Oro Valley Hospital — 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 | $153,042 – $405,975 · median $209,293 | 34 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $99,910 – $245,345 · median $131,313 | 34 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $39,403 – $87,950 · median $48,563 | 34 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $30,481 – $68,847 · median $38,015 | 34 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $20,868 – $56,738 · median $28,532 | 34 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $56,802 – $221,208 · median $77,908 | 34 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $38,248 – $192,353 · median $52,413 | 34 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $22,998 – $160,971 · median $31,459 | 34 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $41,393 – $125,697 · median $56,735 | 34 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $28,290 – $104,163 · median $38,731 | 34 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $32,864 – $139,300 · median $45,016 | 34 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $22,506 – $103,850 · median $30,784 | 34 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $18,282 – $76,482 · median $24,979 | 34 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $43,396 – $118,725 · median $59,487 | 34 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $24,685 – $79,515 · median $33,778 | 34 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $15,920 – $49,399 · median $21,734 | 34 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $32,387 – $100,369 · median $44,361 | 34 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $15,458 – $54,532 · median $21,099 | 34 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,085 – $39,499 · median $16,464 | 34 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $27,993 – $76,506 · median $38,323 | 34 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,328 – $57,132 · median $23,668 | 34 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,102 – $51,062 · median $19,235 | 34 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $23,824 – $56,093 · median $30,613 | 34 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,795 – $36,405 · median $16,065 | 34 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,573 – $27,041 · median $11,638 | 34 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $27,925 – $65,975 · median $35,955 | 34 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $15,946 – $47,827 · median $21,769 | 34 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,552 – $37,924 · median $17,106 | 34 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $13,154 – $35,348 · median $17,933 | 34 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,158 – $27,558 · median $9,695 | 34 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,105 – $30,846 · median $15,118 | 34 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,450 – $24,310 · median $10,095 | 34 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $14,690 – $32,070 · median $18,368 | 34 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,438 – $19,064 · median $10,551 | 34 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $12,421 – $29,496 · median $15,996 | 34 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,044 – $21,477 · median $11,629 | 34 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,730 – $18,997 · median $9,107 | 34 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $19,969 – $63,714 · median $27,298 | 34 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $12,764 – $52,101 · median $17,398 | 34 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,218 – $46,503 · median $13,899 | 34 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,593 – $38,956 · median $19,911 | 34 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,383 – $29,968 · median $10,003 | 34 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,034 – $24,768 · median $6,776 | 34 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,686 – $22,619 · median $12,489 | 34 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,331 – $16,936 · median $8,558 | 34 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,859 – $18,240 · median $7,909 | 34 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $12,099 – $32,428 · median $16,483 | 34 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $7,496 – $25,046 · median $10,158 | 34 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,552 – $19,173 · median $7,487 | 34 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,663 – $24,451 · median $13,501 | 34 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,530 – $18,687 · median $9,887 | 34 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $12,939 – $26,502 · median $15,185 | 34 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,049 – $17,901 · median $8,170 | 34 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $11,794 – $25,027 · median $14,342 | 34 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,556 – $17,415 · median $8,867 | 34 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $16,572 – $43,892 · median $22,585 | 34 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,160 – $34,982 · median $13,820 | 34 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,990 – $29,147 · median $9,463 | 34 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,473 – $38,044 · median $20,947 | 34 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,489 – $27,696 · median $12,898 | 34 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,694 – $20,731 · median $9,056 | 34 plans |
| 088 | CONCUSSION WITH MCC | $9,843 – $24,296 · median $12,910 | 34 plans |
| 089 | CONCUSSION WITH CC | $8,019 – $17,757 · median $9,805 | 34 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,034 – $14,565 · median $7,800 | 34 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $12,757 – $27,220 · median $15,030 | 34 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,474 – $19,585 · median $10,092 | 34 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,841 – $15,847 · median $7,884 | 34 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $25,462 – $60,363 · median $32,833 | 34 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $18,687 – $49,209 · median $25,399 | 34 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $18,687 – $44,998 · median $24,267 | 34 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $25,263 – $49,759 · median $28,480 | 34 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $16,639 – $36,222 · median $20,001 | 34 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $9,920 – $32,008 · median $13,489 | 34 plans |
| 100 | SEIZURES WITH MCC | $13,162 – $26,767 · median $15,337 | 34 plans |
| 101 | SEIZURES WITHOUT MCC | $6,607 – $16,161 · median $8,603 | 34 plans |
| 102 | HEADACHES WITH MCC | $8,180 – $17,426 · median $9,622 | 34 plans |
| 103 | HEADACHES WITHOUT MCC | $6,129 – $13,360 · median $7,377 | 34 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $13,811 – $32,454 · median $18,588 | 34 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,852 – $18,754 · median $10,755 | 34 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $10,327 – $21,250 · median $12,183 | 34 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $10,382 – $25,001 · median $14,327 | 34 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,920 – $15,396 · median $8,686 | 34 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,485 – $16,341 · median $9,267 | 34 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,765 – $12,271 · median $6,776 | 34 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,857 – $19,293 · median $7,907 | 34 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $8,285 – $18,343 · median $10,521 | 34 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,635 – $11,235 · median $6,263 | 34 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $15,739 – $30,606 · median $17,250 | 34 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,419 – $22,164 · median $10,052 | 34 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,862 – $23,352 · median $12,894 | 34 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,488 – $15,608 · median $8,377 | 34 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,007 – $17,143 · median $9,835 | 34 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $30,837 – $70,704 · median $39,040 | 34 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,819 – $39,382 · median $20,879 | 34 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,606 – $28,654 · median $15,236 | 34 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $27,099 – $52,150 · median $29,538 | 34 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,589 – $30,881 · median $16,478 | 34 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,766 – $21,456 · median $11,441 | 34 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $15,360 – $31,494 · median $17,390 | 34 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,265 – $21,632 · median $11,815 | 34 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,846 – $17,884 · median $7,892 | 34 plans |
| 149 | DYSEQUILIBRIUM | $5,519 – $13,356 · median $7,137 | 34 plans |
| 150 | EPISTAXIS WITH MCC | $9,697 – $18,458 · median $10,587 | 34 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,392 – $11,489 · median $6,344 | 34 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $6,069 – $16,409 · median $9,415 | 34 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,617 – $10,314 · median $5,931 | 34 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,369 – $21,643 · median $12,407 | 34 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $6,707 – $16,207 · median $8,681 | 34 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,083 – $13,920 · median $6,842 | 34 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,473 – $24,620 · median $13,777 | 34 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,658 – $17,887 · median $9,008 | 34 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,208 – $15,217 · median $7,015 | 34 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $32,397 – $89,496 · median $44,374 | 34 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $18,290 – $62,125 · median $24,990 | 34 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,896 – $53,334 · median $18,952 | 34 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $27,035 – $74,449 · median $37,007 | 34 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,097 – $55,025 · median $17,855 | 34 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,948 – $41,422 · median $13,529 | 34 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $21,549 – $60,367 · median $29,469 | 34 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,000 – $29,891 · median $13,600 | 34 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,903 – $23,172 · median $7,970 | 34 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,363 – $40,873 · median $15,472 | 34 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,135 – $32,466 · median $9,663 | 34 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,543 – $26,470 · median $7,475 | 34 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $12,828 – $39,812 · median $17,485 | 34 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,820 – $33,608 · median $10,604 | 34 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,534 – $29,327 · median $7,463 | 34 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,127 – $29,232 · median $15,078 | 34 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,770 – $22,186 · median $10,536 | 34 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,770 – $16,844 · median $7,787 | 34 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,333 – $29,989 · median $15,416 | 34 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,230 – $24,638 · median $9,793 | 34 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,271 – $20,096 · median $7,101 | 34 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,005 – $29,799 · median $12,232 | 34 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,084 – $23,796 · median $10,967 | 34 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,177 – $20,093 · median $8,346 | 34 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,729 – $17,401 · median $6,356 | 34 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,574 – $23,433 · median $12,501 | 34 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,910 – $17,838 · median $7,979 | 34 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,631 – $14,952 · median $6,223 | 34 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,411 – $26,086 · median $14,947 | 34 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,942 – $20,723 · median $9,397 | 34 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,263 – $17,461 · median $7,091 | 34 plans |
| 199 | PNEUMOTHORAX WITH MCC | $12,814 – $32,502 · median $17,061 | 34 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,024 – $23,778 · median $10,884 | 34 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,255 – $18,990 · median $7,080 | 34 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,004 – $13,513 · median $7,760 | 34 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,931 – $10,228 · median $5,648 | 34 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,921 – $14,572 · median $7,727 | 34 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $12,721 – $25,315 · median $14,506 | 34 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,884 – $17,447 · median $9,131 | 34 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $46,468 – $135,696 · median $63,709 | 34 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $19,909 – $50,724 · median $26,606 | 34 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $78,457 – $149,446 · median $85,468 | 34 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $71,848 – $303,196 · median $98,583 | 34 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $70,593 – $198,902 · median $96,858 | 34 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $47,481 – $162,071 · median $65,101 | 34 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $47,481 – $146,643 · median $65,101 | 34 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $55,429 – $171,834 · median $76,022 | 34 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $38,529 – $131,898 · median $52,799 | 34 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $36,420 – $125,081 · median $49,902 | 34 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $35,752 – $154,168 · median $48,984 | 34 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $22,797 – $121,667 · median $31,183 | 34 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $60,845 – $171,217 · median $83,463 | 34 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $43,787 – $145,304 · median $60,025 | 34 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $55,191 – $162,916 · median $75,694 | 34 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $39,465 – $128,051 · median $54,086 | 34 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $42,389 – $131,595 · median $58,104 | 34 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $30,285 – $95,549 · median $41,473 | 34 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $35,566 – $75,234 · median $41,542 | 34 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $20,642 – $57,174 · median $28,222 | 34 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $10,078 – $47,119 · median $13,707 | 34 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $23,109 – $78,352 · median $31,612 | 34 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $15,457 – $61,272 · median $21,098 | 34 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,127 – $51,375 · median $17,896 | 34 plans |
| 245 | AICD GENERATOR PROCEDURES | $32,977 – $78,194 · median $42,548 | 34 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $15,829 – $57,506 · median $21,609 | 34 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $10,871 – $37,015 · median $14,797 | 34 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $25,238 – $65,655 · median $34,110 | 34 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $18,806 – $53,679 · median $25,699 | 34 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $12,941 – $39,985 · median $17,640 | 34 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $19,539 – $47,567 · median $25,515 | 34 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,337 – $37,297 · median $16,811 | 34 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,973 – $30,972 · median $10,814 | 34 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $22,743 – $55,275 · median $29,685 | 34 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $14,673 – $39,911 · median $20,021 | 34 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $22,991 – $44,831 · median $25,663 | 34 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $13,725 – $26,132 · median $14,973 | 34 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $11,847 – $22,554 · median $12,928 | 34 plans |
| 263 | VEIN LIGATION AND STRIPPING | $10,429 – $42,149 · median $23,901 | 34 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $24,174 – $47,052 · median $26,500 | 34 plans |
| 265 | AICD LEAD PROCEDURES | $26,174 – $78,194 · median $35,823 | 34 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $44,261 – $187,797 · median $60,677 | 34 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $34,407 – $172,890 · median $47,136 | 34 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $49,662 – $119,169 · median $64,489 | 34 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $30,533 – $78,028 · median $40,904 | 34 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $38,121 – $89,838 · median $49,046 | 34 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $25,728 – $62,808 · median $33,665 | 34 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $18,499 – $44,984 · median $24,139 | 34 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $29,829 – $75,678 · median $39,811 | 34 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $23,821 – $53,116 · median $29,329 | 34 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $51,481 – $214,817 · median $70,597 | 34 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $43,384 – $129,714 · median $59,471 | 34 plans |
| 277 | CELLULITIS AGE >17 W CC | $33,382 – $111,936 · median $45,727 | 34 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $31,570 – $76,587 · median $43,817 | 34 plans |
| 279 | CELLULITIS AGE 0-17 | $22,714 – $49,685 · median $28,438 | 34 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $11,661 – $41,162 · median $15,882 | 34 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,725 – $31,064 · median $9,100 | 34 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,313 – $25,127 · median $7,159 | 34 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $14,376 – $36,990 · median $19,291 | 34 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,090 – $28,291 · median $6,853 | 34 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,418 – $24,416 · median $5,930 | 34 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $16,047 – $39,403 · median $21,034 | 34 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,813 – $26,981 · median $10,595 | 34 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $19,602 – $48,233 · median $25,735 | 34 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,402 – $38,191 · median $16,900 | 34 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,802 – $32,660 · median $9,205 | 34 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,353 – $25,811 · median $12,711 | 34 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,220 – $20,783 · median $8,406 | 34 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,181 – $17,975 · median $5,604 | 34 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,357 – $27,629 · median $14,797 | 34 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,671 – $21,048 · median $6,277 | 34 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,382 – $16,242 · median $4,506 | 34 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $11,867 – $24,444 · median $13,497 | 34 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,795 – $18,905 · median $10,119 | 34 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,289 – $14,368 · median $7,126 | 34 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,725 – $16,607 · median $9,528 | 34 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,954 – $11,982 · median $6,398 | 34 plans |
| 304 | HYPERTENSION WITH MCC | $8,677 – $19,395 · median $10,709 | 34 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,544 – $13,864 · median $7,290 | 34 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,457 – $26,385 · median $14,528 | 34 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,683 – $17,415 · median $8,991 | 34 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,778 – $23,088 · median $11,888 | 34 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,404 – $17,535 · median $7,284 | 34 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,182 – $13,712 · median $5,605 | 34 plans |
| 311 | ANGINA PECTORIS | $5,160 – $11,880 · median $6,506 | 34 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,383 – $16,855 · median $8,630 | 34 plans |
| 313 | CHEST PAIN | $5,291 – $13,198 · median $6,945 | 34 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $15,128 – $30,680 · median $16,941 | 34 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,044 – $23,038 · median $9,538 | 34 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,018 – $17,841 · median $6,753 | 34 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $32,260 – $126,610 · median $44,187 | 34 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $17,434 – $73,346 · median $23,815 | 34 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $19,708 – $82,189 · median $26,938 | 34 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $12,806 – $65,211 · median $17,455 | 34 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $31,284 – $70,704 · median $39,040 | 34 plans |
| 324 | URINARY STONES W/O CC | $22,807 – $50,759 · median $28,027 | 34 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $23,235 – $45,590 · median $25,575 | 34 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $36,040 – $104,921 · median $49,380 | 34 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,715 – $66,902 · median $24,200 | 34 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,648 – $36,592 · median $15,864 | 34 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $33,223 – $93,700 · median $45,509 | 34 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,376 – $60,169 · median $23,734 | 34 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,229 – $38,294 · median $16,662 | 34 plans |
| 332 | RECTAL RESECTION WITH MCC | $26,192 – $70,852 · median $35,848 | 34 plans |
| 333 | RECTAL RESECTION WITH CC | $16,980 – $48,127 · median $23,190 | 34 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $11,905 – $35,179 · median $16,217 | 34 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $25,833 – $69,509 · median $35,355 | 34 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $15,297 – $49,512 · median $20,878 | 34 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,163 – $34,936 · median $15,198 | 34 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $18,713 – $59,052 · median $25,572 | 34 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,945 – $39,971 · median $14,898 | 34 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,650 – $29,616 · median $11,744 | 34 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $16,644 – $34,503 · median $19,051 | 34 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,533 – $24,972 · median $12,889 | 34 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,376 – $16,859 · median $8,620 | 34 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $18,058 – $41,281 · median $22,794 | 34 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,088 – $28,038 · median $14,731 | 34 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,517 – $20,195 · median $10,939 | 34 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $21,013 – $47,944 · median $26,473 | 34 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,225 – $33,382 · median $16,657 | 34 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,794 – $24,035 · median $12,808 | 34 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $31,755 – $69,249 · median $38,237 | 34 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $16,859 – $51,125 · median $23,024 | 34 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,175 – $35,521 · median $13,840 | 34 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $11,573 – $28,059 · median $15,054 | 34 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,310 – $22,055 · median $9,903 | 34 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,152 – $19,448 · median $6,939 | 34 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $12,879 – $33,918 · median $17,485 | 34 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,460 – $27,234 · median $10,109 | 34 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,344 – $23,165 · median $7,202 | 34 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $15,513 – $33,819 · median $18,674 | 34 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,819 – $26,177 · median $11,976 | 34 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,763 – $20,156 · median $9,151 | 34 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,275 – $27,562 · median $15,219 | 34 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,169 – $21,023 · median $9,710 | 34 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,645 – $17,475 · median $6,242 | 34 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,242 – $29,302 · median $16,180 | 34 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,910 – $23,102 · median $10,728 | 34 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,872 – $19,751 · median $7,927 | 34 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,052 – $22,503 · median $12,425 | 34 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,262 – $16,809 · median $8,463 | 34 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,504 – $30,976 · median $15,666 | 34 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,138 – $22,327 · median $9,666 | 34 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,012 – $19,677 · median $6,745 | 34 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,744 – $26,667 · median $14,137 | 34 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,794 – $19,769 · median $7,820 | 34 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,023 – $15,055 · median $5,386 | 34 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,242 – $18,659 · median $10,329 | 34 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,720 – $13,892 · median $7,413 | 34 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $11,627 – $28,978 · median $15,337 | 34 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,845 – $22,457 · median $9,264 | 34 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,779 – $17,239 · median $6,426 | 34 plans |
| 397 | COAGULATION DISORDERS | $17,359 – $44,614 · median $23,294 | 34 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $11,009 – $34,714 · median $14,986 | 34 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $8,351 – $24,465 · median $11,334 | 34 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $39,521 – $106,020 · median $54,163 | 34 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $21,000 – $71,334 · median $28,715 | 34 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $16,096 – $49,293 · median $21,976 | 34 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $25,795 – $86,572 · median $35,303 | 34 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $15,791 – $65,426 · median $21,557 | 34 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,543 – $46,711 · median $15,720 | 34 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $23,905 – $78,310 · median $32,706 | 34 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $15,252 – $60,536 · median $20,817 | 34 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,068 – $46,520 · median $16,440 | 34 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $25,773 – $64,820 · median $34,236 | 34 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $14,995 – $47,658 · median $20,462 | 34 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $9,926 – $32,258 · median $13,498 | 34 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $17,298 – $37,469 · median $20,689 | 34 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,292 – $30,000 · median $16,047 | 34 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,944 – $21,749 · median $12,009 | 34 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $24,653 – $75,587 · median $33,733 | 34 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,622 – $48,923 · median $17,203 | 34 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,187 – $42,145 · median $13,856 | 34 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $30,027 – $81,449 · median $41,118 | 34 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $15,868 – $61,931 · median $21,662 | 34 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $10,913 – $53,098 · median $14,854 | 34 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,285 – $35,827 · median $18,918 | 34 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,713 – $27,245 · median $10,457 | 34 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,237 – $24,130 · median $7,054 | 34 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,337 – $32,375 · median $17,370 | 34 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,253 – $26,678 · median $11,199 | 34 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,251 – $24,204 · median $8,448 | 34 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $11,849 – $35,553 · median $16,140 | 34 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,164 – $24,144 · median $8,329 | 34 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,580 – $20,283 · median $6,152 | 34 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,035 – $30,990 · median $16,799 | 34 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,058 – $24,254 · median $9,557 | 34 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,145 – $20,135 · median $6,928 | 34 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,143 – $25,920 · median $14,312 | 34 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,989 – $20,805 · median $10,757 | 34 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,064 – $16,069 · median $8,191 | 34 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $60,654 – $146,861 · median $79,131 | 34 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $43,070 – $113,859 · median $58,747 | 34 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $30,169 – $106,217 · median $41,312 | 34 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $39,899 – $121,804 · median $54,683 | 34 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $19,270 – $98,449 · median $26,336 | 34 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $41,171 – $78,416 · median $44,863 | 34 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,546 – $56,977 · median $30,014 | 34 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,244 – $46,291 · median $18,056 | 34 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $37,611 – $87,467 · median $48,074 | 34 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $25,514 – $67,991 · median $34,916 | 34 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $19,904 – $60,631 · median $27,208 | 34 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $21,959 – $64,795 · median $30,031 | 34 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $14,002 – $51,418 · median $19,098 | 34 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $34,896 – $75,358 · median $41,610 | 34 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $21,331 – $53,863 · median $28,381 | 34 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $17,694 – $42,201 · median $22,864 | 34 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $31,036 – $60,021 · median $33,908 | 34 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,500 – $44,981 · median $22,531 | 34 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,607 – $35,465 · median $11,685 | 34 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $24,995 – $59,162 · median $32,204 | 34 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,823 – $44,192 · median $23,484 | 34 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,497 – $37,392 · median $18,405 | 34 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $21,088 – $58,873 · median $28,834 | 34 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,195 – $45,294 · median $20,737 | 34 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,855 – $38,332 · median $16,148 | 34 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $20,076 – $50,642 · median $26,694 | 34 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $23,356 – $58,291 · median $30,898 | 34 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,170 – $46,418 · median $20,704 | 34 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,388 – $35,281 · median $15,507 | 34 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $12,849 – $39,403 · median $17,514 | 34 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,150 – $33,203 · median $11,057 | 34 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $26,559 – $55,297 · median $30,533 | 34 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $18,377 – $41,602 · median $22,971 | 34 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $14,561 – $31,166 · median $17,209 | 34 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $26,228 – $53,588 · median $29,590 | 34 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $13,101 – $37,004 · median $17,860 | 34 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,809 – $25,585 · median $11,963 | 34 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $18,432 – $41,592 · median $23,811 | 34 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $12,474 – $27,838 · median $15,949 | 34 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $22,907 – $51,326 · median $28,341 | 34 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $12,699 – $33,227 · median $17,181 | 34 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $9,801 – $22,031 · median $12,165 | 34 plans |
| 503 | FOOT PROCEDURES WITH MCC | $20,214 – $38,494 · median $22,040 | 34 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,571 – $30,761 · median $16,985 | 34 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,021 – $25,349 · median $14,281 | 34 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,825 – $24,123 · median $12,851 | 34 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $13,119 – $29,930 · median $16,526 | 34 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,015 – $23,722 · median $13,098 | 34 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $21,867 – $41,643 · median $23,840 | 34 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $15,086 – $30,994 · median $17,114 | 34 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,031 – $23,785 · median $13,299 | 34 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,447 – $25,092 · median $13,855 | 34 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,469 – $17,753 · median $9,596 | 34 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $23,066 – $62,681 · median $31,553 | 34 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $15,077 – $46,161 · median $20,575 | 34 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,176 – $39,005 · median $15,215 | 34 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $20,327 – $51,482 · median $29,465 | 34 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $14,515 – $34,453 · median $18,700 | 34 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,867 – $23,841 · median $13,165 | 34 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $20,784 – $64,795 · median $28,417 | 34 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,362 – $52,467 · median $20,967 | 34 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,399 – $26,220 · median $14,445 | 34 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,911 – $16,749 · median $7,981 | 34 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,340 – $20,861 · median $11,519 | 34 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,922 – $14,128 · median $7,609 | 34 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,979 – $13,281 · median $7,627 | 34 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,293 – $10,432 · median $5,849 | 34 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,296 – $27,492 · median $15,595 | 34 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,443 – $21,847 · median $11,990 | 34 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,776 – $18,849 · median $7,796 | 34 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $12,831 – $31,441 · median $16,787 | 34 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,510 – $23,567 · median $10,178 | 34 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,540 – $19,857 · median $7,471 | 34 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $17,985 – $40,711 · median $22,479 | 34 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,414 – $26,857 · median $11,420 | 34 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,128 – $20,110 · median $8,279 | 34 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,016 – $28,781 · median $15,892 | 34 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,801 – $21,573 · median $11,495 | 34 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,401 – $17,912 · median $8,654 | 34 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,180 – $29,711 · median $15,896 | 34 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,030 – $18,747 · median $9,518 | 34 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,443 – $20,995 · median $11,593 | 34 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,084 – $14,776 · median $7,889 | 34 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,854 – $18,325 · median $10,511 | 34 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,088 – $12,433 · median $6,865 | 34 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $10,817 – $21,076 · median $11,871 | 34 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,539 – $14,681 · median $8,106 | 34 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,540 – $32,857 · median $17,632 | 34 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,217 – $18,909 · median $10,397 | 34 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,895 – $13,888 · median $7,527 | 34 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,369 – $23,535 · median $12,995 | 34 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,555 – $14,716 · median $8,126 | 34 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,225 – $21,615 · median $12,251 | 34 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,124 – $16,767 · median $9,105 | 34 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,502 – $14,509 · median $7,419 | 34 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $24,333 – $52,100 · median $29,535 | 34 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,277 – $30,063 · median $16,054 | 34 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,363 – $19,237 · median $10,580 | 34 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $34,860 – $90,110 · median $51,548 | 34 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $25,116 – $51,051 · median $28,189 | 34 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,489 – $24,848 · median $14,240 | 34 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $35,419 – $67,458 · median $38,598 | 34 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $18,441 – $36,567 · median $20,939 | 34 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,874 – $22,232 · median $12,744 | 34 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $23,438 – $49,691 · median $27,438 | 34 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,554 – $31,617 · median $16,653 | 34 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,501 – $21,439 · median $11,838 | 34 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,985 – $31,779 · median $17,548 | 34 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,528 – $26,924 · median $14,867 | 34 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $15,528 – $41,387 · median $21,195 | 34 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,003 – $37,733 · median $19,100 | 34 plans |
| 592 | SKIN ULCERS WITH MCC | $12,965 – $26,747 · median $15,325 | 34 plans |
| 593 | SKIN ULCERS WITH CC | $8,651 – $18,314 · median $10,112 | 34 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,349 – $15,456 · median $8,245 | 34 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $15,357 – $29,291 · median $16,780 | 34 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,903 – $17,877 · median $9,871 | 34 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,115 – $30,233 · median $15,994 | 34 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,254 – $23,038 · median $11,201 | 34 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,647 – $15,580 · median $7,618 | 34 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,608 – $17,260 · median $9,531 | 34 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,462 – $13,681 · median $5,990 | 34 plans |
| 602 | CELLULITIS WITH MCC | $10,344 – $21,657 · median $11,958 | 34 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,378 – $15,199 · median $8,195 | 34 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,710 – $22,996 · median $12,698 | 34 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,703 – $16,302 · median $8,705 | 34 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $9,521 – $20,953 · median $12,013 | 34 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,634 – $12,623 · median $7,251 | 34 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $15,896 – $64,742 · median $21,701 | 34 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,186 – $48,099 · median $13,854 | 34 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,231 – $62,783 · median $33,333 | 34 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,579 – $44,061 · median $18,518 | 34 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,322 – $35,045 · median $14,042 | 34 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $20,908 – $63,492 · median $28,588 | 34 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,634 – $44,343 · median $15,844 | 34 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,972 – $38,787 · median $14,934 | 34 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,749 – $56,780 · median $31,352 | 34 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,029 – $41,799 · median $17,761 | 34 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,123 – $33,446 · median $12,395 | 34 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $20,653 – $41,637 · median $23,837 | 34 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $10,907 – $24,543 · median $13,552 | 34 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,674 – $19,688 · median $10,871 | 34 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $26,956 – $52,115 · median $29,449 | 34 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $15,802 – $42,113 · median $21,572 | 34 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,619 – $30,257 · median $14,450 | 34 plans |
| 637 | DIABETES WITH MCC | $10,455 – $22,284 · median $12,305 | 34 plans |
| 638 | DIABETES WITH CC | $6,560 – $16,411 · median $8,641 | 34 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,579 – $13,797 · median $6,150 | 34 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $9,727 – $19,110 · median $10,721 | 34 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,710 – $14,146 · median $7,475 | 34 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $9,441 – $19,702 · median $11,298 | 34 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $11,964 – $26,318 · median $14,532 | 34 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,488 – $20,103 · median $10,148 | 34 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,639 – $15,703 · median $7,607 | 34 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $37,546 – $102,183 · median $51,449 | 34 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $20,273 – $71,221 · median $27,716 | 34 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $15,354 – $60,525 · median $20,956 | 34 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $23,044 – $62,294 · median $31,522 | 34 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,289 – $44,484 · median $18,119 | 34 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,284 – $38,766 · median $15,364 | 34 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,411 – $55,730 · median $25,157 | 34 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,626 – $40,837 · median $13,086 | 34 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,563 – $27,756 · median $10,251 | 34 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $22,163 – $44,192 · median $24,595 | 34 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,057 – $30,916 · median $15,051 | 34 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,646 – $22,531 · median $10,365 | 34 plans |
| 665 | PROSTATECTOMY WITH MCC | $22,593 – $43,029 · median $24,631 | 34 plans |
| 666 | PROSTATECTOMY WITH CC | $12,707 – $29,549 · median $16,197 | 34 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,074 – $18,775 · median $10,267 | 34 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $20,161 – $40,263 · median $23,052 | 34 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,286 – $26,304 · median $14,394 | 34 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,145 – $19,247 · median $9,676 | 34 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,037 – $28,323 · median $15,639 | 34 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,881 – $18,624 · median $10,100 | 34 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $22,365 – $57,855 · median $33,109 | 34 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $16,954 – $32,325 · median $18,490 | 34 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,930 – $28,580 · median $15,428 | 34 plans |
| 682 | RENAL FAILURE WITH MCC | $10,774 – $31,008 · median $14,663 | 34 plans |
| 683 | RENAL FAILURE WITH CC | $6,413 – $23,672 · median $8,671 | 34 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,428 – $19,497 · median $5,943 | 34 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,099 – $25,677 · median $14,417 | 34 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,653 – $19,723 · median $10,246 | 34 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,797 – $15,174 · median $7,809 | 34 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,463 – $20,431 · median $10,967 | 34 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,936 – $15,439 · median $7,970 | 34 plans |
| 693 | URINARY STONES WITH MCC | $9,791 – $21,192 · median $11,702 | 34 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,735 – $14,406 · median $7,561 | 34 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,345 – $17,845 · median $9,853 | 34 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,067 – $11,887 · median $6,447 | 34 plans |
| 697 | URETHRAL STRICTURE | $7,869 – $15,675 · median $8,737 | 34 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,024 – $28,203 · median $15,388 | 34 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,416 – $22,429 · median $10,049 | 34 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,074 – $17,834 · median $6,831 | 34 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,516 – $40,978 · median $19,805 | 34 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,158 – $31,311 · median $15,190 | 34 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $16,871 – $33,897 · median $18,798 | 34 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,199 – $27,284 · median $13,873 | 34 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $15,118 – $31,392 · median $17,334 | 34 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,027 – $20,089 · median $10,590 | 34 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,936 – $22,302 · median $12,314 | 34 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,722 – $15,192 · median $8,520 | 34 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $16,224 – $33,086 · median $18,269 | 34 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,702 – $24,458 · median $13,505 | 34 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,725 – $32,413 · median $17,634 | 34 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,781 – $21,389 · median $11,811 | 34 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $12,774 – $25,022 · median $14,339 | 34 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,337 – $22,894 · median $11,314 | 34 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,827 – $13,423 · median $6,492 | 34 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,535 – $19,279 · median $10,645 | 34 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,305 – $13,318 · median $6,987 | 34 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,788 – $25,959 · median $13,975 | 34 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,948 – $18,641 · median $8,032 | 34 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,731 – $23,778 · median $10,482 | 34 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,945 – $17,591 · median $6,653 | 34 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $15,451 – $42,092 · median $21,089 | 34 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,798 – $31,272 · median $13,322 | 34 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $25,859 – $78,638 · median $35,391 | 34 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $14,951 – $51,485 · median $20,402 | 34 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,684 – $41,031 · median $14,539 | 34 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $25,919 – $50,974 · median $28,560 | 34 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,142 – $33,650 · median $17,585 | 34 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,379 – $23,796 · median $13,126 | 34 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,324 – $30,352 · median $16,760 | 34 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,043 – $21,189 · median $11,550 | 34 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $13,426 – $28,309 · median $16,218 | 34 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,299 – $18,166 · median $10,030 | 34 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,620 – $25,980 · median $14,345 | 34 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,297 – $21,051 · median $8,512 | 34 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,099 – $19,224 · median $11,025 | 34 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $17,431 – $35,426 · median $20,287 | 34 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,737 – $21,294 · median $11,889 | 34 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,373 – $33,890 · median $17,801 | 34 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,941 – $25,223 · median $10,770 | 34 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,024 – $16,735 · median $9,031 | 34 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,420 – $20,301 · median $11,436 | 34 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,157 – $15,795 · median $8,721 | 34 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,884 – $13,614 · median $6,570 | 34 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,362 – $18,300 · median $9,673 | 34 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,214 – $14,748 · median $5,648 | 34 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,279 – $26,068 · median $16,032 | 34 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,328 – $13,945 · median $8,069 | 34 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,820 – $13,176 · median $6,482 | 34 plans |
| 779 | ABORTION WITHOUT D&C | $6,165 – $11,730 · median $7,206 | 34 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $13,089 – $27,356 · median $16,961 | 34 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $42,929 – $149,499 · median $58,846 | 34 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $29,350 – $55,898 · median $35,076 | 34 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $14,229 – $33,801 · median $19,357 | 34 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $12,332 – $57,416 · median $32,545 | 34 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $4,744 – $20,441 · median $11,609 | 34 plans |
| 795 | NORMAL NEWBORN | $1,535 – $3,897 · median $1,706 | 34 plans |
| 799 | SPLENECTOMY WITH MCC | $32,736 – $72,123 · median $39,824 | 34 plans |
| 800 | SPLENECTOMY WITH CC | $20,346 – $50,410 · median $26,808 | 34 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $13,857 – $42,440 · median $18,900 | 34 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $28,810 – $59,345 · median $32,768 | 34 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,497 – $38,783 · median $18,405 | 34 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,874 – $31,339 · median $13,426 | 34 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $16,012 – $39,861 · median $21,134 | 34 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,224 – $29,658 · median $12,534 | 34 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,644 – $26,477 · median $10,362 | 34 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,222 – $22,577 · median $12,466 | 34 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,719 – $17,556 · median $9,052 | 34 plans |
| 813 | COAGULATION DISORDERS | $11,093 – $24,877 · median $13,736 | 34 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,427 – $29,374 · median $16,827 | 34 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,409 – $22,446 · median $10,039 | 34 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,657 – $17,524 · median $6,257 | 34 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $16,543 – $47,401 · median $22,590 | 34 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,455 – $26,045 · median $11,477 | 34 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,299 – $14,749 · median $8,514 | 34 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $42,362 – $114,173 · median $58,067 | 34 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $16,233 – $68,160 · median $22,164 | 34 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,778 – $40,594 · median $11,921 | 34 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $33,139 – $77,979 · median $42,596 | 34 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $16,428 – $55,765 · median $22,431 | 34 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,826 – $35,901 · median $13,360 | 34 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $33,809 – $105,213 · median $46,314 | 34 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $16,756 – $64,083 · median $22,883 | 34 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,380 – $39,960 · median $16,869 | 34 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $22,872 – $51,315 · median $28,335 | 34 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,947 – $33,798 · median $14,901 | 34 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,767 – $22,211 · median $11,906 | 34 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,302 – $13,176 · median $7,144 | 34 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,871 – $8,195 · median $5,001 | 34 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $39,661 – $106,975 · median $54,355 | 34 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $15,132 – $75,389 · median $20,651 | 34 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,890 – $64,091 · median $12,074 | 34 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $34,720 – $92,220 · median $47,461 | 34 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $15,144 – $57,664 · median $20,667 | 34 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,507 – $38,903 · median $14,296 | 34 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $23,412 – $53,021 · median $29,276 | 34 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,858 – $40,640 · median $16,152 | 34 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,383 – $30,120 · median $10,004 | 34 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $14,476 – $33,477 · median $18,412 | 34 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,875 – $25,409 · median $12,053 | 34 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,239 – $19,797 · median $8,432 | 34 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $18,783 – $36,514 · median $20,581 | 34 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,529 – $22,753 · median $12,289 | 34 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,223 – $20,146 · median $8,410 | 34 plans |
| 849 | RADIOTHERAPY | $13,938 – $37,374 · median $21,400 | 34 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $35,688 – $112,140 · median $48,896 | 34 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $14,500 – $77,958 · median $19,783 | 34 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,891 – $53,376 · median $14,824 | 34 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $32,879 – $73,998 · median $40,859 | 34 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,533 – $46,971 · median $21,203 | 34 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,139 – $36,014 · median $13,791 | 34 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,244 – $31,480 · median $17,068 | 34 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,293 – $21,509 · median $9,880 | 34 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,499 – $16,263 · median $8,561 | 34 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,913 – $20,748 · median $11,896 | 34 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,369 – $12,118 · median $6,962 | 34 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,185 – $35,732 · median $19,482 | 34 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,532 – $24,814 · median $10,209 | 34 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,361 – $22,136 · median $7,225 | 34 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $49,906 – $152,607 · median $68,433 | 34 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,100 – $34,238 · median $18,370 | 34 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,476 – $27,566 · median $10,132 | 34 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $27,952 – $53,233 · median $30,466 | 34 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,022 – $14,403 · median $7,953 | 34 plans |
| 881 | DEPRESSIVE NEUROSES | $6,883 – $13,346 · median $7,540 | 34 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,392 – $14,921 · median $8,565 | 34 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $14,087 – $27,172 · median $15,568 | 34 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $11,696 – $24,049 · median $13,279 | 34 plans |
| 885 | PSYCHOSES | $10,168 – $20,540 · median $11,366 | 34 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $10,964 – $28,668 · median $16,423 | 34 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,819 – $18,060 · median $9,908 | 34 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,548 – $9,171 · median $5,087 | 34 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $10,303 – $26,544 · median $13,815 | 34 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $12,677 – $29,722 · median $16,224 | 34 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,464 – $13,769 · median $7,603 | 34 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $30,342 – $57,812 · median $33,069 | 34 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $13,898 – $37,705 · median $18,955 | 34 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,530 – $30,321 · median $11,580 | 34 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $26,247 – $50,601 · median $28,961 | 34 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,792 – $30,779 · median $14,687 | 34 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $12,192 – $27,145 · median $15,552 | 34 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $27,767 – $62,456 · median $34,486 | 34 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,479 – $44,008 · median $19,754 | 34 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,562 – $28,404 · median $12,997 | 34 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $11,881 – $22,911 · median $12,970 | 34 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,483 – $14,850 · median $8,170 | 34 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $9,097 – $23,264 · median $13,334 | 34 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,904 – $9,738 · median $5,441 | 34 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $11,168 – $21,710 · median $12,446 | 34 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,279 – $12,197 · median $6,886 | 34 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,295 – $28,806 · median $15,906 | 34 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,325 – $21,995 · median $9,924 | 34 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,063 – $15,942 · median $6,816 | 34 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $11,396 – $24,195 · median $13,866 | 34 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,106 – $14,151 · median $8,124 | 34 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $153,945 – $397,322 · median $207,556 | 34 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $51,786 – $127,272 · median $68,058 | 34 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $23,310 – $68,139 · median $31,889 | 34 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $28,163 – $71,091 · median $37,486 | 34 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $16,031 – $32,833 · median $18,129 | 34 plans |
| 935 | NON-EXTENSIVE BURNS | $13,551 – $28,458 · median $16,303 | 34 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $26,248 – $50,974 · median $28,740 | 34 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,941 – $39,569 · median $21,664 | 34 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $14,713 – $31,825 · median $17,573 | 34 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,261 – $35,200 · median $15,332 | 34 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,366 – $32,445 · median $11,354 | 34 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,892 – $17,606 · median $10,099 | 34 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,871 – $12,335 · median $6,811 | 34 plans |
| 949 | AFTERCARE WITH CC/MCC | $5,065 – $16,512 · median $9,444 | 34 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,113 – $8,798 · median $5,064 | 34 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,109 – $10,563 · median $5,463 | 34 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $48,604 – $156,402 · median $66,644 | 34 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $27,217 – $96,902 · median $37,257 | 34 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $55,008 – $125,789 · median $69,457 | 34 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $30,466 – $97,198 · median $41,721 | 34 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $21,317 – $80,273 · median $29,149 | 34 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $19,801 – $53,528 · median $27,067 | 34 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,146 – $39,625 · median $15,174 | 34 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,880 – $32,854 · median $9,312 | 34 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $44,210 – $110,773 · median $58,662 | 34 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $19,107 – $79,424 · median $26,113 | 34 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $20,898 – $59,521 · median $28,574 | 34 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,434 – $44,311 · median $12,822 | 34 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,607 – $37,184 · median $8,938 | 34 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,453 – $22,471 · median $12,164 | 34 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $33,910 – $82,277 · median $44,256 | 34 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,818 – $61,674 · median $24,341 | 34 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,453 – $46,288 · median $16,970 | 34 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $24,806 – $53,229 · median $29,391 | 34 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,946 – $37,603 · median $16,273 | 34 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,744 – $30,462 · median $11,873 | 34 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $4,255 – $16,866 · median $8,359 | 31 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $9,330 – $33,882 · median $18,978 | 31 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,741 – $20,764 · median $8,457 | 31 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,004 – $18,268 · median $7,654 | 31 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $9,330 – $23,230 · median $12,807 | 31 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,150 – $18,742 · median $8,902 | 31 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,011 – $16,615 · median $7,662 | 31 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,255 – $20,285 · median $9,091 | 31 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,255 – $13,914 · median $7,812 | 31 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $4,255 – $13,319 · median $7,431 | 31 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,255 – $15,521 · median $8,417 | 31 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,255 – $10,531 · median $5,909 | 31 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,255 – $9,436 · median $5,295 | 31 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $92,813 – $592,935 · median $332,702 | 29 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $51,512 – $219,756 · median $67,285 | 29 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $202,030 – $454,683 · median $220,043 | 27 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $86,698 – $227,761 · median $94,443 | 26 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $39,246 – $112,217 · median $42,766 | 26 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $33,979 – $111,206 · median $37,031 | 26 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $26,805 – $91,297 · median $29,218 | 26 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $7,809 – $31,235 · median $12,002 | 25 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $3,466 – $13,879 · median $7,788 | 25 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $3,390 – $13,561 · median $5,237 | 25 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $4,495 – $17,980 · median $9,559 | 25 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $2,467 – $11,023 · median $6,185 | 25 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $63,954 – $273,656 · median $68,348 | 25 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $22,399 – $89,597 · median $47,079 | 25 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $33,289 – $146,158 · median $35,575 | 25 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $44,243 – $176,974 · median $51,040 | 25 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $19,932 – $79,729 · median $28,210 | 25 plans |
| 509 | ARTHROSCOPY | $12,761 – $136,253 · median $13,632 | 25 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $81,755 – $320,153 · median $87,381 | 23 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $74,396 – $230,312 · median $79,515 | 23 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $33,515 – $157,480 · median $39,565 | 23 plans |
| 007 | LUNG TRANSPLANT | $119,716 – $378,365 · median $206,033 | 23 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $40,487 – $185,310 · median $43,278 | 23 plans |
| 010 | PANCREAS TRANSPLANT | $51,808 – $142,823 · median $55,372 | 23 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $42,830 – $163,889 · median $45,781 | 23 plans |
| 652 | KIDNEY TRANSPLANT | $23,373 – $78,701 · median $24,996 | 23 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $1,676 – $11,378 · median $6,827 | 8 plans |
| 999 | UNGROUPABLE | $1,676 – $21,765 · median $13,059 | 8 plans |
No procedures match that keyword.