AHMC Seton 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 |
|---|---|---|---|
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $2,500 – $230,006 · median $99,684 | 82 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $2,500 – $198,467 · median $86,020 | 82 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $2,500 – $180,174 · median $78,094 | 82 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $2,500 – $129,295 · median $56,051 | 82 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $2,495 – $53,534 · median $23,228 | 82 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $947 – $26,930 · median $11,702 | 82 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $4,000 – $155,232 · median $67,288 | 81 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $4,000 – $180,946 · median $78,429 | 81 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $4,000 – $126,267 · median $54,739 | 81 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $4,000 – $119,446 · median $51,784 | 81 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $4,000 – $143,280 · median $62,110 | 81 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $3,000 – $52,827 · median $22,922 | 81 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $3,000 – $36,788 · median $15,973 | 81 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $947 – $29,154 · median $12,665 | 81 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $947 – $25,270 · median $10,983 | 81 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $947 – $24,261 · median $10,545 | 81 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $947 – $27,107 · median $11,779 | 81 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $947 – $19,526 · median $8,494 | 81 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $4,000 – $51,624 · median $22,401 | 80 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $4,000 – $44,085 · median $19,134 | 80 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $2,320 – $59,182 · median $25,675 | 80 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $2,320 – $26,662 · median $11,586 | 80 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $2,320 – $24,277 · median $10,553 | 80 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $2,320 – $40,402 · median $17,539 | 80 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $2,320 – $27,983 · median $12,158 | 80 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $2,320 – $24,300 · median $10,563 | 80 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $2,500 – $234,067 · median $101,443 | 79 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $4,000 – $138,758 · median $60,151 | 79 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $4,000 – $99,598 · median $43,185 | 79 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $2,500 – $26,895 · median $11,687 | 79 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $4,000 – $155,232 · median $67,288 | 78 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $4,000 – $75,197 · median $32,614 | 78 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $4,000 – $49,088 · median $21,302 | 78 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $2,495 – $124,950 · median $54,169 | 78 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $2,500 – $112,933 · median $48,962 | 77 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | — | 76 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $4,000 – $117,283 · median $50,847 | 75 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $4,000 – $75,370 · median $32,688 | 75 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $4,000 – $76,379 · median $33,126 | 75 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $4,000 – $46,020 · median $19,973 | 75 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $2,500 – $39,343 · median $17,080 | 75 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $2,500 – $58,021 · median $25,172 | 75 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $2,500 – $76,790 · median $33,303 | 75 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | — | 75 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | — | 75 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $947 – $29,904 · median $12,991 | 75 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $2,495 – $26,306 · median $8,965 | 74 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $2,495 – $26,306 · median $9,268 | 74 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $2,500 – $111,324 · median $48,265 | 74 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $4,000 – $77,778 · median $33,732 | 73 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $4,000 – $88,558 · median $34,125 | 73 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $1,500 – $17,666 · median $7,688 | 73 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $3,000 – $62,457 · median $27,094 | 72 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $3,000 – $162,287 · median $70,345 | 72 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $3,000 – $100,400 · median $43,533 | 72 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $3,000 – $84,853 · median $36,797 | 72 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $3,000 – $61,464 · median $26,664 | 72 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $4,000 – $98,123 · median $42,546 | 72 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $2,500 – $168,173 · median $72,895 | 72 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $2,500 – $29,461 · median $12,799 | 72 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $2,500 – $75,727 · median $32,843 | 72 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | — | 72 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | — | 71 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | — | 71 plans |
| 245 | AICD GENERATOR PROCEDURES | $4,000 – $108,308 · median $46,958 | 71 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $4,000 – $144,814 · median $62,775 | 71 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $3,000 – $43,484 · median $18,874 | 70 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $4,000 – $45,367 · median $17,341 | 70 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $3,500 – $69,260 · median $30,041 | 70 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $947 – $21,995 · median $9,564 | 70 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $947 – $29,981 · median $13,024 | 70 plans |
| 265 | AICD LEAD PROCEDURES | $4,000 – $86,296 · median $37,422 | 68 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $4,000 – $26,306 · median $10,162 | 68 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $4,000 – $62,562 · median $17,042 | 68 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $4,000 – $59,261 · median $25,709 | 68 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $3,000 – $83,268 · median $36,110 | 67 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $3,000 – $105,988 · median $45,953 | 67 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $4,000 – $89,073 · median $38,625 | 67 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $4,000 – $62,562 · median $16,114 | 67 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $3,000 – $88,558 · median $24,366 | 66 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $3,500 – $57,580 · median $24,981 | 66 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $3,500 – $41,383 · median $17,964 | 66 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $3,500 – $33,788 · median $14,673 | 66 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $4,000 – $46,915 · median $20,360 | 66 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,000 – $18,806 · median $8,182 | 65 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $4,000 – $48,125 · median $20,885 | 65 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,000 – $18,846 · median $7,870 | 65 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,000 – $18,846 · median $6,928 | 65 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $3,500 – $85,070 · median $36,891 | 65 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $3,500 – $52,706 · median $22,869 | 65 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $3,500 – $38,961 · median $16,914 | 65 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $3,000 – $98,764 · median $42,824 | 65 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $3,000 – $111,548 · median $48,362 | 65 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $3,000 – $70,020 · median $30,370 | 65 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $3,500 – $28,972 · median $12,587 | 65 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $3,000 – $91,451 · median $39,655 | 65 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $4,000 – $42,731 · median $18,548 | 65 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $3,000 – $135,534 · median $58,754 | 64 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $3,000 – $93,143 · median $40,388 | 64 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $3,000 – $57,676 · median $25,023 | 64 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $3,000 – $47,239 · median $20,501 | 64 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $4,000 – $91,961 · median $39,876 | 64 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $4,000 – $65,036 · median $28,211 | 64 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $4,000 – $50,424 · median $18,118 | 64 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $4,000 – $50,424 · median $10,269 | 64 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $4,000 – $65,376 · median $28,359 | 64 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $4,000 – $43,048 · median $18,685 | 64 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $4,000 – $208,526 · median $90,378 | 64 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $4,000 – $144,532 · median $62,653 | 64 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $4,000 – $109,315 · median $47,395 | 64 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $4,000 – $197,849 · median $85,752 | 64 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $4,000 – $140,961 · median $61,105 | 64 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $4,000 – $99,221 · median $43,022 | 64 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $4,000 – $156,561 · median $67,864 | 64 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $4,000 – $87,222 · median $37,823 | 64 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $4,000 – $130,701 · median $56,660 | 64 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $4,000 – $63,959 · median $27,744 | 64 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $4,000 – $123,297 · median $53,453 | 64 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $4,000 – $84,161 · median $36,497 | 64 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $4,000 – $66,010 · median $28,633 | 64 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $4,000 – $72,659 · median $31,514 | 64 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $4,000 – $70,628 · median $30,634 | 64 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $4,000 – $58,860 · median $25,536 | 64 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $4,000 – $69,840 · median $30,293 | 64 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $4,000 – $50,776 · median $22,033 | 64 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $4,000 – $39,971 · median $17,352 | 64 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $4,000 – $48,577 · median $21,081 | 64 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $4,000 – $36,774 · median $15,967 | 64 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $4,000 – $68,859 · median $29,867 | 64 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $4,000 – $51,317 · median $22,267 | 64 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $3,000 – $39,775 · median $17,267 | 63 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $3,000 – $29,352 · median $12,751 | 63 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $4,000 – $118,215 · median $51,251 | 63 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $3,000 – $104,354 · median $45,245 | 63 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $4,000 – $129,477 · median $56,130 | 63 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $4,000 – $77,179 · median $33,472 | 63 plans |
| 503 | FOOT PROCEDURES WITH MCC | $4,000 – $67,015 · median $29,069 | 63 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $3,000 – $48,461 · median $21,030 | 63 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $4,000 – $499,673 · median $216,516 | 63 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $4,000 – $496,752 · median $215,250 | 62 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $4,000 – $324,854 · median $140,776 | 62 plans |
| 007 | LUNG TRANSPLANT | — | 62 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $4,000 – $129,095 · median $55,964 | 62 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $4,000 – $100,232 · median $43,460 | 62 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $4,000 – $69,129 · median $29,985 | 62 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | — | 62 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $4,000 – $140,182 · median $60,768 | 62 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $4,000 – $128,587 · median $55,744 | 62 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | — | 62 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $4,000 – $168,271 · median $72,937 | 62 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $4,000 – $185,387 · median $80,353 | 62 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $4,000 – $125,358 · median $54,345 | 62 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $4,000 – $76,020 · median $32,970 | 62 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $4,000 – $107,942 · median $46,800 | 62 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $4,000 – $74,430 · median $32,281 | 62 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $4,000 – $60,763 · median $26,360 | 62 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $4,000 – $142,015 · median $61,562 | 62 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $4,000 – $81,480 · median $35,336 | 62 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $4,000 – $53,123 · median $23,050 | 62 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $4,000 – $106,398 · median $46,131 | 62 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $4,000 – $51,627 · median $22,402 | 62 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $4,000 – $40,714 · median $17,674 | 62 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $4,000 – $92,183 · median $39,972 | 62 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $4,000 – $78,694 · median $34,129 | 62 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $4,000 – $53,205 · median $23,085 | 62 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $4,000 – $42,225 · median $18,328 | 62 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $4,000 – $44,174 · median $19,173 | 62 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $4,000 – $24,776 · median $10,769 | 62 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $4,000 – $37,544 · median $16,300 | 62 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $4,000 – $25,718 · median $11,177 | 62 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $4,000 – $56,105 · median $24,342 | 62 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $4,000 – $32,152 · median $13,964 | 62 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $4,000 – $41,801 · median $18,145 | 62 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $4,000 – $30,876 · median $13,412 | 62 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $4,000 – $23,391 · median $10,169 | 62 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $4,000 – $66,222 · median $28,725 | 62 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $4,000 – $42,913 · median $18,626 | 62 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $4,000 – $34,674 · median $15,057 | 62 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $4,000 – $48,829 · median $21,190 | 62 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $4,000 – $25,501 · median $11,083 | 62 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,000 – $17,903 · median $7,791 | 62 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $4,000 – $36,187 · median $15,713 | 62 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $4,000 – $22,099 · median $9,609 | 62 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,000 – $20,570 · median $8,947 | 62 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $4,000 – $40,758 · median $17,693 | 62 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $4,000 – $25,867 · median $11,241 | 62 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,000 – $19,577 · median $8,516 | 62 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $4,000 – $39,348 · median $17,082 | 62 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $4,000 – $25,979 · median $11,290 | 62 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $4,000 – $46,649 · median $20,245 | 62 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $4,000 – $21,186 · median $9,213 | 62 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $4,000 – $37,996 · median $16,496 | 62 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $4,000 – $25,212 · median $10,958 | 62 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,000 – $17,491 · median $7,612 | 62 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $4,000 – $44,143 · median $19,160 | 62 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $4,000 – $22,827 · median $9,924 | 62 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $4,000 – $55,231 · median $23,963 | 62 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $4,000 – $34,488 · median $14,976 | 62 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $4,000 – $24,230 · median $10,532 | 62 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $4,000 – $54,911 · median $23,825 | 62 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $4,000 – $32,317 · median $14,036 | 62 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $4,000 – $23,272 · median $10,117 | 62 plans |
| 088 | CONCUSSION WITH MCC | $4,000 – $33,462 · median $14,532 | 62 plans |
| 089 | CONCUSSION WITH CC | $4,000 – $27,559 · median $11,975 | 62 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $4,000 – $21,139 · median $9,193 | 62 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $4,000 – $42,889 · median $18,616 | 62 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $4,000 – $25,797 · median $11,211 | 62 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,000 – $20,512 · median $8,921 | 62 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $4,000 – $83,993 · median $36,424 | 62 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $4,000 – $62,075 · median $26,928 | 62 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,000 – $62,075 · median $26,928 | 62 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $4,000 – $86,147 · median $37,358 | 62 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $4,000 – $55,447 · median $24,057 | 62 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $4,000 – $33,709 · median $14,639 | 62 plans |
| 100 | SEIZURES WITH MCC | $4,000 – $47,099 · median $20,440 | 62 plans |
| 101 | SEIZURES WITHOUT MCC | $4,000 – $22,990 · median $9,995 | 62 plans |
| 102 | HEADACHES WITH MCC | $4,000 – $28,079 · median $12,200 | 62 plans |
| 103 | HEADACHES WITHOUT MCC | $4,000 – $21,444 · median $9,325 | 62 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $4,000 – $56,758 · median $24,625 | 62 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $4,000 – $33,490 · median $14,544 | 62 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $4,000 – $37,730 · median $16,381 | 62 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $4,000 – $44,099 · median $19,140 | 62 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $4,000 – $27,240 · median $11,836 | 62 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $4,000 – $29,067 · median $12,628 | 62 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,000 – $20,267 · median $8,815 | 62 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,000 – $20,566 · median $8,945 | 62 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $4,000 – $32,793 · median $14,242 | 62 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,000 – $19,848 · median $8,634 | 62 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $4,000 – $52,536 · median $22,796 | 62 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $4,000 – $25,617 · median $11,133 | 62 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $4,000 – $36,758 · median $15,960 | 62 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $4,000 – $22,608 · median $9,829 | 62 plans |
| 139 | SALIVARY GLAND PROCEDURES | $4,000 – $30,755 · median $13,359 | 62 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $4,000 – $101,382 · median $43,958 | 62 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $4,000 – $52,794 · median $22,908 | 62 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $4,000 – $39,164 · median $17,002 | 62 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $4,000 – $89,290 · median $38,719 | 62 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $4,000 – $42,346 · median $18,381 | 62 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $4,000 – $29,977 · median $13,022 | 62 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $4,000 – $51,309 · median $22,264 | 62 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $4,000 – $31,590 · median $13,721 | 62 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,000 – $20,531 · median $8,929 | 62 plans |
| 149 | DYSEQUILIBRIUM | $4,000 – $19,470 · median $8,470 | 62 plans |
| 150 | EPISTAXIS WITH MCC | $4,000 – $32,989 · median $14,327 | 62 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,000 – $19,060 · median $8,292 | 62 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $4,000 – $29,508 · median $12,819 | 62 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,000 – $19,157 · median $8,335 | 62 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $4,000 – $38,397 · median $16,670 | 62 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $4,000 – $23,314 · median $10,135 | 62 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,000 – $18,060 · median $7,859 | 62 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $4,000 – $41,971 · median $18,218 | 62 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $4,000 – $23,158 · median $10,068 | 62 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,000 – $18,465 · median $8,035 | 62 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $4,000 – $106,429 · median $46,144 | 62 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $4,000 – $60,788 · median $26,371 | 62 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $4,000 – $46,572 · median $20,212 | 62 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $4,000 – $89,082 · median $38,629 | 62 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $4,000 – $43,990 · median $19,093 | 62 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $4,000 – $33,802 · median $14,679 | 62 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $4,000 – $71,335 · median $30,940 | 62 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $4,000 – $33,970 · median $14,752 | 62 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $4,000 – $20,715 · median $9,009 | 62 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $4,000 – $38,378 · median $16,662 | 62 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $4,000 – $24,701 · median $10,736 | 62 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,000 – $19,549 · median $8,504 | 62 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $4,000 – $43,118 · median $18,715 | 62 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $4,000 – $26,916 · median $11,696 | 62 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,000 – $19,521 · median $8,492 | 62 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $4,000 – $37,614 · median $16,331 | 62 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $4,000 – $26,755 · median $11,626 | 62 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,000 – $20,283 · median $8,822 | 62 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $4,000 – $38,280 · median $16,620 | 62 plans |
| 187 | PLEURAL EFFUSION WITH CC | $4,000 – $25,007 · median $10,869 | 62 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,000 – $18,668 · median $8,123 | 62 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $4,000 – $30,748 · median $13,356 | 62 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $4,000 – $27,771 · median $12,067 | 62 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $4,000 – $21,601 · median $9,393 | 62 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,000 – $16,915 · median $7,363 | 62 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $4,000 – $32,590 · median $14,154 | 62 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,000 – $20,736 · median $9,018 | 62 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,000 – $16,600 · median $7,227 | 62 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $4,000 – $45,943 · median $19,939 | 62 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $4,000 – $24,074 · median $10,465 | 62 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,000 – $18,645 · median $8,112 | 62 plans |
| 199 | PNEUMOTHORAX WITH MCC | $4,000 – $43,073 · median $18,696 | 62 plans |
| 200 | PNEUMOTHORAX WITH CC | $4,000 – $27,576 · median $11,982 | 62 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,000 – $18,619 · median $8,101 | 62 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $4,000 – $24,589 · median $10,688 | 62 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,000 – $17,568 · median $7,646 | 62 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,000 – $20,771 · median $9,034 | 62 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $4,000 – $44,633 · median $19,372 | 62 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $4,000 – $23,888 · median $10,384 | 62 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $4,000 – $151,955 · median $65,868 | 62 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $4,000 – $66,026 · median $28,640 | 62 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $4,000 – $255,446 · median $110,706 | 62 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $4,000 – $116,684 · median $50,587 | 62 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $4,000 – $68,400 · median $29,669 | 62 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $4,000 – $34,222 · median $14,861 | 62 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $4,000 – $64,831 · median $28,122 | 62 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $4,000 – $41,530 · median $18,027 | 62 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $4,000 – $27,410 · median $11,910 | 62 plans |
| 263 | VEIN LIGATION AND STRIPPING | $4,000 – $73,223 · median $31,758 | 62 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $4,000 – $79,825 · median $34,618 | 62 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $4,000 – $141,975 · median $61,545 | 62 plans |
| 277 | CELLULITIS AGE >17 W CC | $4,000 – $109,615 · median $47,525 | 62 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $4,000 – $131,708 · median $57,097 | 62 plans |
| 279 | CELLULITIS AGE 0-17 | $4,000 – $86,021 · median $37,303 | 62 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $4,000 – $31,877 · median $13,845 | 62 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $4,000 – $21,740 · median $9,454 | 62 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,000 – $15,143 · median $6,595 | 62 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $4,000 – $30,576 · median $13,282 | 62 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $4,000 – $20,360 · median $8,856 | 62 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $4,000 – $38,360 · median $16,654 | 62 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,000 – $16,728 · median $7,282 | 62 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,886 – $12,558 · median $5,475 | 62 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $4,000 – $40,010 · median $17,369 | 62 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $4,000 – $26,834 · median $11,660 | 62 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,000 – $18,726 · median $8,148 | 62 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $4,000 – $29,844 · median $12,964 | 62 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,000 – $17,642 · median $7,678 | 62 plans |
| 304 | HYPERTENSION WITH MCC | $4,000 – $29,690 · median $12,898 | 62 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,000 – $19,551 · median $8,505 | 62 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $4,000 – $38,684 · median $16,794 | 62 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $4,000 – $23,237 · median $10,102 | 62 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $4,000 – $30,016 · median $13,039 | 62 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,000 – $19,099 · median $8,309 | 62 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,000 – $15,145 · median $6,596 | 62 plans |
| 311 | ANGINA PECTORIS | $4,000 – $18,311 · median $7,968 | 62 plans |
| 312 | SYNCOPE AND COLLAPSE | $4,000 – $22,267 · median $9,682 | 62 plans |
| 313 | CHEST PAIN | $4,000 – $18,733 · median $8,151 | 62 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $4,000 – $50,559 · median $21,939 | 62 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $4,000 – $24,405 · median $10,608 | 62 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,000 – $17,850 · median $7,768 | 62 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $4,000 – $102,829 · median $44,585 | 62 plans |
| 324 | URINARY STONES W/O CC | $4,000 – $75,405 · median $32,704 | 62 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $4,000 – $58,928 · median $25,565 | 62 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $4,000 – $39,301 · median $17,062 | 62 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $4,000 – $109,102 · median $47,303 | 62 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $4,000 – $57,832 · median $25,090 | 62 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $4,000 – $41,180 · median $17,876 | 62 plans |
| 332 | RECTAL RESECTION WITH MCC | $4,000 – $86,355 · median $37,447 | 62 plans |
| 333 | RECTAL RESECTION WITH CC | $4,000 – $56,550 · median $24,535 | 62 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $4,000 – $40,131 · median $17,421 | 62 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $4,000 – $85,194 · median $36,944 | 62 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $4,000 – $51,107 · median $22,176 | 62 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $4,000 – $37,733 · median $16,382 | 62 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $4,000 – $62,159 · median $26,965 | 62 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $4,000 – $37,026 · median $16,076 | 62 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $4,000 – $29,601 · median $12,859 | 62 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $4,000 – $55,464 · median $24,064 | 62 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $4,000 – $32,459 · median $14,098 | 62 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $4,000 – $22,244 · median $9,672 | 62 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $4,000 – $60,040 · median $26,047 | 62 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $4,000 – $37,488 · median $16,276 | 62 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $4,000 – $29,172 · median $12,673 | 62 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $4,000 – $69,600 · median $30,189 | 62 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $4,000 – $41,169 · median $17,871 | 62 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $4,000 – $33,303 · median $14,463 | 62 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $4,000 – $34,536 · median $14,997 | 62 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $4,000 – $39,059 · median $16,957 | 62 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $4,000 – $25,265 · median $10,981 | 62 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,000 – $18,286 · median $7,957 | 62 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $4,000 – $43,283 · median $18,787 | 62 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $4,000 – $25,750 · median $11,191 | 62 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,000 – $18,906 · median $8,226 | 62 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $4,000 – $51,806 · median $22,479 | 62 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $4,000 – $30,147 · median $13,096 | 62 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $4,000 – $23,496 · median $10,214 | 62 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $4,000 – $44,563 · median $19,341 | 62 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $4,000 – $24,811 · median $10,784 | 62 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,000 – $16,644 · median $7,246 | 62 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $4,000 – $47,691 · median $20,697 | 62 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $4,000 – $27,207 · median $11,822 | 62 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $4,000 – $34,136 · median $14,824 | 62 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $4,000 – $21,876 · median $9,512 | 62 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $4,000 – $38,835 · median $16,860 | 62 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $4,000 – $24,708 · median $10,739 | 62 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,000 – $17,831 · median $7,760 | 62 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $4,000 – $36,376 · median $15,794 | 62 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,000 – $20,360 · median $8,856 | 62 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,000 – $14,630 · median $6,373 | 62 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $4,000 – $31,515 · median $13,689 | 62 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,000 – $20,123 · median $8,753 | 62 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $4,000 – $39,232 · median $17,032 | 62 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $4,000 – $23,762 · median $10,329 | 62 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,000 – $17,078 · median $7,434 | 62 plans |
| 397 | COAGULATION DISORDERS | $4,000 – $57,779 · median $25,067 | 62 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $4,000 – $37,234 · median $16,166 | 62 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $4,000 – $28,634 · median $12,440 | 62 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $4,000 – $69,558 · median $30,170 | 62 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $4,000 – $53,692 · median $23,297 | 62 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $4,000 – $78,955 · median $34,242 | 62 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $4,000 – $50,962 · median $22,114 | 62 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $4,000 – $40,658 · median $17,650 | 62 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $4,000 – $85,000 · median $36,861 | 62 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $4,000 – $50,128 · median $21,752 | 62 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $4,000 – $33,730 · median $14,648 | 62 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $4,000 – $81,375 · median $35,290 | 62 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $4,000 – $42,453 · median $18,427 | 62 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $4,000 – $34,574 · median $15,014 | 62 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $4,000 – $52,953 · median $22,976 | 62 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $4,000 – $36,924 · median $16,032 | 62 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $4,000 – $47,831 · median $20,757 | 62 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $4,000 – $26,571 · median $11,546 | 62 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,000 – $18,558 · median $8,075 | 62 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $4,000 – $44,766 · median $19,429 | 62 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $4,000 – $28,317 · median $12,303 | 62 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,000 – $21,841 · median $9,497 | 62 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $4,000 – $39,952 · median $17,344 | 62 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $4,000 – $21,559 · median $9,375 | 62 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,000 – $16,435 · median $7,155 | 62 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $4,000 – $43,787 · median $19,005 | 62 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $4,000 – $24,452 · median $10,628 | 62 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,000 – $18,260 · median $7,946 | 62 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $4,000 – $40,901 · median $17,755 | 62 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $4,000 – $27,461 · median $11,932 | 62 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,000 – $21,235 · median $9,235 | 62 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $4,000 – $134,816 · median $58,443 | 62 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $4,000 – $74,559 · median $32,337 | 62 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,000 – $44,463 · median $19,298 | 62 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $4,000 – $102,025 · median $44,237 | 62 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $4,000 – $55,000 · median $23,863 | 62 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $4,000 – $82,482 · median $35,770 | 62 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $4,000 – $59,278 · median $25,716 | 62 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $4,000 – $45,283 · median $19,654 | 62 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $4,000 – $66,567 · median $28,875 | 62 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $4,000 – $50,696 · median $21,999 | 62 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $4,000 – $38,460 · median $16,697 | 62 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $4,000 – $43,185 · median $18,745 | 62 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $4,000 – $27,983 · median $12,158 | 62 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $4,000 – $87,541 · median $37,961 | 62 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $4,000 – $61,070 · median $26,493 | 62 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $4,000 – $48,724 · median $21,144 | 62 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $4,000 – $86,471 · median $37,498 | 62 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $4,000 – $44,001 · median $19,098 | 62 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $4,000 – $30,117 · median $13,083 | 62 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $4,000 – $72,276 · median $31,348 | 62 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $4,000 – $48,918 · median $21,228 | 62 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $4,000 – $42,700 · median $18,534 | 62 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $4,000 – $33,324 · median $14,472 | 62 plans |
| 504 | FOOT PROCEDURES WITH CC | $4,000 – $45,523 · median $19,758 | 62 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $4,000 – $43,742 · median $18,986 | 62 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $4,000 – $33,401 · median $14,506 | 62 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $4,000 – $44,059 · median $19,123 | 62 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $4,000 – $37,252 · median $16,174 | 62 plans |
| 509 | ARTHROSCOPY | $4,000 – $42,901 · median $18,621 | 62 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $4,000 – $72,363 · median $31,385 | 62 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $4,000 – $50,424 · median $21,881 | 62 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $4,000 – $40,539 · median $17,598 | 62 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $4,000 – $38,649 · median $16,779 | 62 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $4,000 – $25,780 · median $11,204 | 62 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $4,000 – $76,242 · median $33,066 | 62 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $4,000 – $50,393 · median $21,867 | 62 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $4,000 – $37,772 · median $16,399 | 62 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $4,000 – $38,495 · median $16,712 | 62 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,000 – $20,740 · median $9,020 | 62 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $4,000 – $31,835 · median $13,827 | 62 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,000 – $20,775 · median $9,036 | 62 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $4,000 – $24,195 · median $10,517 | 62 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,000 – $18,740 · median $8,154 | 62 plans |
| 539 | OSTEOMYELITIS WITH MCC | $4,000 – $47,866 · median $20,773 | 62 plans |
| 540 | OSTEOMYELITIS WITH CC | $4,000 – $32,168 · median $13,971 | 62 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,000 – $20,304 · median $8,832 | 62 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $4,000 – $43,129 · median $18,720 | 62 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $4,000 – $25,913 · median $11,262 | 62 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,000 – $19,540 · median $8,500 | 62 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $4,000 – $59,802 · median $25,944 | 62 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $4,000 – $28,837 · median $12,528 | 62 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,000 – $21,442 · median $9,324 | 62 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $4,000 – $46,962 · median $20,381 | 62 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $4,000 – $30,091 · median $13,071 | 62 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $4,000 – $22,326 · median $9,707 | 62 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $4,000 – $41,022 · median $17,807 | 62 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $4,000 – $24,358 · median $10,588 | 62 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $4,000 – $32,168 · median $13,971 | 62 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $4,000 – $21,300 · median $9,263 | 62 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $4,000 – $32,762 · median $14,229 | 62 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $4,000 – $36,611 · median $15,896 | 62 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $4,000 – $22,771 · median $9,900 | 62 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $4,000 – $45,423 · median $19,714 | 62 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $4,000 – $28,200 · median $12,252 | 62 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $4,000 – $20,689 · median $8,998 | 62 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $4,000 – $35,164 · median $15,269 | 62 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $4,000 – $22,824 · median $9,923 | 62 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $4,000 – $37,933 · median $16,469 | 62 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $4,000 – $24,664 · median $10,720 | 62 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,000 – $19,416 · median $8,447 | 62 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $4,000 – $124,467 · median $53,960 | 62 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $4,000 – $41,334 · median $17,943 | 62 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $4,000 – $28,671 · median $12,456 | 62 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $4,000 – $154,675 · median $67,047 | 62 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $4,000 – $82,874 · median $35,939 | 62 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $4,000 – $43,840 · median $19,028 | 62 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $4,000 – $116,206 · median $50,380 | 62 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $4,000 – $63,742 · median $27,651 | 62 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $4,000 – $39,397 · median $17,103 | 62 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $4,000 – $77,445 · median $33,587 | 62 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $4,000 – $42,232 · median $18,331 | 62 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $4,000 – $35,590 · median $15,454 | 62 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $4,000 – $46,862 · median $20,337 | 62 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $4,000 – $42,148 · median $18,295 | 62 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $4,000 – $51,853 · median $22,500 | 62 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $4,000 – $46,920 · median $20,363 | 62 plans |
| 592 | SKIN ULCERS WITH MCC | $4,000 – $47,064 · median $20,425 | 62 plans |
| 593 | SKIN ULCERS WITH CC | $4,000 – $29,604 · median $12,860 | 62 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $4,000 – $22,155 · median $9,633 | 62 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $4,000 – $51,386 · median $22,298 | 62 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $4,000 – $27,184 · median $11,812 | 62 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $4,000 – $40,812 · median $17,716 | 62 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $4,000 – $28,321 · median $12,305 | 62 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,000 – $19,885 · median $8,650 | 62 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $4,000 – $26,230 · median $11,399 | 62 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,000 – $16,052 · median $6,989 | 62 plans |
| 602 | CELLULITIS WITH MCC | $4,000 – $35,082 · median $15,234 | 62 plans |
| 603 | CELLULITIS WITHOUT MCC | $4,000 – $22,251 · median $9,675 | 62 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $4,000 – $36,266 · median $15,747 | 62 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $4,000 – $23,302 · median $10,130 | 62 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $4,000 – $37,224 · median $16,162 | 62 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $4,000 – $23,079 · median $10,033 | 62 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $4,000 – $53,044 · median $23,016 | 62 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $4,000 – $34,569 · median $15,012 | 62 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $4,000 – $83,247 · median $36,101 | 62 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $4,000 – $45,549 · median $19,769 | 62 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $4,000 – $35,012 · median $15,204 | 62 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $4,000 – $84,921 · median $36,826 | 62 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $4,000 – $43,768 · median $18,997 | 62 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $4,000 – $31,133 · median $13,523 | 62 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $4,000 – $72,353 · median $31,381 | 62 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $4,000 – $36,903 · median $16,023 | 62 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $4,000 – $32,914 · median $14,295 | 62 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $4,000 – $88,828 · median $38,519 | 62 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $4,000 – $52,741 · median $22,884 | 62 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $4,000 – $35,973 · median $15,620 | 62 plans |
| 637 | DIABETES WITH MCC | $4,000 – $35,441 · median $15,389 | 62 plans |
| 638 | DIABETES WITH CC | $4,000 – $22,841 · median $9,930 | 62 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,000 – $16,430 · median $7,153 | 62 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $4,000 – $33,084 · median $14,368 | 62 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,000 – $20,090 · median $8,739 | 62 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $4,000 – $35,101 · median $15,242 | 62 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $4,000 – $40,323 · median $17,504 | 62 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $4,000 – $25,843 · median $11,231 | 62 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,000 – $19,859 · median $8,639 | 62 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $4,000 – $88,338 · median $38,307 | 62 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $4,000 – $123,087 · median $53,362 | 62 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $4,000 – $67,206 · median $29,151 | 62 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $4,000 – $51,291 · median $22,256 | 62 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $4,000 – $76,170 · median $33,035 | 62 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $4,000 – $44,610 · median $19,362 | 62 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $4,000 – $38,124 · median $16,552 | 62 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $4,000 – $61,182 · median $26,542 | 62 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $4,000 – $32,760 · median $14,228 | 62 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $4,000 – $26,086 · median $11,336 | 62 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $4,000 – $73,318 · median $31,800 | 62 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $4,000 – $37,388 · median $16,233 | 62 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $4,000 – $26,354 · median $11,452 | 62 plans |
| 665 | PROSTATECTOMY WITH MCC | $4,000 – $74,710 · median $32,403 | 62 plans |
| 666 | PROSTATECTOMY WITH CC | $4,000 – $42,728 · median $18,547 | 62 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $4,000 – $27,736 · median $12,051 | 62 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $4,000 – $38,129 · median $16,554 | 62 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $4,000 – $24,731 · median $10,749 | 62 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $4,000 – $43,794 · median $19,008 | 62 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $4,000 – $27,114 · median $11,782 | 62 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $4,000 – $99,897 · median $43,314 | 62 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $4,000 – $56,466 · median $24,498 | 62 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $4,000 – $40,213 · median $17,457 | 62 plans |
| 682 | RENAL FAILURE WITH MCC | $4,000 – $36,474 · median $15,837 | 62 plans |
| 683 | RENAL FAILURE WITH CC | $4,000 – $22,365 · median $9,724 | 62 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,000 – $15,943 · median $6,942 | 62 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $4,000 – $43,997 · median $19,096 | 62 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $4,000 – $26,375 · median $11,462 | 62 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,000 – $20,372 · median $8,861 | 62 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $4,000 – $28,998 · median $12,598 | 62 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,000 – $20,820 · median $9,055 | 62 plans |
| 693 | URINARY STONES WITH MCC | $4,000 – $33,292 · median $14,458 | 62 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,000 – $20,172 · median $8,774 | 62 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $4,000 – $28,613 · median $12,431 | 62 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,000 – $18,011 · median $7,838 | 62 plans |
| 697 | URETHRAL STRICTURE | $4,000 – $27,074 · median $11,765 | 62 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $4,000 – $40,516 · median $17,588 | 62 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $4,000 – $25,610 · median $11,130 | 62 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,000 – $18,032 · median $7,847 | 62 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $4,000 – $48,580 · median $21,082 | 62 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $4,000 – $37,714 · median $16,374 | 62 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $4,000 – $56,198 · median $24,382 | 62 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $4,000 – $34,613 · median $15,031 | 62 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $4,000 – $50,526 · median $21,925 | 62 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $4,000 – $27,585 · median $11,986 | 62 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $4,000 – $36,996 · median $16,063 | 62 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $4,000 – $26,599 · median $11,558 | 62 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $4,000 – $54,105 · median $23,475 | 62 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $4,000 – $36,241 · median $15,736 | 62 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $4,000 – $46,020 · median $19,973 | 62 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,000 – $33,259 · median $14,444 | 62 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $4,000 – $44,136 · median $19,157 | 62 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $4,000 – $28,587 · median $12,420 | 62 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,000 – $17,234 · median $7,501 | 62 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $4,000 – $29,228 · median $12,698 | 62 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,000 – $18,780 · median $8,171 | 62 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $4,000 – $36,518 · median $15,856 | 62 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $4,000 – $20,859 · median $9,072 | 62 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $4,000 – $26,629 · median $11,572 | 62 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,000 – $17,614 · median $7,666 | 62 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $4,000 – $51,603 · median $22,392 | 62 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $4,000 – $33,315 · median $14,468 | 62 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $4,000 – $85,278 · median $36,981 | 62 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $4,000 – $49,985 · median $21,691 | 62 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $4,000 – $36,182 · median $15,711 | 62 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $4,000 – $85,471 · median $37,065 | 62 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $4,000 – $44,134 · median $19,156 | 62 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $4,000 – $35,194 · median $15,282 | 62 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $4,000 – $44,722 · median $19,410 | 62 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $4,000 – $30,872 · median $13,410 | 62 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $4,000 – $49,717 · median $21,574 | 62 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $4,000 – $28,466 · median $12,367 | 62 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $4,000 – $42,444 · median $18,423 | 62 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $4,000 – $21,990 · median $9,562 | 62 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $4,000 – $34,289 · median $14,890 | 62 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $4,000 – $61,805 · median $26,811 | 62 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $4,000 – $36,352 · median $15,784 | 62 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $4,000 – $44,882 · median $19,480 | 62 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $4,000 – $27,307 · median $11,866 | 62 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,000 – $24,340 · median $10,580 | 62 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $4,000 – $35,329 · median $15,341 | 62 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $4,000 – $24,771 · median $10,767 | 62 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,000 – $17,418 · median $7,581 | 62 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $4,000 – $25,435 · median $11,054 | 62 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,000 – $15,248 · median $6,641 | 62 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $4,000 – $25,324 · median $11,006 | 62 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,000 – $17,211 · median $7,491 | 62 plans |
| 779 | ABORTION WITHOUT D&C | $4,000 – $21,561 · median $9,376 | 62 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $4,000 – $43,962 · median $19,081 | 62 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $4,000 – $140,504 · median $60,907 | 62 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $4,000 – $96,572 · median $41,874 | 62 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $4,000 – $59,044 · median $25,615 | 62 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $4,000 – $99,151 · median $42,991 | 62 plans |
| 799 | SPLENECTOMY WITH MCC | $4,000 – $107,527 · median $46,620 | 62 plans |
| 800 | SPLENECTOMY WITH CC | $4,000 – $67,441 · median $29,253 | 62 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $4,000 – $46,449 · median $20,158 | 62 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $4,000 – $94,826 · median $41,118 | 62 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $4,000 – $45,283 · median $19,654 | 62 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $4,000 – $33,560 · median $14,574 | 62 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $4,000 – $53,419 · median $23,178 | 62 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $4,000 – $31,459 · median $13,664 | 62 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $4,000 – $26,347 · median $11,449 | 62 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $4,000 – $34,686 · median $15,062 | 62 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $4,000 – $23,354 · median $10,153 | 62 plans |
| 813 | COAGULATION DISORDERS | $4,000 – $37,506 · median $16,284 | 62 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $4,000 – $51,526 · median $22,358 | 62 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $4,000 – $25,587 · median $11,120 | 62 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,000 – $16,682 · median $7,262 | 62 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $4,000 – $55,137 · median $23,923 | 62 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $4,000 – $138,669 · median $60,112 | 62 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $4,000 – $54,135 · median $23,488 | 62 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $4,000 – $30,016 · median $13,039 | 62 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $4,000 – $108,830 · median $47,185 | 62 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $4,000 – $54,764 · median $23,761 | 62 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $4,000 – $33,406 · median $14,508 | 62 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $4,000 – $110,998 · median $48,124 | 62 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $4,000 – $55,827 · median $24,222 | 62 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $4,000 – $41,668 · median $18,087 | 62 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $4,000 – $75,615 · median $32,794 | 62 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $4,000 – $37,033 · median $16,079 | 62 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,000 – $18,770 · median $8,167 | 62 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,000 – $14,138 · median $6,160 | 62 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $4,000 – $129,930 · median $56,326 | 62 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $4,000 – $50,573 · median $21,945 | 62 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $4,000 – $30,378 · median $13,196 | 62 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $4,000 – $113,947 · median $49,402 | 62 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $4,000 – $50,610 · median $21,961 | 62 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,000 – $35,609 · median $15,462 | 62 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $4,000 – $77,361 · median $33,551 | 62 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $4,000 – $39,980 · median $17,356 | 62 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $4,000 – $25,503 · median $11,084 | 62 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $4,000 – $48,451 · median $21,026 | 62 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $4,000 – $30,329 · median $13,174 | 62 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $4,000 – $21,801 · median $9,480 | 62 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $4,000 – $62,385 · median $27,063 | 62 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $4,000 – $32,445 · median $14,092 | 62 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,000 – $21,750 · median $9,458 | 62 plans |
| 849 | RADIOTHERAPY | $4,000 – $65,113 · median $28,244 | 62 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $4,000 – $117,078 · median $50,758 | 62 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $4,000 – $48,528 · median $21,059 | 62 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,000 – $36,851 · median $16,000 | 62 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $4,000 – $107,988 · median $46,820 | 62 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $4,000 – $51,871 · median $22,508 | 62 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,000 – $34,420 · median $14,947 | 62 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $4,000 – $44,463 · median $19,298 | 62 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $4,000 – $25,212 · median $10,958 | 62 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $4,000 – $22,643 · median $9,845 | 62 plans |
| 865 | VIRAL ILLNESS WITH MCC | $4,000 – $36,877 · median $16,012 | 62 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $4,000 – $22,221 · median $9,662 | 62 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $4,000 – $50,745 · median $22,020 | 62 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $4,000 – $25,986 · median $11,293 | 62 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,000 – $18,959 · median $8,249 | 62 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $4,000 – $163,077 · median $70,687 | 62 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $4,000 – $47,232 · median $20,498 | 62 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $4,000 – $25,804 · median $11,214 | 62 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $4,000 – $47,787 · median $20,738 | 62 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $4,000 – $34,949 · median $15,176 | 62 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $4,000 – $99,780 · median $43,264 | 62 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $4,000 – $46,580 · median $20,215 | 62 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $4,000 – $29,214 · median $12,692 | 62 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $4,000 – $87,576 · median $37,977 | 62 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $4,000 – $36,530 · median $15,861 | 62 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $4,000 – $47,740 · median $20,718 | 62 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $4,000 – $32,550 · median $14,137 | 62 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $4,000 – $40,054 · median $17,388 | 62 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $4,000 – $22,591 · median $9,822 | 62 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $4,000 – $41,150 · median $17,863 | 62 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,000 – $17,481 · median $7,608 | 62 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $4,000 – $38,511 · median $16,719 | 62 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $4,000 – $21,929 · median $9,535 | 62 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $4,000 – $44,628 · median $19,370 | 62 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $4,000 – $25,314 · median $11,002 | 62 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,000 – $17,997 · median $7,832 | 62 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $4,000 – $25,673 · median $11,158 | 62 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $4,000 – $169,159 · median $73,322 | 62 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $4,000 – $77,032 · median $33,408 | 62 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $4,000 – $92,730 · median $40,210 | 62 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $4,000 – $53,482 · median $23,206 | 62 plans |
| 935 | NON-EXTENSIVE BURNS | $4,000 – $49,971 · median $21,685 | 62 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $4,000 – $86,536 · median $37,526 | 62 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $4,000 – $56,427 · median $24,481 | 62 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $4,000 – $49,218 · median $21,358 | 62 plans |
| 945 | REHABILITATION WITH CC/MCC | $4,000 – $38,050 · median $16,520 | 62 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $4,000 – $28,683 · median $12,461 | 62 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $4,000 – $31,541 · median $13,700 | 62 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,000 – $20,610 · median $8,964 | 62 plans |
| 949 | AFTERCARE WITH CC/MCC | $4,000 – $29,683 · median $12,895 | 62 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,000 – $16,582 · median $7,219 | 62 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,000 – $14,910 · median $6,494 | 62 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $4,000 – $158,864 · median $68,862 | 62 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $4,000 – $89,672 · median $38,885 | 62 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $4,000 – $179,584 · median $77,839 | 62 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $4,000 – $100,183 · median $43,439 | 62 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $4,000 – $70,582 · median $30,614 | 62 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $4,000 – $65,679 · median $28,490 | 62 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $4,000 – $37,677 · median $16,358 | 62 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $4,000 – $23,874 · median $10,378 | 62 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $4,000 – $204,326 · median $88,558 | 62 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $4,000 – $63,432 · median $27,516 | 62 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $4,000 – $69,227 · median $30,027 | 62 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $4,000 – $32,138 · median $13,958 | 62 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $4,000 – $22,992 · median $9,996 | 62 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $4,000 – $32,201 · median $13,985 | 62 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $4,000 – $41,905 · median $18,190 | 62 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | — | 61 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $4,000 – $150,948 · median $65,432 | 61 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $4,000 – $147,761 · median $64,051 | 61 plans |
| 010 | PANCREAS TRANSPLANT | $4,000 – $169,229 · median $73,352 | 61 plans |
| 652 | KIDNEY TRANSPLANT | $4,000 – $77,235 · median $33,496 | 61 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $4,000 – $36,355 · median $15,785 | 61 plans |
| 795 | NORMAL NEWBORN | $2,044 – $6,606 · median $2,897 | 61 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $4,000 – $92,047 · median $39,914 | 61 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $4,000 – $24,333 · median $10,577 | 61 plans |
| 881 | DEPRESSIVE NEUROSES | $4,000 – $23,883 · median $10,382 | 61 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $4,000 – $26,981 · median $11,724 | 61 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $4,000 – $39,455 · median $17,129 | 61 plans |
| 885 | PSYCHOSES | $4,000 – $34,511 · median $14,986 | 61 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $4,000 – $50,328 · median $21,839 | 61 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $4,000 – $26,913 · median $11,695 | 61 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,000 – $16,330 · median $7,110 | 61 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $4,000 – $42,630 · median $18,504 | 61 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $4,000 – $22,528 · median $9,795 | 61 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $947 – $11,378 · median $3,482 | 21 plans |
| 999 | UNGROUPABLE | $2,500 – $21,765 · median $4,307 | 13 plans |
No procedures match that keyword.