Northwest Medical Center Sahuarita — Pricing
766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 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.
Estimate your out-of-pocket cost
Enter what's left on your plan this year, then choose a procedure — click any row below or its “Estimate” button.
No procedure selected yet — pick a row in the table below to see an estimate here.
Estimate only. Your plan's actual negotiated rate, network status, and benefit rules control what you pay — confirm with your insurer. Professional fees (surgeon, anesthesia) are usually billed separately.
Showing all 766 procedures
Procedures with negotiated rates only
These 766 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 | $147,075 – $405,975 · median $200,170 | 33 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $96,026 – $245,345 · median $130,629 | 33 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $37,892 – $87,950 · median $47,317 | 33 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $29,321 – $68,847 · median $37,040 | 33 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $20,084 – $56,738 · median $27,178 | 33 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $54,609 – $221,208 · median $74,209 | 33 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $36,782 – $192,353 · median $49,925 | 33 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $22,131 – $160,971 · median $29,965 | 33 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $39,804 – $125,697 · median $54,041 | 33 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $27,215 – $104,163 · median $36,892 | 33 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $31,610 – $139,300 · median $42,879 | 33 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $21,658 – $103,850 · median $29,322 | 33 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $17,599 – $76,482 · median $23,793 | 33 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $41,729 – $118,725 · median $56,663 | 33 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $23,752 – $79,515 · median $32,174 | 33 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $15,331 – $49,399 · median $20,702 | 33 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $31,152 – $100,369 · median $42,254 | 33 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $14,886 – $54,532 · median $20,097 | 33 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,646 – $39,499 · median $15,682 | 33 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $26,930 – $76,506 · median $36,504 | 33 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $16,683 – $57,132 · median $22,544 | 33 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,583 – $51,062 · median $18,322 | 33 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $22,925 – $56,093 · median $30,178 | 33 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,367 – $36,405 · median $15,302 | 33 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,271 – $27,041 · median $11,086 | 33 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $26,864 – $65,975 · median $35,495 | 33 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $15,355 – $47,827 · median $20,735 | 33 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,094 – $37,924 · median $16,294 | 33 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $12,673 – $35,348 · median $17,082 | 33 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,912 – $27,558 · median $9,235 | 33 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,704 – $30,846 · median $14,400 | 33 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,192 – $24,310 · median $9,616 | 33 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $14,690 – $32,932 · median $18,368 | 33 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,103 – $19,064 · median $10,453 | 33 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $11,968 – $29,496 · median $15,869 | 33 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,724 – $21,477 · median $11,555 | 33 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,501 – $18,997 · median $8,674 | 33 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $19,221 – $63,714 · median $26,002 | 33 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $12,299 – $52,101 · median $16,572 | 33 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $9,852 – $46,503 · median $13,239 | 33 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,056 – $38,956 · median $18,965 | 33 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,128 – $29,968 · median $9,528 | 33 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,872 – $24,768 · median $6,454 | 33 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,301 – $22,619 · median $12,169 | 33 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,118 – $16,936 · median $8,152 | 33 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,664 – $18,240 · median $7,533 | 33 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $11,659 – $32,428 · median $15,700 | 33 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $7,236 – $25,046 · median $9,676 | 33 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,369 – $19,173 · median $7,132 | 33 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,240 – $24,451 · median $13,155 | 33 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,270 – $18,687 · median $9,721 | 33 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $12,939 – $27,214 · median $15,185 | 33 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,846 – $17,901 · median $7,782 | 33 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $11,794 – $25,698 · median $14,342 | 33 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,334 – $17,415 · median $8,446 | 33 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $15,957 – $43,892 · median $21,555 | 33 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $9,797 – $34,982 · median $13,163 | 33 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,750 – $29,147 · median $9,014 | 33 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $15,862 – $38,044 · median $20,468 | 33 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,152 – $27,696 · median $12,285 | 33 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,466 – $20,731 · median $8,626 | 33 plans |
| 088 | CONCUSSION WITH MCC | $9,492 – $24,296 · median $12,748 | 33 plans |
| 089 | CONCUSSION WITH CC | $7,739 – $17,757 · median $9,553 | 33 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,832 – $14,565 · median $7,763 | 33 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $12,292 – $27,220 · median $14,645 | 33 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,216 – $19,585 · median $9,648 | 33 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,646 – $15,847 · median $7,510 | 33 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $24,498 – $60,363 · median $32,476 | 33 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $17,989 – $49,209 · median $24,324 | 33 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $17,989 – $44,998 · median $24,209 | 33 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $25,138 – $51,100 · median $28,480 | 33 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $16,021 – $36,222 · median $19,488 | 33 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $9,565 – $32,008 · median $12,848 | 33 plans |
| 100 | SEIZURES WITH MCC | $13,162 – $27,486 · median $15,337 | 33 plans |
| 101 | SEIZURES WITHOUT MCC | $6,382 – $16,161 · median $8,512 | 33 plans |
| 102 | HEADACHES WITH MCC | $7,893 – $17,426 · median $9,375 | 33 plans |
| 103 | HEADACHES WITHOUT MCC | $5,923 – $13,360 · median $7,188 | 33 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $13,811 – $33,327 · median $18,588 | 33 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,500 – $19,256 · median $10,755 | 33 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $10,327 – $21,820 · median $12,183 | 33 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $10,382 – $25,672 · median $14,327 | 33 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,644 – $15,476 · median $8,719 | 33 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,187 – $16,581 · median $9,267 | 33 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,574 – $12,271 · median $6,602 | 33 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,662 – $19,293 · median $7,531 | 33 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $8,285 – $18,834 · median $10,521 | 33 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,449 – $11,235 · median $6,237 | 33 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $15,156 – $30,774 · median $17,333 | 33 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,162 – $22,164 · median $9,575 | 33 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,471 – $23,352 · median $12,563 | 33 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,269 – $15,608 · median $8,358 | 33 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,688 – $17,602 · median $9,835 | 33 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $29,662 – $70,704 · median $38,039 | 33 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,233 – $39,382 · median $20,569 | 33 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,185 – $28,654 · median $15,055 | 33 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $26,071 – $53,000 · median $29,538 | 33 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,130 – $30,881 · median $16,343 | 33 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,457 – $21,456 · median $11,339 | 33 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $14,792 – $31,494 · median $17,018 | 33 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $8,936 – $21,632 · median $11,638 | 33 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,652 – $17,884 · median $7,517 | 33 plans |
| 149 | DYSEQUILIBRIUM | $5,337 – $13,356 · median $7,088 | 33 plans |
| 150 | EPISTAXIS WITH MCC | $9,351 – $18,953 · median $10,587 | 33 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,215 – $11,489 · median $6,181 | 33 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $6,069 – $16,848 · median $9,415 | 33 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,617 – $10,588 · median $5,931 | 33 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $10,958 – $22,223 · median $12,407 | 33 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $6,478 – $16,207 · median $8,643 | 33 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,918 – $13,920 · median $6,518 | 33 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,019 – $24,620 · median $13,818 | 33 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,432 – $17,887 · median $8,580 | 33 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,038 – $15,217 · median $6,682 | 33 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $31,161 – $89,496 · median $42,267 | 33 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $17,607 – $62,125 · median $23,803 | 33 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,385 – $53,334 · median $18,052 | 33 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $26,010 – $74,449 · median $35,249 | 33 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $12,618 – $55,025 · median $17,007 | 33 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,593 – $41,422 · median $12,886 | 33 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $20,739 – $60,367 · median $28,070 | 33 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $9,643 – $29,891 · median $12,954 | 33 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,706 – $23,172 · median $7,592 | 33 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $10,952 – $40,873 · median $14,737 | 33 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,890 – $32,466 · median $9,204 | 33 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,360 – $26,470 · median $7,120 | 33 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $12,359 – $39,812 · median $16,655 | 33 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,548 – $33,608 · median $10,100 | 33 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,352 – $29,327 · median $7,109 | 33 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $10,725 – $29,232 · median $14,428 | 33 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,500 – $22,186 · median $10,035 | 33 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,578 – $16,844 · median $7,417 | 33 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $10,923 – $29,989 · median $14,698 | 33 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,981 – $24,638 · median $9,328 | 33 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,099 – $20,096 · median $6,764 | 33 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $8,686 – $29,799 · median $11,651 | 33 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,802 – $23,796 · median $10,446 | 33 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,970 – $20,093 · median $7,950 | 33 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,578 – $17,401 · median $6,055 | 33 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,233 – $23,433 · median $12,396 | 33 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,713 – $17,838 · median $7,600 | 33 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,485 – $14,952 · median $5,927 | 33 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,199 – $26,787 · median $14,947 | 33 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,704 – $20,723 · median $8,951 | 33 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,092 – $17,461 · median $6,754 | 33 plans |
| 199 | PNEUMOTHORAX WITH MCC | $12,346 – $32,502 · median $16,637 | 33 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,744 – $23,778 · median $10,367 | 33 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,084 – $18,990 · median $6,744 | 33 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,857 – $13,873 · median $7,760 | 33 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,772 – $10,228 · median $5,503 | 33 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,723 – $14,572 · median $7,614 | 33 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $12,721 – $25,995 · median $14,506 | 33 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,649 – $17,447 · median $8,875 | 33 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $44,681 – $135,696 · median $60,684 | 33 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $19,163 – $50,724 · median $25,922 | 33 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $75,415 – $153,482 · median $85,468 | 33 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $69,066 – $303,196 · median $93,902 | 33 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $67,860 – $198,902 · median $92,259 | 33 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $45,654 – $162,071 · median $62,010 | 33 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $45,654 – $146,643 · median $62,010 | 33 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $53,290 – $171,834 · median $72,412 | 33 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $37,052 – $131,898 · median $50,292 | 33 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $35,027 – $125,081 · median $47,533 | 33 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $34,384 – $154,168 · median $46,658 | 33 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $21,937 – $121,667 · median $29,702 | 33 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $58,493 – $171,217 · median $79,500 | 33 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $42,105 – $145,304 · median $57,175 | 33 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $53,061 – $162,916 · median $72,100 | 33 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $37,952 – $128,051 · median $51,517 | 33 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $40,762 – $131,595 · median $55,345 | 33 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $29,132 – $95,549 · median $39,504 | 33 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $34,206 – $75,234 · median $40,477 | 33 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $19,867 – $57,174 · median $26,882 | 33 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,718 – $47,119 · median $13,056 | 33 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $22,237 – $78,352 · median $30,111 | 33 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $14,886 – $61,272 · median $20,096 | 33 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $12,647 – $51,375 · median $17,046 | 33 plans |
| 245 | AICD GENERATOR PROCEDURES | $31,719 – $78,194 · median $42,069 | 33 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $15,243 – $57,506 · median $20,583 | 33 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $10,480 – $37,015 · median $14,094 | 33 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $24,283 – $65,655 · median $32,897 | 33 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $18,103 – $53,679 · median $24,478 | 33 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $12,468 – $39,985 · median $16,803 | 33 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $18,808 – $47,567 · median $25,439 | 33 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $11,888 – $37,297 · median $16,012 | 33 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,695 – $30,972 · median $10,300 | 33 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $21,886 – $55,275 · median $29,632 | 33 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $14,132 – $39,911 · median $19,070 | 33 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $22,653 – $46,039 · median $25,663 | 33 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $13,221 – $26,833 · median $14,973 | 33 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $11,417 – $23,159 · median $12,928 | 33 plans |
| 263 | VEIN LIGATION AND STRIPPING | $10,429 – $43,284 · median $24,090 | 33 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $23,260 – $47,277 · median $26,647 | 33 plans |
| 265 | AICD LEAD PROCEDURES | $25,182 – $78,194 · median $34,122 | 33 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $42,560 – $187,797 · median $57,795 | 33 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $33,092 – $172,890 · median $44,898 | 33 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $47,749 – $119,169 · median $64,113 | 33 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $29,371 – $78,028 · median $39,828 | 33 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $36,661 – $89,838 · median $48,333 | 33 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $24,754 – $62,808 · median $33,539 | 33 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $17,808 – $44,984 · median $24,077 | 33 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $28,694 – $75,678 · median $38,907 | 33 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $22,922 – $53,116 · median $28,577 | 33 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $49,497 – $214,817 · median $67,245 | 33 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $41,717 – $129,714 · median $56,647 | 33 plans |
| 277 | CELLULITIS AGE >17 W CC | $32,107 – $111,936 · median $43,556 | 33 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $31,570 – $78,653 · median $43,817 | 33 plans |
| 279 | CELLULITIS AGE 0-17 | $22,714 – $51,024 · median $28,438 | 33 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $11,239 – $41,162 · median $15,128 | 33 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,496 – $31,064 · median $8,668 | 33 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,140 – $25,127 · median $6,819 | 33 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $13,847 – $36,990 · median $18,680 | 33 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,926 – $28,291 · median $6,528 | 33 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,280 – $24,416 · median $5,648 | 33 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $15,453 – $39,403 · median $20,868 | 33 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,542 – $26,981 · median $10,092 | 33 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $18,868 – $48,233 · median $25,522 | 33 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $11,950 – $38,191 · median $16,097 | 33 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,570 – $32,660 · median $8,768 | 33 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,021 – $25,811 · median $12,107 | 33 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,011 – $20,783 · median $8,007 | 33 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,052 – $17,975 · median $5,338 | 33 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $10,946 – $27,629 · median $14,730 | 33 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,523 – $21,048 · median $5,979 | 33 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,284 – $16,242 · median $4,292 | 33 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $11,437 – $24,444 · median $13,151 | 33 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,524 – $18,905 · median $10,067 | 33 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,116 – $14,368 · median $6,787 | 33 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,418 – $17,051 · median $9,528 | 33 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,794 – $11,982 · median $6,349 | 33 plans |
| 304 | HYPERTENSION WITH MCC | $8,372 – $19,395 · median $10,435 | 33 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,361 – $13,864 · median $7,121 | 33 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,043 – $26,385 · median $14,195 | 33 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,456 – $17,415 · median $8,612 | 33 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,469 – $23,088 · median $11,355 | 33 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,227 – $17,535 · median $6,938 | 33 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,053 – $13,712 · median $5,339 | 33 plans |
| 311 | ANGINA PECTORIS | $4,993 – $11,880 · median $6,392 | 33 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,168 – $16,855 · median $8,220 | 33 plans |
| 313 | CHEST PAIN | $5,118 – $13,198 · median $6,790 | 33 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $14,569 – $30,680 · median $16,761 | 33 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,802 – $23,038 · median $9,085 | 33 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,856 – $17,841 · median $6,433 | 33 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $31,030 – $126,610 · median $42,088 | 33 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $16,785 – $73,346 · median $22,684 | 33 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $18,970 – $82,189 · median $25,659 | 33 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $12,339 – $65,211 · median $16,626 | 33 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $30,092 – $70,704 · median $38,039 | 33 plans |
| 324 | URINARY STONES W/O CC | $21,948 – $50,759 · median $27,308 | 33 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $22,359 – $45,590 · median $25,750 | 33 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $34,661 – $104,921 · median $47,035 | 33 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,055 – $66,902 · median $23,051 | 33 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,226 – $36,592 · median $15,111 | 33 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $31,955 – $93,700 · median $43,348 | 33 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $16,729 – $60,169 · median $22,607 | 33 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,784 – $38,294 · median $15,871 | 33 plans |
| 332 | RECTAL RESECTION WITH MCC | $25,200 – $70,852 · median $34,146 | 33 plans |
| 333 | RECTAL RESECTION WITH CC | $16,348 – $48,127 · median $22,089 | 33 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $11,473 – $35,179 · median $15,447 | 33 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $24,855 – $69,509 · median $33,676 | 33 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $14,732 – $49,512 · median $19,887 | 33 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $10,760 – $34,936 · median $14,476 | 33 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $18,014 – $59,052 · median $24,358 | 33 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,551 – $39,971 · median $14,190 | 33 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,346 – $29,616 · median $11,187 | 33 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $16,026 – $34,503 · median $18,563 | 33 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,194 – $24,972 · median $12,343 | 33 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,161 – $16,859 · median $8,210 | 33 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $17,385 – $41,281 · median $22,210 | 33 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $10,688 – $28,038 · median $14,377 | 33 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,218 – $20,195 · median $10,865 | 33 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $20,224 – $47,944 · median $25,794 | 33 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $11,781 – $33,382 · median $15,866 | 33 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,445 – $24,035 · median $12,684 | 33 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $30,545 – $69,249 · median $37,256 | 33 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $16,233 – $51,125 · median $21,931 | 33 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,811 – $35,521 · median $13,183 | 33 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $11,154 – $28,059 · median $15,013 | 33 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,058 – $22,055 · median $9,433 | 33 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,985 – $19,448 · median $6,609 | 33 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $12,409 – $33,918 · median $16,722 | 33 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,202 – $27,234 · median $9,629 | 33 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,169 – $23,165 · median $6,860 | 33 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $14,940 – $33,819 · median $18,195 | 33 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,508 – $26,177 · median $11,407 | 33 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,532 – $20,156 · median $8,717 | 33 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $12,789 – $27,562 · median $14,829 | 33 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,923 – $21,023 · median $9,249 | 33 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,498 – $17,475 · median $5,945 | 33 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $13,718 – $29,302 · median $15,778 | 33 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,635 – $23,102 · median $10,218 | 33 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,676 – $19,751 · median $7,550 | 33 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,692 – $22,503 · median $12,107 | 33 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,051 – $16,809 · median $8,061 | 33 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,088 – $30,976 · median $14,922 | 33 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,892 – $22,327 · median $9,207 | 33 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,850 – $19,677 · median $6,425 | 33 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,357 – $26,667 · median $13,927 | 33 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,601 – $19,769 · median $7,448 | 33 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,900 – $15,055 · median $5,130 | 33 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $8,914 – $18,659 · median $10,235 | 33 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,531 – $13,892 · median $7,352 | 33 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $11,205 – $28,978 · median $15,083 | 33 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,611 – $22,457 · median $8,824 | 33 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,627 – $17,239 · median $6,121 | 33 plans |
| 397 | COAGULATION DISORDERS | $16,713 – $44,614 · median $22,586 | 33 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $10,612 – $34,714 · median $14,274 | 33 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $8,058 – $24,465 · median $10,795 | 33 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $38,006 – $106,020 · median $51,591 | 33 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $20,212 – $71,334 · median $27,351 | 33 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $15,500 – $49,293 · median $20,932 | 33 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $24,818 – $86,572 · median $33,626 | 33 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $15,207 – $65,426 · median $20,534 | 33 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,125 – $46,711 · median $14,973 | 33 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $23,002 – $78,310 · median $31,153 | 33 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $14,689 – $60,536 · median $19,828 | 33 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $11,629 – $46,520 · median $15,660 | 33 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $24,797 – $64,820 · median $33,598 | 33 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $14,441 – $47,658 · median $19,491 | 33 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $9,572 – $32,258 · median $12,857 | 33 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $16,654 – $37,469 · median $20,159 | 33 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $11,844 – $30,000 · median $15,953 | 33 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,589 – $21,749 · median $11,701 | 33 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $23,721 – $75,587 · median $32,132 | 33 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,162 – $48,923 · median $16,386 | 33 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,822 – $42,145 · median $13,198 | 33 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $28,885 – $81,449 · median $39,166 | 33 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $15,280 – $61,931 · median $20,634 | 33 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $10,520 – $53,098 · median $14,149 | 33 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $13,759 – $35,827 · median $18,562 | 33 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,446 – $27,245 · median $9,961 | 33 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,066 – $24,130 · median $6,719 | 33 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $12,849 – $32,375 · median $17,321 | 33 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,964 – $26,678 · median $10,667 | 33 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,041 – $24,204 · median $8,047 | 33 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $11,419 – $35,553 · median $15,374 | 33 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,957 – $24,144 · median $7,933 | 33 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,435 – $20,283 · median $5,860 | 33 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $12,558 – $30,990 · median $16,673 | 33 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,816 – $24,254 · median $9,104 | 33 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,978 – $20,135 · median $6,599 | 33 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $11,701 – $25,920 · median $13,945 | 33 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,710 – $20,805 · median $10,321 | 33 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,861 – $16,069 · median $7,802 | 33 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $58,310 – $146,861 · median $79,012 | 33 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $41,416 – $113,859 · median $56,237 | 33 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $29,020 – $106,217 · median $39,351 | 33 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $38,369 – $121,804 · median $52,086 | 33 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $18,549 – $98,449 · median $25,086 | 33 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $39,591 – $80,532 · median $44,863 | 33 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $21,697 – $56,977 · median $29,374 | 33 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,759 – $46,291 · median $17,199 | 33 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $36,170 – $87,467 · median $47,058 | 33 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $24,548 – $67,991 · median $33,258 | 33 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $19,158 – $60,631 · median $25,916 | 33 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $21,132 – $64,795 · median $28,605 | 33 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $13,487 – $51,418 · median $18,191 | 33 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $33,562 – $75,358 · median $40,543 | 33 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $20,529 – $53,863 · median $27,784 | 33 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $17,035 – $42,201 · median $22,704 | 33 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $29,853 – $60,702 · median $33,992 | 33 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $15,888 – $44,981 · median $21,462 | 33 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,304 – $35,465 · median $11,130 | 33 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $24,050 – $59,162 · median $31,829 | 33 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,158 – $44,192 · median $23,192 | 33 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,003 – $37,392 · median $17,531 | 33 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $20,295 – $58,873 · median $27,465 | 33 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $14,634 – $45,294 · median $19,753 | 33 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,425 – $38,332 · median $15,382 | 33 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $19,323 – $50,642 · median $26,141 | 33 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $22,475 – $58,291 · median $30,434 | 33 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $14,610 – $46,418 · median $19,721 | 33 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,976 – $35,281 · median $14,770 | 33 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $12,380 – $39,403 · median $16,682 | 33 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,865 – $33,203 · median $10,532 | 33 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $25,552 – $55,297 · median $29,750 | 33 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $17,691 – $41,602 · median $22,382 | 33 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $14,024 – $31,166 · median $16,768 | 33 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $25,234 – $53,588 · median $29,068 | 33 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,622 – $37,004 · median $17,012 | 33 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,499 – $25,585 · median $11,395 | 33 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $18,432 – $42,712 · median $23,811 | 33 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $12,474 – $28,586 · median $15,949 | 33 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $22,043 – $51,326 · median $27,614 | 33 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $12,236 – $33,227 · median $16,486 | 33 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $9,451 – $22,031 · median $11,853 | 33 plans |
| 503 | FOOT PROCEDURES WITH MCC | $19,456 – $39,530 · median $22,040 | 33 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,074 – $30,761 · median $16,550 | 33 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $12,545 – $25,456 · median $14,356 | 33 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,474 – $24,123 · median $12,724 | 33 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $12,639 – $29,930 · median $16,102 | 33 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,618 – $23,722 · median $12,762 | 33 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $21,044 – $42,764 · median $23,840 | 33 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $14,529 – $30,994 · median $16,715 | 33 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $11,594 – $23,785 · median $13,327 | 33 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,032 – $25,092 · median $13,500 | 33 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,211 – $17,753 · median $9,551 | 33 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $22,196 – $62,681 · median $30,055 | 33 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $14,520 – $46,161 · median $19,598 | 33 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $10,772 – $39,005 · median $14,492 | 33 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $20,327 – $52,869 · median $29,465 | 33 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $13,981 – $34,453 · median $18,536 | 33 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,476 – $23,841 · median $12,827 | 33 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $20,004 – $64,795 · median $27,068 | 33 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $14,794 – $52,467 · median $19,972 | 33 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $10,987 – $26,220 · median $14,106 | 33 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,714 – $16,749 · median $7,602 | 33 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,009 – $20,861 · median $11,223 | 33 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,725 – $14,128 · median $7,601 | 33 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,740 – $13,635 · median $7,627 | 33 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,120 – $10,432 · median $5,857 | 33 plans |
| 539 | OSTEOMYELITIS WITH MCC | $13,770 – $27,950 · median $15,595 | 33 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,108 – $21,847 · median $11,754 | 33 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,585 – $18,849 · median $7,426 | 33 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $12,363 – $31,441 · median $16,659 | 33 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,250 – $23,567 · median $9,695 | 33 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,358 – $19,857 · median $7,116 | 33 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $17,314 – $40,711 · median $21,903 | 33 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,118 – $26,857 · median $10,877 | 33 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,922 – $20,110 · median $7,886 | 33 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $13,501 – $28,781 · median $15,528 | 33 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,491 – $21,573 · median $11,385 | 33 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,185 – $17,912 · median $8,243 | 33 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $11,737 – $29,711 · median $15,807 | 33 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,789 – $18,747 · median $9,066 | 33 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,108 – $20,995 · median $11,295 | 33 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,880 – $14,776 · median $7,828 | 33 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,854 – $18,816 · median $10,511 | 33 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,884 – $12,433 · median $6,738 | 33 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $10,427 – $21,143 · median $11,936 | 33 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,317 – $14,681 · median $7,899 | 33 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,044 – $32,857 · median $17,587 | 33 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,929 – $18,909 · median $10,173 | 33 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,699 – $13,888 · median $7,472 | 33 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $9,997 – $23,535 · median $12,662 | 33 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,333 – $14,716 · median $7,918 | 33 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $10,820 – $21,943 · median $12,251 | 33 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,879 – $16,767 · median $9,021 | 33 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,321 – $14,509 · median $7,066 | 33 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $23,179 – $53,191 · median $29,551 | 33 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $11,830 – $30,063 · median $15,933 | 33 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,069 – $19,237 · median $10,349 | 33 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $34,860 – $92,542 · median $51,548 | 33 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $24,166 – $51,051 · median $27,835 | 33 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,489 – $25,515 · median $14,240 | 33 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $34,064 – $69,278 · median $38,598 | 33 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $18,441 – $37,551 · median $20,939 | 33 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,874 – $22,828 · median $12,744 | 33 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $22,554 – $49,691 · median $26,734 | 33 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,096 – $31,617 · median $16,296 | 33 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,124 – $21,439 · median $11,631 | 33 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,471 – $31,779 · median $17,097 | 33 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,071 – $26,924 · median $14,485 | 33 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $14,954 – $41,387 · median $20,188 | 33 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $13,489 – $37,733 · median $18,193 | 33 plans |
| 592 | SKIN ULCERS WITH MCC | $12,965 – $27,465 · median $15,325 | 33 plans |
| 593 | SKIN ULCERS WITH CC | $8,346 – $18,314 · median $9,853 | 33 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,134 – $15,456 · median $8,175 | 33 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $14,815 – $30,079 · median $16,780 | 33 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,628 – $17,877 · median $9,618 | 33 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $11,675 – $30,233 · median $15,722 | 33 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,965 – $23,038 · median $10,669 | 33 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,460 – $15,580 · median $7,256 | 33 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,344 – $17,260 · median $9,286 | 33 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,322 – $13,681 · median $5,706 | 33 plans |
| 602 | CELLULITIS WITH MCC | $9,973 – $21,657 · median $11,652 | 33 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,163 – $15,199 · median $8,177 | 33 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,325 – $22,996 · median $12,372 | 33 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,475 – $16,302 · median $8,639 | 33 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $9,521 – $21,514 · median $12,013 | 33 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,408 – $12,960 · median $7,251 | 33 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $15,307 – $64,742 · median $20,670 | 33 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $9,821 – $48,099 · median $13,196 | 33 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $24,277 – $62,783 · median $32,889 | 33 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,082 – $44,061 · median $17,638 | 33 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,952 – $35,045 · median $13,376 | 33 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $20,123 – $63,492 · median $27,230 | 33 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,212 – $44,343 · median $15,092 | 33 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,576 – $38,787 · median $14,225 | 33 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $24,774 – $56,780 · median $30,548 | 33 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,553 – $41,799 · median $16,918 | 33 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,800 – $33,446 · median $11,806 | 33 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $20,653 – $42,758 · median $23,837 | 33 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $10,514 – $24,543 · median $13,204 | 33 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,329 – $19,688 · median $10,714 | 33 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $25,934 – $52,721 · median $29,514 | 33 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $15,217 – $42,113 · median $20,548 | 33 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,238 – $30,257 · median $13,764 | 33 plans |
| 637 | DIABETES WITH MCC | $10,080 – $22,284 · median $11,989 | 33 plans |
| 638 | DIABETES WITH CC | $6,338 – $16,411 · median $8,452 | 33 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,434 – $13,797 · median $5,858 | 33 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $9,380 – $19,110 · median $10,773 | 33 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,521 – $14,146 · median $7,339 | 33 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $9,441 – $20,230 · median $11,298 | 33 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $11,529 – $26,318 · median $14,159 | 33 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,230 – $20,103 · median $9,667 | 33 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,452 – $15,703 · median $7,246 | 33 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $36,108 – $102,183 · median $49,006 | 33 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $19,513 – $71,221 · median $26,400 | 33 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $14,787 – $60,525 · median $19,961 | 33 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $22,175 – $62,294 · median $30,026 | 33 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $12,803 – $44,484 · median $17,258 | 33 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $10,877 – $38,766 · median $14,635 | 33 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $17,724 – $55,730 · median $23,963 | 33 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,284 – $40,837 · median $12,465 | 33 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,302 – $27,756 · median $9,765 | 33 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $21,328 – $44,192 · median $24,560 | 33 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $10,658 – $30,916 · median $14,337 | 33 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,381 – $22,531 · median $9,873 | 33 plans |
| 665 | PROSTATECTOMY WITH MCC | $21,742 – $44,184 · median $24,631 | 33 plans |
| 666 | PROSTATECTOMY WITH CC | $12,244 – $29,549 · median $15,898 | 33 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,792 – $18,775 · median $10,101 | 33 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $20,161 – $41,347 · median $23,052 | 33 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $10,878 – $26,304 · median $14,152 | 33 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,899 – $19,247 · median $9,217 | 33 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $12,560 – $28,323 · median $15,238 | 33 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,607 – $18,624 · median $10,020 | 33 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $22,365 – $59,415 · median $33,109 | 33 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $16,324 – $33,151 · median $18,490 | 33 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,497 – $28,580 · median $15,376 | 33 plans |
| 682 | RENAL FAILURE WITH MCC | $10,386 – $31,008 · median $13,967 | 33 plans |
| 683 | RENAL FAILURE WITH CC | $6,197 – $23,672 · median $8,259 | 33 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,289 – $19,497 · median $5,661 | 33 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $12,620 – $25,677 · median $14,512 | 33 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,387 – $19,723 · median $9,882 | 33 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,605 – $15,174 · median $7,453 | 33 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,166 – $20,431 · median $10,943 | 33 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,738 – $15,439 · median $7,634 | 33 plans |
| 693 | URINARY STONES WITH MCC | $9,441 – $21,192 · median $11,401 | 33 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,545 – $14,406 · median $7,372 | 33 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,052 – $17,845 · median $9,601 | 33 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,903 – $11,887 · median $6,395 | 33 plans |
| 697 | URETHRAL STRICTURE | $7,595 – $15,675 · median $8,713 | 33 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $11,587 – $28,203 · median $15,173 | 33 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,160 – $22,429 · median $9,572 | 33 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,910 – $17,834 · median $6,506 | 33 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $13,982 – $40,978 · median $18,864 | 33 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,755 – $31,311 · median $14,469 | 33 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $16,244 – $33,897 · median $18,693 | 33 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,834 – $27,284 · median $13,214 | 33 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $14,560 – $31,392 · median $16,889 | 33 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,747 – $20,089 · median $10,371 | 33 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,542 – $22,302 · median $12,113 | 33 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,454 – $15,192 · median $8,550 | 33 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $15,622 – $33,086 · median $17,976 | 33 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,317 – $24,458 · median $13,159 | 33 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,221 – $32,413 · median $17,439 | 33 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,432 – $21,389 · median $11,508 | 33 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $12,662 – $25,694 · median $14,339 | 33 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,044 – $22,894 · median $10,777 | 33 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,673 – $13,423 · median $6,184 | 33 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,235 – $19,279 · median $10,372 | 33 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,132 – $13,318 · median $6,809 | 33 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,400 – $25,959 · median $13,966 | 33 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,749 – $18,641 · median $7,650 | 33 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,463 – $23,778 · median $9,984 | 33 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,786 – $17,591 · median $6,337 | 33 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $14,879 – $42,092 · median $20,088 | 33 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,448 – $31,272 · median $12,689 | 33 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $24,880 – $78,638 · median $33,710 | 33 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $14,399 – $51,485 · median $19,433 | 33 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,300 – $41,031 · median $13,849 | 33 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $24,937 – $50,974 · median $28,725 | 33 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $12,661 – $33,650 · median $17,066 | 33 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,006 – $23,796 · median $12,802 | 33 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $12,836 – $30,352 · median $16,330 | 33 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $8,723 – $21,189 · median $11,400 | 33 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $13,426 – $29,069 · median $16,218 | 33 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,008 – $18,166 · median $9,773 | 33 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,159 – $25,980 · median $13,980 | 33 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,085 – $21,051 · median $8,108 | 33 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $9,738 – $19,739 · median $11,025 | 33 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $17,431 – $36,379 · median $20,287 | 33 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,350 – $21,294 · median $11,893 | 33 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,884 – $33,890 · median $17,369 | 33 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,664 – $25,223 · median $10,259 | 33 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,783 – $16,735 · median $9,004 | 33 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,047 – $20,368 · median $11,497 | 33 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,911 – $15,795 · median $8,498 | 33 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,728 – $13,614 · median $6,258 | 33 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,108 – $18,300 · median $9,501 | 33 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,083 – $14,748 · median $5,380 | 33 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $11,832 – $26,068 · median $15,936 | 33 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,075 – $14,317 · median $8,113 | 33 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,666 – $13,176 · median $6,174 | 33 plans |
| 779 | ABORTION WITHOUT D&C | $5,958 – $12,042 · median $7,022 | 33 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $12,610 – $27,356 · median $16,925 | 33 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $41,280 – $149,499 · median $56,052 | 33 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $28,234 – $57,404 · median $34,177 | 33 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $14,229 – $34,710 · median $19,357 | 33 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $12,332 – $58,964 · median $32,805 | 33 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $4,744 – $20,988 · median $11,698 | 33 plans |
| 795 | NORMAL NEWBORN | $1,512 – $3,897 · median $1,699 | 33 plans |
| 799 | SPLENECTOMY WITH MCC | $31,487 – $72,123 · median $38,803 | 33 plans |
| 800 | SPLENECTOMY WITH CC | $19,583 – $50,410 · median $26,495 | 33 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $13,349 – $42,440 · median $18,002 | 33 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $27,715 – $59,345 · median $31,931 | 33 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,003 – $38,783 · median $17,531 | 33 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,521 – $31,339 · median $12,788 | 33 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $15,419 – $39,861 · median $20,822 | 33 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $8,897 – $29,658 · median $11,938 | 33 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,379 – $26,477 · median $9,870 | 33 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $9,855 – $22,577 · median $12,146 | 33 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,490 – $17,556 · median $8,659 | 33 plans |
| 813 | COAGULATION DISORDERS | $10,693 – $24,877 · median $13,384 | 33 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $14,857 – $30,163 · median $16,827 | 33 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,153 – $22,446 · median $9,563 | 33 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,509 – $17,524 · median $5,960 | 33 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $15,929 – $47,401 · median $21,517 | 33 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,159 – $26,045 · median $10,932 | 33 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,087 – $14,749 · median $8,110 | 33 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $40,735 – $114,173 · median $55,309 | 33 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $15,631 – $68,160 · median $21,112 | 33 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,469 – $40,594 · median $11,355 | 33 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $31,874 – $77,979 · median $41,953 | 33 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $15,818 – $55,765 · median $21,366 | 33 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,475 – $35,901 · median $12,726 | 33 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $32,518 – $105,213 · median $44,115 | 33 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $16,134 – $64,083 · median $21,796 | 33 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,929 – $39,960 · median $16,068 | 33 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $22,010 – $51,315 · median $27,608 | 33 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,553 – $33,798 · median $14,193 | 33 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,458 – $22,211 · median $11,340 | 33 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,129 – $13,176 · median $6,805 | 33 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,754 – $8,195 · median $4,931 | 33 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $38,140 – $106,975 · median $51,774 | 33 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $14,573 – $75,389 · median $19,671 | 33 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,576 – $64,091 · median $11,501 | 33 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $33,394 – $92,220 · median $45,308 | 33 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $14,585 – $57,664 · median $19,686 | 33 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,130 – $38,903 · median $13,617 | 33 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $22,529 – $53,021 · median $28,525 | 33 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,428 – $40,640 · median $15,385 | 33 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,128 – $30,120 · median $9,529 | 33 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $13,943 – $33,477 · median $18,011 | 33 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,562 – $25,409 · median $11,481 | 33 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,029 – $19,797 · median $8,031 | 33 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $18,081 – $36,730 · median $20,679 | 33 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,190 – $22,753 · median $12,241 | 33 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,014 – $20,146 · median $8,010 | 33 plans |
| 849 | RADIOTHERAPY | $13,938 – $38,379 · median $21,400 | 33 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $34,323 – $112,140 · median $46,575 | 33 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $13,966 – $77,958 · median $18,844 | 33 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,499 – $53,376 · median $14,120 | 33 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $31,624 – $73,998 · median $39,811 | 33 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $14,959 – $46,971 · median $20,196 | 33 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,777 – $36,014 · median $13,136 | 33 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $12,759 – $31,480 · median $16,936 | 33 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,042 – $21,509 · median $9,411 | 33 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,279 – $16,263 · median $8,372 | 33 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,913 – $21,304 · median $11,896 | 33 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,154 – $12,441 · median $6,962 | 33 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $14,625 – $35,732 · median $19,224 | 33 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,272 – $24,814 · median $9,724 | 33 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,185 – $22,136 · median $6,882 | 33 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $47,984 – $152,607 · median $65,183 | 33 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $13,581 – $34,238 · median $18,319 | 33 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,218 – $27,566 · median $9,650 | 33 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $26,890 – $54,668 · median $30,466 | 33 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,781 – $14,403 · median $7,774 | 33 plans |
| 881 | DEPRESSIVE NEUROSES | $6,647 – $13,446 · median $7,558 | 33 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,392 – $15,320 · median $8,565 | 33 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $13,746 – $27,902 · median $15,568 | 33 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $11,272 – $24,049 · median $12,956 | 33 plans |
| 885 | PSYCHOSES | $9,804 – $20,540 · median $11,262 | 33 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $10,964 – $29,439 · median $16,423 | 33 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,547 – $18,060 · median $9,716 | 33 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,404 – $9,171 · median $5,031 | 33 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $9,934 – $26,544 · median $13,350 | 33 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $12,215 – $29,722 · median $15,990 | 33 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,245 – $13,769 · median $7,408 | 33 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $29,186 – $59,344 · median $33,069 | 33 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $13,388 – $37,705 · median $18,055 | 33 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,231 – $30,321 · median $11,030 | 33 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $25,562 – $51,964 · median $28,961 | 33 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,403 – $30,779 · median $13,990 | 33 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $12,192 – $27,874 · median $15,552 | 33 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $26,713 – $62,456 · median $33,602 | 33 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $13,946 – $44,008 · median $18,816 | 33 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,221 – $28,404 · median $12,380 | 33 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $11,450 – $23,226 · median $12,975 | 33 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,264 – $14,850 · median $7,990 | 33 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $9,097 – $23,888 · median $13,334 | 33 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,746 – $9,738 · median $5,426 | 33 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $10,991 – $22,292 · median $12,446 | 33 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,067 – $12,265 · median $6,908 | 33 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $12,808 – $28,806 · median $15,498 | 33 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,072 – $21,995 · median $9,452 | 33 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,899 – $15,942 · median $6,492 | 33 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $11,396 – $24,844 · median $13,866 | 33 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,106 – $14,529 · median $8,124 | 33 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $147,942 – $397,322 · median $201,351 | 33 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $49,790 – $127,272 · median $67,644 | 33 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $22,431 – $68,139 · median $30,375 | 33 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $27,093 – $71,091 · median $36,725 | 33 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $15,437 – $32,833 · median $17,763 | 33 plans |
| 935 | NON-EXTENSIVE BURNS | $13,551 – $29,223 · median $16,303 | 33 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $25,254 – $51,335 · median $28,868 | 33 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,312 – $39,569 · median $21,288 | 33 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $14,171 – $31,825 · median $17,122 | 33 plans |
| 945 | REHABILITATION WITH CC/MCC | $10,854 – $35,200 · median $14,604 | 33 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,073 – $32,445 · median $10,815 | 33 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,892 – $18,077 · median $10,099 | 33 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,675 – $12,335 · median $6,636 | 33 plans |
| 949 | AFTERCARE WITH CC/MCC | $5,065 – $16,954 · median $9,455 | 33 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,113 – $9,031 · median $5,064 | 33 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,983 – $10,563 · median $5,244 | 33 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $46,733 – $156,402 · median $63,479 | 33 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $26,185 – $96,902 · median $35,488 | 33 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $52,886 – $125,789 · median $67,675 | 33 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $29,306 – $97,198 · median $39,740 | 33 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $20,515 – $80,273 · median $27,765 | 33 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $19,060 – $53,528 · median $25,782 | 33 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,744 – $39,625 · median $14,454 | 33 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,645 – $32,854 · median $8,870 | 33 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $42,511 – $110,773 · median $57,728 | 33 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $18,392 – $79,424 · median $24,873 | 33 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $20,113 – $59,521 · median $27,217 | 33 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,099 – $44,311 · median $12,213 | 33 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,383 – $37,184 · median $8,513 | 33 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,117 – $22,471 · median $12,090 | 33 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $32,615 – $82,277 · median $44,247 | 33 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,154 – $61,674 · median $23,186 | 33 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,999 – $46,288 · median $16,164 | 33 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $23,868 – $53,229 · median $28,637 | 33 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,512 – $37,603 · median $15,500 | 33 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,436 – $30,462 · median $11,309 | 33 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $4,255 – $16,866 · median $8,439 | 30 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $9,330 – $34,793 · median $19,023 | 30 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,473 – $20,764 · median $8,514 | 30 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,764 – $18,268 · median $7,704 | 30 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $9,330 – $23,436 · median $12,927 | 30 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,865 – $18,742 · median $8,963 | 30 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,771 – $16,615 · median $7,712 | 30 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,255 – $20,285 · median $9,180 | 30 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,255 – $14,285 · median $7,887 | 30 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $4,255 – $13,674 · median $7,477 | 30 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,255 – $15,521 · median $8,498 | 30 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,255 – $10,811 · median $5,931 | 30 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,255 – $9,686 · median $5,314 | 30 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $92,813 – $608,965 · median $338,404 | 28 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $49,526 – $219,756 · median $62,192 | 28 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $194,142 – $454,683 · median $219,880 | 26 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $83,333 – $227,761 · median $94,443 | 25 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $37,741 – $112,217 · median $42,766 | 25 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $32,681 – $111,206 · median $37,031 | 25 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $25,789 – $91,297 · median $29,218 | 25 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $10,838 – $31,235 · median $12,125 | 24 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,042 – $14,250 · median $7,867 | 24 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,749 – $13,561 · median $5,295 | 24 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $8,635 – $17,980 · median $9,654 | 24 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,601 – $11,316 · median $6,251 | 24 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $61,481 – $273,656 · median $68,929 | 24 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $42,476 – $89,597 · median $47,611 | 24 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $32,018 – $146,158 · median $35,880 | 24 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $46,049 – $176,974 · median $51,617 | 24 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $25,457 – $79,729 · median $28,522 | 24 plans |
| 509 | ARTHROSCOPY | $12,295 – $136,253 · median $13,759 | 24 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $78,583 – $320,153 · median $88,889 | 22 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $71,513 – $230,312 · median $80,888 | 22 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $32,235 – $157,480 · median $39,841 | 22 plans |
| 007 | LUNG TRANSPLANT | $119,716 – $383,172 · median $209,427 | 22 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $38,934 – $185,310 · median $44,023 | 22 plans |
| 010 | PANCREAS TRANSPLANT | $49,811 – $142,823 · median $56,330 | 22 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $41,185 – $163,889 · median $46,569 | 22 plans |
| 652 | KIDNEY TRANSPLANT | $22,491 – $78,701 · median $25,417 | 22 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $1,676 – $11,378 · median $10,240 | 7 plans |
| 999 | UNGROUPABLE | $1,676 – $21,765 · median $19,589 | 7 plans |
No procedures match that keyword.