Multicare Valley Hospital — Pricing
820 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 820 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 820 procedures
Procedures with negotiated rates only
These 820 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $252,662 – $718,807 · median $525,282 | 32 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $99,423 – $336,639 · median $224,785 | 32 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $192,463 – $546,899 · median $397,526 | 32 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $126,788 – $360,575 · median $260,804 | 32 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $96,114 – $285,015 · median $198,590 | 32 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $44,285 – $123,744 · median $90,428 | 32 plans |
| 007 | LUNG TRANSPLANT | $112,190 – $333,493 · median $242,342 | 32 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $49,574 – $139,699 · median $101,466 | 32 plans |
| 010 | PANCREAS TRANSPLANT | $50,093 – $203,461 · median $97,326 | 32 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $49,170 – $137,696 · median $100,623 | 32 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $37,623 – $104,719 · median $76,526 | 32 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $24,633 – $70,668 · median $49,417 | 32 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $118,029 – $334,335 · median $228,462 | 32 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $54,889 – $154,026 · median $112,557 | 32 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $51,878 – $154,026 · median $109,725 | 32 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $72,986 – $232,452 · median $158,664 | 32 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $50,344 – $169,635 · median $112,748 | 32 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $32,500 – $108,901 · median $72,015 | 32 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $51,933 – $145,584 · median $106,389 | 32 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $34,924 – $98,665 · median $70,894 | 32 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $40,917 – $114,125 · median $83,399 | 32 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $28,284 – $78,050 · median $57,037 | 32 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $23,005 – $62,973 · median $46,020 | 32 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $55,278 – $155,139 · median $113,371 | 32 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $30,948 – $85,658 · median $62,596 | 32 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $20,839 – $58,497 · median $41,499 | 32 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $38,399 – $106,936 · median $78,146 | 32 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $20,036 – $54,498 · median $39,825 | 32 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $15,210 – $42,439 · median $29,753 | 32 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $35,702 – $99,929 · median $72,516 | 32 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $21,280 – $58,048 · median $42,420 | 32 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $17,333 – $46,991 · median $34,184 | 32 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $30,628 – $84,744 · median $61,928 | 32 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $15,351 – $41,115 · median $30,048 | 32 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $11,123 – $29,047 · median $21,225 | 32 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $34,660 – $96,256 · median $70,342 | 32 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $21,132 – $58,420 · median $42,111 | 32 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $16,658 – $46,217 · median $32,776 | 32 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $17,290 – $51,356 · median $37,529 | 32 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $9,186 – $25,556 · median $17,182 | 32 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $14,348 – $38,257 · median $27,955 | 32 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $10,702 – $27,840 · median $20,345 | 32 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $21,923 – $63,902 · median $46,219 | 32 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $12,877 – $34,062 · median $24,884 | 32 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $17,447 – $47,102 · median $34,422 | 32 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $11,887 – $31,224 · median $22,818 | 32 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $8,927 – $22,774 · median $16,641 | 32 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $25,110 – $73,274 · median $50,413 | 32 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $16,867 – $47,903 · median $33,210 | 32 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $13,506 – $39,503 · median $26,601 | 32 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $18,728 – $50,762 · median $37,095 | 32 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $10,039 – $25,954 · median $18,963 | 32 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $7,103 – $17,565 · median $12,923 | 32 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $13,953 – $37,152 · median $27,131 | 32 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $8,830 – $22,580 · median $16,438 | 32 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $8,102 – $20,421 · median $14,920 | 32 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $16,490 – $44,372 · median $32,425 | 32 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $10,370 – $26,893 · median $19,653 | 32 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $7,656 – $19,289 · median $14,007 | 32 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $14,764 – $39,441 · median $28,822 | 32 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $10,267 – $26,602 · median $19,439 | 32 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $16,344 – $45,599 · median $32,119 | 32 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $9,146 – $24,669 · median $17,098 | 32 plans |
| 077 | DRG | $14,770 – $39,459 · median $28,835 | 32 plans |
| 078 | DRG | $9,870 – $25,464 · median $18,609 | 32 plans |
| 079 | DRG | $6,910 – $18,337 · median $12,745 | 32 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $18,715 – $50,966 · median $37,068 | 32 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $8,660 – $23,091 · median $16,714 | 32 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $21,686 – $59,209 · median $43,267 | 32 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $13,377 – $35,480 · median $25,928 | 32 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $9,496 – $24,397 · median $17,829 | 32 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $21,201 – $58,360 · median $42,256 | 32 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $12,673 – $33,472 · median $24,459 | 32 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $8,852 – $22,560 · median $16,485 | 32 plans |
| 088 | CONCUSSION WITH MCC | $13,558 – $39,385 · median $26,307 | 32 plans |
| 089 | CONCUSSION WITH CC | $10,533 – $29,176 · median $19,993 | 32 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $8,613 – $21,876 · median $15,987 | 32 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $17,242 – $46,518 · median $33,993 | 32 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $10,413 – $27,021 · median $19,743 | 32 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $8,006 – $20,143 · median $14,719 | 32 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $33,557 – $93,107 · median $68,041 | 32 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $22,374 – $63,884 · median $44,703 | 32 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $22,374 – $61,171 · median $43,450 | 32 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $32,984 – $97,151 · median $66,846 | 32 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $20,337 – $55,355 · median $40,453 | 32 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $13,403 – $35,554 · median $25,982 | 32 plans |
| 100 | SEIZURES WITH MCC | $18,693 – $50,662 · median $37,022 | 32 plans |
| 101 | SEIZURES WITHOUT MCC | $9,189 – $23,519 · median $17,188 | 32 plans |
| 102 | HEADACHES WITH MCC | $11,314 – $29,588 · median $21,622 | 32 plans |
| 103 | HEADACHES WITHOUT MCC | $8,550 – $21,697 · median $15,855 | 32 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $21,117 – $57,588 · median $42,081 | 32 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $11,516 – $32,552 · median $22,044 | 32 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $14,633 – $39,069 · median $28,550 | 32 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $15,863 – $47,136 · median $31,116 | 32 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $10,591 – $27,526 · median $20,114 | 32 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $11,300 – $30,615 · median $21,691 | 32 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,014 – $17,310 · median $12,801 | 32 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $8,130 – $20,498 · median $14,978 | 32 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $12,604 – $34,998 · median $24,315 | 32 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $8,331 – $21,540 · median $15,398 | 32 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $22,498 – $61,526 · median $44,765 | 32 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $9,694 – $28,991 · median $19,529 | 32 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $13,450 – $37,469 · median $26,081 | 32 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $8,222 – $22,095 · median $15,170 | 32 plans |
| 139 | SALIVARY GLAND PROCEDURES | $12,786 – $35,036 · median $23,947 | 32 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $21,452 – $58,540 · median $42,081 | 32 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $12,076 – $31,765 · median $23,213 | 32 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $8,108 – $20,434 · median $14,931 | 32 plans |
| 149 | DYSEQUILIBRIUM | $7,632 – $19,076 · median $13,960 | 32 plans |
| 150 | EPISTAXIS WITH MCC | $13,304 – $35,271 · median $25,775 | 32 plans |
| 151 | EPISTAXIS WITHOUT MCC | $7,726 – $19,344 · median $14,143 | 32 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $11,093 – $29,926 · median $21,162 | 32 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $7,312 – $18,163 · median $13,333 | 32 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $15,485 – $41,501 · median $30,327 | 32 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $9,295 – $23,825 · median $17,410 | 32 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,961 – $17,160 · median $12,645 | 32 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $15,585 – $41,786 · median $30,536 | 32 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $9,358 – $24,002 · median $17,540 | 32 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,847 – $18,737 · median $12,421 | 32 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $42,140 – $121,025 · median $85,952 | 32 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $23,444 – $64,531 · median $46,937 | 32 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $17,609 – $48,146 · median $34,760 | 32 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $35,358 – $98,278 · median $71,800 | 32 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $17,280 – $47,501 · median $34,074 | 32 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,051 – $35,420 · median $25,248 | 32 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $13,544 – $35,960 · median $26,277 | 32 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $8,231 – $20,786 · median $15,189 | 32 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $15,397 – $44,473 · median $30,527 | 32 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $9,818 – $27,160 · median $19,085 | 32 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $7,831 – $19,643 · median $14,785 | 32 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $16,571 – $44,601 · median $32,593 | 32 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $10,874 – $28,332 · median $20,705 | 32 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $8,436 – $22,175 · median $15,618 | 32 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $15,137 – $40,505 · median $29,600 | 32 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $10,497 – $27,255 · median $19,918 | 32 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $7,902 – $19,844 · median $14,503 | 32 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $15,071 – $40,322 · median $29,464 | 32 plans |
| 187 | PLEURAL EFFUSION WITH CC | $9,924 – $26,133 · median $18,723 | 32 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $7,513 – $18,734 · median $13,727 | 32 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $12,010 – $31,581 · median $23,075 | 32 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $10,988 – $28,667 · median $20,942 | 32 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $8,629 – $21,924 · median $16,021 | 32 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $6,736 – $16,517 · median $12,236 | 32 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $12,727 – $33,630 · median $24,572 | 32 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $8,280 – $20,993 · median $15,439 | 32 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $6,517 – $16,036 · median $11,897 | 32 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $17,789 – $48,085 · median $35,135 | 32 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $9,799 – $25,262 · median $18,462 | 32 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $7,211 – $17,874 · median $13,138 | 32 plans |
| 199 | PNEUMOTHORAX WITH MCC | $16,727 – $45,048 · median $32,919 | 32 plans |
| 200 | PNEUMOTHORAX WITH CC | $10,849 – $28,261 · median $20,653 | 32 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $7,003 – $18,187 · median $12,760 | 32 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $9,591 – $24,670 · median $18,027 | 32 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $7,177 – $17,770 · median $13,068 | 32 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $8,200 – $20,694 · median $15,124 | 32 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $17,106 – $48,174 · median $35,115 | 32 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $9,047 – $23,116 · median $16,891 | 32 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $58,743 – $165,056 · median $119,912 | 32 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $24,935 – $68,498 · median $50,048 | 32 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $95,627 – $270,364 · median $200,597 | 32 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $87,194 – $246,278 · median $179,974 | 32 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $58,660 – $164,793 · median $120,427 | 32 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $54,115 – $151,821 · median $109,809 | 32 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $70,094 – $203,094 · median $144,289 | 32 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $48,283 – $135,801 · median $98,773 | 32 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $41,992 – $118,224 · median $85,643 | 32 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $45,483 – $129,403 · median $96,685 | 32 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $28,710 – $83,030 · median $60,654 | 32 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $76,674 – $216,241 · median $158,021 | 32 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $55,539 – $155,884 · median $113,915 | 32 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $70,799 – $199,459 · median $145,760 | 32 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $48,493 – $135,764 · median $99,211 | 32 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $53,533 – $150,155 · median $109,729 | 32 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $37,698 – $104,933 · median $76,682 | 32 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $45,962 – $128,531 · median $93,928 | 32 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $26,976 – $74,314 · median $54,307 | 32 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $14,445 – $38,701 · median $27,788 | 32 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $31,263 – $86,789 · median $63,254 | 32 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $21,083 – $58,567 · median $42,791 | 32 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $17,079 – $47,501 · median $34,694 | 32 plans |
| 245 | AICD GENERATOR PROCEDURES | $44,620 – $124,703 · median $90,329 | 32 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $21,618 – $60,459 · median $43,125 | 32 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $14,916 – $40,610 · median $29,139 | 32 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $31,606 – $87,539 · median $63,970 | 32 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $23,766 – $66,813 · median $47,608 | 32 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $16,585 – $45,687 · median $32,623 | 32 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $24,333 – $66,768 · median $48,792 | 32 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $16,087 – $43,221 · median $31,584 | 32 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,922 – $26,203 · median $17,718 | 32 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $26,022 – $71,594 · median $52,317 | 32 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $16,659 – $49,825 · median $33,816 | 32 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $31,390 – $87,416 · median $63,519 | 32 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $17,909 – $48,422 · median $35,386 | 32 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $14,515 – $41,897 · median $28,304 | 32 plans |
| 263 | VEIN LIGATION AND STRIPPING | $24,920 – $69,611 · median $49,505 | 32 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $32,184 – $89,190 · median $65,104 | 32 plans |
| 265 | AICD LEAD PROCEDURES | $32,829 – $91,027 · median $66,521 | 32 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $54,486 – $164,925 · median $118,113 | 32 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $42,993 – $128,943 · median $92,508 | 32 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $60,534 – $172,923 · median $124,337 | 32 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $38,132 – $106,848 · median $77,589 | 32 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $46,821 – $130,989 · median $95,720 | 32 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $31,731 – $87,901 · median $64,231 | 32 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $23,312 – $64,874 · median $46,661 | 32 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $35,895 – $100,269 · median $72,919 | 32 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $28,841 – $83,940 · median $58,200 | 32 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $15,620 – $41,891 · median $30,609 | 32 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $9,190 – $23,524 · median $17,190 | 32 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $7,432 – $18,505 · median $13,567 | 32 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $18,426 – $49,902 · median $36,464 | 32 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $7,574 – $18,908 · median $13,846 | 32 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,969 – $14,324 · median $9,992 | 32 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $20,730 – $56,483 · median $41,274 | 32 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $10,690 – $27,807 · median $20,321 | 32 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $25,361 – $69,703 · median $50,937 | 32 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $15,042 – $40,235 · median $29,402 | 32 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $9,701 – $30,126 · median $18,256 | 32 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $12,612 – $33,301 · median $24,491 | 32 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $8,648 – $21,980 · median $16,060 | 32 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,856 – $14,010 · median $10,959 | 32 plans |
| 294 | DRG | $11,701 – $31,336 · median $21,823 | 32 plans |
| 295 | DRG | $8,010 – $22,130 · median $14,728 | 32 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $15,593 – $41,809 · median $30,553 | 32 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $7,247 – $17,976 · median $13,205 | 32 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,900 – $12,206 · median $8,501 | 32 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $15,407 – $41,284 · median $30,165 | 32 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $10,519 – $27,319 · median $19,965 | 32 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $7,327 – $18,203 · median $13,363 | 32 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $11,348 – $30,128 · median $21,693 | 32 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $6,961 – $17,160 · median $12,645 | 32 plans |
| 304 | HYPERTENSION WITH MCC | $11,450 – $29,981 · median $21,908 | 32 plans |
| 305 | HYPERTENSION WITHOUT MCC | $7,661 – $19,158 · median $14,016 | 32 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $14,333 – $38,214 · median $27,924 | 32 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $9,231 – $23,639 · median $17,276 | 32 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $11,728 – $30,777 · median $22,488 | 32 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $7,559 – $18,867 · median $13,816 | 32 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,952 – $14,278 · median $10,668 | 32 plans |
| 311 | ANGINA PECTORIS | $7,193 – $17,826 · median $13,098 | 32 plans |
| 312 | SYNCOPE AND COLLAPSE | $8,738 – $22,236 · median $16,248 | 32 plans |
| 313 | CHEST PAIN | $7,327 – $18,203 · median $13,363 | 32 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $20,196 – $54,955 · median $40,158 | 32 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $9,552 – $24,558 · median $17,945 | 32 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,053 – $17,420 · median $12,825 | 32 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $46,338 – $129,608 · median $94,713 | 32 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $22,650 – $63,997 · median $45,279 | 32 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $15,192 – $41,419 · median $29,716 | 32 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $41,985 – $117,180 · median $85,630 | 32 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $22,074 – $61,351 · median $44,078 | 32 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $15,706 – $42,696 · median $30,788 | 32 plans |
| 332 | RECTAL RESECTION WITH MCC | $31,949 – $101,451 · median $64,684 | 32 plans |
| 333 | RECTAL RESECTION WITH CC | $19,944 – $55,796 · median $39,633 | 32 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $14,859 – $42,839 · median $30,930 | 32 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $33,331 – $92,482 · median $67,972 | 32 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $19,828 – $53,908 · median $39,390 | 32 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $14,670 – $39,365 · median $28,627 | 32 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $25,030 – $68,761 · median $50,247 | 32 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $14,255 – $38,766 · median $27,761 | 32 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,080 – $31,778 · median $23,222 | 32 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $22,102 – $63,419 · median $44,136 | 32 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $12,202 – $34,506 · median $23,532 | 32 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $8,824 – $24,916 · median $16,688 | 32 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $22,566 – $61,753 · median $45,104 | 32 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $14,397 – $38,400 · median $28,056 | 32 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $10,805 – $28,136 · median $20,561 | 32 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $27,162 – $74,845 · median $54,695 | 32 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $16,153 – $43,775 · median $31,722 | 32 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $12,866 – $34,288 · median $24,862 | 32 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $39,070 – $108,853 · median $79,547 | 32 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $21,076 – $57,468 · median $41,995 | 32 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,062 – $34,661 · median $25,270 | 32 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $15,876 – $43,830 · median $31,142 | 32 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $10,046 – $25,969 · median $18,976 | 32 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $7,190 – $18,707 · median $13,093 | 32 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $16,573 – $44,617 · median $32,597 | 32 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $10,150 – $26,268 · median $19,194 | 32 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $7,435 – $18,510 · median $13,573 | 32 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $19,820 – $53,885 · median $39,373 | 32 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $11,932 – $31,356 · median $22,913 | 32 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $8,843 – $22,532 · median $16,466 | 32 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $17,200 – $46,398 · median $33,906 | 32 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $9,762 – $25,160 · median $18,385 | 32 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $6,642 – $16,246 · median $12,020 | 32 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $18,148 – $49,108 · median $35,884 | 32 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $10,685 – $27,794 · median $20,310 | 32 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $7,648 – $19,234 · median $13,991 | 32 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $12,249 – $33,981 · median $23,575 | 32 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $8,723 – $22,527 · median $16,216 | 32 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $15,472 – $41,462 · median $30,299 | 32 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $9,821 – $25,326 · median $18,508 | 32 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,942 – $17,280 · median $12,608 | 32 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $14,087 – $37,514 · median $27,411 | 32 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $8,116 – $20,459 · median $14,948 | 32 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,842 – $14,130 · median $10,453 | 32 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $12,431 – $32,791 · median $23,953 | 32 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $7,925 – $19,913 · median $14,551 | 32 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $15,750 – $42,259 · median $30,881 | 32 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $9,364 – $24,022 · median $17,553 | 32 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,639 – $16,241 · median $12,014 | 32 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $49,463 – $138,533 · median $101,234 | 32 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $26,048 – $73,201 · median $52,371 | 32 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $20,038 – $55,611 · median $39,828 | 32 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $32,240 – $91,686 · median $65,607 | 32 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $19,687 – $53,498 · median $39,017 | 32 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $14,813 – $42,419 · median $28,925 | 32 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $25,405 – $84,408 · median $53,059 | 32 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $20,000 – $57,360 · median $39,750 | 32 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $15,808 – $42,424 · median $30,092 | 32 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $32,262 – $89,412 · median $65,339 | 32 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $18,629 – $50,479 · median $36,888 | 32 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $13,197 – $34,968 · median $25,551 | 32 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $22,189 – $60,648 · median $44,317 | 32 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $15,772 – $42,325 · median $30,926 | 32 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $12,727 – $33,625 · median $24,571 | 32 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $32,492 – $90,065 · median $63,805 | 32 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $15,586 – $45,265 · median $31,001 | 32 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $14,083 – $37,497 · median $27,401 | 32 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $37,298 – $103,792 · median $75,849 | 32 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $21,356 – $59,182 · median $42,493 | 32 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $14,766 – $39,446 · median $28,826 | 32 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $18,459 – $49,996 · median $36,533 | 32 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $10,512 – $27,299 · median $19,950 | 32 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,176 – $17,772 · median $12,988 | 32 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $17,257 – $46,561 · median $34,025 | 32 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $11,030 – $28,776 · median $21,029 | 32 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,969 – $21,136 · median $14,915 | 32 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $15,819 – $42,460 · median $31,025 | 32 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $8,639 – $21,952 · median $16,041 | 32 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,449 – $15,697 · median $11,641 | 32 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $17,845 – $48,240 · median $35,252 | 32 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $9,586 – $24,657 · median $18,018 | 32 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,232 – $17,930 · median $13,175 | 32 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $16,004 – $42,988 · median $31,411 | 32 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $10,644 – $27,674 · median $20,224 | 32 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $8,077 – $20,345 · median $14,868 | 32 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $76,632 – $216,119 · median $157,934 | 32 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $52,239 – $150,835 · median $110,353 | 32 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $39,538 – $120,260 · median $85,070 | 32 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $55,789 – $160,290 · median $114,437 | 32 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $26,543 – $74,598 · median $53,960 | 32 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $49,215 – $137,826 · median $100,718 | 32 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $27,301 – $75,248 · median $54,985 | 32 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $16,466 – $49,790 · median $32,375 | 32 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $46,477 – $131,054 · median $95,004 | 32 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $31,560 – $90,597 · median $63,873 | 32 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $24,394 – $69,693 · median $48,919 | 32 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $30,161 – $83,412 · median $60,955 | 32 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $17,801 – $48,118 · median $35,161 | 32 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $44,357 – $125,854 · median $90,579 | 32 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $26,842 – $76,732 · median $54,027 | 32 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $22,107 – $63,342 · median $44,147 | 32 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $41,027 – $114,442 · median $83,631 | 32 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $20,230 – $55,499 · median $40,229 | 32 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,346 – $30,670 · median $21,689 | 32 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $31,683 – $87,758 · median $64,130 | 32 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $21,850 – $59,676 · median $43,610 | 32 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $16,821 – $45,316 · median $33,115 | 32 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $27,233 – $75,054 · median $54,844 | 32 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $19,494 – $52,951 · median $38,693 | 32 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $15,128 – $41,129 · median $29,583 | 32 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $23,723 – $65,028 · median $47,519 | 32 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $29,720 – $82,266 · median $60,034 | 32 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $19,905 – $54,120 · median $39,551 | 32 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $15,073 – $40,324 · median $29,468 | 32 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $18,515 – $56,698 · median $36,651 | 32 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,019 – $33,219 · median $23,094 | 32 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $32,686 – $90,622 · median $66,223 | 32 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $22,408 – $61,274 · median $44,774 | 32 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $17,800 – $48,118 · median $35,159 | 32 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $32,412 – $92,808 · median $65,652 | 32 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $18,583 – $52,463 · median $36,793 | 32 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $12,950 – $38,021 · median $25,037 | 32 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $23,515 – $64,430 · median $47,084 | 32 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $11,325 – $32,949 · median $21,647 | 32 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $29,268 – $80,860 · median $59,090 | 32 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $16,900 – $45,551 · median $33,281 | 32 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $13,438 – $35,654 · median $26,055 | 32 plans |
| 503 | FOOT PROCEDURES WITH MCC | $24,602 – $67,539 · median $49,354 | 32 plans |
| 504 | FOOT PROCEDURES WITH CC | $16,635 – $44,803 · median $32,727 | 32 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $16,635 – $44,803 · median $32,727 | 32 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $14,348 – $38,254 · median $27,955 | 32 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $18,272 – $49,460 · median $36,144 | 32 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $12,485 – $36,185 · median $24,840 | 32 plans |
| 509 | DRG | $16,650 – $44,826 · median $28,011 | 32 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $26,492 – $72,936 · median $53,298 | 32 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $18,478 – $50,055 · median $36,572 | 32 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $15,320 – $41,029 · median $29,982 | 32 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $14,406 – $39,828 · median $28,076 | 32 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $10,064 – $26,020 · median $19,014 | 32 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $28,586 – $78,913 · median $57,667 | 32 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $18,929 – $51,336 · median $37,514 | 32 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $14,291 – $38,091 · median $27,836 | 32 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $32,979 – $93,140 · median $66,834 | 32 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $18,573 – $50,318 · median $36,772 | 32 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $13,759 – $36,974 · median $26,726 | 32 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $14,579 – $38,913 · median $28,436 | 32 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $8,226 – $20,771 · median $15,179 | 32 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $12,836 – $33,939 · median $24,800 | 32 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $8,199 – $20,694 · median $15,122 | 32 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $9,165 – $24,821 · median $17,138 | 32 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,953 – $17,395 · median $12,629 | 32 plans |
| 539 | OSTEOMYELITIS WITH MCC | $19,025 – $51,619 · median $37,714 | 32 plans |
| 540 | OSTEOMYELITIS WITH CC | $12,517 – $33,646 · median $24,132 | 32 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $8,771 – $22,325 · median $16,315 | 32 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $17,619 – $47,592 · median $34,780 | 32 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $10,433 – $27,210 · median $19,784 | 32 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $7,705 – $19,442 · median $14,103 | 32 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $23,533 – $64,481 · median $47,122 | 32 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $11,298 – $30,123 · median $21,589 | 32 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,621 – $22,857 · median $13,937 | 32 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $18,955 – $51,410 · median $37,568 | 32 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $11,721 – $30,752 · median $22,473 | 32 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $8,656 – $26,193 · median $16,076 | 32 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $16,201 – $43,545 · median $31,821 | 32 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $9,565 – $24,596 · median $17,973 | 32 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $12,623 – $33,337 · median $24,354 | 32 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $8,410 – $21,299 · median $15,564 | 32 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,986 – $34,363 · median $25,111 | 32 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $8,249 – $20,837 · median $15,226 | 32 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $14,801 – $39,548 · median $28,899 | 32 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $8,671 – $22,044 · median $16,108 | 32 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $17,540 – $47,368 · median $34,616 | 32 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $11,128 – $29,062 · median $21,234 | 32 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $8,259 – $20,865 · median $15,247 | 32 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $14,030 – $37,354 · median $27,291 | 32 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $8,939 – $22,807 · median $16,668 | 32 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $14,975 – $40,046 · median $29,262 | 32 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $10,064 – $26,020 · median $19,015 | 32 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $7,638 – $19,089 · median $13,970 | 32 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $27,851 – $76,825 · median $56,134 | 32 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $15,914 – $42,741 · median $31,222 | 32 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $11,161 – $30,073 · median $21,303 | 32 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $46,556 – $157,147 · median $114,838 | 32 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $31,915 – $90,065 · median $64,613 | 32 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $18,795 – $51,211 · median $36,954 | 32 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $49,164 – $141,146 · median $100,612 | 32 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $24,747 – $67,950 · median $49,656 | 32 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $16,058 – $43,136 · median $31,523 | 32 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $30,078 – $83,172 · median $60,781 | 32 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $16,796 – $45,244 · median $33,063 | 32 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $13,813 – $36,726 · median $26,564 | 32 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $16,601 – $48,343 · median $32,656 | 32 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $15,526 – $41,917 · median $30,338 | 32 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $19,248 – $53,365 · median $38,143 | 32 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $18,242 – $50,657 · median $33,903 | 32 plans |
| 592 | SKIN ULCERS WITH MCC | $16,977 – $52,474 · median $37,954 | 32 plans |
| 593 | SKIN ULCERS WITH CC | $11,878 – $31,201 · median $22,801 | 32 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $8,536 – $21,656 · median $15,696 | 32 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $19,853 – $53,975 · median $39,442 | 32 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $10,613 – $27,587 · median $20,113 | 32 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $16,650 – $44,826 · median $31,904 | 32 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $10,594 – $27,534 · median $20,119 | 32 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $8,592 – $21,817 · median $13,885 | 32 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $9,501 – $26,013 · median $17,839 | 32 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,310 – $17,588 · median $11,368 | 32 plans |
| 602 | CELLULITIS WITH MCC | $14,081 – $37,499 · median $27,398 | 32 plans |
| 603 | CELLULITIS WITHOUT MCC | $8,823 – $22,481 · median $16,425 | 32 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $14,229 – $37,915 · median $27,705 | 32 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $9,207 – $23,573 · median $17,225 | 32 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $15,342 – $41,090 · median $30,029 | 32 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $8,675 – $22,057 · median $16,116 | 32 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $21,317 – $58,715 · median $42,499 | 32 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $13,758 – $36,874 · median $26,723 | 32 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $35,490 – $98,632 · median $72,075 | 32 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $18,213 – $49,310 · median $36,020 | 32 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $12,079 – $31,772 · median $23,153 | 32 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $25,316 – $72,252 · median $50,844 | 32 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $15,223 – $42,116 · median $30,218 | 32 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $14,015 – $38,853 · median $27,260 | 32 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $34,391 – $95,547 · median $69,781 | 32 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $18,045 – $48,845 · median $35,670 | 32 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,916 – $25,599 · median $19,283 | 32 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $26,573 – $73,163 · median $53,466 | 32 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $14,440 – $40,457 · median $28,145 | 32 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $12,151 – $32,329 · median $23,625 | 32 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $36,211 – $100,710 · median $73,579 | 32 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $21,050 – $57,423 · median $41,941 | 32 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $13,474 – $35,759 · median $26,401 | 32 plans |
| 637 | DIABETES WITH MCC | $13,966 – $37,165 · median $27,157 | 32 plans |
| 638 | DIABETES WITH CC | $9,149 – $23,407 · median $17,104 | 32 plans |
| 639 | DIABETES WITHOUT CC/MCC | $6,552 – $15,991 · median $11,843 | 32 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $12,819 – $33,893 · median $24,765 | 32 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $7,935 – $19,944 · median $14,572 | 32 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $12,043 – $35,063 · median $23,144 | 32 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $15,762 – $42,294 · median $30,905 | 32 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $10,187 – $26,375 · median $19,271 | 32 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $7,911 – $19,880 · median $14,521 | 32 plans |
| 652 | KIDNEY TRANSPLANT | $28,398 – $78,377 · median $57,275 | 32 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $50,767 – $142,254 · median $103,955 | 32 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $26,171 – $72,015 · median $52,627 | 32 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $19,515 – $53,937 · median $38,737 | 32 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $30,066 – $83,137 · median $60,755 | 32 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $17,288 – $46,924 · median $34,090 | 32 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $14,392 – $39,453 · median $28,047 | 32 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $24,046 – $65,949 · median $49,900 | 32 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $12,927 – $35,260 · median $25,909 | 32 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $10,126 – $26,932 · median $20,021 | 32 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $28,829 – $79,607 · median $58,174 | 32 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $14,601 – $38,977 · median $28,783 | 32 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $10,602 – $28,152 · median $20,649 | 32 plans |
| 665 | PROSTATECTOMY WITH MCC | $31,635 – $87,620 · median $61,578 | 32 plans |
| 666 | PROSTATECTOMY WITH CC | $15,673 – $43,023 · median $30,719 | 32 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $10,137 – $26,227 · median $19,166 | 32 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $27,012 – $74,419 · median $54,383 | 32 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $14,781 – $39,492 · median $28,858 | 32 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $9,493 – $24,674 · median $17,822 | 32 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $16,355 – $45,762 · median $32,144 | 32 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $10,732 – $27,927 · median $18,955 | 32 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $38,390 – $106,929 · median $73,716 | 32 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $21,580 – $59,229 · median $43,047 | 32 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $14,940 – $42,136 · median $29,190 | 32 plans |
| 682 | RENAL FAILURE WITH MCC | $14,373 – $38,331 · median $28,007 | 32 plans |
| 683 | RENAL FAILURE WITH CC | $8,896 – $22,685 · median $16,576 | 32 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $6,380 – $15,503 · median $11,507 | 32 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $17,803 – $48,121 · median $35,165 | 32 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $10,359 – $26,862 · median $19,631 | 32 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,424 – $21,648 · median $13,908 | 32 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $11,410 – $29,869 · median $21,824 | 32 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $8,125 – $20,482 · median $14,967 | 32 plans |
| 693 | URINARY STONES WITH MCC | $14,092 – $37,522 · median $27,140 | 32 plans |
| 694 | URINARY STONES WITHOUT MCC | $7,935 – $19,941 · median $14,572 | 32 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $11,030 – $28,779 · median $21,031 | 32 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $7,134 – $17,652 · median $12,984 | 32 plans |
| 697 | URETHRAL STRICTURE | $9,905 – $25,566 · median $18,682 | 32 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $15,973 – $42,897 · median $31,345 | 32 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $10,066 – $26,025 · median $19,019 | 32 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $7,156 – $18,510 · median $13,038 | 32 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $18,294 – $49,855 · median $36,188 | 32 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $14,200 – $37,831 · median $27,646 | 32 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $21,032 – $60,266 · median $41,904 | 32 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $14,369 – $38,313 · median $26,090 | 32 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $18,025 – $51,056 · median $35,629 | 32 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $10,510 – $31,023 · median $19,946 | 32 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $13,874 – $37,027 · median $26,965 | 32 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $9,350 – $23,979 · median $17,524 | 32 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $21,132 – $57,629 · median $42,073 | 32 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $13,635 – $36,218 · median $26,467 | 32 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $17,533 – $47,350 · median $34,601 | 32 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $11,961 – $31,707 · median $22,972 | 32 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $16,402 – $44,119 · median $32,241 | 32 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $10,987 – $28,794 · median $20,940 | 32 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,463 – $19,117 · median $13,587 | 32 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $12,235 – $32,234 · median $23,545 | 32 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $7,604 – $19,279 · median $13,905 | 32 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $14,083 – $37,497 · median $27,401 | 32 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $8,254 – $20,852 · median $15,237 | 32 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $10,790 – $28,092 · median $20,012 | 32 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,376 – $16,386 · median $11,498 | 32 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $19,743 – $54,599 · median $39,213 | 32 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $11,800 – $31,787 · median $22,637 | 32 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $36,139 – $106,570 · median $73,428 | 32 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $18,810 – $50,997 · median $37,266 | 32 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $14,507 – $38,709 · median $27,202 | 32 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $36,525 – $101,587 · median $72,087 | 32 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $17,201 – $46,400 · median $33,908 | 32 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $13,227 – $35,052 · median $25,615 | 32 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $17,276 – $46,615 · median $34,064 | 32 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $11,664 – $30,588 · median $22,353 | 32 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $18,413 – $49,864 · median $36,438 | 32 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $10,110 – $28,754 · median $19,110 | 32 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $15,917 – $42,733 · median $31,228 | 32 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $9,488 – $24,451 · median $17,685 | 32 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $13,126 – $35,410 · median $25,404 | 32 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $24,084 – $66,056 · median $48,272 | 32 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,475 – $35,655 · median $24,047 | 32 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $17,120 – $46,171 · median $33,740 | 32 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,872 – $28,330 · median $20,701 | 32 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,276 – $24,906 · median $17,809 | 32 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,600 – $36,116 · median $26,393 | 32 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,061 – $26,013 · median $19,008 | 32 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,672 – $16,330 · median $12,086 | 32 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $9,760 – $25,150 · median $18,379 | 32 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $6,617 – $16,177 · median $11,947 | 32 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $6,510 – $28,654 · median $20,235 | 32 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $13,369 – $41,509 · median $27,352 | 32 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $9,026 – $27,457 · median $16,377 | 32 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $7,328 – $18,206 · median $13,453 | 32 plans |
| 779 | ABORTION WITHOUT D&C | $7,716 – $25,451 · median $17,432 | 32 plans |
| 795 | NORMAL NEWBORN | $1,489 – $5,099 · median $3,808 | 32 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $43,441 – $130,120 · median $88,668 | 32 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $26,990 – $74,355 · median $54,337 | 32 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $15,623 – $44,875 · median $30,614 | 32 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $32,986 – $95,247 · median $66,849 | 32 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $16,858 – $51,304 · median $33,193 | 32 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,832 – $31,527 · median $20,617 | 32 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $21,418 – $58,451 · median $42,710 | 32 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $12,020 – $31,607 · median $23,096 | 32 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $9,458 – $24,287 · median $17,749 | 32 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $13,524 – $35,902 · median $26,236 | 32 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $9,200 – $23,552 · median $17,210 | 32 plans |
| 813 | COAGULATION DISORDERS | $14,785 – $39,502 · median $28,889 | 32 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $19,633 – $53,344 · median $38,984 | 32 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $10,032 – $25,931 · median $18,948 | 32 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $6,845 – $18,215 · median $12,417 | 32 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $52,980 – $148,575 · median $108,574 | 32 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $20,901 – $56,966 · median $41,630 | 32 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,173 – $30,108 · median $21,328 | 32 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $42,768 – $119,413 · median $87,263 | 32 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $20,606 – $57,225 · median $41,014 | 32 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,951 – $32,897 · median $22,952 | 32 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $43,626 – $128,476 · median $89,054 | 32 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $22,040 – $60,833 · median $44,007 | 32 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $15,276 – $43,453 · median $29,891 | 32 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $28,509 – $79,073 · median $57,507 | 32 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $14,021 – $37,320 · median $27,273 | 32 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $50,344 – $141,046 · median $103,073 | 32 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $20,039 – $54,506 · median $39,830 | 32 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $12,307 – $39,198 · median $23,696 | 32 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $45,696 – $134,480 · median $94,319 | 32 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $19,076 – $55,571 · median $38,552 | 32 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $13,198 – $34,970 · median $25,555 | 32 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $29,449 – $81,393 · median $59,468 | 32 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $14,964 – $40,013 · median $29,240 | 32 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $10,352 – $27,577 · median $19,616 | 32 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $17,871 – $48,408 · median $35,306 | 32 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $11,633 – $30,499 · median $22,288 | 32 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $8,430 – $21,353 · median $15,605 | 32 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $23,773 – $65,168 · median $47,623 | 32 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $12,307 – $32,426 · median $23,696 | 32 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,270 – $23,214 · median $15,419 | 32 plans |
| 849 | RADIOTHERAPY | $20,622 – $68,161 · median $49,811 | 32 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $45,644 – $127,638 · median $93,264 | 32 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $18,807 – $51,361 · median $38,599 | 32 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $15,479 – $41,483 · median $30,314 | 32 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $41,268 – $115,128 · median $84,132 | 32 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $20,423 – $55,606 · median $40,632 | 32 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,466 – $35,345 · median $24,026 | 32 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $17,383 – $46,921 · median $34,288 | 32 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $9,888 – $25,517 · median $18,646 | 32 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $8,977 – $22,914 · median $16,746 | 32 plans |
| 865 | VIRAL ILLNESS WITH MCC | $14,141 – $41,797 · median $27,523 | 32 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $8,859 – $22,578 · median $16,500 | 32 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $20,114 – $54,720 · median $39,987 | 32 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $10,336 – $26,796 · median $19,582 | 32 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $7,383 – $18,510 · median $13,471 | 32 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $63,115 – $177,530 · median $129,725 | 32 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $18,486 – $50,078 · median $36,589 | 32 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $10,165 – $26,311 · median $19,226 | 32 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $17,909 – $49,517 · median $35,386 | 32 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $11,846 – $31,109 · median $22,734 | 32 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $35,455 – $98,530 · median $64,926 | 32 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $15,681 – $42,060 · median $30,736 | 32 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $19,985 – $55,695 · median $37,508 | 32 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $36,550 – $101,659 · median $74,145 | 32 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $18,977 – $51,474 · median $37,615 | 32 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $12,286 – $34,098 · median $23,651 | 32 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $15,414 – $41,296 · median $29,791 | 32 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $9,141 – $23,384 · median $17,089 | 32 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $16,482 – $45,477 · median $32,408 | 32 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,877 – $16,945 · median $12,499 | 32 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $15,605 – $41,843 · median $30,577 | 32 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $8,595 – $22,570 · median $16,483 | 32 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $17,248 – $46,533 · median $34,006 | 32 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $10,031 – $25,923 · median $18,945 | 32 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $7,098 – $18,187 · median $12,913 | 32 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $16,049 – $43,108 · median $31,504 | 32 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $9,356 – $26,025 · median $19,019 | 32 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $29,315 – $80,995 · median $59,189 | 32 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $19,820 – $55,052 · median $39,373 | 32 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $18,416 – $49,871 · median $36,444 | 32 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $12,446 – $32,821 · median $23,985 | 32 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $8,052 – $20,276 · median $14,816 | 32 plans |
| 949 | AFTERCARE WITH CC/MCC | $10,594 – $29,783 · median $20,121 | 32 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $6,190 – $17,728 · median $12,034 | 32 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $6,019 – $14,467 · median $11,324 | 32 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $57,466 – $181,089 · median $117,936 | 32 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $24,662 – $77,167 · median $49,479 | 32 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $27,637 – $76,203 · median $55,687 | 32 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $13,654 – $36,272 · median $26,506 | 32 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $9,915 – $25,594 · median $17,091 | 32 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $13,837 – $36,795 · median $26,889 | 32 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $43,433 – $121,330 · median $88,651 | 32 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $22,830 – $62,670 · median $45,656 | 32 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $15,859 – $42,570 · median $31,109 | 32 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $32,252 – $89,397 · median $65,318 | 32 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $16,287 – $43,792 · median $32,000 | 32 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,278 – $29,486 · median $21,535 | 32 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $12,603 – $106,434 · median $38,220 | 31 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $3,467 – $37,673 · median $14,144 | 31 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $40,543 – $113,059 · median $82,620 | 31 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $337,950 – $962,364 · median $718,845 | 30 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $71,790 – $202,289 · median $147,828 | 30 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $38,744 – $107,924 · median $75,717 | 30 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $20,151 – $55,784 · median $40,681 | 30 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $15,003 – $42,519 · median $30,060 | 30 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $30,458 – $84,259 · median $61,640 | 30 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $16,650 – $45,207 · median $33,627 | 30 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $11,540 – $30,234 · median $23,218 | 30 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $40,206 – $112,097 · median $84,434 | 30 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $21,637 – $61,750 · median $43,770 | 30 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $26,998 – $75,438 · median $57,020 | 30 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $19,790 – $54,292 · median $40,708 | 30 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $42,123 – $117,571 · median $87,785 | 30 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $31,982 – $88,611 · median $66,847 | 30 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $11,956 – $48,215 · median $34,351 | 30 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $10,630 – $27,638 · median $20,196 | 30 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $8,758 – $22,790 · median $16,289 | 30 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $11,956 – $41,235 · median $30,133 | 30 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $10,441 – $27,097 · median $19,800 | 30 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $9,037 – $23,096 · median $16,871 | 30 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $6,510 – $32,807 · median $23,563 | 30 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,510 – $24,708 · median $18,055 | 30 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,510 – $24,708 · median $16,647 | 30 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $6,510 – $25,466 · median $18,611 | 30 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $6,510 – $18,464 · median $13,541 | 30 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $6,510 – $16,261 · median $12,030 | 30 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $23,606 – $78,201 · median $47,599 | 30 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $12,462 – $39,730 · median $25,714 | 30 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,249 – $22,200 · median $16,655 | 30 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $11,238 – $29,853 · median $21,435 | 30 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $7,631 – $19,071 · median $14,342 | 30 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $5,597 – $13,265 · median $10,202 | 30 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $13,634 – $46,005 · median $32,449 | 29 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $44,912 – $151,716 · median $103,029 | 28 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $30,705 – $103,614 · median $70,639 | 28 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $18,561 – $62,519 · median $42,969 | 28 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $2,758 – $100,278 · median $42,066 | 28 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,568 – $24,463 · median $2,874 | 28 plans |
| 881 | DEPRESSIVE NEUROSES | $1,568 – $23,328 · median $2,874 | 28 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,568 – $24,548 · median $2,874 | 28 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,568 – $47,375 · median $2,874 | 28 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,568 – $42,621 · median $2,874 | 28 plans |
| 885 | PSYCHOSES | $1,568 – $35,970 · median $2,874 | 28 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,568 – $45,844 · median $2,874 | 28 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,568 – $30,351 · median $2,874 | 28 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $2,200 – $15,927 · median $6,594 | 28 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $2,200 – $38,946 · median $14,028 | 28 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $2,200 – $45,446 · median $17,033 | 28 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $2,200 – $22,514 · median $8,923 | 28 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $28,373 – $78,306 · median $61,297 | 27 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $98,299 – $277,992 · median $214,703 | 27 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $64,103 – $180,337 · median $140,252 | 27 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $56,305 – $158,071 · median $123,794 | 27 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $42,521 – $118,724 · median $95,332 | 27 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $45,662 – $127,674 · median $90,052 | 27 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $29,587 – $81,771 · median $63,801 | 27 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $26,391 – $72,648 · median $57,304 | 27 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $17,119 – $46,168 · median $36,348 | 27 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $39,014 – $108,695 · median $82,527 | 27 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $29,504 – $81,536 · median $59,176 | 27 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $26,528 – $73,038 · median $52,711 | 27 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $23,094 – $63,228 · median $44,784 | 27 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $14,474 – $38,619 · median $30,166 | 27 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $10,995 – $28,687 · median $22,189 | 27 plans |
| 945 | REHABILITATION WITH CC/MCC | $4,100 – $38,954 · median $18,418 | 24 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $4,100 – $28,491 · median $14,306 | 24 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $194,059 – $605,406 · median $372,745 | 22 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $60,635 – $170,435 · median $104,136 | 22 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $29,372 – $81,159 · median $49,389 | 22 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $37,301 – $110,417 · median $50,690 | 22 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $19,972 – $54,758 · median $32,986 | 22 plans |
| 935 | NON-EXTENSIVE BURNS | $19,339 – $56,050 · median $32,966 | 22 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $61,970 – $174,248 · median $102,081 | 22 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $35,109 – $97,543 · median $62,154 | 22 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $67,652 – $190,474 · median $117,456 | 22 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $37,677 – $104,874 · median $65,954 | 22 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $24,578 – $67,467 · median $43,017 | 22 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $25,229 – $69,328 · median $43,519 | 22 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $14,357 – $38,285 · median $23,915 | 22 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $9,107 – $23,287 · median $15,814 | 22 plans |
| 453 | DRG | $111,605 – $228,742 · median $176,643 | 17 plans |
| 454 | DRG | $74,435 – $152,187 · median $121,922 | 17 plans |
| 455 | DRG | $58,182 – $119,633 · median $91,808 | 17 plans |
| 459 | DRG | $69,179 – $165,732 · median $132,208 | 17 plans |
| 460 | DRG | $45,999 – $94,097 · median $72,917 | 17 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $56,234 – $157,867 · median $107,175 | 16 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $35,912 – $100,273 · median $68,252 | 16 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $94,560 – $267,490 · median $180,936 | 16 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $64,422 – $181,159 · median $122,888 | 16 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $50,137 – $140,493 · median $95,464 | 16 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $75,483 – $212,837 · median $144,191 | 16 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $49,836 – $139,597 · median $94,873 | 16 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $60,865 – $171,091 · median $116,081 | 16 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $37,442 – $104,203 · median $71,040 | 16 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $46,973 – $131,420 · median $89,367 | 16 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $28,529 – $78,750 · median $53,900 | 16 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $83,269 – $235,072 · median $159,163 | 16 plans |
| 222 | DRG | $97,216 – $191,308 · median $123,468 | 6 plans |
| 223 | DRG | $71,715 – $130,394 · median $90,701 | 6 plans |
| 224 | DRG | $84,108 – $177,131 · median $110,015 | 6 plans |
| 225 | DRG | $64,861 – $126,372 · median $82,028 | 6 plans |
| 226 | DRG | $77,878 – $159,933 · median $100,745 | 6 plans |
| 227 | DRG | $61,925 – $125,447 · median $79,634 | 6 plans |
| 246 | DRG | $36,781 – $74,843 · median $47,391 | 6 plans |
| 247 | DRG | $24,239 – $47,711 · median $30,788 | 6 plans |
| 248 | DRG | $34,917 – $75,203 · median $46,131 | 6 plans |
| 249 | DRG | $22,418 – $45,392 · median $28,823 | 6 plans |
| 338 | DRG | $31,666 – $66,375 · median $41,334 | 6 plans |
| 339 | DRG | $19,536 – $40,687 · median $25,428 | 6 plans |
| 340 | DRG | $13,746 – $29,981 · median $18,264 | 6 plans |
| 341 | DRG | $28,505 – $56,443 · median $36,299 | 6 plans |
| 342 | DRG | $17,051 – $36,310 · median $22,413 | 6 plans |
| 343 | DRG | $12,095 – $27,302 · median $16,324 | 6 plans |
| 888 | Psych | $2,200 – $2,874 · median $2,768 | 6 plans |
| 889 | Psych | $2,200 – $2,874 · median $2,768 | 6 plans |
| 890 | Psych | $2,200 – $2,874 · median $2,768 | 6 plans |
| 891 | Psych | $2,200 – $2,874 · median $2,768 | 6 plans |
| 892 | Psych | $2,200 – $2,874 · median $2,768 | 6 plans |
| 893 | Psych | $2,200 – $2,874 · median $2,768 | 6 plans |
| 877 | Psych | $2,781 – $3,178 · median $2,847 | 5 plans |
| 878 | Psych | $2,781 – $3,178 · median $2,847 | 5 plans |
| 879 | Psych | $2,781 – $3,178 · median $2,847 | 5 plans |
| 129 | DRG | $26,264 – $38,288 · median $32,276 | 2 plans |
| 130 | DRG | $16,474 – $24,016 · median $20,245 | 2 plans |
| 131 | DRG | $29,459 – $42,944 · median $36,201 | 2 plans |
| 132 | DRG | $17,823 – $25,982 · median $21,902 | 2 plans |
| 133 | DRG | $22,750 – $33,165 · median $27,958 | 2 plans |
| 134 | DRG | $13,298 – $19,386 · median $16,342 | 2 plans |
| 685 | DRG | $12,087 – $17,621 · median $14,854 | 2 plans |
| 691 | DRG | $18,311 – $26,693 · median $22,502 | 2 plans |
| 692 | DRG | $13,633 – $19,874 · median $16,753 | 2 plans |
| 765 | DRG | $13,485 – $19,658 · median $16,572 | 2 plans |
| 766 | DRG | $9,591 – $13,981 · median $11,786 | 2 plans |
| 767 | DRG | $10,668 – $15,551 · median $13,109 | 2 plans |
| 774 | DRG | $6,416 – $9,000 · median $7,708 | 2 plans |
| 775 | DRG | $5,041 – $7,072 · median $6,056 | 2 plans |
| 777 | DRG | $10,061 – $14,666 · median $12,363 | 2 plans |
| 778 | DRG | $6,973 – $10,165 · median $8,569 | 2 plans |
| 780 | DRG | $5,590 – $8,149 · median $6,870 | 2 plans |
| 781 | DRG | $9,870 – $14,389 · median $12,130 | 2 plans |
| 782 | DRG | $7,006 – $10,213 · median $8,610 | 2 plans |
No procedures match that keyword.