Northwest Medical Center — 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.
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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 |
|---|---|---|---|
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $14,500 – $63,492 · median $25,417 | 39 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,409 – $44,343 · median $14,500 | 39 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,712 – $38,787 · median $14,225 | 39 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $161,215 – $405,975 · median $192,596 | 38 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $105,303 – $248,396 · median $125,736 | 38 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $41,630 – $98,149 · median $47,537 | 38 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $32,242 – $75,996 · median $37,010 | 38 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $22,126 – $56,738 · median $26,273 | 38 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $59,940 – $221,208 · median $71,491 | 38 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $40,415 – $192,353 · median $48,143 | 38 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $24,367 – $160,971 · median $28,953 | 38 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $43,724 – $125,697 · median $52,101 | 38 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $29,936 – $104,163 · median $35,613 | 38 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $34,750 – $139,300 · median $41,369 | 38 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $23,850 – $103,850 · median $28,335 | 38 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $19,404 – $76,482 · median $23,019 | 38 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $45,832 – $118,725 · median $54,622 | 38 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $26,143 – $79,515 · median $31,077 | 38 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $16,920 – $49,399 · median $20,047 | 38 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $34,248 – $100,369 · median $40,769 | 38 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,433 – $54,532 · median $19,465 | 38 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,883 – $39,499 · median $15,221 | 38 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $29,624 – $76,506 · median $35,240 | 38 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $18,400 – $57,132 · median $21,818 | 38 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $15,006 – $51,062 · median $17,759 | 38 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $25,237 – $59,466 · median $29,559 | 38 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,578 – $36,405 · median $14,856 | 38 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,188 – $27,041 · median $10,802 | 38 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $29,552 – $69,648 · median $34,694 | 38 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $16,946 – $47,827 · median $20,079 | 38 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,375 – $37,924 · median $15,809 | 38 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,009 – $35,348 · median $16,567 | 38 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,699 – $27,558 · median $9,022 | 38 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,852 – $30,846 · median $13,988 | 38 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,006 – $24,310 · median $9,388 | 38 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $14,690 – $42,128 · median $20,192 | 38 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,098 – $23,744 · median $11,371 | 38 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,237 – $31,149 · median $15,517 | 38 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,684 – $22,765 · median $11,321 | 38 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,249 – $18,997 · median $8,483 | 38 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $21,180 – $63,714 · median $25,142 | 38 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,598 – $52,101 · median $16,076 | 38 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,919 – $46,503 · median $12,872 | 38 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $15,523 – $38,956 · median $18,377 | 38 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,935 – $29,968 · median $9,304 | 38 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,464 – $24,768 · median $6,349 | 38 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,411 – $26,841 · median $12,865 | 38 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,829 – $16,936 · median $7,981 | 38 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,331 – $18,240 · median $7,386 | 38 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $12,898 – $32,428 · median $15,238 | 38 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $8,054 – $25,046 · median $9,446 | 38 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,008 – $19,173 · median $7,000 | 38 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,439 – $29,267 · median $14,021 | 38 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,090 – $19,006 · median $9,490 | 38 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $12,939 – $34,871 · median $16,710 | 38 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,531 – $17,901 · median $7,625 | 38 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $11,794 – $32,948 · median $15,787 | 38 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,065 – $17,415 · median $8,264 | 38 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $17,605 – $43,892 · median $20,867 | 38 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,858 – $34,982 · median $12,799 | 38 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,522 – $29,147 · median $8,810 | 38 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,501 – $41,212 · median $20,264 | 38 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,152 – $27,696 · median $11,955 | 38 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,210 – $20,731 · median $8,437 | 38 plans |
| 088 | CONCUSSION WITH MCC | $10,524 – $24,749 · median $12,400 | 38 plans |
| 089 | CONCUSSION WITH CC | $8,605 – $20,219 · median $9,788 | 38 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,516 – $15,291 · median $7,607 | 38 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $13,591 – $31,985 · median $15,408 | 38 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,031 – $19,585 · median $9,419 | 38 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,312 – $15,847 · median $7,363 | 38 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $26,960 – $63,533 · median $31,697 | 38 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $19,831 – $49,209 · median $23,529 | 38 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $19,831 – $46,710 · median $23,472 | 38 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $25,263 – $65,186 · median $31,256 | 38 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $17,675 – $41,624 · median $20,154 | 38 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,605 – $32,008 · median $12,496 | 38 plans |
| 100 | SEIZURES WITH MCC | $13,162 – $35,216 · median $16,876 | 38 plans |
| 101 | SEIZURES WITHOUT MCC | $7,118 – $16,712 · median $8,327 | 38 plans |
| 102 | HEADACHES WITH MCC | $8,774 – $20,618 · median $9,894 | 38 plans |
| 103 | HEADACHES WITHOUT MCC | $6,616 – $15,526 · median $7,515 | 38 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $13,811 – $42,629 · median $20,433 | 38 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,050 – $24,771 · median $11,864 | 38 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $10,327 – $28,025 · median $13,426 | 38 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $10,382 – $32,914 · median $15,771 | 38 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,283 – $19,974 · median $9,562 | 38 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,791 – $21,377 · median $10,235 | 38 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,233 – $14,622 · median $6,994 | 38 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,330 – $19,293 · median $7,384 | 38 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $8,285 – $24,236 · median $11,607 | 38 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,045 – $14,300 · median $6,840 | 38 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $16,466 – $39,389 · median $18,878 | 38 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,973 – $22,164 · median $9,349 | 38 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,597 – $27,279 · median $13,178 | 38 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,994 – $16,419 · median $8,179 | 38 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,222 – $22,672 · median $10,857 | 38 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $32,616 – $76,879 · median $37,724 | 38 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $16,813 – $39,587 · median $19,920 | 38 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,379 – $29,126 · median $14,618 | 38 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $28,057 – $67,598 · median $32,414 | 38 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,414 – $31,568 · median $15,856 | 38 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,391 – $22,074 · median $11,045 | 38 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $16,330 – $38,448 · median $18,427 | 38 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,916 – $23,313 · median $11,496 | 38 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,318 – $17,884 · median $7,371 | 38 plans |
| 149 | DYSEQUILIBRIUM | $5,973 – $14,010 · median $6,958 | 38 plans |
| 150 | EPISTAXIS WITH MCC | $9,845 – $24,386 · median $11,679 | 38 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,840 – $13,695 · median $6,550 | 38 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $6,069 – $21,715 · median $10,398 | 38 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,617 – $13,771 · median $6,586 | 38 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,413 – $28,537 · median $13,671 | 38 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,224 – $16,961 · median $8,453 | 38 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,515 – $13,920 · median $6,410 | 38 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $13,246 – $31,280 · median $14,987 | 38 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,173 – $17,887 · median $8,393 | 38 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,647 – $15,217 · median $6,567 | 38 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $34,258 – $89,496 · median $40,780 | 38 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $19,413 – $62,125 · median $23,029 | 38 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $14,789 – $53,334 · median $17,500 | 38 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $28,616 – $74,449 · median $34,034 | 38 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,949 – $55,025 · median $16,495 | 38 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,635 – $41,422 · median $12,533 | 38 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $22,843 – $60,367 · median $27,131 | 38 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,690 – $29,891 · median $12,598 | 38 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,378 – $23,172 · median $7,442 | 38 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,124 – $40,873 · median $14,312 | 38 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,675 – $32,466 · median $8,993 | 38 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,999 – $26,470 · median $6,989 | 38 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $13,665 – $39,812 · median $16,156 | 38 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,395 – $33,608 · median $9,854 | 38 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,990 – $29,327 · median $6,978 | 38 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,875 – $29,232 · median $14,015 | 38 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,343 – $22,186 · median $9,792 | 38 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,238 – $16,844 · median $7,275 | 38 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $12,092 – $29,989 · median $14,274 | 38 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,774 – $24,638 · median $9,112 | 38 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,713 – $20,096 · median $6,646 | 38 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,642 – $29,799 · median $11,345 | 38 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,674 – $23,796 · median $10,187 | 38 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,666 – $20,093 · median $7,787 | 38 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,142 – $17,401 · median $5,964 | 38 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,241 – $24,080 · median $12,061 | 38 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,385 – $17,838 · median $7,450 | 38 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,040 – $14,952 · median $5,842 | 38 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,411 – $34,329 · median $16,450 | 38 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,471 – $20,723 · median $8,749 | 38 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,705 – $17,461 · median $6,637 | 38 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,651 – $32,502 · median $16,139 | 38 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,610 – $23,778 · median $10,111 | 38 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,697 – $18,990 · median $6,627 | 38 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,004 – $17,939 · median $8,586 | 38 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,355 – $12,550 · median $6,000 | 38 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,396 – $15,009 · median $7,464 | 38 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $12,721 – $33,323 · median $15,968 | 38 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,410 – $17,447 · median $8,676 | 38 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $49,066 – $135,696 · median $58,488 | 38 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $21,116 – $50,724 · median $25,066 | 38 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $79,319 – $195,125 · median $93,605 | 38 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $75,773 – $303,196 · median $90,425 | 38 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $74,453 – $198,902 · median $88,846 | 38 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $50,132 – $162,071 · median $59,763 | 38 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $50,132 – $146,643 · median $59,763 | 38 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $58,495 – $171,834 · median $69,764 | 38 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $40,710 – $131,898 · median $48,497 | 38 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $38,492 – $125,081 · median $45,844 | 38 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $37,788 – $154,168 · median $45,002 | 38 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $24,155 – $121,667 · median $28,700 | 38 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $64,194 – $171,217 · median $76,579 | 38 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $46,244 – $145,304 · median $55,114 | 38 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $58,244 – $162,916 · median $69,464 | 38 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $41,695 – $128,051 · median $49,674 | 38 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $44,773 – $131,595 · median $53,355 | 38 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $32,036 – $95,549 · median $38,124 | 38 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $37,593 – $88,623 · median $42,660 | 38 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $21,888 – $57,174 · median $25,989 | 38 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $10,772 – $47,119 · median $12,696 | 38 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $24,484 – $78,352 · median $29,093 | 38 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,432 – $61,272 · median $19,464 | 38 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,980 – $51,375 · median $16,532 | 38 plans |
| 245 | AICD GENERATOR PROCEDURES | $34,869 – $82,194 · median $41,032 | 38 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $16,823 – $57,506 · median $19,932 | 38 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $11,606 – $37,015 · median $13,694 | 38 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $26,724 – $65,655 · median $31,772 | 38 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $19,956 – $53,679 · median $23,678 | 38 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,784 – $39,985 · median $16,298 | 38 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $20,727 – $48,825 · median $24,601 | 38 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,149 – $37,297 · median $15,538 | 38 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,556 – $30,972 · median $10,046 | 38 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $24,099 – $56,782 · median $28,633 | 38 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $15,607 – $39,911 · median $18,478 | 38 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $22,991 – $58,763 · median $28,174 | 38 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,046 – $34,388 · median $16,479 | 38 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $11,955 – $29,725 · median $14,241 | 38 plans |
| 263 | VEIN LIGATION AND STRIPPING | $10,429 – $55,266 · median $26,263 | 38 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $25,314 – $60,334 · median $28,928 | 38 plans |
| 265 | AICD LEAD PROCEDURES | $27,709 – $78,194 · median $32,950 | 38 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $46,743 – $187,797 · median $55,711 | 38 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $36,373 – $172,890 · median $43,310 | 38 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $52,426 – $123,624 · median $62,131 | 38 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $32,297 – $78,028 · median $38,436 | 38 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $40,282 – $94,968 · median $47,271 | 38 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $27,240 – $64,193 · median $32,389 | 38 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $19,633 – $46,242 · median $23,292 | 38 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $31,556 – $75,678 · median $37,550 | 38 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $25,234 – $59,459 · median $28,792 | 38 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $54,341 – $214,817 · median $64,796 | 38 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $45,820 – $129,714 · median $54,606 | 38 plans |
| 277 | CELLULITIS AGE >17 W CC | $35,294 – $111,936 · median $42,020 | 38 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $31,570 – $100,155 · median $48,035 | 38 plans |
| 279 | CELLULITIS AGE 0-17 | $22,714 – $65,089 · median $31,210 | 38 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,437 – $41,162 · median $14,688 | 38 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,243 – $31,064 · median $8,477 | 38 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,757 – $25,127 · median $6,700 | 38 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $15,294 – $36,990 · median $18,103 | 38 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,523 – $28,291 · median $6,419 | 38 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,816 – $24,416 · median $5,574 | 38 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $17,053 – $40,155 · median $20,207 | 38 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,388 – $26,981 · median $9,846 | 38 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $20,794 – $48,983 · median $24,681 | 38 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $13,217 – $38,191 · median $15,620 | 38 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,324 – $32,660 · median $8,573 | 38 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $10,009 – $25,811 · median $11,784 | 38 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,712 – $20,783 · median $7,841 | 38 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,566 – $17,975 · median $5,275 | 38 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,118 – $28,508 · median $14,305 | 38 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,082 – $21,048 · median $5,892 | 38 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,725 – $16,242 · median $4,270 | 38 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,654 – $29,775 · median $14,265 | 38 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,369 – $19,662 · median $9,822 | 38 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,732 – $14,368 · median $6,669 | 38 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,769 – $21,972 · median $10,521 | 38 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,379 – $12,608 · median $6,247 | 38 plans |
| 304 | HYPERTENSION WITH MCC | $9,298 – $21,854 · median $10,580 | 38 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,000 – $14,073 · median $6,990 | 38 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,223 – $28,757 · median $14,098 | 38 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,199 – $17,415 · median $8,423 | 38 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,404 – $23,088 · median $11,060 | 38 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,853 – $17,535 · median $6,814 | 38 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,567 – $13,712 · median $5,276 | 38 plans |
| 311 | ANGINA PECTORIS | $5,597 – $13,121 · median $6,394 | 38 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,883 – $16,855 · median $8,046 | 38 plans |
| 313 | CHEST PAIN | $5,734 – $13,445 · median $6,672 | 38 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $16,085 – $37,872 · median $18,150 | 38 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,579 – $23,038 · median $8,878 | 38 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,446 – $17,841 · median $6,328 | 38 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $34,114 – $126,610 · median $40,609 | 38 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $18,513 – $73,346 · median $21,952 | 38 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $20,905 – $82,189 · median $24,813 | 38 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $13,642 – $65,211 · median $16,129 | 38 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $33,087 – $77,990 · median $37,995 | 38 plans |
| 324 | URINARY STONES W/O CC | $24,167 – $56,941 · median $27,573 | 38 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $24,528 – $58,004 · median $27,810 | 38 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $38,091 – $104,921 · median $45,365 | 38 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $18,808 – $66,902 · median $22,305 | 38 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,424 – $36,592 · median $14,672 | 38 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $35,127 – $93,700 · median $41,820 | 38 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,451 – $60,169 · median $21,879 | 38 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,035 – $38,294 · median $15,402 | 38 plans |
| 332 | RECTAL RESECTION WITH MCC | $27,728 – $70,852 · median $32,973 | 38 plans |
| 333 | RECTAL RESECTION WITH CC | $18,034 – $48,127 · median $21,380 | 38 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,694 – $35,179 · median $14,994 | 38 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $27,351 – $69,509 · median $32,521 | 38 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $16,264 – $49,512 · median $19,263 | 38 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,914 – $34,936 · median $14,061 | 38 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $19,858 – $59,052 · median $23,562 | 38 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,684 – $39,971 · median $13,787 | 38 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,269 – $29,616 · median $10,899 | 38 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $17,681 – $41,636 · median $19,956 | 38 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,198 – $24,972 · median $12,010 | 38 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,876 – $16,859 · median $8,037 | 38 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $19,169 – $45,148 · median $22,092 | 38 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,834 – $28,038 · median $13,966 | 38 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,129 – $21,457 · median $10,658 | 38 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $22,279 – $52,486 · median $25,669 | 38 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,031 – $33,382 · median $15,398 | 38 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,473 – $24,628 · median $12,339 | 38 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $33,583 – $79,160 · median $38,334 | 38 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,908 – $51,125 · median $21,229 | 38 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,874 – $35,521 · median $12,818 | 38 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,345 – $29,045 · median $14,577 | 38 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,858 – $22,055 · median $9,212 | 38 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,588 – $19,448 · median $6,497 | 38 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,719 – $33,918 · median $16,220 | 38 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,016 – $27,234 · median $9,401 | 38 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,790 – $23,165 · median $6,739 | 38 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $16,491 – $38,829 · median $18,801 | 38 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,446 – $26,177 · median $11,111 | 38 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,283 – $20,156 · median $8,524 | 38 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $14,135 – $33,270 · median $15,942 | 38 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,711 – $21,023 · median $9,035 | 38 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,054 – $17,475 · median $5,859 | 38 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $15,153 – $35,671 · median $17,094 | 38 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,490 – $23,102 · median $9,967 | 38 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,345 – $19,751 · median $7,402 | 38 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,744 – $25,266 · median $12,232 | 38 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,756 – $16,809 · median $7,894 | 38 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,272 – $30,976 · median $14,490 | 38 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,677 – $22,327 · median $8,995 | 38 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,440 – $19,677 · median $6,321 | 38 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,472 – $26,986 · median $13,534 | 38 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,263 – $19,769 · median $7,304 | 38 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,399 – $15,055 · median $5,076 | 38 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,891 – $23,255 · median $11,137 | 38 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,186 – $14,511 · median $7,212 | 38 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,401 – $29,178 · median $14,644 | 38 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,369 – $22,457 · median $8,627 | 38 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,195 – $17,239 · median $6,028 | 38 plans |
| 397 | COAGULATION DISORDERS | $18,434 – $44,614 · median $21,858 | 38 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $11,751 – $34,714 · median $13,867 | 38 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $8,954 – $24,465 · median $10,522 | 38 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $41,755 – $106,020 · median $49,745 | 38 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $22,265 – $71,334 · median $26,440 | 38 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $17,105 – $49,293 · median $20,269 | 38 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $27,311 – $86,572 · median $32,473 | 38 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $16,784 – $65,426 · median $19,885 | 38 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,313 – $46,711 · median $14,539 | 38 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $25,322 – $78,310 · median $30,095 | 38 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $16,217 – $60,536 · median $19,207 | 38 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,865 – $46,520 · median $15,199 | 38 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $27,288 – $64,820 · median $32,446 | 38 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $15,945 – $47,658 · median $18,882 | 38 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,612 – $32,258 · median $12,504 | 38 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $18,369 – $43,261 · median $20,947 | 38 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $13,101 – $30,829 · median $15,481 | 38 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,631 – $25,000 · median $12,103 | 38 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $26,109 – $75,587 · median $31,036 | 38 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,449 – $48,923 · median $15,897 | 38 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,886 – $42,145 · median $12,833 | 38 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $31,765 – $81,449 · median $37,799 | 38 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $16,864 – $61,931 · median $19,981 | 38 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,650 – $53,098 · median $13,747 | 38 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $15,198 – $35,827 · median $17,989 | 38 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,283 – $27,245 · median $9,720 | 38 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,677 – $24,130 · median $6,604 | 38 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $14,201 – $33,425 · median $16,797 | 38 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,851 – $26,678 · median $10,399 | 38 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,745 – $24,204 · median $7,880 | 38 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,635 – $35,553 · median $14,925 | 38 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,653 – $24,144 · median $7,771 | 38 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,986 – $20,283 · median $5,778 | 38 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,883 – $32,674 · median $16,290 | 38 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,594 – $24,254 · median $8,896 | 38 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,580 – $20,135 · median $6,487 | 38 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,944 – $30,459 · median $14,672 | 38 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,573 – $20,805 · median $10,066 | 38 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,547 – $16,069 · median $7,644 | 38 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $63,993 – $150,919 · median $76,219 | 38 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $45,490 – $113,859 · median $54,212 | 38 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $31,913 – $106,217 · median $37,977 | 38 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $42,153 – $121,804 · median $50,221 | 38 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $20,444 – $98,449 · median $24,262 | 38 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $42,135 – $102,540 · median $49,180 | 38 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $23,892 – $56,977 · median $28,385 | 38 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,103 – $46,291 · median $16,679 | 38 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $39,744 – $93,699 · median $46,325 | 38 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $27,015 – $67,991 · median $32,120 | 38 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $21,111 – $60,631 · median $25,060 | 38 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $23,274 – $64,795 · median $27,646 | 38 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $14,900 – $51,418 · median $17,633 | 38 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $36,888 – $86,959 · median $42,111 | 38 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $22,613 – $53,863 · median $26,856 | 38 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $18,786 – $44,243 · median $22,119 | 38 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $32,292 – $77,372 · median $37,104 | 38 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,530 – $44,981 · median $20,777 | 38 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,223 – $35,465 · median $10,844 | 38 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $26,469 – $62,373 · median $31,092 | 38 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $18,921 – $44,563 · median $22,441 | 38 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $14,370 – $37,392 · median $16,998 | 38 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $22,357 – $58,873 · median $26,550 | 38 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $16,156 – $45,294 · median $19,134 | 38 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,641 – $38,332 · median $14,932 | 38 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $21,292 – $50,642 · median $25,277 | 38 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $24,744 – $58,303 · median $29,404 | 38 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $16,130 – $46,418 · median $19,104 | 38 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,150 – $35,281 · median $14,344 | 38 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $13,687 – $39,403 · median $16,182 | 38 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,743 – $33,203 · median $10,269 | 38 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $28,114 – $66,256 · median $31,770 | 38 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $19,504 – $45,939 · median $22,371 | 38 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $15,489 – $36,463 · median $17,605 | 38 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $27,766 – $65,435 · median $31,376 | 38 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $13,952 – $37,004 · median $16,499 | 38 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,436 – $25,585 · median $11,099 | 38 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $18,432 – $54,540 · median $26,148 | 38 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $12,474 – $36,612 · median $17,546 | 38 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $24,272 – $57,188 · median $27,723 | 38 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,529 – $33,227 · median $15,994 | 38 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,480 – $24,644 · median $11,931 | 38 plans |
| 503 | FOOT PROCEDURES WITH MCC | $20,648 – $50,502 · median $24,210 | 38 plans |
| 504 | FOOT PROCEDURES WITH CC | $14,448 – $34,007 · median $16,552 | 38 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,638 – $32,640 · median $15,640 | 38 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,505 – $24,703 · median $12,377 | 38 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $13,971 – $32,883 · median $16,055 | 38 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,757 – $27,659 · median $13,375 | 38 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $22,145 – $54,606 · median $26,180 | 38 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $16,041 – $37,768 · median $18,100 | 38 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,797 – $30,181 · median $14,460 | 38 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,212 – $28,730 · median $13,910 | 38 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,026 – $18,854 · median $9,368 | 38 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $24,439 – $62,681 · median $29,039 | 38 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $16,032 – $46,161 · median $18,986 | 38 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,926 – $39,005 · median $14,077 | 38 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $20,327 – $67,431 · median $32,334 | 38 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $15,441 – $36,351 · median $18,116 | 38 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,602 – $27,292 · median $13,213 | 38 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $22,038 – $64,795 · median $26,168 | 38 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $16,332 – $52,467 · median $19,345 | 38 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $12,161 – $28,612 · median $14,019 | 38 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,387 – $16,749 · median $7,452 | 38 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,995 – $23,500 · median $11,377 | 38 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,398 – $15,012 · median $7,458 | 38 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,061 – $17,637 · median $8,441 | 38 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,613 – $13,450 · median $6,432 | 38 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,791 – $35,805 · median $17,159 | 38 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,104 – $23,756 · median $11,661 | 38 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,245 – $18,849 · median $7,283 | 38 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,669 – $32,169 · median $16,160 | 38 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,069 – $23,567 · median $9,464 | 38 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,996 – $19,857 · median $6,985 | 38 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $19,092 – $44,966 · median $21,894 | 38 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,020 – $26,857 · median $10,601 | 38 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,615 – $20,110 · median $7,725 | 38 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,915 – $35,111 · median $16,825 | 38 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,428 – $22,162 · median $11,089 | 38 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,902 – $17,912 · median $8,069 | 38 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,983 – $30,552 · median $15,341 | 38 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,563 – $18,747 · median $8,859 | 38 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,104 – $23,756 · median $11,501 | 38 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,569 – $15,415 · median $7,670 | 38 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,854 – $24,213 · median $11,596 | 38 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,572 – $15,424 · median $7,379 | 38 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,339 – $27,167 · median $13,014 | 38 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,047 – $16,544 · median $8,008 | 38 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,415 – $33,930 · median $17,053 | 38 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,813 – $20,711 · median $10,130 | 38 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,370 – $14,946 · median $7,378 | 38 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $11,078 – $26,055 · median $12,675 | 38 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,065 – $16,585 · median $8,028 | 38 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,629 – $28,181 · median $13,500 | 38 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,663 – $17,997 · median $8,894 | 38 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,956 – $14,509 · median $6,937 | 38 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $23,366 – $55,041 · median $26,581 | 38 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $13,085 – $30,792 · median $15,462 | 38 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,966 – $21,072 · median $10,306 | 38 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $34,860 – $117,782 · median $56,493 | 38 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $26,596 – $62,674 · median $30,051 | 38 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,489 – $32,715 · median $15,676 | 38 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $35,560 – $88,256 · median $42,326 | 38 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $18,441 – $47,990 · median $23,005 | 38 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,874 – $29,305 · median $14,039 | 38 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $24,830 – $58,507 · median $28,166 | 38 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,377 – $31,617 · median $15,811 | 38 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,217 – $26,383 · median $12,638 | 38 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $14,883 – $35,034 · median $17,076 | 38 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $13,350 – $31,416 · median $15,187 | 38 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $16,506 – $41,387 · median $19,553 | 38 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,902 – $37,733 · median $17,635 | 38 plans |
| 592 | SKIN ULCERS WITH MCC | $12,965 – $35,189 · median $16,863 | 38 plans |
| 593 | SKIN ULCERS WITH CC | $9,270 – $21,788 · median $10,433 | 38 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,847 – $16,072 · median $8,003 | 38 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $15,357 – $38,507 · median $18,455 | 38 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,482 – $19,931 · median $9,663 | 38 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,915 – $30,391 · median $15,259 | 38 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,852 – $23,038 · median $10,401 | 38 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,108 – $15,580 · median $7,119 | 38 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,172 – $19,199 · median $9,319 | 38 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,862 – $13,681 · median $5,629 | 38 plans |
| 602 | CELLULITIS WITH MCC | $11,051 – $25,993 · median $12,450 | 38 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,878 – $16,145 · median $8,022 | 38 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,437 – $26,902 · median $12,987 | 38 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,220 – $16,952 · median $8,449 | 38 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $9,521 – $27,637 · median $13,239 | 38 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,716 – $16,780 · median $8,030 | 38 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $16,894 – $64,742 · median $20,017 | 38 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,885 – $48,099 · median $12,831 | 38 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $26,718 – $62,960 · median $31,764 | 38 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,456 – $44,061 · median $17,102 | 38 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,029 – $35,045 · median $13,003 | 38 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,262 – $64,245 · median $31,110 | 38 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,877 – $41,799 · median $16,409 | 38 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,767 – $33,446 · median $11,494 | 38 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $20,653 – $54,599 · median $26,176 | 38 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,644 – $27,390 · median $13,270 | 38 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,346 – $24,329 · median $11,652 | 38 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $28,038 – $67,244 · median $32,244 | 38 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $16,795 – $42,113 · median $19,899 | 38 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,341 – $30,257 · median $13,377 | 38 plans |
| 637 | DIABETES WITH MCC | $11,168 – $26,268 · median $12,632 | 38 plans |
| 638 | DIABETES WITH CC | $7,070 – $16,598 · median $8,269 | 38 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,985 – $13,797 · median $5,776 | 38 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,281 – $24,459 · median $11,715 | 38 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,175 – $14,486 · median $7,199 | 38 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $9,441 – $26,007 · median $12,457 | 38 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,756 – $30,015 · median $14,532 | 38 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,046 – $20,103 · median $9,437 | 38 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,100 – $15,703 · median $7,109 | 38 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $39,676 – $102,183 · median $47,260 | 38 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $21,500 – $71,221 · median $25,525 | 38 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,324 – $60,525 · median $19,335 | 38 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $24,416 – $62,294 · median $29,011 | 38 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $14,150 – $44,484 · median $16,736 | 38 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $12,041 – $38,766 · median $14,214 | 38 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $19,541 – $55,730 · median $23,182 | 38 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,296 – $40,837 · median $12,127 | 38 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,125 – $27,756 · median $9,531 | 38 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $23,488 – $55,340 · median $26,532 | 38 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,801 – $30,916 · median $13,927 | 38 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,213 – $22,531 · median $9,636 | 38 plans |
| 665 | PROSTATECTOMY WITH MCC | $23,150 – $56,408 · median $27,044 | 38 plans |
| 666 | PROSTATECTOMY WITH CC | $13,538 – $31,861 · median $15,705 | 38 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,662 – $20,355 · median $10,008 | 38 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $20,161 – $52,808 · median $25,317 | 38 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $12,042 – $28,331 · median $13,973 | 38 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,685 – $19,247 · median $9,005 | 38 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,885 – $32,679 · median $15,823 | 38 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,460 – $19,877 · median $9,851 | 38 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $22,365 – $75,739 · median $36,320 | 38 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,391 – $42,405 · median $20,326 | 38 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,720 – $29,931 · median $14,974 | 38 plans |
| 682 | RENAL FAILURE WITH MCC | $11,504 – $31,008 · median $13,572 | 38 plans |
| 683 | RENAL FAILURE WITH CC | $6,915 – $23,672 · median $8,084 | 38 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,826 – $19,497 · median $5,586 | 38 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,814 – $32,835 · median $15,733 | 38 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,219 – $19,723 · median $9,644 | 38 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,267 – $15,174 · median $7,309 | 38 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,072 – $21,323 · median $10,664 | 38 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,412 – $15,439 · median $7,483 | 38 plans |
| 693 | URINARY STONES WITH MCC | $10,469 – $24,619 · median $11,919 | 38 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,202 – $14,549 · median $7,231 | 38 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,947 – $21,028 · median $10,112 | 38 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,499 – $12,890 · median $6,339 | 38 plans |
| 697 | URETHRAL STRICTURE | $8,433 – $19,847 · median $9,501 | 38 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,819 – $30,163 · median $14,930 | 38 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,971 – $22,429 · median $9,346 | 38 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,506 – $17,834 · median $6,399 | 38 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $15,442 – $40,978 · median $18,280 | 38 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,907 – $31,311 · median $14,054 | 38 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $17,920 – $42,200 · median $20,227 | 38 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,899 – $27,284 · median $12,848 | 38 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $16,075 – $37,846 · median $18,138 | 38 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,613 – $20,239 · median $10,114 | 38 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,674 – $27,462 · median $13,155 | 38 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,173 – $19,482 · median $9,326 | 38 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $17,239 – $40,593 · median $19,456 | 38 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,428 – $26,882 · median $13,124 | 38 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $14,609 – $34,388 · median $17,090 | 38 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,458 – $24,594 · median $11,907 | 38 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $12,774 – $32,942 · median $15,785 | 38 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,939 – $22,894 · median $10,504 | 38 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,246 – $13,423 · median $6,089 | 38 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,147 – $21,500 · median $10,422 | 38 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,749 – $13,481 · median $6,690 | 38 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,518 – $27,095 · median $13,579 | 38 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,425 – $18,641 · median $7,498 | 38 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,302 – $23,778 · median $9,743 | 38 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,370 – $17,591 · median $6,236 | 38 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,425 – $42,092 · median $19,456 | 38 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,477 – $31,272 · median $12,343 | 38 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $27,378 – $78,638 · median $32,554 | 38 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $15,899 – $51,485 · median $18,827 | 38 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,409 – $41,031 · median $13,458 | 38 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $27,424 – $64,667 · median $31,007 | 38 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,996 – $33,650 · median $16,551 | 38 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,088 – $26,079 · median $12,750 | 38 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $14,187 – $33,391 · median $16,293 | 38 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,682 – $22,761 · median $11,242 | 38 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $13,426 – $37,226 · median $17,840 | 38 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,899 – $20,915 · median $10,125 | 38 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $13,446 – $31,643 · median $15,162 | 38 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,793 – $21,051 · median $7,938 | 38 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,312 – $25,384 · median $12,158 | 38 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $17,431 – $46,503 · median $22,292 | 38 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,456 – $26,968 · median $12,918 | 38 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,239 – $33,890 · median $16,842 | 38 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,523 – $25,223 · median $10,006 | 38 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,557 – $17,748 · median $8,825 | 38 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,922 – $26,182 · median $12,541 | 38 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,698 – $18,079 · median $8,751 | 38 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,306 – $13,614 · median $6,160 | 38 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,914 – $18,589 · median $9,278 | 38 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,600 – $14,748 · median $5,316 | 38 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $13,087 – $30,797 · median $15,465 | 38 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,724 – $18,503 · median $8,857 | 38 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,239 – $13,176 · median $6,079 | 38 plans |
| 779 | ABORTION WITHOUT D&C | $6,654 – $15,615 · median $7,471 | 38 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $13,940 – $32,808 · median $16,449 | 38 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $45,341 – $149,499 · median $54,034 | 38 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $31,052 – $73,187 · median $35,441 | 38 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $14,229 – $44,384 · median $21,275 | 38 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $12,332 – $75,166 · median $35,717 | 38 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $4,744 – $26,970 · median $12,819 | 38 plans |
| 795 | NORMAL NEWBORN | $1,535 – $4,255 · median $1,964 | 38 plans |
| 799 | SPLENECTOMY WITH MCC | $34,615 – $81,595 · median $39,513 | 38 plans |
| 800 | SPLENECTOMY WITH CC | $21,577 – $50,829 · median $25,617 | 38 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $14,749 – $42,440 · median $17,452 | 38 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $30,484 – $71,847 · median $34,453 | 38 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $14,370 – $38,783 · median $16,998 | 38 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,556 – $31,339 · median $12,438 | 38 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $17,016 – $40,067 · median $20,163 | 38 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,873 – $29,658 · median $11,621 | 38 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,210 – $26,477 · median $9,633 | 38 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,922 – $25,689 · median $12,437 | 38 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,237 – $17,556 · median $8,469 | 38 plans |
| 813 | COAGULATION DISORDERS | $11,840 – $27,854 · median $13,485 | 38 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,608 – $38,614 · median $18,506 | 38 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,963 – $22,446 · median $9,337 | 38 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,067 – $17,524 · median $5,874 | 38 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $17,575 – $47,401 · median $20,831 | 38 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,064 – $26,045 · median $10,654 | 38 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,795 – $15,948 · median $7,940 | 38 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $44,744 – $114,173 · median $53,320 | 38 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,249 – $68,160 · median $20,441 | 38 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,404 – $40,594 · median $11,060 | 38 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $35,039 – $82,595 · median $41,072 | 38 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $17,453 – $55,765 · median $20,686 | 38 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,506 – $35,901 · median $12,378 | 38 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $35,744 – $105,213 · median $42,558 | 38 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $17,799 – $64,083 · median $21,099 | 38 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,193 – $39,960 · median $15,592 | 38 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $24,235 – $57,102 · median $27,699 | 38 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,686 – $33,798 · median $13,789 | 38 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,392 – $22,211 · median $11,046 | 38 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,746 – $13,474 · median $6,686 | 38 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,239 – $9,918 · median $4,884 | 38 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $41,902 – $106,975 · median $49,921 | 38 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $16,090 – $75,389 · median $19,056 | 38 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,521 – $64,091 · median $11,201 | 38 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $36,703 – $92,220 · median $43,705 | 38 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $16,102 – $57,664 · median $19,070 | 38 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,223 – $38,903 · median $13,235 | 38 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $24,803 – $58,442 · median $28,484 | 38 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,644 – $40,640 · median $14,935 | 38 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,936 – $30,120 · median $9,305 | 38 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $15,400 – $36,254 · median $17,830 | 38 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,505 – $25,409 · median $11,182 | 38 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,732 – $19,797 · median $7,865 | 38 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $19,645 – $46,948 · median $22,505 | 38 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $10,194 – $23,969 · median $11,957 | 38 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,715 – $20,146 · median $7,845 | 38 plans |
| 849 | RADIOTHERAPY | $13,938 – $49,042 · median $23,510 | 38 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $37,721 – $112,140 · median $44,922 | 38 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,425 – $77,958 · median $18,260 | 38 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,627 – $53,376 · median $13,719 | 38 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $34,765 – $81,949 · median $39,844 | 38 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $16,512 – $46,971 · median $19,561 | 38 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,836 – $36,014 · median $12,773 | 38 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $14,103 – $33,193 · median $16,548 | 38 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,841 – $21,509 · median $9,191 | 38 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,005 – $16,445 · median $8,192 | 38 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,913 – $27,371 · median $13,111 | 38 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,382 – $16,122 · median $7,714 | 38 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $16,146 – $38,015 · median $18,864 | 38 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,093 – $24,814 · median $9,492 | 38 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,807 – $22,136 · median $6,759 | 38 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $52,683 – $152,607 · median $62,814 | 38 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $15,003 – $35,318 · median $17,756 | 38 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,034 – $27,566 · median $9,422 | 38 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $28,038 – $69,714 · median $33,429 | 38 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,555 – $17,743 · median $8,492 | 38 plans |
| 881 | DEPRESSIVE NEUROSES | $7,180 – $17,397 · median $8,326 | 38 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,392 – $19,775 · median $9,467 | 38 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $14,087 – $35,744 · median $17,129 | 38 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,474 – $29,349 · median $14,061 | 38 plans |
| 885 | PSYCHOSES | $10,866 – $25,554 · median $12,240 | 38 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $10,964 – $37,694 · median $18,065 | 38 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,395 – $19,723 · median $9,662 | 38 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,934 – $11,600 · median $5,544 | 38 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $11,008 – $26,544 · median $12,979 | 38 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $13,507 – $31,786 · median $15,733 | 38 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,968 – $16,358 · median $7,832 | 38 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $31,103 – $75,649 · median $36,277 | 38 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,791 – $37,705 · median $17,502 | 38 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,143 – $30,321 · median $10,748 | 38 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $26,247 – $66,283 · median $31,783 | 38 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,522 – $30,779 · median $13,593 | 38 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $12,192 – $35,708 · median $17,112 | 38 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $29,386 – $69,256 · median $33,652 | 38 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $15,403 – $44,008 · median $18,234 | 38 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,228 – $28,404 · median $12,046 | 38 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,326 – $29,809 · median $14,282 | 38 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,989 – $16,406 · median $7,991 | 38 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $9,097 – $30,650 · median $14,685 | 38 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,239 – $12,484 · median $5,969 | 38 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $11,168 – $28,625 · median $13,713 | 38 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,562 – $15,898 · median $7,607 | 38 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $14,156 – $33,320 · median $16,133 | 38 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,874 – $21,995 · median $9,231 | 38 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,494 – $15,942 · median $6,385 | 38 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $11,396 – $31,863 · median $15,267 | 38 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,106 – $18,771 · median $8,985 | 38 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $162,165 – $397,322 · median $193,732 | 38 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $54,661 – $128,899 · median $65,179 | 38 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $24,696 – $68,139 · median $29,347 | 38 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $29,802 – $71,091 · median $35,453 | 38 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $17,036 – $40,115 · median $19,227 | 38 plans |
| 935 | NON-EXTENSIVE BURNS | $13,551 – $37,421 · median $17,934 | 38 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $27,424 – $65,485 · median $31,400 | 38 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $17,994 – $42,375 · median $20,957 | 38 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $15,649 – $36,843 · median $17,839 | 38 plans |
| 945 | REHABILITATION WITH CC/MCC | $12,017 – $35,200 · median $14,185 | 38 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,970 – $32,445 · median $10,541 | 38 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,892 – $23,275 · median $11,146 | 38 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,344 – $14,885 · median $7,121 | 38 plans |
| 949 | AFTERCARE WITH CC/MCC | $5,065 – $21,849 · median $10,386 | 38 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,113 – $11,793 · median $5,637 | 38 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,490 – $10,563 · median $5,185 | 38 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $51,313 – $156,402 · median $61,175 | 38 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $28,807 – $96,902 · median $34,263 | 38 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $58,052 – $136,900 · median $67,141 | 38 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $32,226 – $97,198 · median $38,351 | 38 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $22,598 – $80,273 · median $26,838 | 38 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $21,003 – $53,528 · median $24,931 | 38 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,895 – $39,625 · median $14,040 | 38 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,406 – $32,854 · median $8,671 | 38 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $46,689 – $110,773 · median $55,646 | 38 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $20,273 – $79,424 · median $24,057 | 38 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $22,157 – $59,521 · median $26,311 | 38 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,094 – $44,311 · median $11,885 | 38 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,119 – $37,184 · median $8,328 | 38 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,114 – $23,781 · median $11,835 | 38 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $35,850 – $84,510 · median $42,685 | 38 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,916 – $61,674 · median $22,435 | 38 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,271 – $46,288 · median $15,684 | 38 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $26,270 – $61,904 · median $29,977 | 38 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,737 – $37,603 · median $15,046 | 38 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,367 – $30,462 · median $11,017 | 38 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $4,255 – $19,736 · median $9,215 | 35 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $9,330 – $44,490 · median $19,939 | 35 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,313 – $20,764 · median $9,330 | 35 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,537 – $18,268 · median $8,513 | 35 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $9,330 – $30,076 · median $14,055 | 35 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,743 – $20,545 · median $9,788 | 35 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,544 – $17,718 · median $8,521 | 35 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,255 – $21,443 · median $10,014 | 35 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,255 – $18,462 · median $8,418 | 35 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $4,255 – $17,687 · median $7,948 | 35 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,255 – $19,872 · median $9,279 | 35 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,255 – $14,053 · median $6,322 | 35 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,255 – $12,625 · median $5,683 | 35 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $92,813 – $773,203 · median $365,553 | 33 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $54,373 – $219,756 · median $62,383 | 33 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $212,766 – $501,975 · median $239,653 | 31 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $91,400 – $227,761 · median $103,424 | 30 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $41,465 – $112,217 · median $46,886 | 30 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $35,923 – $111,206 · median $40,611 | 30 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $28,374 – $91,297 · median $32,063 | 30 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $7,809 – $31,235 · median $13,092 | 29 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $3,466 – $18,417 · median $8,546 | 29 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $3,390 – $13,561 · median $5,801 | 29 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $4,495 – $22,534 · median $10,453 | 29 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $2,467 – $14,694 · median $6,821 | 29 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $67,466 – $273,656 · median $73,728 | 29 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $22,399 – $109,997 · median $50,973 | 29 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $35,196 – $146,158 · median $38,451 | 29 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $44,243 – $176,974 · median $55,251 | 29 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $19,932 – $79,729 · median $30,595 | 29 plans |
| 509 | ARTHROSCOPY | $13,595 – $136,253 · median $14,952 | 29 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $86,198 – $320,153 · median $96,147 | 27 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $78,454 – $230,312 · median $87,508 | 27 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $35,434 – $157,480 · median $39,520 | 27 plans |
| 007 | LUNG TRANSPLANT | $119,716 – $436,742 · median $195,429 | 27 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $42,771 – $185,310 · median $47,704 | 27 plans |
| 010 | PANCREAS TRANSPLANT | $54,684 – $142,823 · median $60,993 | 27 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $45,236 – $163,889 · median $50,454 | 27 plans |
| 652 | KIDNEY TRANSPLANT | $24,762 – $78,701 · median $27,615 | 27 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $1,676 – $11,378 · median $5,120 | 9 plans |
| 999 | UNGROUPABLE | $1,676 – $21,765 · median $9,794 | 9 plans |
No procedures match that keyword.