Cheyenne Regional Medical Center - West Campus — Pricing
781 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 781 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 781 procedures
Procedures with negotiated rates only
These 781 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 |
|---|---|---|---|
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $23,500 – $47,897 · median $26,904 | 5 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $12,678 – $24,033 · median $23,500 | 5 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $36,700 – $115,246 · median $63,182 | 5 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $36,700 – $77,466 · median $42,830 | 5 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $32,438 – $59,319 · median $36,700 | 5 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $35,796 – $73,988 · median $36,849 | 5 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $330,094 – $602,131 · median $470,967 | 4 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $133,523 – $272,064 · median $204,757 | 4 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $250,031 – $473,737 · median $365,561 | 4 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $163,195 – $326,634 · median $247,314 | 4 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $121,496 – $229,977 · median $177,523 | 4 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $54,683 – $107,476 · median $81,884 | 4 plans |
| 007 | LUNG TRANSPLANT | $152,582 – $272,559 · median $214,815 | 4 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $66,078 – $116,915 · median $92,468 | 4 plans |
| 010 | PANCREAS TRANSPLANT | $84,580 – $106,958 · median $97,013 | 4 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $64,305 – $114,573 · median $90,385 | 4 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $49,725 – $88,989 · median $70,088 | 4 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $34,013 – $59,676 · median $47,345 | 4 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $141,603 – $254,661 · median $200,214 | 4 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $69,906 – $137,253 · median $104,608 | 4 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $64,049 – $137,253 · median $101,593 | 4 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $508,610 – $818,645 · median $671,107 | 4 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $84,096 – $177,616 · median $132,092 | 4 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $92,742 – $187,812 · median $141,641 | 4 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $62,418 – $136,462 · median $100,358 | 4 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $37,494 – $77,252 · median $57,925 | 4 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $67,558 – $125,961 · median $97,753 | 4 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $46,144 – $84,187 · median $65,844 | 4 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $53,620 – $98,124 · median $76,660 | 4 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $36,691 – $65,618 · median $51,694 | 4 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $29,787 – $54,059 · median $42,361 | 4 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $70,832 – $133,900 · median $103,408 | 4 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $40,252 – $76,175 · median $58,805 | 4 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $25,928 – $51,528 · median $39,109 | 4 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $52,840 – $91,471 · median $72,933 | 4 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $25,172 – $47,857 · median $36,885 | 4 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $19,659 – $36,061 · median $28,149 | 4 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $45,659 – $86,689 · median $66,845 | 4 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $28,228 – $51,095 · median $40,076 | 4 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $22,955 – $40,178 · median $31,904 | 4 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $38,845 – $75,006 · median $57,497 | 4 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $19,185 – $35,550 · median $27,649 | 4 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $13,919 – $25,353 · median $19,841 | 4 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $45,547 – $85,558 · median $66,222 | 4 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $25,969 – $49,566 · median $38,149 | 4 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $20,422 – $38,658 · median $29,841 | 4 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $21,407 – $43,207 · median $32,622 | 4 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $11,608 – $21,860 · median $16,905 | 4 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $18,058 – $32,741 · median $25,665 | 4 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $12,083 – $23,847 · median $18,143 | 4 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $27,434 – $53,195 · median $40,718 | 4 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $15,334 – $30,290 · median $23,037 | 4 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $20,208 – $38,394 · median $29,598 | 4 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $14,690 – $26,380 · median $20,751 | 4 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $10,908 – $19,940 · median $15,585 | 4 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $32,545 – $62,278 · median $47,890 | 4 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $20,770 – $41,589 · median $31,485 | 4 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $16,608 – $33,037 · median $25,067 | 4 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $23,758 – $44,507 · median $34,482 | 4 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $11,974 – $22,584 · median $17,455 | 4 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $8,136 – $15,276 · median $11,826 | 4 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $17,372 – $31,484 · median $24,683 | 4 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $10,256 – $19,354 · median $14,956 | 4 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $9,483 – $17,747 · median $13,755 | 4 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $19,682 – $39,763 · median $30,012 | 4 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $12,159 – $23,593 · median $18,055 | 4 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $8,982 – $17,398 · median $13,322 | 4 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $18,969 – $33,619 · median $26,573 | 4 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $12,215 – $22,802 · median $17,688 | 4 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $22,657 – $42,525 · median $32,924 | 4 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $9,794 – $20,498 · median $15,290 | 4 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $21,391 – $49,077 · median $35,549 | 4 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $10,623 – $20,209 · median $15,572 | 4 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $26,992 – $50,624 · median $39,205 | 4 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $16,514 – $30,139 · median $23,569 | 4 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $11,332 – $20,436 · median $16,051 | 4 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $26,831 – $50,502 · median $39,061 | 4 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $15,417 – $29,266 · median $22,568 | 4 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $10,848 – $19,691 · median $15,429 | 4 plans |
| 088 | CONCUSSION WITH MCC | $15,996 – $34,081 · median $25,274 | 4 plans |
| 089 | CONCUSSION WITH CC | $13,014 – $25,551 · median $19,474 | 4 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $9,771 – $20,771 · median $15,415 | 4 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $20,758 – $39,756 · median $30,562 | 4 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $12,123 – $22,800 · median $17,640 | 4 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $9,454 – $17,207 · median $13,470 | 4 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $41,522 – $80,496 · median $61,620 | 4 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $30,450 – $52,977 · median $42,161 | 4 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $30,450 – $48,433 · median $39,889 | 4 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $42,610 – $80,812 · median $62,338 | 4 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $27,102 – $47,873 · median $37,886 | 4 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $16,120 – $29,335 · median $22,965 | 4 plans |
| 100 | SEIZURES WITH MCC | $22,885 – $44,051 · median $33,804 | 4 plans |
| 101 | SEIZURES WITHOUT MCC | $10,706 – $20,211 · median $15,616 | 4 plans |
| 102 | HEADACHES WITH MCC | $13,276 – $26,811 · median $20,239 | 4 plans |
| 103 | HEADACHES WITHOUT MCC | $9,925 – $18,718 · median $14,467 | 4 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $27,764 – $55,712 · median $42,146 | 4 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $16,010 – $27,371 · median $21,926 | 4 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $18,152 – $34,761 · median $26,723 | 4 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $21,369 – $40,680 · median $31,339 | 4 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $12,852 – $26,628 · median $19,929 | 4 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $13,776 – $28,468 · median $21,325 | 4 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $9,330 – $16,543 · median $13,074 | 4 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $9,481 – $17,865 · median $13,812 | 4 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $15,658 – $29,373 · median $22,745 | 4 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $9,118 – $17,720 · median $13,553 | 4 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $25,631 – $58,930 · median $42,657 | 4 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $12,033 – $20,867 · median $16,627 | 4 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $17,661 – $33,434 · median $25,807 | 4 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $10,512 – $19,236 · median $15,029 | 4 plans |
| 139 | SALIVARY GLAND PROCEDURES | $14,628 – $26,391 · median $20,725 | 4 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $50,306 – $83,949 · median $67,867 | 4 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $25,762 – $46,033 · median $36,276 | 4 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $18,876 – $34,330 · median $26,881 | 4 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $44,197 – $73,895 · median $59,696 | 4 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $20,483 – $38,452 · median $29,769 | 4 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $14,235 – $27,133 · median $20,893 | 4 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $25,011 – $46,906 · median $36,327 | 4 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $15,050 – $27,459 · median $21,476 | 4 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $9,463 – $19,769 · median $14,755 | 4 plans |
| 149 | DYSEQUILIBRIUM | $8,927 – $16,547 · median $12,869 | 4 plans |
| 150 | EPISTAXIS WITH MCC | $15,756 – $29,208 · median $22,714 | 4 plans |
| 151 | EPISTAXIS WITHOUT MCC | $8,720 – $17,125 · median $13,051 | 4 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $13,998 – $26,402 · median $20,406 | 4 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $8,770 – $16,327 · median $12,677 | 4 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $18,489 – $34,179 · median $26,606 | 4 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $10,869 – $21,033 · median $16,111 | 4 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $8,215 – $14,565 · median $11,511 | 4 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $20,294 – $37,930 · median $29,410 | 4 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $10,790 – $20,853 · median $15,981 | 4 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $8,420 – $15,003 · median $11,835 | 4 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $52,855 – $104,736 · median $79,573 | 4 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $29,800 – $56,670 · median $43,673 | 4 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $22,619 – $41,694 · median $32,489 | 4 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $44,093 – $90,164 · median $67,777 | 4 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $21,314 – $40,436 · median $31,188 | 4 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $16,167 – $30,124 · median $23,383 | 4 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $35,127 – $68,327 · median $52,243 | 4 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $16,252 – $31,175 · median $23,952 | 4 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $9,556 – $18,123 · median $13,980 | 4 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $18,479 – $37,694 · median $28,358 | 4 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $11,570 – $21,924 · median $16,917 | 4 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $8,967 – $16,961 · median $13,096 | 4 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $20,873 – $38,623 · median $30,055 | 4 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $12,689 – $24,466 · median $18,764 | 4 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $8,953 – $16,865 · median $13,041 | 4 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $18,093 – $34,985 · median $26,805 | 4 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $12,607 – $23,373 · median $18,176 | 4 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $9,338 – $16,792 · median $13,202 | 4 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $18,430 – $34,488 · median $26,730 | 4 plans |
| 187 | PLEURAL EFFUSION WITH CC | $11,724 – $22,138 · median $17,103 | 4 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $8,522 – $16,587 · median $12,680 | 4 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $14,625 – $27,375 · median $21,215 | 4 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $13,121 – $24,486 · median $18,997 | 4 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $10,004 – $18,865 · median $14,581 | 4 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $7,637 – $14,261 · median $11,061 | 4 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $15,555 – $29,477 · median $22,745 | 4 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $9,567 – $18,269 · median $14,059 | 4 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $7,478 – $13,901 · median $10,799 | 4 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $22,301 – $42,116 · median $32,536 | 4 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $11,253 – $22,164 · median $16,874 | 4 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $8,511 – $17,292 · median $13,026 | 4 plans |
| 199 | PNEUMOTHORAX WITH MCC | $20,851 – $39,421 · median $30,442 | 4 plans |
| 200 | PNEUMOTHORAX WITH CC | $13,022 – $23,931 · median $18,668 | 4 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $8,498 – $15,690 · median $12,219 | 4 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $11,513 – $21,276 · median $16,564 | 4 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $7,966 – $15,441 · median $11,821 | 4 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $9,585 – $18,285 · median $14,076 | 4 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $21,639 – $40,225 · median $31,250 | 4 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $11,159 – $20,298 · median $15,893 | 4 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $75,853 – $153,496 · median $115,790 | 4 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $32,446 – $60,078 · median $46,739 | 4 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $128,133 – $239,325 · median $185,613 | 4 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $117,333 – $226,973 · median $173,878 | 4 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $115,282 – $215,652 · median $167,162 | 4 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $77,509 – $141,437 · median $110,613 | 4 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $77,509 – $126,581 · median $103,185 | 4 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $90,498 – $171,343 · median $132,251 | 4 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $62,877 – $116,535 · median $90,631 | 4 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $59,431 – $103,292 · median $82,236 | 4 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $58,338 – $111,960 · median $86,007 | 4 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $37,166 – $70,651 · median $54,455 | 4 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $99,349 – $180,320 · median $141,296 | 4 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $71,471 – $132,178 · median $102,876 | 4 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $90,109 – $173,307 · median $133,033 | 4 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $64,407 – $115,497 · median $90,899 | 4 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $69,187 – $130,667 · median $100,944 | 4 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $49,405 – $89,795 · median $70,327 | 4 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $58,036 – $106,807 · median $83,275 | 4 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $33,645 – $62,420 · median $48,527 | 4 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $16,379 – $30,881 · median $23,871 | 4 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $37,676 – $76,772 · median $57,778 | 4 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $25,170 – $50,608 · median $38,260 | 4 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $21,362 – $40,651 · median $31,321 | 4 plans |
| 245 | AICD GENERATOR PROCEDURES | $53,805 – $100,688 · median $78,037 | 4 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $25,778 – $52,235 · median $39,386 | 4 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $17,676 – $35,261 · median $26,728 | 4 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $41,156 – $74,521 · median $58,444 | 4 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $30,643 – $56,685 · median $44,115 | 4 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $21,058 – $38,554 · median $30,116 | 4 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $31,842 – $61,047 · median $46,913 | 4 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $20,071 – $36,434 · median $28,548 | 4 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $12,938 – $22,020 · median $17,669 | 4 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $37,079 – $60,185 · median $49,177 | 4 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $23,889 – $41,476 · median $33,034 | 4 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $38,382 – $73,664 · median $56,587 | 4 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $22,339 – $41,814 · median $32,405 | 4 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $19,271 – $36,559 · median $28,198 | 4 plans |
| 263 | VEIN LIGATION AND STRIPPING | $36,081 – $62,776 · median $49,959 | 4 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $39,416 – $72,571 · median $56,573 | 4 plans |
| 265 | AICD LEAD PROCEDURES | $42,685 – $78,528 · median $61,234 | 4 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $72,246 – $138,788 · median $106,580 | 4 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $56,141 – $108,438 · median $83,115 | 4 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $81,073 – $152,311 · median $117,884 | 4 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $49,810 – $92,404 · median $71,840 | 4 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $62,212 – $112,364 · median $88,203 | 4 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $41,956 – $76,797 · median $59,994 | 4 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $30,141 – $54,206 · median $42,617 | 4 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $48,659 – $86,591 · median $68,341 | 4 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $38,840 – $72,011 · median $55,997 | 4 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $84,046 – $156,335 · median $121,427 | 4 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $70,812 – $137,991 · median $105,443 | 4 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $54,465 – $106,265 · median $81,166 | 4 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $65,626 – $99,110 · median $83,333 | 4 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $42,546 – $71,117 · median $57,458 | 4 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $18,967 – $35,252 · median $27,388 | 4 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $10,900 – $20,287 · median $15,754 | 4 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $8,592 – $15,956 · median $12,400 | 4 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $23,403 – $43,805 · median $33,948 | 4 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $8,228 – $16,436 · median $12,453 | 4 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $7,129 – $10,859 · median $9,099 | 4 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $31,945 – $57,616 · median $45,251 | 4 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $20,177 – $32,834 · median $26,803 | 4 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $11,025 – $22,780 · median $17,064 | 4 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $15,195 – $28,528 · median $22,085 | 4 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $10,074 – $19,031 · median $14,701 | 4 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $6,742 – $12,477 · median $9,708 | 4 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $18,470 – $35,623 · median $27,318 | 4 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $7,542 – $16,189 · median $11,977 | 4 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $5,436 – $9,752 · median $7,674 | 4 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $19,304 – $35,023 · median $27,447 | 4 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $12,648 – $23,709 · median $18,364 | 4 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $8,552 – $15,772 · median $12,288 | 4 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $14,168 – $24,911 · median $19,748 | 4 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $8,004 – $14,623 · median $11,431 | 4 plans |
| 304 | HYPERTENSION WITH MCC | $14,090 – $25,531 · median $20,018 | 4 plans |
| 305 | HYPERTENSION WITHOUT MCC | $8,969 – $16,743 · median $12,988 | 4 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $18,633 – $34,148 · median $26,665 | 4 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $10,830 – $20,945 · median $16,047 | 4 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $14,255 – $26,713 · median $20,694 | 4 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $8,740 – $16,547 · median $12,772 | 4 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $6,743 – $12,288 · median $9,614 | 4 plans |
| 311 | ANGINA PECTORIS | $8,342 – $15,512 · median $12,050 | 4 plans |
| 312 | SYNCOPE AND COLLAPSE | $10,341 – $19,187 · median $14,916 | 4 plans |
| 313 | CHEST PAIN | $8,555 – $16,078 · median $12,443 | 4 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $24,632 – $46,518 · median $35,937 | 4 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $11,420 – $21,493 · median $16,625 | 4 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,109 – $15,392 · median $11,870 | 4 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $52,633 – $96,921 · median $75,551 | 4 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $28,402 – $49,462 · median $39,349 | 4 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $32,117 – $63,876 · median $48,469 | 4 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $20,838 – $40,516 · median $30,983 | 4 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $51,037 – $91,991 · median $72,265 | 4 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $37,183 – $65,962 · median $52,120 | 4 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $37,883 – $58,756 · median $48,877 | 4 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $58,810 – $112,855 · median $86,697 | 4 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $28,860 – $55,492 · median $42,601 | 4 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $18,946 – $35,492 · median $27,497 | 4 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $54,206 – $100,363 · median $78,082 | 4 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $28,306 – $52,708 · median $40,924 | 4 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $19,895 – $37,152 · median $28,816 | 4 plans |
| 332 | RECTAL RESECTION WITH MCC | $42,715 – $80,605 · median $62,288 | 4 plans |
| 333 | RECTAL RESECTION WITH CC | $27,659 – $46,206 · median $37,339 | 4 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $19,365 – $35,665 · median $27,800 | 4 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $42,128 – $79,437 · median $61,402 | 4 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $24,909 – $46,780 · median $36,211 | 4 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $18,153 – $33,250 · median $25,968 | 4 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $30,492 – $60,892 · median $46,140 | 4 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,796 – $34,232 · median $26,276 | 4 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $14,045 – $28,615 · median $21,537 | 4 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $27,110 – $56,641 · median $42,274 | 4 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $15,489 – $28,917 · median $22,431 | 4 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $10,329 – $21,682 · median $16,157 | 4 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $29,422 – $53,328 · median $41,808 | 4 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $18,029 – $32,343 · median $25,452 | 4 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $13,829 – $24,642 · median $19,439 | 4 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $34,251 – $64,978 · median $50,118 | 4 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $19,889 – $38,170 · median $29,322 | 4 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $15,915 – $30,277 · median $23,330 | 4 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $51,807 – $95,073 · median $74,202 | 4 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $27,462 – $48,813 · median $38,541 | 4 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $16,538 – $28,466 · median $22,745 | 4 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $18,823 – $36,707 · median $28,042 | 4 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $11,855 – $21,960 · median $17,082 | 4 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $8,329 – $16,525 · median $12,550 | 4 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $20,957 – $38,834 · median $30,204 | 4 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $12,100 – $23,160 · median $17,808 | 4 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $8,642 – $15,921 · median $12,409 | 4 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $25,262 – $46,640 · median $36,323 | 4 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $14,321 – $26,626 · median $20,684 | 4 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $10,961 – $19,807 · median $15,545 | 4 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $21,603 – $39,780 · median $31,010 | 4 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $11,625 – $21,860 · median $16,914 | 4 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $7,500 – $14,070 · median $10,895 | 4 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $23,184 – $43,296 · median $33,581 | 4 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $12,836 – $23,842 · median $18,528 | 4 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $9,504 – $16,823 · median $13,303 | 4 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $16,336 – $31,068 · median $23,942 | 4 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $10,143 – $19,458 · median $14,950 | 4 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $18,710 – $34,817 · median $27,038 | 4 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $11,574 – $21,589 · median $16,751 | 4 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $8,099 – $15,201 · median $11,769 | 4 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $17,468 – $32,297 · median $25,139 | 4 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $9,377 – $17,696 · median $13,675 | 4 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $6,483 – $12,421 · median $9,547 | 4 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $15,012 – $28,346 · median $21,900 | 4 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $9,257 – $17,456 · median $13,493 | 4 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $18,910 – $35,988 · median $27,727 | 4 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $11,095 – $20,818 · median $16,120 | 4 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,719 – $14,387 · median $11,167 | 4 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $28,279 – $49,919 · median $39,515 | 4 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $17,901 – $33,626 · median $26,026 | 4 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $13,557 – $24,733 · median $19,344 | 4 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $64,499 – $122,326 · median $94,361 | 4 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $34,230 – $64,158 · median $49,697 | 4 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $26,215 – $47,795 · median $37,391 | 4 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $42,066 – $82,707 · median $63,005 | 4 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $25,717 – $43,491 · median $34,982 | 4 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $18,774 – $34,779 · median $27,052 | 4 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $38,977 – $64,005 · median $52,064 | 4 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $24,836 – $45,451 · median $35,509 | 4 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $19,631 – $33,543 · median $26,876 | 4 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $42,031 – $78,330 · median $60,798 | 4 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $24,414 – $43,902 · median $34,517 | 4 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $16,131 – $29,757 · median $23,181 | 4 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $28,179 – $51,502 · median $40,255 | 4 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $19,997 – $36,323 · median $28,454 | 4 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $16,160 – $29,179 · median $22,908 | 4 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $40,199 – $71,122 · median $56,252 | 4 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $20,538 – $37,987 · median $29,565 | 4 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $16,557 – $31,352 · median $24,198 | 4 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $48,983 – $86,900 · median $68,662 | 4 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $25,842 – $46,380 · median $36,491 | 4 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $17,744 – $35,594 · median $26,930 | 4 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $23,254 – $42,574 · median $33,256 | 4 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $12,514 – $22,909 · median $17,896 | 4 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,467 – $14,876 · median $11,796 | 4 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $21,706 – $39,105 · median $30,725 | 4 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $13,397 – $24,458 · median $19,124 | 4 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $10,125 – $18,467 · median $14,445 | 4 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $19,274 – $37,081 · median $28,461 | 4 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $9,983 – $19,003 · median $14,639 | 4 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,394 – $13,679 · median $10,645 | 4 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $21,211 – $40,623 · median $31,229 | 4 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $11,444 – $21,142 · median $16,461 | 4 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,316 – $15,881 · median $12,221 | 4 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $19,753 – $36,290 · median $28,312 | 4 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $12,964 – $24,149 · median $18,747 | 4 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $9,819 – $17,809 · median $13,959 | 4 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $99,037 – $187,301 · median $144,626 | 4 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $70,300 – $134,993 · median $103,680 | 4 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $49,214 – $100,679 · median $75,670 | 4 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $65,117 – $151,507 · median $109,270 | 4 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $31,401 – $63,245 · median $47,785 | 4 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $67,195 – $125,847 · median $97,510 | 4 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $36,756 – $66,691 · median $52,264 | 4 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $21,553 – $41,569 · median $31,878 | 4 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $22,792 – $41,811 · median $32,637 | 4 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $56,941 – $109,300 · median $83,958 | 4 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $34,771 – $65,669 · median $50,731 | 4 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $28,826 – $54,675 · median $42,174 | 4 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $50,631 – $95,608 · median $73,864 | 4 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $26,876 – $47,655 · median $37,661 | 4 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,975 – $26,151 · median $20,268 | 4 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $40,759 – $74,859 · median $58,408 | 4 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $29,037 – $52,966 · median $41,428 | 4 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $21,967 – $41,418 · median $32,016 | 4 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $34,372 – $65,525 · median $50,454 | 4 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $24,742 – $46,104 · median $35,787 | 4 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $19,283 – $35,294 · median $27,572 | 4 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $32,719 – $55,199 · median $44,440 | 4 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $38,080 – $73,193 · median $56,196 | 4 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $24,702 – $44,624 · median $35,026 | 4 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $18,520 – $34,328 · median $26,696 | 4 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $20,907 – $46,809 · median $34,166 | 4 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,228 – $27,502 · median $20,559 | 4 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $43,314 – $76,928 · median $60,758 | 4 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $29,942 – $53,366 · median $42,094 | 4 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $23,705 – $41,534 · median $32,968 | 4 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $42,774 – $79,574 · median $61,803 | 4 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $21,320 – $44,162 · median $33,054 | 4 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $14,306 – $31,717 · median $23,222 | 4 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $35,603 – $58,016 · median $47,333 | 4 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $23,803 – $28,659 · median $26,581 | 4 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $37,346 – $72,055 · median $55,250 | 4 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $20,662 – $38,567 · median $29,919 | 4 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $15,926 – $30,724 · median $23,559 | 4 plans |
| 503 | FOOT PROCEDURES WITH MCC | $32,945 – $59,592 · median $46,753 | 4 plans |
| 504 | FOOT PROCEDURES WITH CC | $22,089 – $38,376 · median $30,557 | 4 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $21,189 – $37,901 · median $29,856 | 4 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $15,965 – $32,499 · median $24,467 | 4 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $21,349 – $47,366 · median $34,672 | 4 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $17,910 – $31,863 · median $25,150 | 4 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $35,647 – $60,452 · median $48,573 | 4 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $24,564 – $44,302 · median $34,794 | 4 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $19,571 – $35,859 · median $28,003 | 4 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $18,616 – $36,019 · median $27,591 | 4 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $12,115 – $23,142 · median $17,807 | 4 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $37,606 – $70,249 · median $54,480 | 4 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $24,549 – $45,347 · median $35,309 | 4 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $18,173 – $33,206 · median $25,957 | 4 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $44,088 – $81,143 · median $63,264 | 4 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $23,631 – $43,742 · median $34,034 | 4 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $17,669 – $31,808 · median $24,998 | 4 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $33,877 – $66,531 · median $50,702 | 4 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $25,015 – $46,933 · median $36,342 | 4 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $18,538 – $36,250 · median $27,667 | 4 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $9,569 – $17,998 · median $13,924 | 4 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $15,174 – $28,813 · median $22,216 | 4 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $9,587 – $17,489 · median $13,679 | 4 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $11,314 – $21,487 · median $16,567 | 4 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $8,559 – $15,756 · median $12,283 | 4 plans |
| 539 | OSTEOMYELITIS WITH MCC | $23,272 – $44,093 · median $34,025 | 4 plans |
| 540 | OSTEOMYELITIS WITH CC | $15,342 – $28,846 · median $22,320 | 4 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $9,349 – $19,063 · median $14,343 | 4 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $20,879 – $40,523 · median $31,008 | 4 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $12,182 – $24,235 · median $18,388 | 4 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $8,963 – $17,054 · median $13,140 | 4 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $29,302 – $55,399 · median $42,781 | 4 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $13,659 – $26,648 · median $20,355 | 4 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,924 – $18,074 · median $14,145 | 4 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $22,815 – $43,325 · median $33,405 | 4 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $14,293 – $26,802 · median $20,757 | 4 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $10,370 – $20,460 · median $15,568 | 4 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $19,815 – $37,816 · median $29,107 | 4 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $11,397 – $21,471 · median $16,602 | 4 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $15,342 – $30,030 · median $22,912 | 4 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $9,852 – $18,260 · median $14,201 | 4 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $15,642 – $31,086 · median $23,594 | 4 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $9,858 – $18,318 · median $14,233 | 4 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $17,587 – $34,592 · median $26,348 | 4 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $10,595 – $19,518 · median $15,212 | 4 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $22,038 – $41,118 · median $31,902 | 4 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $13,338 – $25,155 · median $19,443 | 4 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $9,543 – $17,336 · median $13,580 | 4 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $16,855 – $33,790 · median $25,570 | 4 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $10,622 – $19,900 · median $15,417 | 4 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $18,254 – $34,705 · median $26,748 | 4 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $11,551 – $22,207 · median $17,049 | 4 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $8,900 – $16,676 · median $12,919 | 4 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $34,712 – $64,931 · median $50,332 | 4 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $19,972 – $37,594 · median $29,077 | 4 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $13,576 – $25,322 · median $19,648 | 4 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $77,228 – $138,166 · median $108,833 | 4 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $40,957 – $75,677 · median $58,919 | 4 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $21,238 – $45,462 · median $33,663 | 4 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $57,794 – $126,278 · median $92,886 | 4 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $31,292 – $58,863 · median $45,538 | 4 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $18,994 – $35,785 · median $27,669 | 4 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $38,214 – $74,264 · median $56,801 | 4 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $20,426 – $38,809 · median $29,918 | 4 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $17,071 – $29,924 · median $23,748 | 4 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $22,765 – $37,043 · median $30,239 | 4 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $20,383 – $33,817 · median $27,400 | 4 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $25,286 – $43,520 · median $34,775 | 4 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $22,794 – $37,418 · median $30,441 | 4 plans |
| 592 | SKIN ULCERS WITH MCC | $22,867 – $46,442 · median $34,991 | 4 plans |
| 593 | SKIN ULCERS WITH CC | $14,047 – $26,884 · median $20,672 | 4 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $10,284 – $17,496 · median $14,041 | 4 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $25,050 – $48,329 · median $37,058 | 4 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $12,824 – $22,420 · median $17,811 | 4 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $19,709 – $35,563 · median $27,926 | 4 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $13,399 – $26,637 · median $20,215 | 4 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $9,137 – $13,808 · median $11,607 | 4 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $12,343 – $22,787 · median $17,746 | 4 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,201 – $13,834 · median $10,623 | 4 plans |
| 602 | CELLULITIS WITH MCC | $16,814 – $33,052 · median $25,180 | 4 plans |
| 603 | CELLULITIS WITHOUT MCC | $10,332 – $19,658 · median $15,147 | 4 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $17,412 – $33,468 · median $25,696 | 4 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $10,863 – $20,194 · median $15,688 | 4 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $17,896 – $35,236 · median $26,830 | 4 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $10,750 – $19,854 · median $15,460 | 4 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $25,888 – $50,048 · median $38,349 | 4 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $16,555 – $32,688 · median $24,865 | 4 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $41,145 – $87,940 · median $65,148 | 4 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $22,102 – $44,096 · median $33,424 | 4 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $16,779 – $25,809 · median $21,540 | 4 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $34,079 – $57,516 · median $46,299 | 4 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $18,922 – $36,045 · median $27,762 | 4 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $17,840 – $33,714 · median $26,039 | 4 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $41,991 – $85,005 · median $64,115 | 4 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $21,202 – $41,360 · median $31,593 | 4 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $14,819 – $24,764 · median $20,010 | 4 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $35,642 – $64,909 · median $50,800 | 4 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $17,734 – $33,150 · median $25,703 | 4 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $15,719 – $27,464 · median $21,823 | 4 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $43,964 – $89,202 · median $67,230 | 4 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $25,735 – $50,279 · median $38,385 | 4 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $17,264 – $31,026 · median $24,399 | 4 plans |
| 637 | DIABETES WITH MCC | $16,995 – $32,203 · median $24,849 | 4 plans |
| 638 | DIABETES WITH CC | $10,630 – $19,985 · median $15,464 | 4 plans |
| 639 | DIABETES WITHOUT CC/MCC | $7,392 – $13,832 · median $10,721 | 4 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $15,805 – $29,224 · median $22,747 | 4 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $9,241 – $17,363 · median $13,438 | 4 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $16,823 – $28,959 · median $23,139 | 4 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $19,461 – $36,554 · median $28,294 | 4 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $12,147 – $23,591 · median $18,048 | 4 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $9,124 – $16,907 · median $13,150 | 4 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $55,441 – $99,934 · median $78,503 | 4 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $43,717 – $76,846 · median $60,924 | 4 plans |
| 652 | KIDNEY TRANSPLANT | $38,108 – $66,758 · median $52,993 | 4 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $61,271 – $120,290 · median $91,682 | 4 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $33,042 – $60,827 · median $47,420 | 4 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $25,002 – $46,835 · median $36,286 | 4 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $37,570 – $69,717 · median $54,196 | 4 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $21,627 – $40,978 · median $31,621 | 4 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $18,351 – $32,894 · median $25,893 | 4 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $29,999 – $57,525 · median $44,203 | 4 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $15,641 – $29,906 · median $23,004 | 4 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $12,270 – $23,295 · median $17,963 | 4 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $36,130 – $66,587 · median $51,889 | 4 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $17,979 – $32,419 · median $25,463 | 4 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $12,405 – $23,589 · median $18,179 | 4 plans |
| 665 | PROSTATECTOMY WITH MCC | $36,833 – $68,640 · median $53,278 | 4 plans |
| 666 | PROSTATECTOMY WITH CC | $20,677 – $38,161 · median $29,723 | 4 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $13,103 – $23,322 · median $18,405 | 4 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $34,463 – $62,616 · median $49,046 | 4 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $18,353 – $34,099 · median $26,496 | 4 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $11,585 – $21,389 · median $16,658 | 4 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $21,215 – $38,038 · median $29,939 | 4 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $12,789 – $20,502 · median $16,834 | 4 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $49,556 – $82,170 · median $66,591 | 4 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $27,616 – $52,932 · median $40,681 | 4 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $19,406 – $35,252 · median $27,614 | 4 plans |
| 682 | RENAL FAILURE WITH MCC | $17,517 – $33,348 · median $25,690 | 4 plans |
| 683 | RENAL FAILURE WITH CC | $10,390 – $20,016 · median $15,356 | 4 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $7,146 – $13,521 · median $10,438 | 4 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $21,317 – $40,871 · median $31,408 | 4 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $12,416 – $23,227 · median $18,004 | 4 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $9,383 – $17,352 · median $13,505 | 4 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $13,740 – $26,095 · median $20,120 | 4 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $9,609 – $17,929 · median $13,911 | 4 plans |
| 693 | URINARY STONES WITH MCC | $15,910 – $31,470 · median $23,924 | 4 plans |
| 694 | URINARY STONES WITHOUT MCC | $9,282 – $17,392 · median $13,473 | 4 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $13,546 – $26,575 · median $20,260 | 4 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $8,190 – $15,378 · median $11,905 | 4 plans |
| 697 | URETHRAL STRICTURE | $12,769 – $24,733 · median $18,939 | 4 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $19,559 – $36,761 · median $28,448 | 4 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $12,029 – $22,682 · median $17,533 | 4 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $8,201 – $15,738 · median $12,090 | 4 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $23,633 – $43,593 · median $33,961 | 4 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $18,144 – $32,408 · median $25,543 | 4 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $27,481 – $47,106 · median $37,698 | 4 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $16,577 – $27,426 · median $22,246 | 4 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $24,616 – $47,171 · median $36,255 | 4 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $13,027 – $26,406 · median $19,908 | 4 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $17,781 – $32,235 · median $25,269 | 4 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $12,529 – $21,298 · median $17,097 | 4 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $26,423 – $49,051 · median $38,126 | 4 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $17,399 – $31,601 · median $24,756 | 4 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $22,339 – $40,300 · median $31,648 | 4 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $15,893 – $26,126 · median $21,243 | 4 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $21,388 – $41,658 · median $31,838 | 4 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $13,533 – $24,760 · median $19,345 | 4 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,798 – $17,987 · median $13,007 | 4 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $13,857 – $27,573 · median $20,919 | 4 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $8,579 – $16,241 · median $12,536 | 4 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $17,539 – $36,019 · median $27,037 | 4 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $9,629 – $17,778 · median $13,845 | 4 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $12,544 – $22,307 · median $17,610 | 4 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,990 – $13,812 · median $11,018 | 4 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $25,160 – $48,297 · median $37,099 | 4 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $15,921 – $28,002 · median $22,196 | 4 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $42,171 – $86,374 · median $64,892 | 4 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $24,343 – $43,858 · median $34,458 | 4 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $17,370 – $30,321 · median $24,101 | 4 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $42,268 – $80,354 · median $61,933 | 4 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $21,387 – $39,707 · median $30,861 | 4 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $16,871 – $28,870 · median $23,119 | 4 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $21,683 – $39,594 · median $30,958 | 4 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $14,687 – $25,820 · median $20,469 | 4 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $24,207 – $41,827 · median $33,373 | 4 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $13,472 – $23,018 · median $18,443 | 4 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $20,533 – $37,243 · median $29,190 | 4 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $10,200 – $19,714 · median $15,107 | 4 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $16,414 – $31,217 · median $24,057 | 4 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $30,313 – $55,932 · median $43,568 | 4 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $17,456 – $30,219 · median $24,094 | 4 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $21,765 – $41,163 · median $31,784 | 4 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $12,887 – $24,102 · median $18,684 | 4 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $11,387 – $21,991 · median $16,857 | 4 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $16,939 – $33,143 · median $25,290 | 4 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $11,605 – $22,056 · median $17,001 | 4 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,891 – $14,359 · median $11,241 | 4 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $11,941 – $22,118 · median $17,205 | 4 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $6,795 – $13,456 · median $10,225 | 4 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $12,696 – $27,066 · median $20,068 | 4 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $19,976 – $34,305 · median $27,434 | 4 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $11,884 – $17,747 · median $14,991 | 4 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $7,786 – $15,925 · median $11,970 | 4 plans |
| 779 | ABORTION WITHOUT D&C | $9,984 – $21,980 · median $16,129 | 4 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $28,988 – $39,369 · median $34,605 | 4 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $12,560 – $22,756 · median $17,843 | 4 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $11,356 – $19,249 · median $15,469 | 4 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $19,501 – $38,874 · median $29,474 | 4 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $13,228 – $23,355 · median $18,486 | 4 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $11,367 – $18,998 · median $15,350 | 4 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $5,111 – $21,926 · median $13,205 | 4 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $19,331 – $72,130 · median $44,700 | 4 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $19,331 – $49,284 · median $33,604 | 4 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $11,110 – $29,769 · median $20,014 | 4 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $7,555 – $50,625 · median $28,367 | 4 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $4,444 – $17,970 · median $10,950 | 4 plans |
| 795 | NORMAL NEWBORN | $2,666 – $2,890 · median $2,737 | 4 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $13,819 – $31,517 · median $22,871 | 4 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $11,857 – $22,129 · median $17,167 | 4 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $11,347 – $18,025 · median $14,853 | 4 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $53,410 – $110,091 · median $82,536 | 4 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $33,161 – $62,609 · median $48,373 | 4 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $22,556 – $39,767 · median $31,493 | 4 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $46,994 – $75,332 · median $61,854 | 4 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $21,967 – $41,289 · median $31,951 | 4 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $16,045 – $26,895 · median $21,706 | 4 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $12,785 – $22,402 · median $17,782 | 4 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $8,956 – $16,592 · median $12,905 | 4 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $8,016 – $14,539 · median $11,395 | 4 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $26,077 – $48,664 · median $37,754 | 4 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $14,984 – $26,762 · median $21,093 | 4 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $12,401 – $22,320 · median $17,543 | 4 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $16,614 – $31,188 · median $24,145 | 4 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $10,889 – $20,014 · median $15,612 | 4 plans |
| 813 | COAGULATION DISORDERS | $18,039 – $34,663 · median $26,616 | 4 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $25,121 – $47,286 · median $36,573 | 4 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $12,018 – $22,091 · median $17,231 | 4 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $7,519 – $15,781 · median $11,760 | 4 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $26,945 – $50,106 · median $38,922 | 4 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $13,727 – $26,066 · median $20,099 | 4 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,203 – $20,158 · median $15,330 | 4 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $69,142 – $134,358 · median $102,767 | 4 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $26,439 – $49,597 · median $38,407 | 4 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $14,255 – $27,526 · median $21,100 | 4 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $54,068 – $100,032 · median $77,845 | 4 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $26,757 – $49,615 · median $38,579 | 4 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $15,967 – $28,695 · median $22,566 | 4 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $55,164 – $97,519 · median $77,153 | 4 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $27,294 – $51,488 · median $39,792 | 4 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $20,141 – $36,450 · median $28,591 | 4 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $37,289 – $70,077 · median $54,232 | 4 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $17,800 – $35,134 · median $26,729 | 4 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $14,237 – $22,438 · median $18,547 | 4 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $8,574 – $16,392 · median $12,609 | 4 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $6,234 – $11,372 · median $8,895 | 4 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $64,727 – $124,410 · median $95,520 | 4 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $24,639 – $49,673 · median $37,518 | 4 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $14,438 – $26,604 · median $20,733 | 4 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $56,653 – $105,692 · median $82,006 | 4 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $24,658 – $43,382 · median $34,383 | 4 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $17,080 – $28,955 · median $23,269 | 4 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $38,172 – $69,442 · median $54,368 | 4 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $19,288 – $34,963 · median $27,409 | 4 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $11,975 – $23,695 · median $18,011 | 4 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $23,568 – $41,343 · median $32,802 | 4 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $14,413 – $25,713 · median $20,275 | 4 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $10,105 – $19,218 · median $14,810 | 4 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $30,606 – $54,306 · median $42,906 | 4 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $15,482 – $26,944 · median $21,441 | 4 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,079 – $16,876 · median $13,626 | 4 plans |
| 849 | RADIOTHERAPY | $31,984 – $59,803 · median $46,364 | 4 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $58,235 – $111,084 · median $85,516 | 4 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $23,607 – $45,289 · median $34,795 | 4 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $17,708 – $37,814 · median $28,021 | 4 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $53,643 – $98,399 · median $76,810 | 4 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $25,295 – $47,455 · median $36,747 | 4 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $16,480 – $28,517 · median $22,741 | 4 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $21,553 – $40,929 · median $31,558 | 4 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $11,828 – $22,342 · median $17,259 | 4 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $10,530 – $19,616 · median $15,228 | 4 plans |
| 865 | VIRAL ILLNESS WITH MCC | $17,721 – $36,439 · median $27,340 | 4 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $10,317 – $20,391 · median $15,506 | 4 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $24,726 – $46,491 · median $35,972 | 4 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $12,219 – $24,120 · median $18,349 | 4 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $8,669 – $15,347 · median $12,136 | 4 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $81,472 – $154,760 · median $119,314 | 4 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $22,952 – $44,053 · median $33,840 | 4 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $12,127 – $22,884 · median $17,684 | 4 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $45,591 – $82,914 · median $64,923 | 4 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $11,384 – $21,211 · median $16,465 | 4 plans |
| 881 | DEPRESSIVE NEUROSES | $11,157 – $20,142 · median $15,814 | 4 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $12,722 – $20,871 · median $16,984 | 4 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $23,232 – $41,671 · median $32,793 | 4 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $19,023 – $39,038 · median $29,311 | 4 plans |
| 885 | PSYCHOSES | $16,525 – $30,361 · median $23,686 | 4 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $24,516 – $37,367 · median $31,302 | 4 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $12,688 – $28,788 · median $20,924 | 4 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $7,341 – $12,765 · median $10,161 | 4 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $16,747 – $35,748 · median $26,493 | 4 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $20,627 – $39,509 · median $30,372 | 4 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $10,472 – $19,011 · median $14,896 | 4 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $49,497 – $96,164 · median $73,558 | 4 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $22,622 – $41,878 · median $32,583 | 4 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $13,850 – $27,586 · median $20,922 | 4 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $43,332 – $72,353 · median $58,480 | 4 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $17,545 – $35,190 · median $26,626 | 4 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $23,209 – $41,809 · median $32,850 | 4 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $45,289 – $82,647 · median $64,634 | 4 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $23,572 – $44,531 · median $34,398 | 4 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $15,535 – $30,137 · median $23,064 | 4 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $19,326 – $33,208 · median $26,551 | 4 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $10,504 – $20,169 · median $15,491 | 4 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $19,879 – $39,418 · median $29,941 | 4 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $7,923 – $14,639 · median $11,397 | 4 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $18,546 – $35,461 · median $27,276 | 4 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $10,170 – $19,129 · median $14,799 | 4 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $21,636 – $40,545 · median $31,409 | 4 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $11,880 – $22,971 · median $17,600 | 4 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $8,183 – $15,505 · median $11,964 | 4 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $20,678 – $38,772 · median $30,029 | 4 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $12,061 – $22,473 · median $17,445 | 4 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $251,506 – $585,690 · median $422,297 | 4 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $84,544 – $153,756 · median $120,393 | 4 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $38,005 – $71,448 · median $55,286 | 4 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $45,936 – $67,371 · median $57,329 | 4 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $26,109 – $46,495 · median $36,686 | 4 plans |
| 935 | NON-EXTENSIVE BURNS | $24,336 – $45,353 · median $35,202 | 4 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $42,807 – $71,444 · median $57,755 | 4 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $27,596 – $48,142 · median $38,275 | 4 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $23,955 – $41,240 · median $32,950 | 4 plans |
| 945 | REHABILITATION WITH CC/MCC | $18,313 – $33,541 · median $26,196 | 4 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $13,581 – $22,502 · median $18,242 | 4 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $15,025 – $27,811 · median $21,639 | 4 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $9,503 – $17,798 · median $13,790 | 4 plans |
| 949 | AFTERCARE WITH CC/MCC | $14,087 – $23,022 · median $18,762 | 4 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $7,468 – $13,959 · median $10,823 | 4 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $6,624 – $13,110 · median $9,964 | 4 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $79,344 – $135,324 · median $108,501 | 4 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $44,391 – $86,174 · median $65,935 | 4 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $89,811 – $160,706 · median $126,579 | 4 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $49,701 – $89,875 · median $70,519 | 4 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $34,747 – $56,270 · median $46,019 | 4 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $32,270 – $60,756 · median $46,988 | 4 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $18,125 – $33,352 · median $26,005 | 4 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $11,152 – $21,240 · median $16,360 | 4 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $72,163 – $152,709 · median $113,497 | 4 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $31,135 – $53,426 · median $42,738 | 4 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $34,063 – $64,805 · median $49,935 | 4 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $15,327 – $30,293 · median $23,035 | 4 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $10,707 – $18,783 · median $14,902 | 4 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $15,358 – $31,466 · median $23,638 | 4 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $55,328 – $105,332 · median $81,144 | 4 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $29,028 – $55,239 · median $42,561 | 4 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $20,261 – $36,334 · median $28,595 | 4 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $40,450 – $75,030 · median $58,335 | 4 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $19,432 – $37,707 · median $28,855 | 4 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $14,198 – $24,004 · median $19,310 | 4 plans |
| 077 | Inpatient MS-DRG | $33,572 – $33,572 · median $33,572 | 2 plans |
| 078 | Inpatient MS-DRG | $22,596 – $22,596 · median $22,596 | 2 plans |
| 079 | Inpatient MS-DRG | $16,461 – $16,461 · median $16,461 | 2 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $133,370 – $137,293 · median $135,331 | 2 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $67,283 – $69,261 · median $68,272 | 2 plans |
| 294 | Inpatient MS-DRG | $24,302 – $24,302 · median $24,302 | 2 plans |
| 295 | Inpatient MS-DRG | $14,032 – $14,032 · median $14,032 | 2 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $78,819 – $81,137 · median $79,978 | 2 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $28,601 – $29,442 · median $29,021 | 2 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $40,570 – $41,764 · median $41,167 | 2 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $28,508 – $29,346 · median $28,927 | 2 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $47,423 – $48,818 · median $48,120 | 2 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $129,865 – $133,685 · median $131,775 | 2 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $85,085 – $87,587 · median $86,336 | 2 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $66,283 – $68,232 · median $67,257 | 2 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $106,176 – $109,299 · median $107,738 | 2 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $67,991 – $69,991 · median $68,991 | 2 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $78,761 – $81,077 · median $79,919 | 2 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $50,017 – $51,488 · median $50,753 | 2 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $62,839 – $64,688 · median $63,763 | 2 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $38,119 – $39,240 · median $38,679 | 2 plans |
| 453 | Inpatient MS-DRG | $196,900 – $196,900 · median $196,900 | 2 plans |
| 454 | Inpatient MS-DRG | $135,904 – $135,904 · median $135,904 | 2 plans |
| 455 | Inpatient MS-DRG | $102,336 – $102,336 · median $102,336 | 2 plans |
| 459 | Inpatient MS-DRG | $147,370 – $147,370 · median $147,370 | 2 plans |
| 460 | Inpatient MS-DRG | $81,279 – $81,279 · median $81,279 | 2 plans |
| 509 | Inpatient MS-DRG | $29,468 – $29,468 · median $29,468 | 2 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $102,053 – $105,055 · median $103,554 | 2 plans |
No procedures match that keyword.