Froedtert West Bend Hospital — Pricing
770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Procedures published 770
Lowest published price —
Average published price —
Highest published price —
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 770 procedures
Procedures with negotiated rates only
These 770 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $194,954 – $789,684 · median $416,078 | 31 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $127,956 – $515,341 · median $271,529 | 31 plans |
| 007 | LUNG TRANSPLANT | $119,768 – $481,812 · median $253,863 | 31 plans |
| 010 | PANCREAS TRANSPLANT | $67,301 – $266,972 · median $140,665 | 31 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $51,659 – $202,920 · median $106,917 | 31 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $40,409 – $156,856 · median $82,646 | 31 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $28,287 – $107,217 · median $56,492 | 31 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $394,460 – $1,606,616 · median $846,512 | 31 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $66,928 – $265,443 · median $139,860 | 31 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $73,599 – $292,759 · median $154,252 | 31 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $50,202 – $196,956 · median $103,774 | 31 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $30,973 – $118,215 · median $62,287 | 31 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $54,168 – $213,196 · median $112,331 | 31 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $37,646 – $145,542 · median $76,685 | 31 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $43,414 – $169,160 · median $89,129 | 31 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $30,353 – $115,678 · median $60,950 | 31 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $25,026 – $93,864 · median $49,456 | 31 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $56,694 – $223,539 · median $117,781 | 31 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $33,101 – $126,929 · median $66,878 | 31 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $22,049 – $81,672 · median $43,033 | 31 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $42,813 – $166,697 · median $87,831 | 31 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $21,465 – $79,284 · median $41,774 | 31 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $17,212 – $61,868 · median $32,598 | 31 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $37,272 – $144,009 · median $75,877 | 31 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $23,823 – $88,939 · median $46,861 | 31 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $19,755 – $72,282 · median $38,085 | 31 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $32,015 – $122,483 · median $64,535 | 31 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $16,846 – $60,369 · median $31,808 | 31 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $12,784 – $43,734 · median $23,043 | 31 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $37,186 – $143,656 · median $75,691 | 31 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $22,080 – $81,803 · median $43,101 | 31 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $17,801 – $64,279 · median $33,868 | 31 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $18,560 – $67,389 · median $35,507 | 31 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $11,000 – $36,431 · median $19,195 | 31 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $15,976 – $56,808 · median $29,932 | 31 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $11,367 – $37,934 · median $19,987 | 31 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $23,211 – $86,431 · median $45,540 | 31 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $13,875 – $48,203 · median $25,398 | 31 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $17,635 – $63,602 · median $33,511 | 31 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $13,378 – $46,168 · median $24,325 | 31 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $10,460 – $34,221 · median $18,031 | 31 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $27,154 – $102,578 · median $54,047 | 31 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $18,069 – $65,377 · median $34,446 | 31 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $14,858 – $52,228 · median $27,519 | 31 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $20,375 – $74,819 · median $39,422 | 31 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $11,283 – $37,588 · median $19,805 | 31 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $8,321 – $25,463 · median $13,416 | 31 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $15,448 – $54,643 · median $28,791 | 31 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $9,957 – $32,160 · median $16,945 | 31 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $9,361 – $29,719 · median $15,659 | 31 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $17,229 – $61,939 · median $32,635 | 31 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $11,425 – $38,172 · median $20,113 | 31 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $8,974 – $28,134 · median $14,824 | 31 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $16,680 – $59,688 · median $31,449 | 31 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $11,469 – $38,351 · median $20,207 | 31 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $19,525 – $71,341 · median $37,589 | 31 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $9,601 – $30,702 · median $16,176 | 31 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $18,549 – $67,341 · median $35,481 | 31 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $10,240 – $33,321 · median $17,556 | 31 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $22,870 – $85,036 · median $44,805 | 31 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $14,785 – $51,931 · median $27,362 | 31 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $10,787 – $35,561 · median $18,737 | 31 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $22,745 – $84,526 · median $44,536 | 31 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $13,939 – $48,467 · median $25,537 | 31 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $10,414 – $34,031 · median $17,931 | 31 plans |
| 088 | CONCUSSION WITH MCC | $14,385 – $50,294 · median $26,499 | 31 plans |
| 089 | CONCUSSION WITH CC | $12,085 – $40,873 · median $21,536 | 31 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $9,583 – $30,627 · median $16,137 | 31 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $18,060 – $65,339 · median $34,427 | 31 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $11,398 – $38,061 · median $20,054 | 31 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $9,338 – $29,626 · median $15,610 | 31 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $34,080 – $130,939 · median $68,991 | 31 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $25,537 – $95,959 · median $50,560 | 31 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $25,537 – $95,959 · median $50,560 | 31 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $34,920 – $134,377 · median $70,802 | 31 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $22,954 – $85,382 · median $44,987 | 31 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $14,482 – $50,688 · median $26,707 | 31 plans |
| 100 | SEIZURES WITH MCC | $19,701 – $72,059 · median $37,967 | 31 plans |
| 101 | SEIZURES WITHOUT MCC | $10,304 – $33,581 · median $17,694 | 31 plans |
| 102 | HEADACHES WITH MCC | $12,287 – $41,703 · median $21,973 | 31 plans |
| 103 | HEADACHES WITHOUT MCC | $9,702 – $31,115 · median $16,394 | 31 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $23,465 – $87,473 · median $46,089 | 31 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $14,396 – $50,338 · median $26,523 | 31 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $16,049 – $57,106 · median $30,089 | 31 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $18,531 – $67,270 · median $35,444 | 31 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $11,960 – $40,364 · median $21,267 | 31 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $12,673 – $43,281 · median $22,804 | 31 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $9,243 – $29,236 · median $15,404 | 31 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $9,359 – $29,712 · median $15,655 | 31 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $14,125 – $49,226 · median $25,937 | 31 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $9,079 – $28,566 · median $15,051 | 31 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $21,820 – $80,735 · median $42,539 | 31 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $11,328 – $37,774 · median $19,903 | 31 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $15,670 – $55,555 · median $29,271 | 31 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $10,155 – $32,971 · median $17,372 | 31 plans |
| 139 | SALIVARY GLAND PROCEDURES | $13,331 – $45,974 · median $24,223 | 31 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $40,857 – $158,690 · median $83,613 | 31 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $21,920 – $81,148 · median $42,756 | 31 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $16,608 – $59,394 · median $31,294 | 31 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $36,144 – $139,392 · median $73,445 | 31 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $17,848 – $64,473 · median $33,970 | 31 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $13,027 – $44,732 · median $23,569 | 31 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $21,342 – $78,778 · median $41,507 | 31 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $13,656 – $47,306 · median $24,925 | 31 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $9,345 – $29,656 · median $15,626 | 31 plans |
| 149 | DYSEQUILIBRIUM | $8,932 – $27,963 · median $14,734 | 31 plans |
| 150 | EPISTAXIS WITH MCC | $14,201 – $49,538 · median $26,101 | 31 plans |
| 151 | EPISTAXIS WITHOUT MCC | $8,772 – $27,308 · median $14,389 | 31 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $12,844 – $43,984 · median $23,175 | 31 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $8,810 – $27,465 · median $14,471 | 31 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $16,309 – $58,170 · median $30,649 | 31 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $10,430 – $34,098 · median $17,966 | 31 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $8,382 – $25,712 · median $13,548 | 31 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $17,702 – $63,874 · median $33,654 | 31 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $10,369 – $33,849 · median $17,835 | 31 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $8,540 – $26,360 · median $13,889 | 31 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $42,824 – $166,745 · median $87,857 | 31 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $25,036 – $93,905 · median $49,478 | 31 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $19,495 – $71,218 · median $37,524 | 31 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $36,064 – $139,061 · median $73,270 | 31 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $18,489 – $67,096 · median $35,352 | 31 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,518 – $50,837 · median $26,786 | 31 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $29,146 – $110,737 · median $58,346 | 31 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $14,583 – $51,105 · median $26,927 | 31 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $9,417 – $29,950 · median $15,780 | 31 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $16,302 – $58,140 · median $30,634 | 31 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $10,971 – $36,312 · median $19,133 | 31 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $8,963 – $28,090 · median $14,800 | 31 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $18,149 – $65,704 · median $34,619 | 31 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $11,834 – $39,847 · median $20,995 | 31 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $8,952 – $28,045 · median $14,777 | 31 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $16,004 – $56,920 · median $29,991 | 31 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $11,771 – $39,590 · median $20,860 | 31 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $9,249 – $29,262 · median $15,418 | 31 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $16,263 – $57,984 · median $30,551 | 31 plans |
| 187 | PLEURAL EFFUSION WITH CC | $11,090 – $36,799 · median $19,389 | 31 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $8,619 – $26,683 · median $14,059 | 31 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $13,328 – $45,963 · median $24,218 | 31 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $12,168 – $41,212 · median $21,714 | 31 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $9,762 – $31,364 · median $16,525 | 31 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $7,936 – $23,886 · median $12,585 | 31 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $14,046 – $48,902 · median $25,766 | 31 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $9,425 – $29,984 · median $15,798 | 31 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $7,814 – $23,383 · median $12,320 | 31 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $19,250 – $70,213 · median $36,995 | 31 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $10,726 – $35,311 · median $18,605 | 31 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $8,610 – $26,646 · median $14,040 | 31 plans |
| 199 | PNEUMOTHORAX WITH MCC | $18,132 – $65,633 · median $34,582 | 31 plans |
| 200 | PNEUMOTHORAX WITH CC | $12,091 – $40,899 · median $21,550 | 31 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $8,600 – $26,605 · median $14,018 | 31 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $10,927 – $36,134 · median $19,038 | 31 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $8,191 – $24,927 · median $13,134 | 31 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $9,439 – $30,039 · median $15,827 | 31 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $18,739 – $68,122 · median $35,893 | 31 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $10,654 – $35,014 · median $18,448 | 31 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $60,568 – $239,403 · median $126,139 | 31 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $27,078 – $102,265 · median $53,883 | 31 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $104,945 – $421,116 · median $221,882 | 31 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $100,905 – $404,571 · median $213,165 | 31 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $53,956 – $212,325 · median $111,872 | 31 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $92,572 – $370,450 · median $195,187 | 31 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $90,989 – $363,969 · median $191,772 | 31 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $61,846 – $244,634 · median $128,896 | 31 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $61,846 – $244,634 · median $128,896 | 31 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $71,868 – $285,671 · median $150,518 | 31 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $50,557 – $198,407 · median $104,539 | 31 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $47,898 – $187,521 · median $98,803 | 31 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $47,055 – $184,068 · median $96,984 | 31 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $30,719 – $117,177 · median $61,740 | 31 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $78,697 – $313,634 · median $165,251 | 31 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $57,188 – $225,559 · median $118,845 | 31 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $71,567 – $284,440 · median $149,869 | 31 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $51,737 – $203,240 · median $107,085 | 31 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $55,425 – $218,341 · median $115,042 | 31 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $40,162 – $155,844 · median $82,113 | 31 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $46,821 – $183,112 · median $96,480 | 31 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $28,003 – $106,053 · median $55,878 | 31 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $14,682 – $51,507 · median $27,138 | 31 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $31,113 – $118,788 · median $62,588 | 31 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $21,464 – $79,280 · median $41,772 | 31 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $18,526 – $67,248 · median $35,432 | 31 plans |
| 245 | AICD GENERATOR PROCEDURES | $43,557 – $169,744 · median $89,437 | 31 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $21,933 – $81,200 · median $42,784 | 31 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $15,682 – $55,603 · median $29,297 | 31 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $33,798 – $129,782 · median $68,381 | 31 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $25,687 – $96,569 · median $50,882 | 31 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $18,291 – $66,288 · median $34,927 | 31 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $26,611 – $100,357 · median $52,877 | 31 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $17,530 – $63,170 · median $33,284 | 31 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $12,027 – $40,635 · median $21,410 | 31 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $30,652 – $116,902 · median $61,595 | 31 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $20,476 – $75,232 · median $39,639 | 31 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $31,658 – $121,020 · median $63,765 | 31 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $19,280 – $70,336 · median $37,059 | 31 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $16,912 – $60,640 · median $31,951 | 31 plans |
| 263 | VEIN LIGATION AND STRIPPING | $29,882 – $113,751 · median $59,934 | 31 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $32,456 – $124,287 · median $65,486 | 31 plans |
| 265 | AICD LEAD PROCEDURES | $34,978 – $134,615 · median $70,928 | 31 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $57,785 – $228,007 · median $120,135 | 31 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $45,359 – $177,126 · median $93,326 | 31 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $64,595 – $255,892 · median $134,827 | 31 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $40,475 – $157,124 · median $82,787 | 31 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $50,043 – $196,305 · median $103,431 | 31 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $34,415 – $132,312 · median $69,714 | 31 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $25,299 – $94,984 · median $50,046 | 31 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $39,587 – $153,489 · median $80,872 | 31 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $32,011 – $122,468 · median $64,527 | 31 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $66,889 – $265,287 · median $139,777 | 31 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $56,679 – $223,476 · median $117,747 | 31 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $44,066 – $171,831 · median $90,536 | 31 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $52,677 – $207,090 · median $109,114 | 31 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $34,871 – $134,176 · median $70,696 | 31 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $16,678 – $59,681 · median $31,445 | 31 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $10,454 – $34,195 · median $18,017 | 31 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $8,673 – $26,903 · median $14,175 | 31 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $20,100 – $73,696 · median $38,830 | 31 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $8,392 – $25,753 · median $13,569 | 31 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $7,545 – $22,282 · median $11,740 | 31 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $22,208 – $82,327 · median $43,378 | 31 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $11,826 – $39,813 · median $20,977 | 31 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $26,691 – $100,684 · median $53,050 | 31 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $17,612 – $63,505 · median $33,460 | 31 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $10,550 – $34,589 · median $18,225 | 31 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $13,768 – $47,764 · median $25,166 | 31 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $9,817 – $31,587 · median $16,643 | 31 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $7,246 – $21,058 · median $11,095 | 31 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $16,294 – $58,110 · median $30,618 | 31 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $7,863 – $23,588 · median $12,428 | 31 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $6,238 – $16,932 · median $8,921 | 31 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $16,938 – $60,745 · median $32,006 | 31 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $11,802 – $39,716 · median $20,926 | 31 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $8,642 – $26,776 · median $14,108 | 31 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $12,975 – $44,520 · median $23,457 | 31 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $8,220 – $25,046 · median $13,197 | 31 plans |
| 304 | HYPERTENSION WITH MCC | $12,915 – $44,274 · median $23,328 | 31 plans |
| 305 | HYPERTENSION WITHOUT MCC | $8,964 – $28,094 · median $14,802 | 31 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $16,421 – $58,628 · median $30,890 | 31 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $10,400 – $33,976 · median $17,901 | 31 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $13,042 – $44,795 · median $23,602 | 31 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $8,788 – $27,372 · median $14,422 | 31 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $7,247 – $21,062 · median $11,097 | 31 plans |
| 311 | ANGINA PECTORIS | $8,480 – $26,114 · median $13,759 | 31 plans |
| 312 | SYNCOPE AND COLLAPSE | $10,022 – $32,428 · median $17,086 | 31 plans |
| 313 | CHEST PAIN | $8,645 – $26,788 · median $14,114 | 31 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $21,049 – $77,580 · median $40,876 | 31 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $10,856 – $35,840 · median $18,884 | 31 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,301 – $25,378 · median $13,371 | 31 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $62,856 – $248,771 · median $131,075 | 31 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $24,111 – $90,118 · median $47,482 | 31 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $42,653 – $166,042 · median $87,486 | 31 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $23,957 – $89,489 · median $47,151 | 31 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $26,824 – $101,227 · median $53,336 | 31 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $18,122 – $65,592 · median $34,560 | 31 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $41,422 – $161,001 · median $84,830 | 31 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $30,733 – $117,233 · median $61,769 | 31 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $31,273 – $119,443 · median $62,933 | 31 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $47,418 – $185,556 · median $97,768 | 31 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $24,311 – $90,936 · median $47,914 | 31 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $16,661 – $59,614 · median $31,410 | 31 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $43,867 – $171,013 · median $90,105 | 31 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $23,884 – $89,188 · median $46,992 | 31 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $17,394 – $62,612 · median $32,990 | 31 plans |
| 332 | RECTAL RESECTION WITH MCC | $35,001 – $134,708 · median $70,977 | 31 plans |
| 333 | RECTAL RESECTION WITH CC | $23,384 – $87,142 · median $45,914 | 31 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $16,985 – $60,938 · median $32,108 | 31 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $34,548 – $132,855 · median $70,000 | 31 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $21,263 – $78,454 · median $41,337 | 31 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $16,050 – $57,110 · median $30,091 | 31 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $25,570 – $96,093 · median $50,631 | 31 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $15,775 – $55,982 · median $29,497 | 31 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,881 – $44,133 · median $23,253 | 31 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $22,961 – $85,408 · median $45,001 | 31 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $13,995 – $48,694 · median $25,656 | 31 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $10,013 – $32,391 · median $17,066 | 31 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $24,744 – $92,711 · median $48,849 | 31 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $15,955 – $56,719 · median $29,885 | 31 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $12,714 – $43,448 · median $22,892 | 31 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $28,470 – $107,969 · median $56,888 | 31 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $17,389 – $62,594 · median $32,980 | 31 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $14,324 – $50,041 · median $26,366 | 31 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $42,016 – $163,434 · median $86,112 | 31 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $23,232 – $86,520 · median $45,587 | 31 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,804 – $52,009 · median $27,403 | 31 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $33,346 – $127,933 · median $67,407 | 31 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $24,039 – $89,824 · median $47,328 | 31 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $16,567 – $59,227 · median $31,206 | 31 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $11,191 – $37,212 · median $19,607 | 31 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $8,470 – $26,073 · median $13,738 | 31 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $18,213 – $65,968 · median $34,758 | 31 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $11,380 – $37,986 · median $20,015 | 31 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $8,712 – $27,063 · median $14,259 | 31 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $21,535 – $79,570 · median $41,925 | 31 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $13,093 – $45,003 · median $23,712 | 31 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $10,501 – $34,389 · median $18,119 | 31 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $18,712 – $68,011 · median $35,834 | 31 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $11,014 – $36,487 · median $19,225 | 31 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $7,831 – $23,454 · median $12,358 | 31 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $19,931 – $73,004 · median $38,465 | 31 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $11,948 – $40,312 · median $21,240 | 31 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $9,377 – $29,786 · median $15,694 | 31 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $14,648 – $51,369 · median $27,066 | 31 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $9,870 – $31,803 · median $16,757 | 31 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $16,480 – $58,869 · median $31,018 | 31 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $10,974 – $36,323 · median $19,138 | 31 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $8,293 – $25,348 · median $13,356 | 31 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $15,521 – $54,944 · median $28,950 | 31 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $9,279 – $29,385 · median $15,482 | 31 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $7,046 – $20,240 · median $10,664 | 31 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $13,627 – $47,187 · median $24,862 | 31 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $9,186 – $29,005 · median $15,283 | 31 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $16,634 – $59,502 · median $31,351 | 31 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $10,605 – $34,813 · median $18,343 | 31 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,000 – $24,146 · median $12,722 | 31 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $23,863 – $89,102 · median $46,947 | 31 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $15,856 – $56,313 · median $29,671 | 31 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $12,504 – $42,589 · median $22,440 | 31 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $38,633 – $149,583 · median $78,814 | 31 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $51,808 – $203,530 · median $107,238 | 31 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $28,454 – $107,902 · median $56,853 | 31 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $22,270 – $82,580 · median $43,511 | 31 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $34,500 – $132,658 · median $69,896 | 31 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $21,886 – $81,006 · median $42,682 | 31 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $16,529 – $59,070 · median $31,124 | 31 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $32,117 – $122,899 · median $64,755 | 31 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $21,206 – $78,224 · median $41,215 | 31 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $17,190 – $61,779 · median $32,551 | 31 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $34,473 – $132,547 · median $69,838 | 31 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $20,881 – $76,892 · median $40,514 | 31 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $14,490 – $50,722 · median $26,725 | 31 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $23,786 – $88,786 · median $46,781 | 31 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $17,473 – $62,936 · median $33,160 | 31 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $14,513 – $50,815 · median $26,774 | 31 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $33,060 – $126,761 · median $66,789 | 31 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $17,890 – $64,644 · median $34,060 | 31 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $14,819 – $52,068 · median $27,434 | 31 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $39,837 – $154,512 · median $81,411 | 31 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $21,982 – $81,401 · median $42,889 | 31 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $15,735 – $55,819 · median $29,410 | 31 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $102,241 – $410,044 · median $216,049 | 31 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $67,691 – $268,568 · median $141,506 | 31 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $53,184 – $209,167 · median $110,208 | 31 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $83,964 – $335,202 · median $176,615 | 31 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $54,503 – $214,565 · median $113,052 | 31 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $19,986 – $73,227 · median $38,583 | 31 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $11,700 – $39,296 · median $20,705 | 31 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,577 – $26,509 · median $13,967 | 31 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $18,791 – $68,334 · median $36,005 | 31 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $12,380 – $42,083 · median $22,173 | 31 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $9,856 – $31,747 · median $16,727 | 31 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $16,915 – $60,652 · median $31,957 | 31 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $9,746 – $31,297 · median $16,490 | 31 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,749 – $23,119 · median $12,181 | 31 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $18,410 – $66,772 · median $35,182 | 31 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $10,874 – $35,914 · median $18,923 | 31 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,460 – $26,032 · median $13,716 | 31 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $17,285 – $62,166 · median $32,755 | 31 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $12,047 – $40,717 · median $21,454 | 31 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $9,620 – $30,780 · median $16,218 | 31 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $62,812 – $248,589 · median $130,979 | 31 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $40,635 – $157,779 · median $83,132 | 31 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $50,528 – $198,288 · median $104,476 | 31 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $31,454 – $120,187 · median $63,326 | 31 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $78,456 – $312,649 · median $164,732 | 31 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $56,283 – $221,857 · median $116,895 | 31 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $40,015 – $155,242 · median $81,795 | 31 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $52,285 – $205,483 · median $108,267 | 31 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $26,272 – $98,965 · median $52,144 | 31 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $53,888 – $212,050 · median $111,727 | 31 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $30,403 – $115,882 · median $61,057 | 31 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $18,673 – $67,851 · median $35,750 | 31 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $49,399 – $193,667 · median $102,041 | 31 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $34,146 – $131,207 · median $69,132 | 31 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $27,071 – $102,239 · median $53,869 | 31 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $29,663 – $112,850 · median $59,460 | 31 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $19,629 – $71,765 · median $37,812 | 31 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $45,976 – $179,652 · median $94,657 | 31 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $28,871 – $109,610 · median $57,752 | 31 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $24,285 – $90,829 · median $47,857 | 31 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $41,108 – $159,717 · median $84,154 | 31 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,780 – $84,667 · median $44,611 | 31 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,826 – $43,909 · median $23,135 | 31 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $33,491 – $128,528 · median $67,721 | 31 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $24,447 – $91,495 · median $48,208 | 31 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $18,993 – $69,160 · median $36,440 | 31 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $28,564 – $108,352 · median $57,090 | 31 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $21,134 – $77,926 · median $41,058 | 31 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $16,922 – $60,681 · median $31,972 | 31 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $27,288 – $103,129 · median $54,338 | 31 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $31,424 – $120,064 · median $63,261 | 31 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $21,103 – $77,799 · median $40,992 | 31 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $16,333 – $58,270 · median $30,702 | 31 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $18,175 – $65,812 · median $34,676 | 31 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,250 – $41,551 · median $21,893 | 31 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $35,463 – $136,602 · median $71,974 | 31 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $25,146 – $94,356 · median $49,715 | 31 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $20,334 – $74,652 · median $39,333 | 31 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $35,046 – $134,894 · median $71,075 | 31 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $18,493 – $67,114 · median $35,362 | 31 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $13,082 – $44,955 · median $23,686 | 31 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $29,514 – $112,240 · median $59,138 | 31 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $20,409 – $74,961 · median $39,496 | 31 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $30,858 – $117,746 · median $62,040 | 31 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $17,986 – $65,038 · median $34,268 | 31 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $14,332 – $50,074 · median $26,384 | 31 plans |
| 503 | FOOT PROCEDURES WITH MCC | $27,463 – $103,843 · median $54,714 | 31 plans |
| 504 | FOOT PROCEDURES WITH CC | $19,086 – $69,544 · median $36,642 | 31 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $18,392 – $66,701 · median $35,144 | 31 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $14,362 – $50,197 · median $26,448 | 31 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $18,516 – $67,207 · median $35,411 | 31 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $15,863 – $56,343 · median $29,687 | 31 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $29,547 – $112,378 · median $59,211 | 31 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $20,996 – $77,364 · median $40,762 | 31 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $17,144 – $61,589 · median $32,451 | 31 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $16,407 – $58,572 · median $30,861 | 31 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $11,392 – $38,035 · median $20,040 | 31 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $31,059 – $118,569 · median $62,473 | 31 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $20,985 – $77,316 · median $40,737 | 31 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $16,065 – $57,173 · median $30,124 | 31 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $36,060 – $139,046 · median $73,262 | 31 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $20,277 – $74,417 · median $39,210 | 31 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $15,676 – $55,581 · median $29,285 | 31 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $28,182 – $106,786 · median $56,265 | 31 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $21,344 – $78,789 · median $41,513 | 31 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $16,347 – $58,326 · median $30,732 | 31 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $9,427 – $29,991 · median $15,802 | 31 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $13,751 – $47,697 · median $25,131 | 31 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $9,441 – $30,047 · median $15,831 | 31 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $10,774 – $35,505 · median $18,707 | 31 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $8,648 – $26,799 · median $14,120 | 31 plans |
| 539 | OSTEOMYELITIS WITH MCC | $20,000 – $73,283 · median $38,612 | 31 plans |
| 540 | OSTEOMYELITIS WITH CC | $13,881 – $48,229 · median $25,411 | 31 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $9,257 – $29,295 · median $15,435 | 31 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $18,153 – $65,723 · median $34,629 | 31 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $11,443 – $38,247 · median $20,152 | 31 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $8,959 – $28,075 · median $14,792 | 31 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $24,652 – $92,332 · median $48,649 | 31 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $12,583 – $42,912 · median $22,610 | 31 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,701 – $31,111 · median $16,392 | 31 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $19,647 – $71,839 · median $37,851 | 31 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $13,072 – $44,914 · median $23,665 | 31 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $10,045 – $32,521 · median $17,135 | 31 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $17,332 – $62,359 · median $32,857 | 31 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $10,837 – $35,765 · median $18,844 | 31 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $13,881 – $48,229 · median $25,411 | 31 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $9,645 – $30,884 · median $16,272 | 31 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,113 – $49,178 · median $25,911 | 31 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $9,650 – $30,902 · median $16,282 | 31 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $15,613 – $55,320 · median $29,148 | 31 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $10,219 – $33,232 · median $17,509 | 31 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $19,047 – $69,384 · median $36,558 | 31 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $12,335 – $41,897 · median $22,075 | 31 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $9,407 – $29,909 · median $15,759 | 31 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $15,049 – $53,010 · median $27,930 | 31 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $10,239 – $33,317 · median $17,554 | 31 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $16,128 – $57,430 · median $30,259 | 31 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $10,956 – $36,253 · median $19,101 | 31 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $8,911 – $27,878 · median $14,689 | 31 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $28,826 – $109,424 · median $57,654 | 31 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $17,454 – $62,858 · median $33,119 | 31 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $12,518 – $42,648 · median $22,471 | 31 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $61,629 – $243,745 · median $128,427 | 31 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $33,644 – $129,153 · median $68,050 | 31 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $18,430 – $66,857 · median $35,227 | 31 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $46,635 – $182,349 · median $96,078 | 31 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $26,187 – $98,619 · median $51,962 | 31 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $16,699 – $59,766 · median $31,490 | 31 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $31,528 – $120,488 · median $63,484 | 31 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $17,804 – $64,290 · median $33,874 | 31 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $15,215 – $53,691 · median $28,289 | 31 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $19,608 – $71,679 · median $37,767 | 31 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $17,771 – $64,156 · median $33,803 | 31 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $21,553 – $79,645 · median $41,964 | 31 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $19,631 – $71,772 · median $37,816 | 31 plans |
| 592 | SKIN ULCERS WITH MCC | $19,687 – $72,003 · median $37,938 | 31 plans |
| 593 | SKIN ULCERS WITH CC | $12,882 – $44,136 · median $23,255 | 31 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $9,979 – $32,249 · median $16,992 | 31 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $21,372 – $78,901 · median $41,572 | 31 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $11,939 – $40,274 · median $21,220 | 31 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $17,250 – $62,024 · median $32,680 | 31 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $12,382 – $42,090 · median $22,177 | 31 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $9,094 – $28,626 · median $15,083 | 31 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $11,567 – $38,753 · median $20,418 | 31 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,600 – $22,509 · median $11,860 | 31 plans |
| 602 | CELLULITIS WITH MCC | $15,017 – $52,879 · median $27,862 | 31 plans |
| 603 | CELLULITIS WITHOUT MCC | $10,016 – $32,402 · median $17,072 | 31 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $15,478 – $54,769 · median $28,858 | 31 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $10,426 – $34,080 · median $17,956 | 31 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $15,852 – $56,299 · median $29,663 | 31 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $10,339 – $33,723 · median $17,768 | 31 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $22,018 – $81,546 · median $42,966 | 31 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $14,817 – $52,061 · median $27,430 | 31 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $33,789 – $129,749 · median $68,364 | 31 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $19,096 – $69,585 · median $36,663 | 31 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $14,990 – $52,768 · median $27,803 | 31 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $28,338 – $107,426 · median $56,602 | 31 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $16,643 – $59,539 · median $31,371 | 31 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $15,808 – $56,120 · median $29,569 | 31 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $34,442 – $132,420 · median $69,771 | 31 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $18,402 – $66,742 · median $35,166 | 31 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $13,478 – $46,577 · median $24,541 | 31 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $29,544 – $112,363 · median $59,203 | 31 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $15,726 – $55,785 · median $29,393 | 31 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $14,172 – $49,419 · median $26,039 | 31 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $35,965 – $138,656 · median $73,056 | 31 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $21,899 – $81,062 · median $42,711 | 31 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $15,364 – $54,301 · median $28,611 | 31 plans |
| 637 | DIABETES WITH MCC | $15,157 – $53,452 · median $28,164 | 31 plans |
| 638 | DIABETES WITH CC | $10,246 – $33,343 · median $17,568 | 31 plans |
| 639 | DIABETES WITHOUT CC/MCC | $7,747 – $23,112 · median $12,177 | 31 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $14,238 – $49,691 · median $26,182 | 31 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $9,174 – $28,953 · median $15,255 | 31 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $15,024 – $52,909 · median $27,877 | 31 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $17,059 – $61,243 · median $32,269 | 31 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $11,416 – $38,135 · median $20,093 | 31 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $9,084 – $28,585 · median $15,061 | 31 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $44,820 – $174,916 · median $92,162 | 31 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $35,774 – $137,874 · median $72,645 | 31 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $49,317 – $193,332 · median $101,865 | 31 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $27,537 – $104,148 · median $54,875 | 31 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $21,334 – $78,748 · median $41,492 | 31 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $31,031 – $118,453 · median $62,412 | 31 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $18,730 – $68,085 · median $35,873 | 31 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $16,203 – $57,735 · median $30,420 | 31 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $25,190 – $94,534 · median $49,809 | 31 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $14,112 – $49,174 · median $25,909 | 31 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $11,511 – $38,522 · median $20,297 | 31 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $29,920 – $113,903 · median $60,015 | 31 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $15,915 – $56,559 · median $29,800 | 31 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $11,615 – $38,950 · median $20,522 | 31 plans |
| 665 | PROSTATECTOMY WITH MCC | $30,462 – $116,124 · median $61,185 | 31 plans |
| 666 | PROSTATECTOMY WITH CC | $17,997 – $65,083 · median $34,292 | 31 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $12,154 – $41,156 · median $21,685 | 31 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $28,634 – $108,639 · median $57,241 | 31 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $16,204 – $57,742 · median $30,424 | 31 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $10,983 – $36,360 · median $19,158 | 31 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $18,412 – $66,783 · median $35,187 | 31 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $11,911 – $40,163 · median $21,161 | 31 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $40,279 – $156,321 · median $82,364 | 31 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $23,351 – $87,008 · median $45,844 | 31 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $17,017 – $61,068 · median $32,176 | 31 plans |
| 682 | RENAL FAILURE WITH MCC | $15,559 – $55,101 · median $29,032 | 31 plans |
| 683 | RENAL FAILURE WITH CC | $10,060 – $32,584 · median $17,168 | 31 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $7,557 – $22,334 · median $11,768 | 31 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $18,491 – $67,107 · median $35,358 | 31 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $11,623 – $38,983 · median $20,540 | 31 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $9,284 – $29,403 · median $15,492 | 31 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $12,645 – $43,169 · median $22,745 | 31 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $9,458 – $30,117 · median $15,869 | 31 plans |
| 693 | URINARY STONES WITH MCC | $14,319 – $50,022 · median $26,356 | 31 plans |
| 694 | URINARY STONES WITHOUT MCC | $9,205 – $29,083 · median $15,324 | 31 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $12,496 – $42,555 · median $22,422 | 31 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $8,363 – $25,634 · median $13,506 | 31 plans |
| 697 | URETHRAL STRICTURE | $11,896 – $40,100 · median $21,128 | 31 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $17,135 – $61,552 · median $32,431 | 31 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $11,325 – $37,763 · median $19,897 | 31 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $8,371 – $25,668 · median $13,524 | 31 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $20,278 – $74,421 · median $39,212 | 31 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $16,043 – $57,080 · median $30,075 | 31 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $23,247 – $86,580 · median $45,618 | 31 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $14,834 – $52,132 · median $27,468 | 31 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $21,036 – $77,528 · median $40,849 | 31 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $12,095 – $40,914 · median $21,557 | 31 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $15,763 – $55,934 · median $29,471 | 31 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $11,710 – $39,341 · median $20,728 | 31 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $22,431 – $83,239 · median $43,858 | 31 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $15,468 – $54,729 · median $28,836 | 31 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $19,280 – $70,336 · median $37,059 | 31 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $14,306 – $49,970 · median $26,329 | 31 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $18,546 – $67,330 · median $35,476 | 31 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $12,486 – $42,514 · median $22,400 | 31 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,061 – $24,395 · median $12,854 | 31 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $12,735 – $43,537 · median $22,939 | 31 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $8,663 – $26,862 · median $14,153 | 31 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $15,577 – $55,171 · median $29,069 | 31 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $9,474 – $30,181 · median $15,902 | 31 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $11,722 – $39,389 · median $20,754 | 31 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,209 – $25,002 · median $13,173 | 31 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $21,456 – $79,247 · median $41,754 | 31 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $14,328 – $50,059 · median $26,376 | 31 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $34,581 – $132,989 · median $70,071 | 31 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $20,826 – $76,665 · median $40,394 | 31 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $15,446 – $54,636 · median $28,787 | 31 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $34,656 – $133,298 · median $70,234 | 31 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $18,545 – $67,326 · median $35,474 | 31 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $15,060 – $53,058 · median $27,956 | 31 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $18,774 – $68,264 · median $35,968 | 31 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $13,376 – $46,160 · median $24,321 | 31 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $20,721 – $76,237 · median $40,169 | 31 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $12,438 – $42,321 · median $22,298 | 31 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $17,886 – $64,629 · median $34,052 | 31 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $9,914 – $31,985 · median $16,853 | 31 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $14,708 – $51,615 · median $27,195 | 31 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $25,432 – $95,528 · median $50,333 | 31 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $15,512 – $54,907 · median $28,930 | 31 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $18,837 – $68,520 · median $36,103 | 31 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $11,987 – $40,472 · median $21,324 | 31 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $10,830 – $35,735 · median $18,829 | 31 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $15,113 – $53,274 · median $28,070 | 31 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,998 – $36,424 · median $19,191 | 31 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,132 – $24,689 · median $13,009 | 31 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $11,257 – $37,484 · median $19,750 | 31 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $7,287 – $21,225 · median $11,184 | 31 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,895 – $27,607 · median $11,840 | 31 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $17,456 – $62,869 · median $33,125 | 31 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $11,213 – $37,305 · median $19,656 | 31 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $8,052 – $24,358 · median $12,834 | 31 plans |
| 779 | ABORTION WITHOUT D&C | $9,747 – $31,301 · median $16,492 | 31 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $9,824 – $63,248 · median $24,410 | 31 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $9,824 – $29,233 · median $11,735 | 31 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $9,824 – $29,233 · median $11,022 | 31 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $9,824 – $42,494 · median $17,090 | 31 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $9,824 – $29,233 · median $12,250 | 31 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $9,824 – $29,233 · median $11,031 | 31 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $1,470 – $46,428 · median $18,478 | 31 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $1,627 – $153,116 · median $56,105 | 31 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $1,627 – $104,568 · median $38,983 | 31 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $1,470 – $63,096 · median $24,356 | 31 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $1,627 – $107,417 · median $39,988 | 31 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,470 – $38,022 · median $15,513 | 31 plans |
| 795 | NORMAL NEWBORN | $1,179 – $5,147 · median $3,918 | 31 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $5,895 – $30,064 · median $12,706 | 31 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $5,895 – $25,772 · median $11,193 | 31 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $5,895 – $24,657 · median $10,799 | 31 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $43,252 – $168,498 · median $88,780 | 31 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $27,629 – $104,524 · median $55,073 | 31 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $19,447 – $71,021 · median $37,420 | 31 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $38,302 – $148,228 · median $78,100 | 31 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $18,993 – $69,160 · median $36,440 | 31 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $14,424 – $50,450 · median $26,582 | 31 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,895 – $27,802 · median $11,909 | 31 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,895 – $19,666 · median $8,954 | 31 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,895 – $19,666 · median $8,229 | 31 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $22,164 – $82,145 · median $43,281 | 31 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $13,605 – $47,098 · median $24,815 | 31 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $11,612 – $38,939 · median $20,517 | 31 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $14,862 – $52,247 · median $27,528 | 31 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $10,446 – $34,162 · median $17,999 | 31 plans |
| 813 | COAGULATION DISORDERS | $15,962 – $56,749 · median $29,900 | 31 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $21,426 – $79,124 · median $41,690 | 31 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $11,316 – $37,726 · median $19,877 | 31 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $7,845 – $23,514 · median $12,389 | 31 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $22,834 – $84,887 · median $44,726 | 31 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $12,635 – $43,128 · median $22,724 | 31 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,916 – $31,993 · median $16,857 | 31 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $55,390 – $218,200 · median $114,968 | 31 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $22,443 – $83,287 · median $43,883 | 31 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,042 – $44,795 · median $23,602 | 31 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $43,760 – $170,577 · median $89,876 | 31 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $22,688 – $84,292 · median $44,413 | 31 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $14,364 – $50,204 · median $26,452 | 31 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $44,605 – $174,038 · median $91,699 | 31 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $23,102 – $85,988 · median $45,306 | 31 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $17,584 – $63,390 · median $33,400 | 31 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $30,815 – $117,568 · median $61,945 | 31 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $15,777 – $55,994 · median $29,503 | 31 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $13,029 – $44,739 · median $23,573 | 31 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $8,659 – $26,847 · median $14,146 | 31 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $6,854 – $19,454 · median $10,250 | 31 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $51,984 – $204,252 · median $107,619 | 31 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $21,055 – $77,602 · median $40,888 | 31 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $13,183 – $45,372 · median $23,906 | 31 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $45,755 – $178,744 · median $94,179 | 31 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $21,069 – $77,662 · median $40,919 | 31 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $15,222 – $53,720 · median $28,305 | 31 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $31,495 – $120,354 · median $63,414 | 31 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $16,926 – $60,696 · median $31,980 | 31 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $11,283 – $37,592 · median $19,807 | 31 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $20,228 – $74,217 · median $39,104 | 31 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $13,164 – $45,293 · median $23,865 | 31 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $9,841 – $31,684 · median $16,694 | 31 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $25,658 – $96,454 · median $50,821 | 31 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $13,989 – $48,672 · median $25,645 | 31 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,821 – $31,602 · median $16,651 | 31 plans |
| 849 | RADIOTHERAPY | $26,721 – $100,807 · median $53,114 | 31 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $80,783 – $322,177 · median $169,752 | 31 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $46,975 – $183,741 · median $96,811 | 31 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $20,258 – $74,339 · median $39,169 | 31 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $15,706 – $55,703 · median $29,350 | 31 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $43,432 – $169,234 · median $89,168 | 31 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $21,561 – $79,675 · median $41,980 | 31 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $14,759 – $51,823 · median $27,305 | 31 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $18,673 – $67,851 · median $35,750 | 31 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $11,170 – $37,127 · median $19,562 | 31 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $10,169 – $33,027 · median $17,402 | 31 plans |
| 865 | VIRAL ILLNESS WITH MCC | $15,716 – $55,744 · median $29,371 | 31 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $10,004 – $32,353 · median $17,047 | 31 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $21,122 – $77,878 · median $41,033 | 31 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $11,472 – $38,362 · median $20,213 | 31 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $8,733 – $27,148 · median $14,304 | 31 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $64,903 – $257,154 · median $135,492 | 31 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $19,752 – $72,271 · median $38,079 | 31 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $11,401 – $38,072 · median $20,060 | 31 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $37,219 – $143,794 · median $75,764 | 31 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $10,827 – $35,724 · median $18,823 | 31 plans |
| 881 | DEPRESSIVE NEUROSES | $10,652 – $35,006 · median $18,444 | 31 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $11,859 – $39,951 · median $21,050 | 31 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $19,969 – $73,156 · median $38,545 | 31 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $16,721 – $59,859 · median $31,539 | 31 plans |
| 885 | PSYCHOSES | $14,794 – $51,968 · median $27,381 | 31 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $20,959 – $77,212 · median $40,682 | 31 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $11,833 – $39,843 · median $20,993 | 31 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $7,708 – $22,952 · median $12,093 | 31 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $14,965 – $52,667 · median $27,750 | 31 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $17,959 – $64,926 · median $34,209 | 31 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $10,124 – $32,845 · median $17,306 | 31 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $40,233 – $156,135 · median $82,266 | 31 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $19,498 – $71,229 · median $37,530 | 31 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $12,730 – $43,515 · median $22,928 | 31 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $35,477 – $136,658 · median $72,004 | 31 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $15,581 – $55,190 · median $29,079 | 31 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $19,951 – $73,082 · median $38,506 | 31 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $36,987 – $142,841 · median $75,262 | 31 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $20,231 – $74,231 · median $39,112 | 31 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $14,030 – $48,839 · median $25,733 | 31 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $16,955 – $60,815 · median $32,043 | 31 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $10,149 – $32,945 · median $17,358 | 31 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $17,382 – $62,564 · median $32,964 | 31 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $8,157 – $24,790 · median $13,061 | 31 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $16,353 – $58,352 · median $30,745 | 31 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $9,891 – $31,888 · median $16,802 | 31 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $18,738 – $68,115 · median $35,889 | 31 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $11,210 – $37,291 · median $19,648 | 31 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $8,358 – $25,612 · median $13,495 | 31 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $17,998 – $65,086 · median $34,293 | 31 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $11,350 – $37,864 · median $19,950 | 31 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $196,093 – $794,345 · median $418,534 | 31 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $67,274 – $266,860 · median $140,606 | 31 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $31,367 – $119,830 · median $63,137 | 31 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $37,486 – $144,884 · median $76,338 | 31 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $22,188 – $82,245 · median $43,334 | 31 plans |
| 935 | NON-EXTENSIVE BURNS | $20,820 – $76,642 · median $40,382 | 31 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $35,071 – $134,998 · median $71,129 | 31 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $23,336 – $86,944 · median $45,810 | 31 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $20,527 – $75,441 · median $39,749 | 31 plans |
| 945 | REHABILITATION WITH CC/MCC | $3,084 – $39,895 · median $16,174 | 31 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $3,084 – $29,544 · median $12,523 | 31 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $13,637 – $47,228 · median $24,884 | 31 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $9,376 – $29,783 · median $15,692 | 31 plans |
| 949 | AFTERCARE WITH CC/MCC | $12,913 – $44,263 · median $23,322 | 31 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $7,806 – $23,354 · median $12,305 | 31 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $7,155 – $20,686 · median $10,899 | 31 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $63,261 – $250,431 · median $131,950 | 31 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $36,293 – $140,002 · median $73,766 | 31 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $71,337 – $283,498 · median $149,373 | 31 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $40,390 – $156,778 · median $82,605 | 31 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $28,853 – $109,535 · median $57,713 | 31 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $26,942 – $101,711 · median $53,591 | 31 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $16,028 – $57,020 · median $30,044 | 31 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $10,648 – $34,991 · median $18,437 | 31 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $57,721 – $227,743 · median $119,996 | 31 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $26,066 – $98,124 · median $51,701 | 31 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $28,325 – $107,374 · median $56,574 | 31 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $13,869 – $48,180 · median $25,386 | 31 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $10,305 – $33,585 · median $17,696 | 31 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $13,894 – $48,281 · median $25,439 | 31 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $44,732 – $174,558 · median $91,973 | 31 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $24,441 – $91,468 · median $48,194 | 31 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $17,676 – $63,769 · median $33,600 | 31 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $33,253 – $127,554 · median $67,207 | 31 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,037 – $61,150 · median $32,219 | 31 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,999 – $44,616 · median $23,508 | 31 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $256,727 – $1,042,629 · median $263,145 | 28 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $105,063 – $421,600 · median $107,690 | 28 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $95,784 – $383,602 · median $98,178 | 28 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $44,235 – $172,520 · median $45,340 | 28 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $53,026 – $208,519 · median $54,352 | 28 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $111,297 – $447,126 · median $114,080 | 28 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $55,980 – $220,614 · median $57,379 | 28 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $51,461 – $202,109 · median $52,747 | 28 plans |
| 652 | KIDNEY TRANSPLANT | $31,446 – $120,154 · median $32,232 | 28 plans |
No procedures match that keyword.