Brattleboro Memorial Hospital — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Showing all 771 procedures
Procedures with negotiated rates only
These 771 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $1,874 – $17,275 · median $12,340 | 16 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $3,966 – $28,835 · median $20,597 | 16 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $3,966 – $17,069 · median $12,192 | 16 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,966 – $13,822 · median $9,873 | 16 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $3,966 – $25,329 · median $18,092 | 16 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $3,966 – $16,741 · median $11,958 | 16 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $3,966 – $14,306 · median $10,218 | 16 plans |
| 795 | NORMAL NEWBORN | $694 – $3,379 · median $2,414 | 16 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $1,874 – $20,070 · median $14,336 | 16 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $1,874 – $15,290 · median $10,921 | 16 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $1,874 – $15,290 · median $10,921 | 16 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $1,874 – $15,752 · median $11,251 | 16 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $1,874 – $11,499 · median $8,213 | 16 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $1,874 – $10,161 · median $7,258 | 16 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $57,956 – $436,897 · median $312,070 | 15 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $57,956 – $171,090 · median $122,207 | 15 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $57,956 – $332,477 · median $237,484 | 15 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $151,788 – $219,301 · median $156,643 | 15 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $57,956 – $165,351 · median $118,108 | 15 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $30,084 – $75,446 · median $53,890 | 15 plans |
| 007 | LUNG TRANSPLANT | $57,956 – $202,852 · median $144,894 | 15 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $33,735 – $84,621 · median $60,443 | 15 plans |
| 010 | PANCREAS TRANSPLANT | $30,084 – $123,866 · median $88,476 | 15 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $38,130 – $83,920 · median $59,943 | 15 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $30,084 – $63,891 · median $45,636 | 15 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $18,232 – $41,358 · median $29,542 | 15 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $57,956 – $203,363 · median $145,260 | 15 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $30,240 – $93,840 · median $67,029 | 15 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $33,735 – $93,840 · median $67,029 | 15 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $57,956 – $584,839 · median $417,742 | 15 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $57,956 – $123,157 · median $87,970 | 15 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $57,956 – $125,231 · median $89,451 | 15 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $33,735 – $85,957 · median $61,398 | 15 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $27,138 – $55,005 · median $39,289 | 15 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $48,791 – $88,713 · median $63,366 | 15 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $30,084 – $59,210 · median $42,293 | 15 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $23,758 – $69,604 · median $49,717 | 15 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $15,077 – $47,692 · median $34,065 | 15 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $13,482 – $38,534 · median $27,524 | 15 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $41,469 – $94,516 · median $67,512 | 15 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $16,723 – $52,312 · median $37,366 | 15 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $10,204 – $34,777 · median $24,841 | 15 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $30,084 – $65,238 · median $46,598 | 15 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $9,379 – $33,385 · median $23,846 | 15 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,619 – $25,013 · median $17,867 | 15 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $30,084 – $60,558 · median $43,256 | 15 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $16,503 – $35,542 · median $25,387 | 15 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,593 – $28,696 · median $20,497 | 15 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $27,138 – $51,757 · median $36,969 | 15 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,619 – $25,258 · median $18,041 | 15 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $6,059 – $17,925 · median $12,803 | 15 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $30,084 – $58,751 · median $41,965 | 15 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $16,503 – $35,285 · median $25,204 | 15 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $8,439 – $27,526 · median $19,661 | 15 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,593 – $31,477 · median $22,483 | 15 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,604 – $14,564 · median $10,403 | 15 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,420 – $23,519 · median $16,799 | 15 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,542 – $17,193 · median $12,281 | 15 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $16,503 – $39,097 · median $27,926 | 15 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $14,976 – $20,966 · median $14,976 | 15 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $14,593 – $28,894 · median $20,639 | 15 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $4,581 – $19,249 · median $13,749 | 15 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,491 – $14,115 · median $10,082 | 15 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $18,232 – $42,186 · median $30,133 | 15 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $14,593 – $27,887 · median $19,919 | 15 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $12,619 – $22,057 · median $15,755 | 15 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $16,987 – $31,116 · median $22,225 | 15 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,899 – $16,045 · median $11,461 | 15 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,442 – $10,951 · median $7,822 | 15 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $12,619 – $22,834 · median $16,310 | 15 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,604 – $13,946 · median $9,961 | 15 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $3,789 – $12,684 · median $9,060 | 15 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $11,499 – $27,234 · median $19,453 | 15 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $8,542 – $16,618 · median $11,870 | 15 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,822 – $11,911 · median $8,508 | 15 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,619 – $24,240 · median $17,314 | 15 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,976 – $16,440 · median $11,743 | 15 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $14,593 – $26,980 · median $19,272 | 15 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,604 – $14,495 · median $10,353 | 15 plans |
| 077 | Inpatient MS-DRG | $12,619 – $24,251 · median $17,322 | 15 plans |
| 078 | Inpatient MS-DRG | $7,604 – $15,750 · median $11,250 | 15 plans |
| 079 | Inpatient MS-DRG | $5,822 – $10,617 · median $7,583 | 15 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $16,503 – $31,094 · median $22,210 | 15 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,604 – $14,307 · median $10,219 | 15 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $16,503 – $36,246 · median $25,890 | 15 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $6,748 – $21,834 · median $15,596 | 15 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,604 – $15,102 · median $10,787 | 15 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,503 – $35,406 · median $25,290 | 15 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $5,918 – $20,613 · median $14,723 | 15 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $3,924 – $13,985 · median $9,989 | 15 plans |
| 088 | CONCUSSION WITH MCC | $12,619 – $22,149 · median $15,821 | 15 plans |
| 089 | CONCUSSION WITH CC | $8,542 – $16,900 · median $12,072 | 15 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,604 – $13,571 · median $9,693 | 15 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $10,044 – $28,538 · median $20,384 | 15 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,578 – $16,693 · median $11,923 | 15 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,822 – $12,517 · median $8,941 | 15 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $14,546 – $56,838 · median $40,599 | 15 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $15,535 – $37,440 · median $26,743 | 15 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $16,503 – $37,440 · median $26,743 | 15 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $27,138 – $55,845 · median $39,889 | 15 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $9,195 – $33,907 · median $24,219 | 15 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,542 – $21,879 · median $15,628 | 15 plans |
| 100 | SEIZURES WITH MCC | $8,977 – $31,055 · median $22,182 | 15 plans |
| 101 | SEIZURES WITHOUT MCC | $5,631 – $14,569 · median $10,406 | 15 plans |
| 102 | HEADACHES WITH MCC | $8,542 – $18,255 · median $13,039 | 15 plans |
| 103 | HEADACHES WITHOUT MCC | $4,490 – $13,461 · median $9,615 | 15 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $18,232 – $35,260 · median $25,186 | 15 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,542 – $18,605 · median $13,290 | 15 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $12,619 – $24,013 · median $17,152 | 15 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $14,593 – $26,146 · median $18,676 | 15 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,542 – $17,001 · median $12,144 | 15 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,542 – $18,312 · median $13,080 | 15 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,822 – $10,796 · median $7,712 | 15 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $7,604 – $12,732 · median $9,095 | 15 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,542 – $20,493 · median $14,638 | 15 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,822 – $13,081 · median $9,344 | 15 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $18,232 – $37,655 · median $26,897 | 15 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,604 – $15,445 · median $11,032 | 15 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $12,619 – $21,961 · median $15,687 | 15 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,604 – $12,892 · median $9,209 | 15 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,542 – $21,564 · median $15,403 | 15 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $30,084 – $65,836 · median $47,026 | 15 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,678 – $33,585 · median $23,989 | 15 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $17,611 – $24,655 · median $17,611 | 15 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $27,138 – $51,463 · median $36,759 | 15 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $14,593 – $27,512 · median $19,651 | 15 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $5,292 – $18,647 · median $13,319 | 15 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $16,503 – $35,842 · median $25,601 | 15 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $8,542 – $19,577 · median $13,984 | 15 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $7,604 – $12,694 · median $9,067 | 15 plans |
| 149 | DYSEQUILIBRIUM | $5,229 – $11,869 · median $8,478 | 15 plans |
| 150 | EPISTAXIS WITH MCC | $8,542 – $21,707 · median $15,505 | 15 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,822 – $12,032 · median $8,594 | 15 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,542 – $17,872 · median $12,766 | 15 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $3,474 – $11,314 · median $8,081 | 15 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,619 – $25,491 · median $18,208 | 15 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,604 – $14,754 · median $10,538 | 15 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,903 – $10,705 · median $7,646 | 15 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $14,593 – $25,664 · median $18,332 | 15 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $4,869 – $14,862 · median $10,616 | 15 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,162 – $10,506 · median $7,505 | 15 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $29,403 – $71,726 · median $51,233 | 15 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $12,255 – $39,297 · median $28,069 | 15 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $7,545 – $29,175 · median $20,839 | 15 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $30,084 – $59,963 · median $42,831 | 15 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $8,195 – $28,605 · median $20,432 | 15 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,619 – $21,268 · median $15,192 | 15 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $27,138 – $47,847 · median $34,176 | 15 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,994 – $22,124 · median $15,803 | 15 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $4,500 – $12,907 · median $9,220 | 15 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $10,135 – $25,339 · median $18,099 | 15 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $9,069 – $15,660 · median $11,186 | 15 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $7,510 – $12,213 · median $8,724 | 15 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $14,593 – $27,374 · median $19,553 | 15 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,542 – $17,492 · median $12,495 | 15 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,822 – $13,264 · median $9,474 | 15 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $12,619 – $24,886 · median $17,776 | 15 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $5,247 – $16,838 · median $12,027 | 15 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,822 – $12,337 · median $8,812 | 15 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $12,619 – $24,773 · median $17,695 | 15 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,604 – $15,845 · median $11,318 | 15 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,822 – $11,663 · median $8,331 | 15 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,830 – $19,463 · median $13,902 | 15 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,788 – $17,689 · median $12,635 | 15 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $4,978 – $13,599 · median $9,713 | 15 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,647 – $10,314 · median $7,367 | 15 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $6,474 – $20,707 · median $14,791 | 15 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,150 – $12,993 · median $9,281 | 15 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,381 – $9,935 · median $7,096 | 15 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $11,651 – $29,487 · median $21,062 | 15 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,604 – $15,628 · median $11,163 | 15 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,822 – $11,139 · median $7,956 | 15 plans |
| 199 | PNEUMOTHORAX WITH MCC | $9,825 – $27,645 · median $19,746 | 15 plans |
| 200 | PNEUMOTHORAX WITH CC | $4,886 – $17,449 · median $12,464 | 15 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $3,979 – $10,778 · median $7,698 | 15 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $5,036 – $15,267 · median $10,905 | 15 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $3,114 – $11,080 · median $7,914 | 15 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $7,604 – $12,853 · median $9,181 | 15 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $8,052 – $29,544 · median $21,103 | 15 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,539 – $14,323 · median $10,230 | 15 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $45,110 – $100,526 · median $71,804 | 15 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $14,761 – $41,882 · median $29,916 | 15 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $57,956 – $169,140 · median $120,815 | 15 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $57,956 – $164,504 · median $117,503 | 15 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $57,956 – $149,877 · median $107,055 | 15 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $57,956 – $100,381 · median $71,701 | 15 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $33,735 – $92,498 · median $66,070 | 15 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $41,994 – $120,215 · median $85,868 | 15 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $21,310 – $82,383 · median $58,845 | 15 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $30,084 – $71,469 · median $51,049 | 15 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $33,735 – $77,525 · median $55,375 | 15 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $27,138 – $48,431 · median $34,593 | 15 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $57,956 – $131,630 · median $94,021 | 15 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $33,735 – $94,969 · median $67,835 | 15 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $57,956 – $121,438 · median $86,742 | 15 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $33,735 – $82,747 · median $59,105 | 15 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $30,840 – $91,489 · median $65,349 | 15 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $22,600 – $64,021 · median $45,729 | 15 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $30,084 – $78,356 · median $55,968 | 15 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $18,232 – $45,422 · median $32,444 | 15 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $12,619 – $23,686 · median $16,919 | 15 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $27,138 – $52,859 · median $37,757 | 15 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,503 – $35,201 · median $25,144 | 15 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $14,593 – $28,256 · median $20,183 | 15 plans |
| 245 | AICD GENERATOR PROCEDURES | $35,583 – $76,029 · median $54,306 | 15 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $16,503 – $36,128 · median $25,806 | 15 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $12,619 – $24,503 · median $17,502 | 15 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $27,138 – $53,455 · median $38,182 | 15 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $14,807 – $39,855 · median $28,468 | 15 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $9,308 – $27,399 · median $19,570 | 15 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $18,232 – $40,839 · median $29,171 | 15 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,619 – $26,535 · median $18,954 | 15 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,604 – $14,107 · median $10,077 | 15 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $18,232 – $43,768 · median $31,263 | 15 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $12,942 – $27,527 · median $19,662 | 15 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $27,138 – $53,079 · median $37,914 | 15 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,593 – $29,696 · median $21,211 | 15 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $12,619 – $23,809 · median $17,006 | 15 plans |
| 263 | VEIN LIGATION AND STRIPPING | $18,232 – $41,856 · median $29,897 | 15 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $27,138 – $54,457 · median $38,898 | 15 plans |
| 265 | AICD LEAD PROCEDURES | $27,138 – $55,575 · median $39,696 | 15 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $33,735 – $93,141 · median $66,529 | 15 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $29,364 – $73,206 · median $52,290 | 15 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $57,956 – $103,632 · median $74,023 | 15 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $30,084 – $64,774 · median $46,267 | 15 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $34,246 – $79,845 · median $57,032 | 15 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $18,077 – $53,672 · median $38,337 | 15 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $12,076 – $39,067 · median $27,905 | 15 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $30,084 – $60,893 · median $43,495 | 15 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $18,106 – $48,659 · median $34,756 | 15 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $57,956 – $109,823 · median $78,445 | 15 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $33,735 – $96,297 · median $68,784 | 15 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $30,084 – $72,388 · median $51,706 | 15 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $33,735 – $77,835 · median $55,596 | 15 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $27,138 – $49,951 · median $35,680 | 15 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $9,048 – $25,725 · median $18,375 | 15 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,631 – $14,571 · median $10,408 | 15 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,381 – $11,522 · median $8,230 | 15 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $14,593 – $30,592 · median $21,851 | 15 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,822 – $11,768 · median $8,406 | 15 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,903 – $8,984 · median $6,417 | 15 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $11,745 – $34,589 · median $24,707 | 15 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,062 – $17,173 · median $12,267 | 15 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $17,308 – $42,621 · median $30,444 | 15 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,619 – $24,722 · median $17,658 | 15 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,604 – $15,457 · median $11,041 | 15 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,140 – $20,507 · median $14,648 | 15 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,286 – $13,631 · median $9,737 | 15 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,903 – $8,788 · median $6,277 | 15 plans |
| 294 | Inpatient MS-DRG | $8,542 – $19,317 · median $13,798 | 15 plans |
| 295 | Inpatient MS-DRG | $4,903 – $12,525 · median $8,946 | 15 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,619 – $25,678 · median $18,341 | 15 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,822 – $11,201 · median $8,001 | 15 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,903 – $7,129 · median $5,092 | 15 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,619 – $25,356 · median $18,111 | 15 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $5,645 – $16,877 · median $12,055 | 15 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,262 – $11,340 · median $8,100 | 15 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,542 – $18,314 · median $13,081 | 15 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $3,300 – $10,705 · median $7,646 | 15 plans |
| 304 | HYPERTENSION WITH MCC | $4,840 – $18,492 · median $13,209 | 15 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,440 – $11,919 · median $8,513 | 15 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,619 – $23,493 · median $16,780 | 15 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,604 – $14,642 · median $10,459 | 15 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,466 – $18,974 · median $13,553 | 15 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $3,976 – $11,742 · median $8,387 | 15 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,289 – $8,955 · median $6,396 | 15 plans |
| 311 | ANGINA PECTORIS | $3,589 – $11,106 · median $7,933 | 15 plans |
| 312 | SYNCOPE AND COLLAPSE | $4,524 – $13,788 · median $9,849 | 15 plans |
| 313 | CHEST PAIN | $3,520 – $11,340 · median $8,100 | 15 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $11,852 – $33,662 · median $24,044 | 15 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $5,671 – $15,198 · median $10,856 | 15 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,061 – $10,865 · median $7,760 | 15 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $33,735 – $96,173 · median $68,695 | 15 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $30,084 – $68,372 · median $48,837 | 15 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $16,503 – $36,162 · median $25,830 | 15 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $18,232 – $44,409 · median $31,720 | 15 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $14,593 – $28,326 · median $20,233 | 15 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $30,084 – $66,304 · median $47,360 | 15 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $27,138 – $49,807 · median $35,577 | 15 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $18,232 – $44,646 · median $31,890 | 15 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $33,735 – $79,008 · median $56,434 | 15 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $11,275 – $37,919 · median $27,085 | 15 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $5,451 – $24,982 · median $17,844 | 15 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $21,510 – $71,458 · median $51,041 | 15 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,533 – $36,920 · median $26,372 | 15 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,009 – $25,873 · median $18,481 | 15 plans |
| 332 | RECTAL RESECTION WITH MCC | $27,138 – $54,048 · median $38,606 | 15 plans |
| 333 | RECTAL RESECTION WITH CC | $14,387 – $33,225 · median $23,732 | 15 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,619 – $25,991 · median $18,565 | 15 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $27,138 – $56,446 · median $40,319 | 15 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $13,581 – $33,024 · median $23,588 | 15 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $12,619 – $24,077 · median $17,198 | 15 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $18,232 – $42,048 · median $30,034 | 15 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,960 – $23,358 · median $16,684 | 15 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,443 – $19,585 · median $13,989 | 15 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $18,232 – $36,968 · median $26,406 | 15 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,542 – $19,796 · median $14,140 | 15 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,604 – $13,937 · median $9,955 | 15 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $16,503 – $37,773 · median $26,981 | 15 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $12,619 – $23,603 · median $16,859 | 15 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,542 – $17,373 · median $12,409 | 15 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $18,232 – $45,745 · median $32,675 | 15 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $7,576 – $26,650 · median $19,036 | 15 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $7,601 – $20,947 · median $14,962 | 15 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $16,591 – $66,402 · median $47,430 | 15 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $10,291 – $35,189 · median $25,135 | 15 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,542 – $21,287 · median $15,205 | 15 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $14,593 – $26,168 · median $18,691 | 15 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $5,374 – $16,056 · median $11,468 | 15 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,822 – $11,102 · median $7,930 | 15 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $14,593 – $27,377 · median $19,555 | 15 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,063 – $16,237 · median $11,598 | 15 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,110 – $11,526 · median $8,233 | 15 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $16,503 – $33,010 · median $23,578 | 15 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,542 – $19,328 · median $13,805 | 15 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,604 – $13,969 · median $9,978 | 15 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $12,012 – $28,465 · median $20,332 | 15 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,022 – $15,564 · median $11,117 | 15 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,594 – $10,152 · median $7,251 | 15 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,593 – $30,110 · median $21,507 | 15 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,542 – $17,164 · median $12,260 | 15 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,822 – $11,897 · median $8,498 | 15 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $12,619 – $19,878 · median $14,199 | 15 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,604 – $13,762 · median $9,830 | 15 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,619 – $25,467 · median $18,191 | 15 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $5,971 – $15,667 · median $11,190 | 15 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,285 – $10,672 · median $7,623 | 15 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $12,619 – $23,066 · median $16,476 | 15 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,125 – $12,708 · median $9,077 | 15 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,708 – $8,764 · median $6,260 | 15 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $7,657 – $20,193 · median $14,423 | 15 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,355 – $12,377 · median $8,841 | 15 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $9,267 – $25,951 · median $18,536 | 15 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,405 – $14,873 · median $10,623 | 15 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,870 – $10,147 · median $7,248 | 15 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $16,503 – $38,689 · median $27,635 | 15 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $14,593 – $23,737 · median $16,955 | 15 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,542 – $17,702 · median $12,644 | 15 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $30,084 – $60,923 · median $43,516 | 15 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $29,709 – $84,429 · median $60,306 | 15 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $18,232 – $43,813 · median $31,295 | 15 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $16,503 – $33,388 · median $23,849 | 15 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $27,138 – $54,553 · median $38,967 | 15 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $14,593 – $32,779 · median $23,413 | 15 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,619 – $24,325 · median $17,375 | 15 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $18,232 – $42,697 · median $30,498 | 15 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $16,503 – $33,323 · median $23,802 | 15 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,619 – $26,052 · median $18,608 | 15 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $27,138 – $54,592 · median $38,994 | 15 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $10,612 – $30,944 · median $22,103 | 15 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,542 – $21,521 · median $15,372 | 15 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $10,014 – $37,119 · median $26,513 | 15 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $7,424 – $25,988 · median $18,563 | 15 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $6,697 – $20,706 · median $14,790 | 15 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $27,138 – $54,991 · median $39,279 | 15 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $14,593 – $25,666 · median $18,333 | 15 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $12,619 – $23,059 · median $16,470 | 15 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $30,084 – $63,328 · median $45,234 | 15 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $16,503 – $35,674 · median $25,482 | 15 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $12,619 – $24,243 · median $17,316 | 15 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $57,956 – $162,654 · median $116,181 | 15 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $57,956 – $110,376 · median $78,840 | 15 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $33,735 – $85,597 · median $61,141 | 15 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $57,956 – $129,564 · median $92,545 | 15 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $33,735 – $85,077 · median $60,769 | 15 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $10,801 – $30,649 · median $21,892 | 15 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,285 – $16,865 · median $12,046 | 15 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,864 – $11,078 · median $7,913 | 15 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $8,796 – $28,564 · median $20,403 | 15 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $5,592 – $17,762 · median $12,687 | 15 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,604 – $12,453 · median $8,895 | 15 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $8,950 – $26,070 · median $18,622 | 15 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,162 – $13,616 · median $9,726 | 15 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,247 – $9,817 · median $7,012 | 15 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $12,528 – $29,584 · median $21,132 | 15 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $5,444 – $15,259 · median $10,899 | 15 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,081 – $11,175 · median $7,982 | 15 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $8,600 – $26,391 · median $18,851 | 15 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $5,220 – $17,093 · median $12,209 | 15 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,126 – $12,641 · median $9,029 | 15 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $57,956 – $104,207 · median $74,433 | 15 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $30,084 – $63,578 · median $45,413 | 15 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $33,735 – $80,110 · median $57,222 | 15 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $27,138 – $48,116 · median $34,369 | 15 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $57,956 – $131,557 · median $93,969 | 15 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $41,218 – $89,245 · median $63,746 | 15 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $30,084 – $67,213 · median $48,009 | 15 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $57,956 – $95,403 · median $68,145 | 15 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $18,232 – $44,672 · median $31,909 | 15 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $33,735 – $83,999 · median $59,999 | 15 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,558 – $45,986 · median $32,847 | 15 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,593 – $27,192 · median $19,423 | 15 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $33,735 – $79,250 · median $56,607 | 15 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $27,138 – $53,374 · median $38,124 | 15 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $18,232 – $40,944 · median $29,246 | 15 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $27,138 – $50,948 · median $36,392 | 15 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $11,826 – $29,508 · median $21,077 | 15 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $30,084 – $75,572 · median $53,980 | 15 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $16,510 – $45,190 · median $32,278 | 15 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $12,424 – $36,978 · median $26,413 | 15 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $30,084 – $69,796 · median $49,855 | 15 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,503 – $33,721 · median $24,087 | 15 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,542 – $18,311 · median $13,079 | 15 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $27,138 – $53,588 · median $38,277 | 15 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $16,503 – $36,531 · median $26,094 | 15 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $14,593 – $27,808 · median $19,863 | 15 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $23,565 – $45,869 · median $32,763 | 15 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $13,275 – $32,444 · median $23,174 | 15 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $9,470 – $24,872 · median $17,766 | 15 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $11,832 – $39,780 · median $28,414 | 15 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $27,138 – $50,182 · median $35,845 | 15 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $16,503 – $33,157 · median $23,684 | 15 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,619 – $24,776 · median $17,697 | 15 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $16,503 – $30,747 · median $21,962 | 15 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,542 – $19,478 · median $13,913 | 15 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $20,649 – $55,327 · median $39,519 | 15 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $16,396 – $37,499 · median $26,785 | 15 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $8,964 – $29,507 · median $21,076 | 15 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $27,138 – $54,853 · median $39,180 | 15 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,593 – $30,864 · median $22,046 | 15 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $12,619 – $21,093 · median $15,067 | 15 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $18,232 – $39,419 · median $28,156 | 15 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $8,542 – $18,275 · median $13,054 | 15 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $29,365 – $49,398 · median $35,284 | 15 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $14,593 – $27,946 · median $19,961 | 15 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $5,374 – $21,939 · median $15,671 | 15 plans |
| 503 | FOOT PROCEDURES WITH MCC | $18,232 – $41,305 · median $29,504 | 15 plans |
| 504 | FOOT PROCEDURES WITH CC | $9,206 – $27,485 · median $19,632 | 15 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $10,108 – $27,485 · median $19,632 | 15 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $12,619 – $23,519 · median $16,799 | 15 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $16,503 – $30,325 · median $21,661 | 15 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $12,619 – $20,287 · median $14,491 | 15 plans |
| 509 | Inpatient MS-DRG | $8,542 – $27,512 · median $19,651 | 15 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $18,232 – $44,584 · median $31,846 | 15 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $14,593 – $30,682 · median $21,915 | 15 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,619 – $25,204 · median $18,003 | 15 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $7,649 – $23,620 · median $16,871 | 15 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,604 – $16,087 · median $11,490 | 15 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $17,813 – $48,215 · median $34,440 | 15 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $12,865 – $31,464 · median $22,475 | 15 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $12,118 – $23,420 · median $16,728 | 15 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $27,138 – $55,835 · median $39,882 | 15 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $11,062 – $30,847 · median $22,034 | 15 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,294 – $22,497 · median $16,070 | 15 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $18,232 – $45,461 · median $32,472 | 15 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $13,612 – $32,959 · median $23,542 | 15 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $12,619 – $23,919 · median $17,085 | 15 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,184 – $12,900 · median $9,214 | 15 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,542 – $20,896 · median $14,926 | 15 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,822 – $12,852 · median $9,180 | 15 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,604 – $14,527 · median $10,377 | 15 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,822 – $10,691 · median $7,636 | 15 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,593 – $31,630 · median $22,593 | 15 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,551 – $20,341 · median $14,530 | 15 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $7,604 – $13,844 · median $9,888 | 15 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,114 – $29,192 · median $20,851 | 15 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,905 – $16,727 · median $11,948 | 15 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,822 – $11,996 · median $8,569 | 15 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $16,503 – $39,450 · median $28,179 | 15 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,542 – $18,227 · median $13,019 | 15 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,604 – $11,849 · median $8,463 | 15 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,593 – $31,509 · median $22,507 | 15 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,542 – $18,962 · median $13,544 | 15 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $4,644 – $13,645 · median $9,747 | 15 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $14,593 – $26,732 · median $19,094 | 15 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,610 – $15,222 · median $10,873 | 15 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $12,619 – $20,526 · median $14,661 | 15 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,759 – $13,219 · median $9,442 | 15 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,619 – $21,155 · median $15,111 | 15 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,080 – $12,938 · median $9,242 | 15 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $12,619 – $24,303 · median $17,359 | 15 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,379 – $13,672 · median $9,765 | 15 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,593 – $29,056 · median $20,754 | 15 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $10,772 – $17,933 · median $12,809 | 15 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,513 – $12,956 · median $9,254 | 15 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $12,619 – $22,967 · median $16,405 | 15 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,775 – $14,137 · median $10,098 | 15 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $12,619 – $24,605 · median $17,575 | 15 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,604 – $16,088 · median $11,492 | 15 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,822 – $11,878 · median $8,484 | 15 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $18,232 – $46,941 · median $33,530 | 15 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $9,450 – $26,235 · median $18,739 | 15 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,542 – $17,990 · median $12,850 | 15 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $33,735 – $95,736 · median $68,383 | 15 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $27,138 – $53,989 · median $38,564 | 15 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $16,503 – $31,232 · median $22,308 | 15 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $33,735 – $83,911 · median $59,936 | 15 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $18,232 – $41,557 · median $29,683 | 15 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,619 – $26,484 · median $18,917 | 15 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $11,889 – $50,804 · median $36,289 | 15 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $7,926 – $27,764 · median $19,832 | 15 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $5,243 – $22,590 · median $16,136 | 15 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $14,593 – $27,427 · median $19,590 | 15 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,619 – $25,745 · median $18,389 | 15 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $14,593 – $32,018 · median $22,870 | 15 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $11,038 – $31,052 · median $22,180 | 15 plans |
| 592 | SKIN ULCERS WITH MCC | $16,503 – $32,156 · median $22,968 | 15 plans |
| 593 | SKIN ULCERS WITH CC | $7,112 – $19,235 · median $13,739 | 15 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,822 – $13,438 · median $9,598 | 15 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $16,503 – $33,067 · median $23,619 | 15 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,604 – $17,040 · median $12,171 | 15 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,619 – $27,512 · median $19,651 | 15 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,542 – $17,006 · median $12,147 | 15 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,903 – $13,534 · median $9,667 | 15 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,604 – $15,110 · median $10,793 | 15 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,903 – $9,575 · median $6,839 | 15 plans |
| 602 | CELLULITIS WITH MCC | $7,859 – $23,055 · median $16,468 | 15 plans |
| 603 | CELLULITIS WITHOUT MCC | $4,832 – $13,935 · median $9,954 | 15 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $12,619 – $23,311 · median $16,651 | 15 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $4,448 – $14,600 · median $10,429 | 15 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $12,619 – $25,243 · median $18,030 | 15 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $3,601 – $13,678 · median $9,770 | 15 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $11,334 – $35,608 · median $25,434 | 15 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $12,619 – $22,494 · median $16,067 | 15 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $30,084 – $60,191 · median $42,993 | 15 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,093 – $30,223 · median $21,588 | 15 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,542 – $19,582 · median $13,987 | 15 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $18,232 – $42,544 · median $30,388 | 15 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $7,412 – $25,036 · median $17,883 | 15 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $6,467 – $22,941 · median $16,386 | 15 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $30,084 – $58,284 · median $41,632 | 15 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $8,581 – $29,931 · median $21,380 | 15 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,542 – $15,831 · median $11,308 | 15 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $18,232 – $44,723 · median $31,945 | 15 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $12,619 – $23,677 · median $16,912 | 15 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,542 – $19,920 · median $14,228 | 15 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $30,084 – $61,442 · median $43,887 | 15 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $10,426 – $35,144 · median $25,103 | 15 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $12,619 – $22,003 · median $15,716 | 15 plans |
| 637 | DIABETES WITH MCC | $7,393 – $22,856 · median $16,325 | 15 plans |
| 638 | DIABETES WITH CC | $5,576 – $14,499 · median $10,357 | 15 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,423 – $9,995 · median $7,139 | 15 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,934 – $20,867 · median $14,905 | 15 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,369 – $12,394 · median $8,853 | 15 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $4,582 – $19,520 · median $13,943 | 15 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,619 – $25,971 · median $18,551 | 15 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $4,732 – $16,300 · median $11,643 | 15 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,272 – $12,353 · median $8,823 | 15 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $30,084 – $71,697 · median $51,212 | 15 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $27,138 – $54,107 · median $38,648 | 15 plans |
| 652 | KIDNEY TRANSPLANT | $27,138 – $47,890 · median $34,207 | 15 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $33,735 – $86,690 · median $61,921 | 15 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $18,232 – $44,026 · median $31,447 | 15 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,503 – $32,481 · median $23,201 | 15 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $27,138 – $50,782 · median $36,273 | 15 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $10,041 – $28,619 · median $20,442 | 15 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $12,619 – $23,595 · median $16,853 | 15 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,232 – $40,340 · median $28,814 | 15 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $7,885 – $21,053 · median $15,038 | 15 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $5,417 – $16,195 · median $11,568 | 15 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $18,232 – $48,637 · median $34,741 | 15 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $12,619 – $23,958 · median $17,113 | 15 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,542 – $17,020 · median $12,157 | 15 plans |
| 665 | PROSTATECTOMY WITH MCC | $27,138 – $53,504 · median $38,217 | 15 plans |
| 666 | PROSTATECTOMY WITH CC | $14,593 – $25,816 · median $18,440 | 15 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,604 – $16,214 · median $11,581 | 15 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $18,232 – $45,486 · median $32,490 | 15 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $12,619 – $24,269 · median $17,335 | 15 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,604 – $15,096 · median $10,783 | 15 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $14,593 – $27,000 · median $19,286 | 15 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,604 – $17,246 · median $12,319 | 15 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $27,138 – $65,222 · median $46,587 | 15 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $16,503 – $36,063 · median $25,759 | 15 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,619 – $24,545 · median $17,532 | 15 plans |
| 682 | RENAL FAILURE WITH MCC | $12,258 – $23,562 · median $16,830 | 15 plans |
| 683 | RENAL FAILURE WITH CC | $5,255 – $14,061 · median $10,043 | 15 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,296 – $9,697 · median $6,927 | 15 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $14,593 – $29,511 · median $21,079 | 15 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,604 – $16,600 · median $11,857 | 15 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,822 – $11,508 · median $8,220 | 15 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,542 – $18,422 · median $13,159 | 15 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,565 – $12,723 · median $9,088 | 15 plans |
| 693 | URINARY STONES WITH MCC | $12,619 – $23,074 · median $16,481 | 15 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,513 – $12,394 · median $8,853 | 15 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,542 – $17,764 · median $12,688 | 15 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,903 – $11,006 · median $7,861 | 15 plans |
| 697 | URETHRAL STRICTURE | $8,542 – $15,811 · median $11,293 | 15 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $14,593 – $26,337 · median $18,812 | 15 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,959 – $16,091 · median $11,494 | 15 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $3,492 – $11,043 · median $7,888 | 15 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,593 – $30,362 · median $21,687 | 15 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $12,619 – $23,262 · median $16,615 | 15 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $16,503 – $35,113 · median $25,081 | 15 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $8,542 – $23,555 · median $16,825 | 15 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $16,503 – $29,897 · median $21,355 | 15 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,542 – $16,862 · median $12,044 | 15 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $12,619 – $22,696 · median $16,211 | 15 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,604 – $14,848 · median $10,606 | 15 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $16,503 – $35,287 · median $25,205 | 15 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $12,619 – $22,282 · median $15,916 | 15 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $14,593 – $29,043 · median $20,745 | 15 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,542 – $19,377 · median $13,841 | 15 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $14,593 – $27,081 · median $19,343 | 15 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,542 – $17,688 · median $12,634 | 15 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,604 – $11,576 · median $8,269 | 15 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,542 – $19,853 · median $14,181 | 15 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,822 – $11,821 · median $8,444 | 15 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $12,619 – $23,059 · median $16,470 | 15 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,604 – $12,948 · median $9,248 | 15 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,604 – $17,347 · median $12,391 | 15 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,903 – $9,690 · median $6,921 | 15 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,503 – $32,876 · median $23,483 | 15 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,542 – $19,098 · median $13,642 | 15 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $30,084 – $61,316 · median $43,797 | 15 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $14,593 – $31,258 · median $22,327 | 15 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,619 – $23,795 · median $16,996 | 15 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $27,138 – $61,987 · median $44,277 | 15 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $14,593 – $28,467 · median $20,333 | 15 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,542 – $21,574 · median $15,410 | 15 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $7,708 – $28,597 · median $20,426 | 15 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $6,001 – $18,863 · median $13,473 | 15 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $14,593 – $30,570 · median $21,836 | 15 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,604 – $16,167 · median $11,548 | 15 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $14,593 – $26,239 · median $18,742 | 15 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,604 – $15,088 · median $10,777 | 15 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $12,619 – $21,399 · median $15,285 | 15 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $18,232 – $40,406 · median $28,862 | 15 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,619 – $20,270 · median $14,479 | 15 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,593 – $28,327 · median $20,234 | 15 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,542 – $17,489 · median $12,492 | 15 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,604 – $15,085 · median $10,775 | 15 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,619 – $22,220 · median $15,871 | 15 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $4,520 – $16,082 · median $11,487 | 15 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,710 – $10,203 · median $7,288 | 15 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,604 – $15,560 · median $11,114 | 15 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,903 – $10,108 · median $7,220 | 15 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $5,977 – $21,820 · median $15,586 | 15 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $5,822 – $16,961 · median $12,115 | 15 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,156 – $11,342 · median $8,101 | 15 plans |
| 779 | ABORTION WITHOUT D&C | $3,820 – $14,772 · median $10,552 | 15 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $5,081 – $28,223 · median $20,159 | 15 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $66,020 – $92,428 · median $66,020 | 15 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $21,360 – $63,212 · median $45,151 | 15 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $7,586 – $38,253 · median $27,324 | 15 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $7,398 – $64,926 · median $46,376 | 15 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,848 – $23,164 · median $16,546 | 15 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $30,084 – $73,983 · median $52,845 | 15 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $18,232 – $45,447 · median $32,462 | 15 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $14,593 – $25,729 · median $18,378 | 15 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $27,138 – $55,848 · median $39,891 | 15 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $14,593 – $27,873 · median $19,909 | 15 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,542 – $17,420 · median $12,443 | 15 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $16,398 – $35,783 · median $25,559 | 15 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $8,766 – $19,480 · median $13,914 | 15 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,604 – $15,036 · median $10,740 | 15 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $9,515 – $22,090 · median $15,778 | 15 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,183 – $14,588 · median $10,420 | 15 plans |
| 813 | COAGULATION DISORDERS | $8,582 – $24,277 · median $17,341 | 15 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $16,503 – $32,686 · median $23,347 | 15 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $4,096 – $16,032 · median $11,452 | 15 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,355 – $10,503 · median $7,502 | 15 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $16,503 – $39,577 · median $28,269 | 15 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $6,717 – $20,247 · median $14,462 | 15 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,502 – $12,938 · median $9,242 | 15 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $33,735 – $90,529 · median $64,664 | 15 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $16,503 – $34,885 · median $24,918 | 15 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,542 – $18,010 · median $12,864 | 15 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $30,084 – $72,816 · median $52,011 | 15 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $16,503 – $34,374 · median $24,553 | 15 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,542 – $19,360 · median $13,829 | 15 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $30,084 – $74,304 · median $53,074 | 15 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $16,503 – $36,862 · median $26,330 | 15 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,619 – $25,128 · median $17,948 | 15 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $8,648 – $48,082 · median $34,344 | 15 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,619 – $22,952 · median $16,394 | 15 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $4,939 – $18,123 · median $12,945 | 15 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,051 – $11,867 · median $8,477 | 15 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,660 – $8,340 · median $5,957 | 15 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $61,398 – $85,957 · median $61,398 | 15 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $16,503 – $33,389 · median $23,850 | 15 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $8,542 – $19,979 · median $14,270 | 15 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $30,084 – $77,895 · median $55,639 | 15 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $14,593 – $31,720 · median $22,657 | 15 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,376 – $21,524 · median $15,374 | 15 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $27,138 – $49,713 · median $35,509 | 15 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,619 – $24,587 · median $17,562 | 15 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,542 – $16,587 · median $11,848 | 15 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $14,593 – $29,629 · median $21,164 | 15 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,542 – $18,808 · median $13,435 | 15 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,604 – $13,253 · median $9,467 | 15 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $16,503 – $39,867 · median $28,476 | 15 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $6,256 – $19,979 · median $14,270 | 15 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,822 – $12,976 · median $9,268 | 15 plans |
| 849 | RADIOTHERAPY | $18,232 – $41,685 · median $29,775 | 15 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $57,956 – $143,069 · median $102,192 | 15 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $43,422 – $77,804 · median $55,574 | 15 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $11,277 – $31,254 · median $22,324 | 15 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $14,593 – $25,480 · median $18,200 | 15 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $18,691 – $70,213 · median $50,152 | 15 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,683 – $34,056 · median $24,326 | 15 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,804 – $20,253 · median $14,466 | 15 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $10,633 – $28,783 · median $20,559 | 15 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $4,810 – $15,781 · median $11,272 | 15 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $3,200 – $14,202 · median $10,144 | 15 plans |
| 865 | VIRAL ILLNESS WITH MCC | $12,619 – $23,159 · median $16,542 | 15 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $2,776 – $13,997 · median $9,998 | 15 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $16,503 – $33,520 · median $23,943 | 15 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,445 – $16,559 · median $11,828 | 15 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,903 – $11,437 · median $8,169 | 15 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $51,078 – $108,110 · median $77,221 | 15 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $13,502 – $30,696 · median $21,925 | 15 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,344 – $16,263 · median $11,617 | 15 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $13,829 – $61,192 · median $43,709 | 15 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,290 – $15,141 · median $10,815 | 15 plans |
| 881 | DEPRESSIVE NEUROSES | $7,459 – $14,451 · median $10,322 | 15 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,726 – $15,194 · median $10,853 | 15 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $9,701 – $29,018 · median $20,727 | 15 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $14,593 – $26,171 · median $18,694 | 15 plans |
| 885 | PSYCHOSES | $11,746 – $22,132 · median $15,808 | 15 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $10,879 – $28,129 · median $20,092 | 15 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,542 – $18,719 · median $13,370 | 15 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,482 – $9,956 · median $7,112 | 15 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $12,619 – $22,725 · median $16,232 | 15 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $8,802 – $27,885 · median $19,918 | 15 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $5,112 – $13,957 · median $9,969 | 15 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $30,084 – $68,956 · median $49,254 | 15 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,593 – $29,696 · median $21,211 | 15 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,542 – $19,179 · median $13,699 | 15 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $27,138 – $60,130 · median $42,950 | 15 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $12,619 – $25,830 · median $18,450 | 15 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $14,593 – $34,112 · median $24,366 | 15 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $27,138 – $62,031 · median $44,308 | 15 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $11,410 – $31,548 · median $22,534 | 15 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $5,478 – $19,941 · median $14,244 | 15 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,619 – $25,367 · median $18,119 | 15 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $4,251 – $14,487 · median $10,348 | 15 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $14,593 – $27,220 · median $19,443 | 15 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $3,239 – $10,576 · median $7,554 | 15 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $8,978 – $25,698 · median $18,356 | 15 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $4,409 – $13,994 · median $9,996 | 15 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $8,113 – $28,549 · median $20,392 | 15 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $5,818 – $16,029 · median $11,449 | 15 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,033 – $10,942 · median $7,816 | 15 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $14,593 – $26,469 · median $18,906 | 15 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $5,730 – $16,091 · median $11,494 | 15 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $57,956 – $367,991 · median $262,851 | 15 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $57,956 – $103,807 · median $74,148 | 15 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $27,138 – $49,579 · median $35,414 | 15 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $27,138 – $67,350 · median $48,107 | 15 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $16,503 – $33,543 · median $23,959 | 15 plans |
| 935 | NON-EXTENSIVE BURNS | $16,503 – $34,327 · median $24,519 | 15 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $27,138 – $49,480 · median $35,343 | 15 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,503 – $33,010 · median $23,578 | 15 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $14,593 – $30,575 · median $21,839 | 15 plans |
| 945 | REHABILITATION WITH CC/MCC | $12,619 – $23,944 · median $17,103 | 15 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,604 – $17,589 · median $12,563 | 15 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,542 – $20,219 · median $14,442 | 15 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,929 – $12,597 · median $8,998 | 15 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,604 – $17,007 · median $12,148 | 15 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,903 – $9,367 · median $6,691 | 15 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,903 – $9,071 · median $6,479 | 15 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $38,651 – $106,123 · median $75,802 | 15 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $28,595 – $59,531 · median $42,522 | 15 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $52,206 – $115,979 · median $82,842 | 15 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $19,526 – $63,985 · median $45,704 | 15 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $18,232 – $41,264 · median $29,474 | 15 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $18,232 – $42,392 · median $30,280 | 15 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $7,112 – $23,534 · median $16,810 | 15 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,604 – $14,428 · median $10,306 | 15 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $57,956 – $98,311 · median $70,222 | 15 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $16,503 – $41,409 · median $29,578 | 15 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $18,232 – $46,569 · median $33,264 | 15 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $12,619 – $22,315 · median $15,939 | 15 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,604 – $15,829 · median $11,307 | 15 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $12,619 – $22,632 · median $16,166 | 15 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $36,080 – $73,969 · median $52,835 | 15 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $16,981 – $38,232 · median $27,308 | 15 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,418 – $26,140 · median $18,671 | 15 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $27,138 – $54,575 · median $38,982 | 15 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $14,593 – $26,881 · median $19,201 | 15 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $5,981 – $18,193 · median $12,995 | 15 plans |
No procedures match that keyword.