,723 – $10,707 · median $8,566 | 5 plans |
| 693 | URINARY STONES WITH MCC | $11,166 – $18,009 · median $14,407 | 5 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,492 – $10,400 · median $8,320 | 5 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,499 – $15,342 · median $12,274 | 5 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,722 – $9,330 · median $7,464 | 5 plans |
| 697 | URETHRAL STRICTURE | $8,951 – $13,476 · median $10,794 | 5 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $13,740 – $21,719 · median $17,375 | 5 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,430 – $13,849 · median $11,079 | 5 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,730 – $10,067 · median $8,053 | 5 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $16,612 – $25,921 · median $20,737 | 5 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $12,742 – $20,109 · median $16,087 | 5 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $19,327 – $31,230 · median $24,984 | 5 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,637 – $21,598 · median $17,278 | 5 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $17,306 – $28,745 · median $22,996 | 5 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $9,133 – $14,294 · median $11,435 | 5 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $12,486 – $20,139 · median $16,111 | 5 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,782 – $12,525 · median $10,590 | 5 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $18,581 – $27,261 · median $22,407 | 5 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $12,217 – $17,204 · median $14,732 | 5 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $15,701 – $24,281 · median $19,425 | 5 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $11,154 – $16,649 · median $13,451 | 5 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $15,030 – $23,094 · median $18,476 | 5 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,490 – $14,724 · median $11,779 | 5 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,446 – $8,740 · median $6,992 | 5 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,719 – $17,335 · median $13,868 | 5 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,996 – $10,042 · median $8,034 | 5 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $12,315 – $19,162 · median $15,330 | 5 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,737 – $10,865 · median $8,692 | 5 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,793 – $13,586 · median $10,869 | 5 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,581 – $7,672 · median $6,730 | 5 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $17,690 – $29,995 · median $23,996 | 5 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $11,174 – $19,062 · median $15,250 | 5 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $29,686 – $57,456 · median $45,964 | 5 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $17,113 – $27,753 · median $22,203 | 5 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,196 – $19,903 · median $15,922 | 5 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $29,755 – $51,567 · median $41,253 | 5 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $15,029 – $24,295 · median $19,436 | 5 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,844 – $17,259 · median $14,282 | 5 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $15,238 – $23,169 · median $18,535 | 5 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $10,304 – $15,276 · median $12,426 | 5 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $17,018 – $24,211 · median $20,522 | 5 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $9,447 – $15,777 · median $12,622 | 5 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $14,427 – $21,731 · median $17,397 | 5 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,140 – $12,664 · median $10,131 | 5 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $11,522 – $18,172 · median $14,538 | 5 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $21,324 – $36,596 · median $29,276 | 5 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,257 – $19,739 · median $15,791 | 5 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $15,295 – $24,626 · median $19,701 | 5 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,034 – $15,229 · median $12,183 | 5 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,977 – $12,385 · median $9,908 | 5 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,892 – $20,561 · median $16,448 | 5 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,131 – $13,076 · median $10,461 | 5 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,511 – $9,216 · median $7,373 | 5 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $8,367 – $12,408 · median $10,090 | 5 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,738 – $7,967 · median $6,374 | 5 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $8,177 – $10,732 · median $9,198 | 5 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $14,034 – $21,813 · median $17,451 | 5 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,327 – $11,999 · median $10,042 | 5 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,437 – $10,444 · median $8,355 | 5 plans |
| 779 | ABORTION WITHOUT D&C | $6,987 – $14,281 · median $11,424 | 5 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $13,107 – $24,588 · median $16,383 | 5 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,661 – $10,617 · median $8,804 | 5 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,409 – $9,592 · median $7,955 | 5 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $11,146 – $16,520 · median $13,699 | 5 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,441 – $11,185 · median $9,275 | 5 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,204 – $9,602 · median $7,754 | 5 plans |
| 795 | NORMAL NEWBORN | $1,333 – $2,001 · median $1,659 | 5 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $7,486 – $11,688 · median $9,357 | 5 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,428 – $10,019 · median $8,034 | 5 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $5,785 – $9,585 · median $7,231 | 5 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $37,613 – $69,413 · median $55,530 | 5 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $23,332 – $39,833 · median $31,867 | 5 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $15,853 – $22,709 · median $19,118 | 5 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $33,088 – $50,052 · median $40,042 | 5 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $15,438 – $25,439 · median $20,352 | 5 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $11,262 – $18,419 · median $14,735 | 5 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,200 – $10,808 · median $8,963 | 5 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,136 – $7,551 · median $6,262 | 5 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,490 – $6,752 · median $5,599 | 5 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $18,337 – $29,476 · median $23,580 | 5 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $10,513 – $16,498 · median $13,198 | 5 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,692 – $12,969 · median $10,482 | 5 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $11,663 – $18,600 · median $14,880 | 5 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,626 – $11,871 · median $9,497 | 5 plans |
| 813 | COAGULATION DISORDERS | $12,668 – $20,836 · median $16,669 | 5 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $17,662 – $25,510 · median $21,299 | 5 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $8,421 – $13,396 · median $10,717 | 5 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,249 – $8,915 · median $7,132 | 5 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $18,949 – $31,107 · median $24,886 | 5 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,627 – $18,337 · median $14,670 | 5 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,141 – $13,312 · median $10,650 | 5 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $48,707 – $76,753 · median $61,402 | 5 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $18,592 – $29,063 · median $23,250 | 5 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,999 – $16,876 · median $13,501 | 5 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $38,077 – $60,707 · median $48,565 | 5 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $18,816 – $31,884 · median $25,507 | 5 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,207 – $18,899 · median $15,119 | 5 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $38,849 – $68,025 · median $54,420 | 5 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $19,195 – $33,721 · median $26,976 | 5 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $14,150 – $22,574 · median $18,059 | 5 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $26,244 – $43,265 · median $34,612 | 5 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,499 – $19,985 · median $15,988 | 5 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,987 – $15,127 · median $12,102 | 5 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,993 – $10,495 · median $8,396 | 5 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,343 – $7,241 · median $5,793 | 5 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $45,594 – $81,614 · median $65,291 | 5 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $17,323 – $28,503 · median $22,803 | 5 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $10,128 – $15,825 · median $12,660 | 5 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $39,900 – $76,855 · median $61,484 | 5 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $17,336 – $30,479 · median $24,383 | 5 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,992 – $20,055 · median $16,044 | 5 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $26,866 – $43,428 · median $34,743 | 5 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $13,549 – $21,867 · median $17,494 | 5 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,391 – $14,793 · median $11,834 | 5 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $16,567 – $25,724 · median $20,579 | 5 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $10,111 – $15,969 · median $12,775 | 5 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,073 – $11,447 · median $9,158 | 5 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $21,531 – $36,044 · median $28,835 | 5 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $10,865 – $18,017 · median $14,414 | 5 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,054 – $13,921 · median $11,136 | 5 plans |
| 849 | RADIOTHERAPY | $22,502 – $33,626 · median $27,136 | 5 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $41,015 – $66,991 · median $53,593 | 5 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $16,594 – $28,618 · median $22,894 | 5 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,434 – $20,495 · median $16,396 | 5 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $37,777 – $62,893 · median $50,314 | 5 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $17,785 – $28,351 · median $22,681 | 5 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,568 – $18,334 · median $14,667 | 5 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $15,146 – $25,577 · median $20,462 | 5 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,288 – $13,639 · median $10,911 | 5 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,372 – $11,820 · median $9,456 | 5 plans |
| 865 | VIRAL ILLNESS WITH MCC | $12,443 – $19,928 · median $15,943 | 5 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,222 – $11,314 · median $9,051 | 5 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $17,384 – $30,167 · median $24,134 | 5 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,563 – $14,375 · median $11,500 | 5 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,060 – $9,824 · median $7,859 | 5 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $57,403 – $86,830 · median $69,464 | 5 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $16,132 – $25,247 · median $20,197 | 5 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,499 – $13,840 · median $11,072 | 5 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $34,853 – $57,563 · median $46,051 | 5 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $15,900 – $26,489 · median $21,191 | 5 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,714 – $15,310 · median $12,248 | 5 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $30,505 – $50,259 · median $40,207 | 5 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $12,320 – $22,250 · median $17,800 | 5 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $16,314 – $24,324 · median $19,672 | 5 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $31,885 – $53,241 · median $42,593 | 5 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $16,570 – $27,650 · median $22,120 | 5 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,902 – $18,488 · median $14,790 | 5 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $13,575 – $22,097 · median $17,677 | 5 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,354 – $11,960 · median $9,568 | 5 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $13,966 – $22,918 · median $18,334 | 5 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,534 – $8,879 · median $7,103 | 5 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $13,026 – $19,938 · median $15,950 | 5 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,118 – $10,675 · median $8,584 | 5 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $15,205 – $24,868 · median $19,894 | 5 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $8,324 – $13,817 · median $11,053 | 5 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,717 – $9,411 · median $7,529 | 5 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $14,529 – $21,417 · median $17,520 | 5 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $8,452 – $12,673 · median $10,192 | 5 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $30,135 – $45,506 · median $36,405 | 5 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $19,408 – $29,949 · median $23,959 | 5 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $16,840 – $25,933 · median $20,746 | 5 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $10,542 – $16,101 · median $12,881 | 5 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,648 – $10,614 · median $8,491 | 5 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,880 – $14,967 · median $11,974 | 5 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,213 – $9,982 · median $7,985 | 5 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,618 – $7,546 · median $6,037 | 5 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $55,902 – $84,811 · median $67,849 | 5 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $31,252 – $51,917 · median $41,534 | 5 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $63,283 – $100,071 · median $80,057 | 5 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $34,996 – $56,714 · median $45,371 | 5 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $24,451 – $36,896 · median $29,517 | 5 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $22,704 – $36,813 · median $29,450 | 5 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,728 – $20,117 · median $16,094 | 5 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,811 – $12,305 · median $9,844 | 5 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $50,837 – $78,913 · median $63,130 | 5 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $21,904 – $40,303 · median $32,242 | 5 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $23,968 – $36,281 · median $29,025 | 5 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,755 – $17,289 · median $13,831 | 5 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,497 – $12,805 · median $10,244 | 5 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,777 – $17,858 · median $14,287 | 5 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $38,965 – $88,174 · median $70,537 | 5 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $20,418 – $48,469 · median $38,774 | 5 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $14,235 – $31,572 · median $25,257 | 5 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $28,473 – $44,176 · median $35,340 | 5 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,650 – $23,011 · median $18,409 | 5 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,959 – $15,152 · median $12,121 | 5 plans |
| 077 | Other Inpatient MS-DRG | $23,432 – $29,291 · median $26,361 | 3 plans |
| 078 | Other Inpatient MS-DRG | $14,520 – $18,151 · median $16,335 | 3 plans |
| 079 | Other Inpatient MS-DRG | $11,140 – $13,926 · median $12,533 | 3 plans |
| 222 | Other Inpatient MS-DRG | $139,516 – $174,389 · median $156,953 | 3 plans |
| 223 | Other Inpatient MS-DRG | $101,748 – $127,181 · median $114,464 | 3 plans |
| 224 | Other Inpatient MS-DRG | $131,938 – $164,916 · median $148,427 | 3 plans |
| 225 | Other Inpatient MS-DRG | $98,576 – $123,215 · median $110,895 | 3 plans |
| 226 | Other Inpatient MS-DRG | $115,196 – $143,990 · median $129,593 | 3 plans |
| 227 | Other Inpatient MS-DRG | $91,457 – $114,317 · median $102,887 | 3 plans |
| 246 | Other Inpatient MS-DRG | $54,822 – $68,525 · median $61,674 | 3 plans |
| 247 | Other Inpatient MS-DRG | $34,624 – $43,278 · median $38,951 | 3 plans |
| 248 | Other Inpatient MS-DRG | $55,487 – $69,357 · median $62,422 | 3 plans |
| 249 | Other Inpatient MS-DRG | $32,878 – $41,096 · median $36,987 | 3 plans |
| 294 | Other Inpatient MS-DRG | $13,839 – $17,299 · median $15,569 | 3 plans |
| 295 | Other Inpatient MS-DRG | $10,616 – $13,271 · median $11,944 | 3 plans |
| 338 | Other Inpatient MS-DRG | $30,177 – $37,722 · median $33,951 | 3 plans |
| 339 | Other Inpatient MS-DRG | $18,312 – $22,889 · median $20,601 | 3 plans |
| 340 | Other Inpatient MS-DRG | $13,251 – $16,564 · median $14,908 | 3 plans |
| 341 | Other Inpatient MS-DRG | $25,054 – $31,318 · median $28,187 | 3 plans |
| 342 | Other Inpatient MS-DRG | $15,458 – $19,323 · median $17,391 | 3 plans |
| 343 | Other Inpatient MS-DRG | $11,960 – $14,949 · median $13,455 | 3 plans |
| 453 | Other Inpatient MS-DRG | $140,448 – $175,564 · median $158,006 | 3 plans |
| 454 | Other Inpatient MS-DRG | $93,139 – $116,427 · median $104,783 | 3 plans |
| 455 | Other Inpatient MS-DRG | $73,087 – $91,361 · median $82,224 | 3 plans |
| 459 | Other Inpatient MS-DRG | $102,928 – $128,664 · median $115,796 | 3 plans |
| 460 | Other Inpatient MS-DRG | $60,085 – $75,108 · median $67,596 | 3 plans |
| 509 | Other Inpatient MS-DRG | $18,194 – $22,742 · median $20,469 | 3 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $232,738 – $280,659 · median $256,699 | 2 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $94,111 – $113,488 · median $103,799 | 2 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $85,629 – $103,260 · median $94,444 | 2 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $38,510 – $46,440 · median $42,475 | 2 plans |
| 007 | LUNG TRANSPLANT | $107,551 – $129,696 · median $118,624 | 2 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $46,546 – $56,130 · median $51,338 | 2 plans |
| 010 | PANCREAS TRANSPLANT | $59,594 – $71,865 · median $65,729 | 2 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $99,809 – $120,359 · median $110,084 | 2 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $49,246 – $59,386 · median $54,316 | 2 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $45,115 – $54,404 · median $49,760 | 2 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $59,253 – $71,453 · median $65,353 | 2 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $24,719 – $29,809 · median $27,264 | 2 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $94,003 – $113,358 · median $103,680 | 2 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $90,309 – $108,904 · median $99,607 | 2 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $47,396 – $57,155 · median $52,275 | 2 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $59,218 – $71,411 · median $65,314 | 2 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $49,885 – $60,156 · median $55,020 | 2 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $38,357 – $46,254 · median $42,305 | 2 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $46,227 – $55,745 · median $50,986 | 2 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $29,951 – $36,118 · median $33,035 | 2 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $55,531 – $66,965 · median $61,248 | 2 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $20,116 – $24,258 · median $22,187 | 2 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $22,596 – $27,249 · median $24,923 | 2 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $14,642 – $17,656 · median $16,149 | 2 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $35,939 – $43,339 · median $39,639 | 2 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $26,169 – $31,557 · median $28,863 | 2 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $26,662 – $32,152 · median $29,407 | 2 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $28,558 – $34,438 · median $31,498 | 2 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $20,051 – $24,179 · median $22,115 | 2 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $19,890 – $23,985 · median $21,937 | 2 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $12,570 – $15,159 · median $13,865 | 2 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $9,507 – $11,464 · median $10,485 | 2 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $33,390 – $40,265 · median $36,828 | 2 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $91,531 – $110,377 · median $100,954 | 2 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $59,950 – $72,294 · median $66,122 | 2 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $46,691 – $56,304 · median $51,498 | 2 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $74,825 – $90,231 · median $82,528 | 2 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $47,896 – $57,758 · median $52,827 | 2 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $55,491 – $66,916 · median $61,203 | 2 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $35,220 – $42,472 · median $38,846 | 2 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $44,262 – $53,376 · median $48,819 | 2 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $26,828 – $32,352 · median $29,590 | 2 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $39,045 – $47,085 · median $43,065 | 2 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $30,777 – $37,114 · median $33,945 | 2 plans |
| 652 | KIDNEY TRANSPLANT | $26,821 – $32,343 · median $29,582 | 2 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $14,967 – $18,049 · median $16,508 | 2 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $49,361 – $59,524 · median $54,442 | 2 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $33,710 – $40,651 · median $37,180 | 2 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $20,341 – $24,529 · median $22,435 | 2 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $34,629 – $41,759 · median $38,194 | 2 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $12,257 – $14,781 · median $13,519 | 2 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $71,917 – $86,725 · median $79,321 | 2 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $32,098 – $38,707 · median $35,402 | 2 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,974 – $9,616 · median $8,795 | 2 plans |
| 881 | DEPRESSIVE NEUROSES | $7,814 – $9,423 · median $8,619 | 2 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,918 – $10,754 · median $9,836 | 2 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $16,330 – $19,692 · median $18,011 | 2 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $13,362 – $16,113 · median $14,738 | 2 plans |
| 885 | PSYCHOSES | $11,600 – $13,989 · median $12,795 | 2 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $17,235 – $20,784 · median $19,010 | 2 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,894 – $10,725 · median $9,809 | 2 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,123 – $6,178 · median $5,651 | 2 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $11,757 – $14,177 · median $12,967 | 2 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $14,493 – $17,477 · median $15,985 | 2 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $7,332 – $8,841 · median $8,086 | 2 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $177,316 – $213,825 · median $195,571 | 2 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $59,569 – $71,835 · median $65,702 | 2 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $26,749 – $32,256 · median $29,503 | 2 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $32,341 – $39,000 · median $35,671 | 2 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $18,359 – $22,139 · median $20,249 | 2 plans |
| 935 | NON-EXTENSIVE BURNS | $17,108 – $20,631 · median $18,870 | 2 plans |
| 945 | REHABILITATION WITH CC/MCC | $12,861 – $15,509 · median $14,185 | 2 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $9,524 – $11,485 · median $10,505 | 2 plans |
No procedures match that keyword.