Fort 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 |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $225,200 – $355,656 · median $253,627 | 19 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $91,647 – $139,136 · median $101,959 | 19 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $177,260 – $270,598 · median $192,970 | 19 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $117,329 – $178,407 · median $127,227 | 19 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $86,244 – $134,460 · median $95,887 | 19 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $40,504 – $61,226 · median $43,662 | 19 plans |
| 007 | Lung transplant | $102,144 – $165,008 · median $117,671 | 19 plans |
| 008 | Simultaneous pancreas/kidney transplant | $44,029 – $68,700 · median $48,992 | 19 plans |
| 010 | Pancreas transplant | $40,311 – $100,668 · median $66,490 | 19 plans |
| 011 | Tracheostomy for face,mouth & neck diagnoses w MCC | $43,154 – $68,129 · median $48,585 | 19 plans |
| 012 | Tracheostomy for face,mouth & neck diagnoses w CC | $33,601 – $51,814 · median $36,950 | 19 plans |
| 013 | Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC | $22,538 – $33,459 · median $23,861 | 19 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $95,461 – $165,425 · median $117,969 | 19 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $50,495 – $76,210 · median $54,347 | 19 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $50,495 – $76,210 · median $54,347 | 19 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $306,043 – $476,166 · median $339,566 | 19 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $66,113 – $100,091 · median $71,377 | 19 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $67,217 – $101,780 · median $72,582 | 19 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $46,296 – $69,788 · median $51,327 | 19 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $29,219 – $44,575 · median $31,788 | 19 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $47,406 – $72,033 · median $51,369 | 19 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $31,808 – $48,001 · median $34,231 | 19 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $37,012 – $56,468 · median $40,269 | 19 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $24,875 – $38,618 · median $27,540 | 19 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $20,559 – $31,159 · median $22,220 | 19 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $50,370 – $76,760 · median $54,740 | 19 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $28,373 – $42,382 · median $30,224 | 19 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $19,032 – $28,098 · median $20,038 | 19 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $34,528 – $52,911 · median $37,732 | 19 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $18,244 – $26,964 · median $19,229 | 19 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $13,831 – $20,145 · median $14,366 | 19 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $32,743 – $49,099 · median $35,014 | 19 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $19,440 – $28,722 · median $20,482 | 19 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $15,376 – $23,145 · median $16,505 | 19 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $28,077 – $41,930 · median $29,901 | 19 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $13,648 – $20,344 · median $14,508 | 19 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,841 – $14,371 · median $10,248 | 19 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $31,803 – $47,627 · median $33,964 | 19 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $18,882 – $28,512 · median $20,333 | 19 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $14,809 – $22,192 · median $15,825 | 19 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $16,507 – $25,410 · median $18,121 | 19 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,265 – $11,634 · median $8,537 | 19 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $12,599 – $18,928 · median $13,498 | 19 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $9,278 – $13,775 · median $9,823 | 19 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $20,236 – $31,617 · median $22,547 | 19 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $11,675 – $16,848 · median $12,015 | 19 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $14,710 – $23,307 · median $16,620 | 19 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $10,224 – $15,449 · median $11,017 | 19 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,820 – $11,268 · median $8,035 | 19 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $22,979 – $34,133 · median $24,341 | 19 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $15,362 – $22,486 · median $16,035 | 19 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $12,256 – $17,737 · median $12,710 | 19 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $16,992 – $25,116 · median $17,911 | 19 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $8,807 – $12,839 · median $9,156 | 19 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,078 – $8,691 · median $6,340 | 19 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $12,130 – $18,370 · median $13,100 | 19 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,601 – $11,130 · median $7,937 | 19 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $7,001 – $10,102 · median $7,263 | 19 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $15,014 – $21,954 · median $15,656 | 19 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $9,184 – $13,307 · median $9,489 | 19 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,755 – $9,472 · median $6,871 | 19 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,927 – $19,515 · median $13,917 | 19 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,888 – $13,161 · median $9,386 | 19 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $14,878 – $21,747 · median $16,252 | 19 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $8,028 – $11,577 · median $8,256 | 19 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $12,910 – $19,524 · median $13,923 | 19 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $8,811 – $12,600 · median $8,985 | 19 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $6,003 – $8,418 · median $6,400 | 19 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $17,070 – $25,098 · median $18,699 | 19 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,920 – $11,424 · median $8,147 | 19 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $19,276 – $29,295 · median $20,891 | 19 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $11,628 – $17,555 · median $12,519 | 19 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,005 – $12,072 · median $8,609 | 19 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $19,231 – $28,611 · median $20,403 | 19 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $11,302 – $16,560 · median $11,810 | 19 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,727 – $11,161 · median $7,960 | 19 plans |
| 088 | CONCUSSION WITH MCC | $12,305 – $17,812 · median $13,100 | 19 plans |
| 089 | CONCUSSION WITH CC | $9,509 – $13,536 · median $9,915 | 19 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,719 – $10,824 · median $8,130 | 19 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $15,219 – $23,016 · median $16,413 | 19 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,887 – $13,367 · median $9,533 | 19 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,799 – $9,966 · median $7,174 | 19 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $30,430 – $46,069 · median $32,853 | 19 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $20,155 – $30,267 · median $21,584 | 19 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $18,458 – $30,267 · median $21,584 | 19 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $30,255 – $45,260 · median $32,276 | 19 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $18,249 – $27,390 · median $19,532 | 19 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $11,328 – $17,592 · median $12,545 | 19 plans |
| 100 | SEIZURES WITH MCC | $16,822 – $25,067 · median $17,876 | 19 plans |
| 101 | SEIZURES WITHOUT MCC | $7,921 – $11,637 · median $8,299 | 19 plans |
| 102 | HEADACHES WITH MCC | $10,231 – $14,640 · median $10,440 | 19 plans |
| 103 | HEADACHES WITHOUT MCC | $7,363 – $10,735 · median $7,677 | 19 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $19,289 – $28,492 · median $21,176 | 19 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,417 – $14,925 · median $10,644 | 19 plans |
| 115 | Extraocular procedures except orbit | $13,298 – $19,331 · median $13,785 | 19 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $14,434 – $21,068 · median $15,564 | 19 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $9,563 – $13,619 · median $10,317 | 19 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $10,261 – $14,687 · median $11,004 | 19 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,107 – $8,564 · median $6,512 | 19 plans |
| 123 | Neurological eye disorders | $7,045 – $10,141 · median $7,289 | 19 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $11,342 – $16,463 · median $11,740 | 19 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,991 – $10,425 · median $7,474 | 19 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $20,565 – $30,443 · median $22,378 | 19 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,166 – $12,351 · median $8,808 | 19 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $12,205 – $17,659 · median $12,858 | 19 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,325 – $10,271 · median $7,557 | 19 plans |
| 139 | Salivary gland procedures | $10,228 – $17,336 · median $12,362 | 19 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $31,720 – $53,398 · median $38,080 | 19 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $17,562 – $27,127 · median $19,345 | 19 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $13,193 – $19,853 · median $14,158 | 19 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $27,920 – $41,690 · median $29,730 | 19 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $14,732 – $22,180 · median $15,817 | 19 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $10,439 – $14,959 · median $10,668 | 19 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $17,888 – $28,966 · median $20,656 | 19 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $10,627 – $15,717 · median $11,208 | 19 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $7,210 – $10,110 · median $7,687 | 19 plans |
| 149 | Dysequilibrium | $6,553 – $9,438 · median $6,829 | 19 plans |
| 150 | EPISTAXIS WITH MCC | $11,280 – $17,452 · median $12,445 | 19 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,769 – $9,571 · median $6,915 | 19 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $10,027 – $14,328 · median $10,232 | 19 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,408 – $8,986 · median $6,533 | 19 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $13,136 – $20,534 · median $14,643 | 19 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $8,228 – $11,788 · median $8,406 | 19 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,813 – $8,490 · median $6,209 | 19 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $14,177 – $20,675 · median $14,744 | 19 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $8,161 – $11,876 · median $8,469 | 19 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,939 – $8,328 · median $6,103 | 19 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $38,715 – $58,196 · median $41,501 | 19 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $21,440 – $31,780 · median $22,663 | 19 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $15,942 – $23,535 · median $16,783 | 19 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $32,449 – $48,614 · median $34,668 | 19 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $15,472 – $23,070 · median $16,452 | 19 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,622 – $17,094 · median $12,191 | 19 plans |
| 173 | Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism | $25,886 – $38,744 · median $27,630 | 19 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $12,014 – $17,791 · median $12,688 | 19 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $7,141 – $10,284 · median $7,382 | 19 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $14,004 – $20,410 · median $14,555 | 19 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,561 – $12,526 · median $8,933 | 19 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,707 – $9,718 · median $7,012 | 19 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $14,795 – $22,068 · median $15,737 | 19 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $9,510 – $14,019 · median $9,997 | 19 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,671 – $10,574 · median $7,572 | 19 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $13,437 – $20,041 · median $14,292 | 19 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $9,102 – $13,486 · median $9,617 | 19 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,644 – $9,819 · median $7,078 | 19 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $13,251 – $19,949 · median $14,226 | 19 plans |
| 187 | PLEURAL EFFUSION WITH CC | $8,640 – $12,677 · median $9,040 | 19 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,568 – $9,270 · median $6,719 | 19 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $10,596 – $15,624 · median $11,142 | 19 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $9,517 – $14,179 · median $10,111 | 19 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $7,418 – $10,847 · median $7,750 | 19 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,699 – $8,172 · median $6,000 | 19 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $11,381 – $16,637 · median $11,865 | 19 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $7,196 – $10,353 · median $7,427 | 19 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,565 – $7,862 · median $5,798 | 19 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $16,100 – $23,789 · median $16,964 | 19 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,650 – $12,500 · median $8,914 | 19 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,306 – $8,843 · median $6,724 | 19 plans |
| 199 | PNEUMOTHORAX WITH MCC | $15,093 – $22,289 · median $15,895 | 19 plans |
| 200 | PNEUMOTHORAX WITH CC | $9,310 – $13,983 · median $9,972 | 19 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,097 – $8,549 · median $6,247 | 19 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $8,318 – $12,206 · median $8,704 | 19 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $6,140 – $8,795 · median $6,408 | 19 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $7,202 – $10,240 · median $7,353 | 19 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $15,394 – $23,836 · median $16,998 | 19 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,953 – $11,437 · median $8,156 | 19 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $54,057 – $81,656 · median $58,231 | 19 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $22,807 – $33,886 · median $24,165 | 19 plans |
| 212 | Concomitant Aortic and Mitral Valve Procedures | $89,734 – $137,547 · median $98,089 | 19 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $85,122 – $133,771 · median $95,396 | 19 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $80,346 – $121,856 · median $86,899 | 19 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $53,185 – $81,538 · median $58,147 | 19 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $47,638 – $75,116 · median $53,568 | 19 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $64,351 – $97,694 · median $69,668 | 19 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $43,887 – $66,877 · median $47,691 | 19 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $38,578 – $57,987 · median $41,352 | 19 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $41,804 – $62,920 · median $44,870 | 19 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $26,305 – $39,220 · median $27,969 | 19 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $67,703 – $106,992 · median $76,299 | 19 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $49,727 – $77,129 · median $55,003 | 19 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $65,084 – $98,691 · median $70,379 | 19 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $43,499 – $67,173 · median $47,903 | 19 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $49,163 – $74,295 · median $52,981 | 19 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $33,903 – $51,920 · median $37,025 | 19 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $40,254 – $63,596 · median $45,352 | 19 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $23,681 – $36,770 · median $26,221 | 19 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,905 – $19,064 · median $13,595 | 19 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $28,664 – $42,828 · median $30,542 | 19 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $19,258 – $28,444 · median $20,284 | 19 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $15,553 – $22,786 · median $16,250 | 19 plans |
| 245 | AICD generator procedures | $37,970 – $61,701 · median $44,001 | 19 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $19,752 – $29,199 · median $20,823 | 19 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $13,540 – $19,730 · median $14,070 | 19 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $28,199 – $43,313 · median $30,887 | 19 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $21,540 – $32,234 · median $22,987 | 19 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $14,770 – $22,088 · median $15,752 | 19 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $22,261 – $33,036 · median $23,559 | 19 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,978 – $21,385 · median $15,250 | 19 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,021 – $11,261 · median $8,562 | 19 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $22,846 – $35,423 · median $25,261 | 19 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $15,170 – $22,193 · median $15,861 | 19 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $27,879 – $43,007 · median $30,669 | 19 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $15,987 – $23,959 · median $17,086 | 19 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $13,189 – $19,164 · median $14,025 | 19 plans |
| 263 | VEIN LIGATION AND STRIPPING | $22,803 – $33,864 · median $24,150 | 19 plans |
| 264 | Other circulatory system O.R. procedures | $27,471 – $44,129 · median $31,470 | 19 plans |
| 265 | AICD lead procedures | $29,695 – $45,040 · median $32,119 | 19 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $50,123 – $75,640 · median $53,941 | 19 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $39,503 – $59,402 · median $42,361 | 19 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $55,711 – $84,186 · median $60,035 | 19 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $34,877 – $52,533 · median $37,463 | 19 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $42,329 – $64,810 · median $46,218 | 19 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $29,049 – $43,489 · median $31,013 | 19 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $20,614 – $31,593 · median $22,530 | 19 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $32,706 – $49,372 · median $35,208 | 19 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $26,427 – $39,406 · median $28,101 | 19 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $58,748 – $89,229 · median $63,631 | 19 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $51,804 – $78,211 · median $55,774 | 19 plans |
| 277 | Cardiac Defibrillator Implant without MCC | $39,068 – $58,735 · median $41,886 | 19 plans |
| 278 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC | $37,380 – $63,172 · median $45,050 | 19 plans |
| 279 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC | $26,928 – $40,459 · median $28,852 | 19 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $13,537 – $20,724 · median $14,779 | 19 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,949 – $11,639 · median $8,300 | 19 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,332 – $9,155 · median $6,644 | 19 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $16,730 – $24,689 · median $17,606 | 19 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,511 – $9,356 · median $6,775 | 19 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,429 – $7,088 · median $5,292 | 19 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $18,258 – $27,945 · median $19,929 | 19 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $9,348 – $13,759 · median $9,812 | 19 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $21,887 – $34,488 · median $24,594 | 19 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,634 – $19,908 · median $14,197 | 19 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,740 – $12,361 · median $8,880 | 19 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $11,026 – $16,475 · median $11,748 | 19 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,480 – $10,874 · median $7,767 | 19 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,940 – $6,928 · median $5,187 | 19 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $9,448 – $15,505 · median $11,057 | 19 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,614 – $9,972 · median $7,178 | 19 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $13,675 – $20,687 · median $14,752 | 19 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $6,342 – $8,894 · median $6,473 | 19 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,977 – $5,577 · median $4,304 | 19 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $13,451 – $20,424 · median $14,565 | 19 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $9,227 – $13,518 · median $9,640 | 19 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,263 – $9,007 · median $6,547 | 19 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,676 – $14,688 · median $10,474 | 19 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,834 – $8,490 · median $6,209 | 19 plans |
| 304 | HYPERTENSION WITH MCC | $9,907 – $14,833 · median $10,578 | 19 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,626 – $9,478 · median $6,855 | 19 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $13,021 – $18,906 · median $13,483 | 19 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $8,195 – $11,697 · median $8,341 | 19 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $10,349 – $15,226 · median $10,858 | 19 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,553 – $9,334 · median $6,761 | 19 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,962 – $7,064 · median $5,276 | 19 plans |
| 311 | Angina pectoris | $6,166 – $8,817 · median $6,422 | 19 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,538 – $11,001 · median $7,851 | 19 plans |
| 313 | Chest pain | $6,378 – $9,007 · median $6,547 | 19 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $17,743 – $27,190 · median $19,390 | 19 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $8,400 – $12,150 · median $8,665 | 19 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,121 – $8,620 · median $6,294 | 19 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $36,563 – $55,464 · median $39,553 | 19 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $18,843 – $29,227 · median $20,842 | 19 plans |
| 321 | Percutaneous Cardiovascular Procedures with Intraluminal Device with MMC or 4+ Arteries/Intraluminal Devices | $24,163 – $35,944 · median $25,633 | 19 plans |
| 322 | Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC | $15,502 – $22,843 · median $16,290 | 19 plans |
| 323 | Coronary Intravascular Lithotripsy with Intraluminal Device with MCC | $34,722 – $53,780 · median $38,352 | 19 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $25,004 – $40,342 · median $28,769 | 19 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $22,313 – $36,137 · median $25,770 | 19 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $42,513 – $64,128 · median $45,731 | 19 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $20,705 – $30,657 · median $21,863 | 19 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $13,626 – $20,120 · median $14,348 | 19 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $37,848 – $57,978 · median $41,345 | 19 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $20,055 – $29,844 · median $21,283 | 19 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $14,246 – $20,846 · median $14,866 | 19 plans |
| 332 | RECTAL RESECTION WITH MCC | $29,298 – $43,796 · median $31,232 | 19 plans |
| 333 | RECTAL RESECTION WITH CC | $17,627 – $26,834 · median $19,136 | 19 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $13,691 – $20,942 · median $14,934 | 19 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $30,035 – $45,749 · median $32,625 | 19 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $17,841 – $26,670 · median $19,019 | 19 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $12,789 – $19,382 · median $13,822 | 19 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $22,905 – $34,021 · median $24,261 | 19 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,949 – $18,796 · median $13,404 | 19 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,939 – $15,723 · median $11,213 | 19 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $20,199 – $29,883 · median $21,523 | 19 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $11,051 – $15,895 · median $11,335 | 19 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,930 – $11,122 · median $8,457 | 19 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $20,286 – $30,539 · median $21,778 | 19 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $12,451 – $18,996 · median $13,547 | 19 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,575 – $13,922 · median $9,928 | 19 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $24,636 – $37,032 · median $26,409 | 19 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $14,626 – $21,478 · median $15,317 | 19 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $11,665 – $16,833 · median $12,004 | 19 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $35,873 – $53,859 · median $38,408 | 19 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $18,600 – $28,434 · median $20,277 | 19 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,003 – $17,110 · median $12,201 | 19 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $14,080 – $21,086 · median $15,037 | 19 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,574 – $12,848 · median $9,162 | 19 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,285 – $8,813 · median $6,545 | 19 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $14,874 – $22,070 · median $15,739 | 19 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $9,022 – $12,996 · median $9,268 | 19 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,319 – $9,159 · median $6,646 | 19 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $17,789 – $26,659 · median $19,011 | 19 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $10,316 – $15,514 · median $11,063 | 19 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,770 – $11,149 · median $7,951 | 19 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $15,228 – $22,957 · median $16,371 | 19 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $8,537 – $12,448 · median $8,877 | 19 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,628 – $8,039 · median $5,914 | 19 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $16,540 – $24,296 · median $17,326 | 19 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $9,277 – $13,751 · median $9,806 | 19 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,656 – $9,461 · median $6,844 | 19 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $11,095 – $15,962 · median $11,975 | 19 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,640 – $10,980 · median $7,837 | 19 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $13,374 – $20,515 · median $14,630 | 19 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $8,435 – $12,531 · median $8,936 | 19 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,035 – $8,463 · median $6,191 | 19 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $12,433 – $18,559 · median $13,235 | 19 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,982 – $10,121 · median $7,275 | 19 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,927 – $6,909 · median $5,175 | 19 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $10,958 – $16,218 · median $11,566 | 19 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,892 – $9,852 · median $7,099 | 19 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $13,812 – $20,909 · median $14,911 | 19 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $8,147 – $11,885 · median $8,475 | 19 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,730 – $8,035 · median $5,911 | 19 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $19,013 – $31,285 · median $22,310 | 19 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $12,930 – $19,106 · median $13,625 | 19 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $9,609 – $14,189 · median $10,119 | 19 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $45,482 – $68,543 · median $48,880 | 19 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $23,846 – $35,459 · median $25,287 | 19 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $18,220 – $26,967 · median $19,231 | 19 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $29,567 – $44,208 · median $31,526 | 19 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $16,613 – $26,471 · median $18,877 | 19 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $13,360 – $19,584 · median $13,966 | 19 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $23,251 – $34,550 · median $24,639 | 19 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $17,345 – $26,914 · median $19,193 | 19 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,899 – $20,991 · median $14,969 | 19 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $29,588 – $44,239 · median $31,548 | 19 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $16,767 – $24,976 · median $17,811 | 19 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $11,485 – $17,300 · median $12,337 | 19 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $19,604 – $30,006 · median $21,398 | 19 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $13,937 – $20,939 · median $14,932 | 19 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $11,269 – $16,636 · median $11,864 | 19 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $26,930 – $44,564 · median $31,780 | 19 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $14,178 – $20,677 · median $14,745 | 19 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $12,081 – $18,553 · median $13,230 | 19 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $32,821 – $51,355 · median $36,623 | 19 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,692 – $28,829 · median $20,559 | 19 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $13,420 – $19,517 · median $13,918 | 19 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $16,271 – $24,736 · median $17,640 | 19 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,928 – $13,507 · median $9,632 | 19 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,929 – $8,794 · median $6,408 | 19 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $14,976 – $23,038 · median $16,429 | 19 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $9,506 – $14,238 · median $10,154 | 19 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,070 – $9,914 · median $7,270 | 19 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $14,220 – $21,006 · median $14,980 | 19 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $7,470 – $10,861 · median $7,759 | 19 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,482 – $7,766 · median $5,735 | 19 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $15,542 – $23,868 · median $17,021 | 19 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $8,269 – $12,199 · median $8,700 | 19 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,304 – $8,872 · median $6,459 | 19 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $13,924 – $21,267 · median $15,166 | 19 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $9,391 – $13,693 · median $9,765 | 19 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $7,024 – $10,067 · median $7,240 | 19 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $70,310 – $106,933 · median $76,257 | 19 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $48,047 – $72,466 · median $51,678 | 19 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $36,310 – $54,520 · median $38,879 | 19 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $51,328 – $77,483 · median $56,945 | 19 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $23,989 – $36,159 · median $25,786 | 19 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $45,253 – $68,194 · median $48,631 | 19 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $25,003 – $37,229 · median $26,549 | 19 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,992 – $21,920 · median $15,896 | 19 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $42,723 – $64,325 · median $45,872 | 19 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $28,939 – $43,247 · median $30,841 | 19 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $22,317 – $33,122 · median $23,620 | 19 plans |
| 469 | Major joint replacement or reattachment of lower extremity w MCC | $27,646 – $41,271 · median $29,431 | 19 plans |
| 470 | Major joint replacement or reattachment of lower extremity w/o MCC | $15,986 – $23,807 · median $16,977 | 19 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $40,764 – $61,329 · median $43,735 | 19 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $24,579 – $36,580 · median $26,086 | 19 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $20,204 – $29,891 · median $21,316 | 19 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $36,073 – $56,624 · median $40,380 | 19 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,168 – $27,238 · median $19,424 | 19 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,139 – $14,685 · median $10,473 | 19 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $28,326 – $43,421 · median $30,965 | 19 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $19,966 – $29,527 · median $21,057 | 19 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $15,319 – $22,421 · median $15,989 | 19 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $24,840 – $37,133 · median $26,481 | 19 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $17,589 – $26,198 · median $18,682 | 19 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $13,553 – $20,030 · median $14,284 | 19 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $20,985 – $32,174 · median $22,944 | 19 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $27,238 – $40,647 · median $28,987 | 19 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $17,036 – $26,779 · median $19,097 | 19 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,192 – $19,952 · median $14,228 | 19 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $16,885 – $24,815 · median $17,852 | 19 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,643 – $15,636 · median $11,151 | 19 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $29,098 – $44,838 · median $31,975 | 19 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $20,300 – $30,315 · median $21,619 | 19 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $15,882 – $23,805 · median $16,976 | 19 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $29,726 – $44,451 · median $31,699 | 19 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $16,864 – $24,911 · median $17,765 | 19 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $11,742 – $16,952 · median $12,217 | 19 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $21,505 – $31,880 · median $22,734 | 19 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $10,241 – $14,656 · median $11,075 | 19 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $26,821 – $40,008 · median $28,531 | 19 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $14,775 – $22,534 · median $16,069 | 19 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $11,846 – $17,641 · median $12,580 | 19 plans |
| 503 | FOOT PROCEDURES WITH MCC | $22,510 – $33,416 · median $23,830 | 19 plans |
| 504 | FOOT PROCEDURES WITH CC | $14,703 – $22,159 · median $15,802 | 19 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,526 – $22,159 · median $15,802 | 19 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $12,509 – $18,928 · median $13,498 | 19 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $16,660 – $24,472 · median $18,060 | 19 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,313 – $16,295 · median $12,272 | 19 plans |
| 509 | ARTHROSCOPY | $11,377 – $22,180 · median $15,162 | 19 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $22,946 – $36,087 · median $25,734 | 19 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $16,850 – $24,762 · median $17,659 | 19 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $13,763 – $20,300 · median $14,477 | 19 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $13,088 – $19,010 · median $13,823 | 19 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $9,015 – $12,874 · median $9,180 | 19 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $26,191 – $39,045 · median $27,844 | 19 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $17,267 – $25,400 · median $18,113 | 19 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $12,773 – $18,847 · median $13,440 | 19 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $30,250 – $45,252 · median $32,270 | 19 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $16,707 – $24,897 · median $17,755 | 19 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $12,251 – $18,096 · median $12,905 | 19 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $24,723 – $36,801 · median $26,244 | 19 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $17,898 – $26,617 · median $18,981 | 19 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $13,248 – $19,254 · median $13,909 | 19 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $7,095 – $10,278 · median $7,378 | 19 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $11,133 – $16,791 · median $11,974 | 19 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,905 – $10,239 · median $7,352 | 19 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $8,245 – $11,603 · median $8,397 | 19 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,046 – $8,478 · median $6,257 | 19 plans |
| 539 | OSTEOMYELITIS WITH MCC | $16,838 – $25,535 · median $18,210 | 19 plans |
| 540 | OSTEOMYELITIS WITH CC | $11,145 – $16,339 · median $11,652 | 19 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $7,492 – $11,047 · median $7,881 | 19 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $15,505 – $23,549 · median $16,793 | 19 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $9,416 – $13,395 · median $9,552 | 19 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,742 – $9,542 · median $6,896 | 19 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $21,059 – $31,905 · median $22,752 | 19 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $10,216 – $14,617 · median $10,424 | 19 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,719 – $9,422 · median $7,123 | 19 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $16,551 – $25,437 · median $18,139 | 19 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $10,382 – $15,216 · median $10,851 | 19 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,762 – $10,885 · median $8,014 | 19 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $14,494 – $21,545 · median $15,364 | 19 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $8,391 – $12,169 · median $8,678 | 19 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $11,440 – $16,490 · median $11,759 | 19 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,192 – $10,538 · median $7,548 | 19 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,775 – $17,002 · median $12,125 | 19 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,214 – $10,309 · median $7,398 | 19 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $13,290 – $19,567 · median $13,954 | 19 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,662 – $10,906 · median $7,789 | 19 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $15,727 – $23,438 · median $16,714 | 19 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,767 – $14,377 · median $10,253 | 19 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,847 – $10,323 · median $7,407 | 19 plans |
| 562 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC | $12,741 – $18,478 · median $13,177 | 19 plans |
| 563 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC | $7,805 – $11,285 · median $8,048 | 19 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $13,333 – $19,813 · median $14,129 | 19 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $8,666 – $12,875 · median $9,181 | 19 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,601 – $9,446 · median $6,834 | 19 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $24,619 – $38,007 · median $27,104 | 19 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $14,411 – $21,140 · median $15,075 | 19 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $9,829 – $14,424 · median $10,286 | 19 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $51,505 – $77,754 · median $55,448 | 19 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $28,631 – $43,748 · median $31,198 | 19 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $17,143 – $25,211 · median $17,978 | 19 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $45,206 – $68,122 · median $48,579 | 19 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $22,353 – $33,621 · median $23,976 | 19 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,736 – $21,343 · median $15,220 | 19 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $27,570 – $41,154 · median $29,348 | 19 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $14,865 – $22,386 · median $15,964 | 19 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,547 – $18,171 · median $12,959 | 19 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $14,206 – $22,111 · median $15,768 | 19 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $13,001 – $20,741 · median $14,791 | 19 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $16,624 – $25,851 · median $18,435 | 19 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,346 – $25,064 · median $17,874 | 19 plans |
| 592 | SKIN ULCERS WITH MCC | $17,635 – $25,963 · median $18,515 | 19 plans |
| 593 | SKIN ULCERS WITH CC | $10,412 – $15,438 · median $11,009 | 19 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,907 – $10,716 · median $7,664 | 19 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $18,121 – $26,705 · median $19,044 | 19 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,746 – $13,650 · median $9,734 | 19 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $13,653 – $22,180 · median $15,817 | 19 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,565 – $13,622 · median $10,320 | 19 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,530 – $10,794 · median $7,715 | 19 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,555 – $12,078 · median $8,882 | 19 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,398 – $7,569 · median $5,607 | 19 plans |
| 602 | CELLULITIS WITH MCC | $12,716 – $18,550 · median $13,229 | 19 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,714 – $11,121 · median $7,931 | 19 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $12,871 – $18,759 · median $13,377 | 19 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,914 – $11,663 · median $8,317 | 19 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $13,531 – $20,332 · median $14,499 | 19 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,781 – $10,911 · median $7,792 | 19 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $19,062 – $28,775 · median $20,520 | 19 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $12,489 – $18,093 · median $12,903 | 19 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $32,570 – $48,800 · median $34,800 | 19 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $16,606 – $24,389 · median $17,392 | 19 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,011 – $15,721 · median $11,211 | 19 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $21,850 – $34,425 · median $24,549 | 19 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $13,833 – $20,164 · median $14,379 | 19 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $12,727 – $18,457 · median $13,162 | 19 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $31,554 – $47,247 · median $33,693 | 19 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $15,818 – $24,151 · median $17,223 | 19 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,939 – $12,665 · median $9,621 | 19 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $24,330 – $36,200 · median $25,815 | 19 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $12,752 – $19,057 · median $13,590 | 19 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,629 – $15,996 · median $11,407 | 19 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $33,236 – $49,819 · median $35,527 | 19 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $19,148 – $28,397 · median $20,251 | 19 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,959 – $17,693 · median $12,617 | 19 plans |
| 637 | DIABETES WITH MCC | $12,399 – $18,387 · median $13,113 | 19 plans |
| 638 | DIABETES WITH CC | $7,836 – $11,581 · median $8,258 | 19 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,539 – $7,912 · median $5,830 | 19 plans |
| 640 | Nutritional & misc metabolic disorders w MCC | $11,286 – $16,767 · median $11,957 | 19 plans |
| 641 | Nutritional & misc metabolic disorders w/o MCC | $6,857 – $9,866 · median $7,109 | 19 plans |
| 642 | Inborn errors of metabolism | $10,904 – $15,670 · median $11,187 | 19 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $14,023 – $20,925 · median $14,922 | 19 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $9,183 – $13,048 · median $9,305 | 19 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,687 – $9,832 · median $7,086 | 19 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $37,688 – $58,172 · median $41,484 | 19 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $29,067 – $43,844 · median $31,266 | 19 plans |
| 652 | Kidney transplant | $25,301 – $38,780 · median $27,655 | 19 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $45,289 – $70,385 · median $50,194 | 19 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $23,086 – $35,632 · median $25,410 | 19 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $17,809 – $26,228 · median $18,704 | 19 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $26,406 – $41,136 · median $29,335 | 19 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $15,675 – $23,082 · median $16,460 | 19 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $12,657 – $18,990 · median $13,542 | 19 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $21,853 – $32,630 · median $23,269 | 19 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $11,541 – $16,919 · median $12,065 | 19 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $9,072 – $12,962 · median $9,244 | 19 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $25,237 – $39,388 · median $28,089 | 19 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $12,479 – $19,285 · median $13,753 | 19 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,182 – $13,634 · median $9,723 | 19 plans |
| 665 | PROSTATECTOMY WITH MCC | $26,003 – $43,353 · median $30,916 | 19 plans |
| 666 | PROSTATECTOMY WITH CC | $14,258 – $20,799 · median $14,832 | 19 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $9,082 – $12,977 · median $9,254 | 19 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $23,754 – $36,822 · median $26,258 | 19 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $13,106 – $19,539 · median $13,934 | 19 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $8,361 – $12,067 · median $8,605 | 19 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $14,577 – $21,764 · median $15,520 | 19 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,030 – $13,818 · median $9,854 | 19 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $31,055 – $52,898 · median $37,723 | 19 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $19,717 – $29,146 · median $20,785 | 19 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $13,537 – $19,764 · median $14,094 | 19 plans |
| 682 | RENAL FAILURE WITH MCC | $12,826 – $18,963 · median $13,523 | 19 plans |
| 683 | RENAL FAILURE WITH CC | $7,848 – $11,223 · median $8,004 | 19 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,423 – $7,669 · median $5,672 | 19 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $15,635 – $23,809 · median $16,979 | 19 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $9,047 – $13,292 · median $9,479 | 19 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,521 – $9,144 · median $6,853 | 19 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $10,118 – $14,776 · median $10,537 | 19 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $7,069 – $10,134 · median $7,284 | 19 plans |
| 693 | URINARY STONES WITH MCC | $12,125 – $18,565 · median $13,239 | 19 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,868 – $9,866 · median $7,109 | 19 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,969 – $14,240 · median $10,297 | 19 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,116 – $8,735 · median $6,369 | 19 plans |
| 697 | Urethral stricture | $8,928 – $12,649 · median $9,609 | 19 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $14,100 – $21,223 · median $15,135 | 19 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,844 – $12,877 · median $9,183 | 19 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $6,251 – $8,765 · median $6,389 | 19 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $16,651 – $24,502 · median $17,473 | 19 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $12,475 – $18,718 · median $13,348 | 19 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $17,963 – $28,372 · median $20,233 | 19 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,615 – $18,957 · median $13,269 | 19 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $16,432 – $24,123 · median $17,987 | 19 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $9,488 – $13,505 · median $10,234 | 19 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $12,410 – $18,257 · median $13,020 | 19 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,327 – $11,865 · median $8,461 | 19 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $18,689 – $28,514 · median $20,334 | 19 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $12,174 – $17,920 · median $12,779 | 19 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $15,422 – $23,428 · median $16,707 | 19 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,129 – $15,554 · median $11,092 | 19 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $14,932 – $21,829 · median $15,929 | 19 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,619 – $14,178 · median $10,111 | 19 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,560 – $9,199 · median $6,995 | 19 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $10,670 – $15,942 · median $11,368 | 19 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,438 – $9,399 · median $6,803 | 19 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $12,789 – $18,553 · median $13,823 | 19 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,012 – $10,317 · median $7,403 | 19 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,703 – $13,900 · median $9,913 | 19 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,465 – $7,663 · median $5,668 | 19 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $18,019 – $26,550 · median $18,934 | 19 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,680 – $15,327 · median $10,930 | 19 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $32,625 – $49,717 · median $35,454 | 19 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $16,750 – $25,232 · median $17,994 | 19 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,696 – $19,153 · median $13,658 | 19 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $30,377 – $50,263 · median $35,844 | 19 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $15,200 – $22,958 · median $16,372 | 19 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,154 – $17,343 · median $12,368 | 19 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $15,158 – $23,064 · median $16,448 | 19 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $10,015 – $15,135 · median $10,793 | 19 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $15,992 – $24,671 · median $17,594 | 19 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,969 – $12,939 · median $9,227 | 19 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $14,280 – $21,144 · median $15,078 | 19 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,735 – $12,060 · median $8,601 | 19 plans |
| 748 | Female reproductive system reconstructive procedures | $11,905 – $17,201 · median $12,266 | 19 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $21,259 – $32,684 · median $23,308 | 19 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,304 – $16,281 · median $11,658 | 19 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $15,596 – $22,844 · median $16,291 | 19 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,374 – $14,016 · median $9,995 | 19 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,542 – $12,058 · median $8,599 | 19 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,343 – $17,870 · median $12,750 | 19 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,610 – $12,870 · median $9,178 | 19 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,736 – $8,081 · median $5,941 | 19 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $8,633 – $12,444 · median $8,874 | 19 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,399 – $8,004 · median $5,891 | 19 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,381 – $13,842 · median $9,709 | 19 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,130 – $17,544 · median $13,183 | 19 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,001 – $13,586 · median $9,541 | 19 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $6,321 – $9,009 · median $6,548 | 19 plans |
| 779 | ABORTION WITHOUT D&C | $8,375 – $11,803 · median $8,581 | 19 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $7,533 – $23,259 · median $15,867 | 19 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,533 – $13,674 · median $9,599 | 19 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,533 – $11,029 · median $7,869 | 19 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $7,533 – $20,403 · median $13,999 | 19 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,533 – $13,406 · median $9,424 | 19 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,468 – $11,423 · median $8,127 | 19 plans |
| 789 | Neonates, died or transferred to another acute care facility | $937 – $22,760 · median $15,541 | 19 plans |
| 790 | Extreme immaturity or respiratory distress syndrome, neonate | $1,093 – $75,060 · median $49,743 | 19 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $1,093 – $51,261 · median $34,179 | 19 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $937 – $30,930 · median $20,884 | 19 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $1,093 – $52,657 · median $35,093 | 19 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $937 – $18,639 · median $12,846 | 19 plans |
| 795 | Normal newborn | $781 – $2,560 · median $2,306 | 19 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $5,381 – $16,118 · median $11,197 | 19 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $5,381 – $12,225 · median $8,651 | 19 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $5,381 – $12,225 · median $8,651 | 19 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $39,917 – $60,035 · median $42,812 | 19 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $23,752 – $36,790 · median $26,236 | 19 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $14,212 – $20,728 · median $15,223 | 19 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $28,502 – $45,262 · median $32,278 | 19 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $15,354 – $22,474 · median $16,027 | 19 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,786 – $13,959 · median $10,417 | 19 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,381 – $12,601 · median $8,897 | 19 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,381 – $9,136 · median $6,631 | 19 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,381 – $8,047 · median $5,919 | 19 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $18,545 – $28,918 · median $20,622 | 19 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $10,367 – $15,637 · median $11,151 | 19 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,516 – $12,018 · median $8,708 | 19 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $12,019 – $17,764 · median $12,668 | 19 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,847 – $11,653 · median $8,310 | 19 plans |
| 813 | Coagulation disorders | $13,317 – $19,545 · median $13,938 | 19 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $17,918 – $26,395 · median $18,823 | 19 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $8,623 – $12,829 · median $9,149 | 19 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,937 – $8,326 · median $6,267 | 19 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $19,083 – $32,008 · median $22,826 | 19 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $10,107 – $16,262 · median $11,597 | 19 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,352 – $10,309 · median $7,838 | 19 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $48,732 – $73,513 · median $52,424 | 19 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $18,893 – $28,187 · median $20,101 | 19 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,100 – $14,440 · median $10,652 | 19 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $37,725 – $59,084 · median $42,134 | 19 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $18,817 – $27,770 · median $19,803 | 19 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,819 – $15,540 · median $11,089 | 19 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $36,786 – $60,296 · median $42,999 | 19 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $19,599 – $29,796 · median $21,249 | 19 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,892 – $20,238 · median $14,433 | 19 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $26,120 – $38,936 · median $27,767 | 19 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,732 – $18,466 · median $13,493 | 19 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,752 – $14,533 · median $10,364 | 19 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,495 – $9,437 · median $6,828 | 19 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,621 – $6,563 · median $4,949 | 19 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $46,296 – $69,788 · median $49,768 | 19 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $18,293 – $26,968 · median $19,232 | 19 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,308 – $16,044 · median $11,441 | 19 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $39,838 – $63,221 · median $45,085 | 19 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $16,573 – $25,608 · median $18,262 | 19 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,186 – $17,303 · median $12,339 | 19 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $26,303 – $40,265 · median $28,714 | 19 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $13,429 – $19,798 · median $14,118 | 19 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $9,222 – $13,281 · median $9,471 | 19 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $15,811 – $23,905 · median $17,047 | 19 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,975 – $15,091 · median $10,762 | 19 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,535 – $10,566 · median $7,566 | 19 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $20,651 – $32,245 · median $22,994 | 19 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $10,435 – $16,044 · median $11,441 | 19 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,676 – $10,340 · median $7,418 | 19 plans |
| 849 | Radiotherapy | $22,704 – $33,726 · median $24,051 | 19 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $41,852 – $63,147 · median $45,032 | 19 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $17,155 – $25,228 · median $17,991 | 19 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $14,079 – $20,525 · median $14,637 | 19 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $37,115 – $56,964 · median $40,622 | 19 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $18,093 – $27,511 · median $19,619 | 19 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,022 – $16,267 · median $11,601 | 19 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $15,657 – $23,216 · median $16,556 | 19 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,717 – $12,625 · median $9,003 | 19 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,699 – $11,338 · median $8,086 | 19 plans |
| 865 | VIRAL ILLNESS WITH MCC | $12,843 – $18,635 · median $13,980 | 19 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,962 – $11,172 · median $7,988 | 19 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $17,733 – $27,074 · median $19,307 | 19 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $9,327 – $13,259 · median $9,455 | 19 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,105 – $9,086 · median $6,598 | 19 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $58,097 – $87,833 · median $62,636 | 19 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $16,823 – $24,774 · median $17,667 | 19 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,919 – $13,018 · median $9,283 | 19 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $31,333 – $49,616 · median $35,382 | 19 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $8,294 – $12,103 · median $8,631 | 19 plans |
| 881 | DEPRESSIVE NEUROSES | $7,895 – $11,542 · median $8,231 | 19 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,167 – $12,146 · median $8,662 | 19 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $15,934 – $23,408 · median $16,693 | 19 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $14,447 – $21,088 · median $15,038 | 19 plans |
| 885 | PSYCHOSES | $11,711 – $17,798 · median $12,692 | 19 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $14,327 – $22,683 · median $16,176 | 19 plans |
| 887 | Other mental disorder diagnoses | $10,477 – $15,017 · median $11,123 | 19 plans |
| 894 | Alcohol/drug abuse or dependence, left AMA | $5,141 – $7,880 · median $5,810 | 19 plans |
| 895 | Alcohol/drug abuse or dependence w rehabilitation therapy | $12,612 – $18,281 · median $13,722 | 19 plans |
| 896 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC | $15,127 – $22,485 · median $16,034 | 19 plans |
| 897 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC | $7,473 – $11,139 · median $7,943 | 19 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $36,280 – $55,940 · median $39,892 | 19 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $16,011 – $23,959 · median $17,086 | 19 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $10,675 – $15,392 · median $10,977 | 19 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $27,390 – $48,751 · median $34,237 | 19 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $13,514 – $20,810 · median $14,840 | 19 plans |
| 906 | Hand procedures for injuries | $15,985 – $27,556 · median $19,651 | 19 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $31,234 – $50,299 · median $35,869 | 19 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $17,002 – $25,468 · median $18,162 | 19 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $11,129 – $16,014 · median $11,627 | 19 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,774 – $20,433 · median $14,571 | 19 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,905 – $11,571 · median $8,251 | 19 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $15,006 – $21,943 · median $15,648 | 19 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,840 – $8,385 · median $6,140 | 19 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $13,615 – $20,703 · median $14,764 | 19 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,517 – $11,169 · median $7,965 | 19 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $15,513 – $23,025 · median $16,420 | 19 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $8,951 – $12,827 · median $9,147 | 19 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,164 – $8,683 · median $6,335 | 19 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $14,606 – $21,331 · median $15,211 | 19 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $8,766 – $12,877 · median $9,183 | 19 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $196,537 – $299,526 · median $219,062 | 19 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $55,805 – $84,328 · median $60,137 | 19 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $26,917 – $40,156 · median $28,636 | 19 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $25,530 – $54,632 · median $36,384 | 19 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $17,735 – $27,093 · median $19,321 | 19 plans |
| 935 | Non-extensive burns | $17,309 – $27,732 · median $19,776 | 19 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $26,864 – $40,075 · median $28,579 | 19 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $18,090 – $26,659 · median $19,011 | 19 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $15,773 – $24,675 · median $17,597 | 19 plans |
| 945 | REHABILITATION WITH CC/MCC | $967 – $19,274 · median $13,261 | 19 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $967 – $14,097 · median $9,876 | 19 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $10,758 – $16,240 · median $11,581 | 19 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $7,020 – $10,031 · median $7,217 | 19 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,970 – $13,624 · median $9,715 | 19 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,277 – $7,400 · median $5,586 | 19 plans |
| 951 | Other factors influencing health status | $5,105 – $7,159 · median $5,338 | 19 plans |
| 955 | Craniotomy for multiple significant trauma | $50,902 – $86,215 · median $61,482 | 19 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $32,218 – $48,262 · median $34,417 | 19 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $60,379 – $94,244 · median $67,208 | 19 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $33,932 – $51,891 · median $37,005 | 19 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $21,385 – $33,382 · median $23,806 | 19 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $23,060 – $34,301 · median $24,461 | 19 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,828 – $18,940 · median $13,507 | 19 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $8,192 – $11,523 · median $8,305 | 19 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $52,877 – $79,851 · median $57,394 | 19 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $20,323 – $33,501 · median $23,890 | 19 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $24,571 – $37,704 · median $26,888 | 19 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $11,685 – $17,947 · median $12,798 | 19 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,387 – $12,664 · median $9,031 | 19 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $12,123 – $18,206 · median $12,983 | 19 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $39,704 – $60,023 · median $42,804 | 19 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $20,872 – $30,912 · median $22,044 | 19 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,941 – $21,063 · median $15,020 | 19 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $28,389 – $44,225 · median $31,538 | 19 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $14,454 – $21,666 · median $15,451 | 19 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,478 – $14,589 · median $10,404 | 19 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $51,738 – $55,702 · median $51,738 | 9 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $32,960 – $35,225 · median $32,960 | 9 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $87,153 – $94,321 · median $87,153 | 9 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $59,304 – $63,953 · median $59,304 | 9 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $46,104 – $49,559 · median $46,104 | 9 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $69,525 – $75,099 · median $69,525 | 9 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $45,827 – $49,256 · median $45,827 | 9 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $56,018 – $60,369 · median $56,018 | 9 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $34,374 – $36,768 · median $34,374 | 9 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $43,181 – $46,372 · median $43,181 | 9 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $26,138 – $27,786 · median $26,138 | 9 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $76,720 – $82,944 · median $76,720 | 9 plans |
No procedures match that keyword.