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 |
|---|---|---|---|
| 028 | SPINAL PROCEDURES WITH MCC | $17,250 – $148,719 · median $64,810 | 41 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $17,250 – $85,517 · median $37,282 | 41 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,250 – $55,911 · median $24,849 | 41 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $14,676 – $240,588 · median $104,824 | 41 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $14,676 – $162,520 · median $70,821 | 41 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $14,676 – $189,366 · median $82,514 | 41 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $14,676 – $132,278 · median $57,649 | 41 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $14,676 – $125,156 · median $54,547 | 41 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $14,676 – $122,898 · median $53,564 | 41 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $14,676 – $81,540 · median $35,173 | 41 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $14,676 – $207,659 · median $90,482 | 41 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $14,676 – $188,560 · median $82,163 | 41 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $14,676 – $135,440 · median $59,026 | 41 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $14,676 – $145,319 · median $63,329 | 41 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $14,676 – $104,434 · median $45,522 | 41 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $17,250 – $218,162 · median $95,056 | 41 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $17,250 – $151,348 · median $65,955 | 41 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $17,250 – $114,579 · median $49,940 | 41 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $17,250 – $207,014 · median $90,201 | 41 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $17,250 – $147,619 · median $64,331 | 41 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $17,250 – $104,040 · median $45,350 | 41 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $17,250 – $163,907 · median $71,425 | 41 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $17,250 – $91,512 · median $39,893 | 41 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $17,250 – $120,009 · median $52,305 | 41 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $17,250 – $74,187 · median $32,348 | 41 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $17,250 – $61,901 · median $27,512 | 41 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $3,278 – $28,563 · median $12,476 | 41 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $14,676 – $244,828 · median $106,671 | 40 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $14,676 – $162,520 · median $70,821 | 40 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $14,676 – $150,041 · median $65,386 | 40 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $13,617 – $80,192 · median $34,963 | 40 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $13,617 – $54,346 · median $23,930 | 40 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,617 – $46,475 · median $20,655 | 40 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $14,271 – $55,602 · median $24,482 | 40 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $12,089 – $40,387 · median $17,270 | 40 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $14,676 – $151,643 · median $66,083 | 40 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $14,676 – $118,356 · median $52,094 | 40 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $14,676 – $169,885 · median $74,029 | 40 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $14,676 – $105,271 · median $46,337 | 40 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $14,676 – $130,903 · median $57,615 | 40 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $14,676 – $89,039 · median $39,573 | 40 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $14,676 – $81,540 · median $28,720 | 40 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $14,271 – $102,893 · median $44,850 | 40 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $14,271 – $82,599 · median $36,011 | 40 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $7,050 – $62,237 · median $27,142 | 39 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,050 – $28,284 · median $12,354 | 39 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,050 – $25,794 · median $11,269 | 39 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $7,050 – $42,629 · median $18,602 | 39 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,050 – $29,664 · median $12,955 | 39 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,050 – $25,818 · median $11,280 | 39 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $3,974 – $30,885 · median $13,487 | 39 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $3,974 – $26,830 · median $11,721 | 39 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,974 – $25,777 · median $11,262 | 39 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,974 – $28,748 · median $12,556 | 39 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,974 – $20,833 · median $9,109 | 39 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $14,271 – $96,692 · median $42,149 | 38 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $14,271 – $60,665 · median $26,458 | 38 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,271 – $49,768 · median $21,915 | 38 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $13,059 – $41,994 · median $18,486 | 38 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,673 – $41,994 · median $13,819 | 38 plans |
| 245 | AICD GENERATOR PROCEDURES | $14,676 – $113,527 · median $49,482 | 38 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $13,617 – $78,958 · median $34,425 | 38 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $13,617 – $51,698 · median $22,977 | 38 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $13,617 – $81,652 · median $35,599 | 38 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $13,617 – $48,495 · median $21,553 | 38 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $13,114 – $42,152 · median $18,734 | 38 plans |
| 265 | AICD LEAD PROCEDURES | $13,617 – $90,546 · median $39,473 | 38 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $13,617 – $56,340 · median $24,574 | 38 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,875 – $28,527 · median $12,679 | 38 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $25,846 – $93,445 · median $40,735 | 38 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $15,918 – $51,165 · median $22,740 | 38 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $12,084 – $38,842 · median $17,263 | 38 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $25,846 – $86,564 · median $37,738 | 37 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $19,394 – $62,337 · median $27,705 | 37 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $14,848 – $47,726 · median $21,211 | 37 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $24,904 – $80,048 · median $34,900 | 37 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $16,508 – $53,061 · median $23,583 | 37 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $12,408 – $39,884 · median $17,726 | 37 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $1,481 – $51,167 · median $22,321 | 37 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $1,481 – $39,823 · median $17,380 | 37 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,877 – $18,891 · median $8,396 | 37 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $39,137 – $194,003 · median $84,534 | 36 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $39,137 – $131,329 · median $57,236 | 36 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $24,832 – $79,817 · median $35,474 | 36 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $39,137 – $141,953 · median $61,863 | 36 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $30,394 – $97,694 · median $42,586 | 36 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $35,201 – $113,145 · median $49,316 | 36 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $24,316 – $78,157 · median $34,737 | 36 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $19,876 – $63,887 · median $28,394 | 36 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $34,699 – $111,534 · median $48,614 | 36 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,908 – $54,349 · median $24,155 | 36 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $13,364 – $42,955 · median $19,091 | 36 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $25,701 – $82,609 · median $36,715 | 36 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $30,010 – $96,460 · median $42,049 | 36 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,421 – $55,996 · median $24,887 | 36 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,855 – $44,532 · median $19,792 | 36 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $30,942 – $136,907 · median $59,666 | 36 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $20,914 – $67,224 · median $29,877 | 36 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $23,740 – $76,307 · median $33,408 | 36 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $15,378 – $49,430 · median $21,969 | 36 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $21,761 – $69,948 · median $31,015 | 36 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $39,137 – $166,312 · median $72,473 | 36 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,200 – $49,072 · median $21,408 | 35 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $14,613 – $87,384 · median $38,095 | 35 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $20,426 – $65,657 · median $29,181 | 35 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $14,263 – $45,847 · median $20,376 | 35 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $14,613 – $111,105 · median $48,427 | 35 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $7,672 – $61,025 · median $26,614 | 35 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $14,613 – $80,620 · median $35,149 | 35 plans |
| 332 | RECTAL RESECTION WITH MCC | $11,200 – $90,607 · median $39,499 | 35 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $11,200 – $53,806 · median $23,470 | 35 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $11,200 – $73,114 · median $31,880 | 35 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,957 – $35,218 · median $15,374 | 35 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $14,613 – $109,399 · median $47,684 | 35 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $14,613 – $59,083 · median $25,768 | 35 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $11,200 – $89,266 · median $38,915 | 35 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $10,960 – $60,565 · median $26,414 | 35 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,960 – $43,654 · median $19,048 | 35 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,960 – $35,724 · median $15,595 | 35 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $14,613 – $103,563 · median $45,142 | 35 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,200 – $36,539 · median $15,950 | 35 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,200 – $41,432 · median $18,081 | 35 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $11,200 – $128,958 · median $56,203 | 35 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $11,200 – $70,614 · median $30,791 | 35 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,200 – $47,022 · median $20,516 | 35 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,200 – $40,251 · median $17,566 | 35 plans |
| 665 | PROSTATECTOMY WITH MCC | — | 35 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $14,613 – $73,552 · median $32,071 | 35 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,200 – $38,285 · median $16,710 | 35 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,942 – $35,172 · median $15,354 | 35 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,960 – $35,230 · median $15,379 | 35 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $13,568 – $43,610 · median $19,029 | 35 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,974 – $23,411 · median $10,231 | 35 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,889 – $31,786 · median $13,879 | 35 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $3,974 – $31,749 · median $13,863 | 35 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $14,613 – $95,927 · median $41,816 | 35 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,613 – $51,043 · median $22,267 | 35 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $14,613 – $116,677 · median $50,854 | 35 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $3,974 – $85,926 · median $37,460 | 35 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $3,974 – $42,486 · median $18,540 | 35 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $3,974 – $31,669 · median $13,828 | 35 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $14,613 – $116,910 · median $50,956 | 34 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $10,960 – $47,139 · median $20,566 | 34 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $10,167 – $32,679 · median $14,268 | 34 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $161,494 – $519,088 · median $226,127 | 33 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $105,658 – $339,615 · median $147,956 | 33 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $42,072 – $135,230 · median $58,935 | 33 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $32,697 – $105,096 · median $45,810 | 33 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $22,594 – $72,623 · median $31,666 | 33 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $91,774 – $294,989 · median $128,519 | 33 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $41,907 – $134,700 · median $58,704 | 33 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $362,414 – $1,164,901 · median $507,414 | 33 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $54,797 – $176,133 · median $76,750 | 33 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,488 – $46,567 · median $20,317 | 33 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,187 – $26,315 · median $11,496 | 33 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $12,334 – $39,645 · median $17,302 | 33 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,493 – $27,298 · median $11,924 | 33 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $2,917 – $39,954 · median $2,941 | 33 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $2,195 – $23,310 · median $2,204 | 33 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,717 – $44,090 · median $19,238 | 33 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $10,168 – $32,684 · median $14,270 | 33 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,737 – $24,869 · median $10,866 | 33 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $21,649 – $69,587 · median $30,344 | 33 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $14,078 – $45,250 · median $19,744 | 33 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $11,402 – $36,649 · median $15,997 | 33 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $16,000 – $51,428 · median $22,434 | 33 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $8,422 – $27,071 · median $11,826 | 33 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,954 – $19,139 · median $8,371 | 33 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,893 – $38,229 · median $16,685 | 33 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,317 – $23,520 · median $10,279 | 33 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,821 – $21,924 · median $9,584 | 33 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $13,378 – $43,002 · median $18,764 | 33 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $8,541 – $27,454 · median $11,992 | 33 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,498 – $20,887 · median $9,132 | 33 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,920 – $41,529 · median $18,123 | 33 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,577 – $27,570 · median $12,043 | 33 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $15,292 – $49,152 · median $21,443 | 33 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,021 – $22,566 · median $9,864 | 33 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $12,481 – $40,117 · median $17,508 | 33 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $8,328 – $26,770 · median $11,694 | 33 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,820 – $18,708 · median $8,183 | 33 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $2,195 – $36,533 · median $2,204 | 33 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $1,927 – $16,092 · median $1,931 | 33 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $18,079 – $58,111 · median $25,345 | 33 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $11,341 – $36,454 · median $15,913 | 33 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,010 – $25,745 · median $11,248 | 33 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,975 – $57,778 · median $25,200 | 33 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,636 – $34,188 · median $14,926 | 33 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,698 – $24,745 · median $10,812 | 33 plans |
| 088 | CONCUSSION WITH MCC | $11,008 – $35,383 · median $15,446 | 33 plans |
| 089 | CONCUSSION WITH CC | $9,091 – $29,221 · median $12,762 | 33 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,005 – $22,518 · median $9,842 | 33 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $14,070 – $45,226 · median $19,733 | 33 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,518 – $27,381 · median $11,960 | 33 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,802 – $21,863 · median $9,557 | 33 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $27,422 – $88,141 · median $38,425 | 33 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $20,302 – $65,257 · median $28,458 | 33 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $20,302 – $65,257 · median $28,458 | 33 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $28,121 – $90,390 · median $39,405 | 33 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $18,150 – $58,338 · median $25,444 | 33 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $11,088 – $35,641 · median $15,559 | 33 plans |
| 100 | SEIZURES WITH MCC | $15,438 – $49,622 · median $21,648 | 33 plans |
| 101 | SEIZURES WITHOUT MCC | $7,607 – $24,450 · median $10,684 | 33 plans |
| 102 | HEADACHES WITH MCC | $9,260 – $29,763 · median $12,998 | 33 plans |
| 103 | HEADACHES WITHOUT MCC | $7,105 – $22,836 · median $9,981 | 33 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $18,575 – $59,706 · median $26,040 | 33 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $11,017 – $35,413 · median $15,459 | 33 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $12,395 – $39,840 · median $17,387 | 33 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $14,463 – $46,489 · median $20,283 | 33 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,987 – $28,887 · median $12,617 | 33 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,581 – $30,795 · median $13,448 | 33 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,722 – $21,607 · median $9,446 | 33 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,819 – $21,919 · median $9,582 | 33 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $10,791 – $34,685 · median $15,142 | 33 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,586 – $21,169 · median $9,255 | 33 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $17,204 – $55,298 · median $24,120 | 33 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,460 – $27,193 · median $11,879 | 33 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $12,079 – $38,825 · median $16,945 | 33 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,483 – $24,051 · median $10,510 | 33 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,129 – $32,558 · median $14,215 | 33 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $33,070 – $106,296 · median $46,333 | 33 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $17,288 – $55,568 · median $24,238 | 33 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,860 – $41,337 · median $18,039 | 33 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $29,142 – $93,671 · median $40,834 | 33 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,894 – $44,659 · median $19,486 | 33 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,876 – $31,745 · median $13,861 | 33 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $16,805 – $54,018 · median $23,562 | 33 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $10,400 – $33,429 · median $14,595 | 33 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,808 – $21,882 · median $9,566 | 33 plans |
| 149 | DYSEQUILIBRIUM | $6,463 – $20,775 · median $9,083 | 33 plans |
| 150 | EPISTAXIS WITH MCC | $10,854 – $34,889 · median $15,231 | 33 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,330 – $20,346 · median $8,897 | 33 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,724 – $31,255 · median $13,648 | 33 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,362 – $20,449 · median $8,941 | 33 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,611 – $40,536 · median $17,690 | 33 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,712 – $24,788 · median $10,831 | 33 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,005 – $19,302 · median $8,442 | 33 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $13,772 – $44,267 · median $19,316 | 33 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,661 – $24,625 · median $10,760 | 33 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,137 – $19,726 · median $8,626 | 33 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $34,709 – $111,565 · median $48,628 | 33 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $19,884 – $63,914 · median $27,873 | 33 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $29,075 – $93,454 · median $40,739 | 33 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,428 – $46,375 · median $20,234 | 33 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,119 – $35,739 · median $15,601 | 33 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $16,442 – $74,925 · median $32,669 | 33 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $11,173 – $35,914 · median $15,677 | 33 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,868 – $22,075 · median $9,649 | 33 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,605 – $40,516 · median $17,682 | 33 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,163 – $26,237 · median $11,462 | 33 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,489 – $20,858 · median $9,119 | 33 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $14,145 – $45,465 · median $19,837 | 33 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,882 – $28,549 · median $12,469 | 33 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,480 – $20,828 · median $9,107 | 33 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $12,357 – $39,718 · median $17,334 | 33 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,830 – $28,381 · median $12,396 | 33 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,728 – $21,624 · median $9,453 | 33 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $12,573 – $40,414 · median $17,637 | 33 plans |
| 187 | PLEURAL EFFUSION WITH CC | $8,262 – $26,555 · median $11,601 | 33 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,203 – $19,938 · median $8,719 | 33 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $10,127 – $32,550 · median $14,212 | 33 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $9,160 – $29,442 · median $12,858 | 33 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $7,155 – $22,999 · median $10,052 | 33 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,633 – $18,107 · median $7,921 | 33 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,725 – $34,473 · median $15,050 | 33 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,874 – $22,096 · median $9,659 | 33 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,531 – $17,779 · median $7,778 | 33 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $15,062 – $48,415 · median $21,122 | 33 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,959 – $25,582 · median $11,177 | 33 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,195 – $19,913 · median $8,708 | 33 plans |
| 199 | PNEUMOTHORAX WITH MCC | $14,130 – $45,418 · median $19,817 | 33 plans |
| 200 | PNEUMOTHORAX WITH CC | $9,096 – $29,238 · median $12,769 | 33 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,187 – $19,887 · median $8,696 | 33 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $8,126 – $26,120 · median $11,411 | 33 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,845 – $18,789 · median $8,218 | 33 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,886 – $22,133 · median $9,675 | 33 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $14,637 – $47,047 · median $20,526 | 33 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,898 – $25,387 · median $11,092 | 33 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $49,497 – $159,098 · median $69,331 | 33 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $21,586 – $69,383 · median $30,255 | 33 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $83,113 – $267,150 · median $116,393 | 33 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $38,040 – $122,272 · median $53,291 | 33 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $22,357 – $71,861 · median $31,334 | 33 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,255 – $36,177 · median $15,792 | 33 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $21,197 – $68,134 · median $29,711 | 33 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,629 – $43,807 · median $19,115 | 33 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $9,042 – $29,065 · median $12,694 | 33 plans |
| 263 | VEIN LIGATION AND STRIPPING | $23,923 – $76,896 · median $33,527 | 33 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $26,068 – $83,789 · median $36,530 | 33 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $54,765 – $176,031 · median $76,706 | 33 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $46,255 – $148,678 · median $64,792 | 33 plans |
| 277 | CELLULITIS AGE >17 W CC | $35,744 – $232,912 · median $50,077 | 33 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $14,431 – $137,959 · median $60,124 | 33 plans |
| 279 | CELLULITIS AGE 0-17 | $21,134 – $90,259 · median $39,347 | 33 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,919 – $41,524 · median $18,121 | 33 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,732 – $24,852 · median $10,859 | 33 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,247 – $20,081 · median $8,781 | 33 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $15,771 – $50,693 · median $22,114 | 33 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,014 – $19,329 · median $8,454 | 33 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,307 – $17,058 · median $7,465 | 33 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $21,264 – $68,349 · median $29,804 | 33 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $13,697 – $44,026 · median $19,211 | 33 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,812 – $25,110 · median $10,971 | 33 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $10,493 – $33,728 · median $14,725 | 33 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,201 – $23,146 · median $10,116 | 33 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,058 – $16,257 · median $7,116 | 33 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $10,071 – $32,370 · median $14,134 | 33 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $6,753 – $21,705 · median $9,488 | 33 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,599 – $40,497 · median $17,673 | 33 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,573 – $17,913 · median $7,837 | 33 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,218 – $13,558 · median $5,940 | 33 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $13,135 – $42,220 · median $18,424 | 33 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,855 – $28,464 · median $12,432 | 33 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,222 – $19,998 · median $8,745 | 33 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,833 – $31,606 · median $13,801 | 33 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,870 – $18,867 · median $8,252 | 33 plans |
| 304 | HYPERTENSION WITH MCC | $9,783 – $31,445 · median $13,731 | 33 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,490 – $20,860 · median $9,120 | 33 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,704 – $40,835 · median $17,821 | 33 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,687 – $24,708 · median $10,796 | 33 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,889 – $31,786 · median $13,879 | 33 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,343 – $20,388 · median $8,915 | 33 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,059 – $16,260 · median $7,117 | 33 plans |
| 311 | ANGINA PECTORIS | $6,087 – $19,565 · median $8,556 | 33 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,372 – $23,696 · median $10,355 | 33 plans |
| 313 | CHEST PAIN | $6,224 – $20,006 · median $8,748 | 33 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $16,562 – $53,234 · median $23,221 | 33 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $8,066 – $25,927 · median $11,328 | 33 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,937 – $19,083 · median $8,347 | 33 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $21,375 – $68,704 · median $29,959 | 33 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $14,122 – $45,392 · median $19,805 | 33 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $33,540 – $107,807 · median $46,991 | 33 plans |
| 324 | URINARY STONES W/O CC | $21,061 – $79,175 · median $34,520 | 33 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $38,538 – $123,871 · median $53,988 | 33 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $19,280 – $61,972 · median $27,027 | 33 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,905 – $41,480 · median $18,102 | 33 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $35,578 – $114,357 · median $49,844 | 33 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,924 – $60,828 · median $26,529 | 33 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,515 – $43,442 · median $18,956 | 33 plans |
| 333 | RECTAL RESECTION WITH CC | $18,508 – $59,489 · median $25,945 | 33 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $13,175 – $42,347 · median $18,479 | 33 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $27,812 – $89,395 · median $38,971 | 33 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $12,395 – $39,842 · median $17,388 | 33 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $20,330 – $65,345 · median $28,496 | 33 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,166 – $39,105 · median $17,067 | 33 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,754 – $31,353 · median $13,691 | 33 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $18,155 – $58,355 · median $25,451 | 33 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,683 – $34,337 · median $14,990 | 33 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,364 – $23,671 · median $10,345 | 33 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $19,641 – $63,133 · median $27,532 | 33 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $12,316 – $39,587 · median $17,277 | 33 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,615 – $30,905 · median $13,496 | 33 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,512 – $43,430 · median $18,951 | 33 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,357 – $36,505 · median $15,935 | 33 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,826 – $41,227 · median $17,991 | 33 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,346 – $26,826 · median $11,719 | 33 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,079 – $19,538 · median $8,545 | 33 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $14,198 – $45,637 · median $19,912 | 33 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,503 – $27,332 · median $11,939 | 33 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,280 – $20,186 · median $8,827 | 33 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $16,967 – $54,536 · median $23,788 | 33 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,931 – $31,922 · median $13,939 | 33 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,771 – $24,978 · median $10,914 | 33 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $14,614 – $46,974 · median $20,494 | 33 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $8,198 – $26,351 · median $11,512 | 33 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,546 – $17,825 · median $7,798 | 33 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $15,630 – $50,240 · median $21,917 | 33 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,977 – $28,853 · median $12,602 | 33 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,834 – $21,967 · median $9,603 | 33 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $11,227 – $36,087 · median $15,752 | 33 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,245 – $23,287 · median $10,177 | 33 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,754 – $40,994 · median $17,890 | 33 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $8,165 – $26,244 · median $11,465 | 33 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,931 – $19,064 · median $8,338 | 33 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,955 – $38,426 · median $16,771 | 33 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,753 – $21,705 · median $9,488 | 33 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,891 – $15,722 · median $6,883 | 33 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $10,376 – $33,351 · median $14,561 | 33 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,675 – $21,456 · median $9,380 | 33 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,882 – $41,407 · median $18,070 | 33 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,857 – $25,256 · median $11,035 | 33 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,686 – $18,278 · median $7,996 | 33 plans |
| 397 | COAGULATION DISORDERS | $18,907 – $60,772 · median $26,504 | 33 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $12,233 – $82,456 · median $17,161 | 33 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $9,440 – $180,383 · median $13,251 | 33 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $42,196 – $135,630 · median $59,109 | 33 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $22,733 – $73,070 · median $31,861 | 33 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $17,579 – $56,505 · median $24,646 | 33 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $17,259 – $55,475 · median $24,197 | 33 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,794 – $41,125 · median $17,947 | 33 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $25,785 – $82,882 · median $36,134 | 33 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $16,693 – $53,655 · median $23,404 | 33 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $13,346 – $42,897 · median $18,719 | 33 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $27,749 – $89,193 · median $38,883 | 33 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $16,422 – $52,784 · median $23,025 | 33 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $11,095 – $35,663 · median $15,568 | 33 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $26,571 – $85,408 · median $37,235 | 33 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,929 – $44,771 · median $19,535 | 33 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,369 – $36,544 · median $15,952 | 33 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,339 – $55,733 · median $24,310 | 33 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $12,133 – $38,998 · median $17,020 | 33 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $15,676 – $50,386 · median $21,981 | 33 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,770 – $28,189 · median $12,312 | 33 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,167 – $19,823 · median $8,669 | 33 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $14,680 – $47,185 · median $20,587 | 33 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $9,337 – $30,012 · median $13,106 | 33 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,233 – $23,250 · median $10,161 | 33 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $13,116 – $42,159 · median $18,397 | 33 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $7,142 – $22,956 · median $10,033 | 33 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,477 – $17,606 · median $7,703 | 33 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $14,362 – $46,163 · median $20,141 | 33 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $8,081 – $25,976 · median $11,349 | 33 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,070 – $19,512 · median $8,533 | 33 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $13,424 – $43,150 · median $18,829 | 33 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $9,059 – $29,118 · median $12,717 | 33 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $7,037 – $22,617 · median $9,886 | 33 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $43,930 – $141,203 · median $61,537 | 33 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $24,357 – $78,291 · median $34,135 | 33 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,581 – $46,869 · median $20,449 | 33 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $40,189 – $129,177 · median $56,299 | 33 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $27,476 – $88,316 · median $38,501 | 33 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $21,581 – $69,366 · median $30,247 | 33 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $33,279 – $106,968 · median $46,625 | 33 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,004 – $57,870 · median $25,241 | 33 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,709 – $31,207 · median $13,627 | 33 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $22,825 – $73,365 · median $31,989 | 33 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $16,632 – $53,460 · median $23,320 | 33 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $13,122 – $42,179 · median $18,406 | 33 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $25,208 – $81,027 · median $35,326 | 33 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $16,606 – $53,377 · median $23,284 | 33 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,632 – $40,602 · median $17,719 | 33 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $14,167 – $45,535 · median $19,868 | 33 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,229 – $29,664 · median $12,955 | 33 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $28,574 – $91,846 · median $40,039 | 33 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $19,976 – $64,208 · median $28,001 | 33 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $15,966 – $51,318 · median $22,387 | 33 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $28,227 – $90,729 · median $39,552 | 33 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,432 – $46,387 · median $20,239 | 33 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,922 – $31,891 · median $13,925 | 33 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $23,616 – $75,908 · median $33,097 | 33 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $16,029 – $51,520 · median $22,475 | 33 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $24,737 – $79,511 · median $34,666 | 33 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $14,009 – $45,029 · median $19,647 | 33 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,963 – $35,240 · median $15,384 | 33 plans |
| 503 | FOOT PROCEDURES WITH MCC | $21,907 – $70,415 · median $30,704 | 33 plans |
| 504 | FOOT PROCEDURES WITH CC | $14,926 – $47,976 · median $20,931 | 33 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,347 – $46,117 · median $20,121 | 33 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,988 – $35,320 · median $15,419 | 33 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,450 – $46,448 · median $20,265 | 33 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $12,239 – $39,341 · median $17,170 | 33 plans |
| 509 | ARTHROSCOPY | $14,074 – $45,238 · median $19,739 | 33 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $23,644 – $75,998 · median $33,136 | 33 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $16,518 – $53,093 · median $23,160 | 33 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $13,307 – $42,773 · median $18,665 | 33 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,693 – $40,799 · median $17,805 | 33 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,513 – $27,364 · median $11,953 | 33 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $22,506 – $72,340 · median $31,543 | 33 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $16,808 – $54,025 · median $23,566 | 33 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $12,643 – $40,638 · median $17,735 | 33 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,876 – $22,101 · median $9,661 | 33 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,480 – $33,684 · median $14,706 | 33 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,887 – $22,138 · median $9,677 | 33 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,998 – $25,708 · median $11,232 | 33 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,226 – $20,013 · median $8,752 | 33 plans |
| 539 | OSTEOMYELITIS WITH MCC | $15,687 – $50,423 · median $21,997 | 33 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,588 – $34,033 · median $14,858 | 33 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,734 – $21,646 · median $9,463 | 33 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $14,148 – $45,477 · median $19,842 | 33 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,556 – $27,502 · median $12,013 | 33 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,486 – $20,848 · median $9,115 | 33 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $19,564 – $62,884 · median $27,424 | 33 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,506 – $30,554 · median $13,343 | 33 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,104 – $22,834 · median $9,980 | 33 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $15,393 – $49,478 · median $21,585 | 33 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,913 – $31,864 · median $13,913 | 33 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,391 – $23,756 · median $10,382 | 33 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,464 – $43,277 · median $18,884 | 33 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $8,051 – $25,879 · median $11,306 | 33 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,588 – $34,033 · median $14,858 | 33 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,058 – $22,686 · median $9,916 | 33 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,781 – $34,653 · median $15,128 | 33 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,062 – $22,698 · median $9,921 | 33 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $12,031 – $38,672 · median $16,878 | 33 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,536 – $24,221 · median $10,584 | 33 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,893 – $47,872 · median $20,886 | 33 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,299 – $29,890 · median $13,053 | 33 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,859 – $22,048 · median $9,638 | 33 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $11,561 – $37,160 · median $16,220 | 33 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,553 – $24,277 · median $10,609 | 33 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $12,461 – $40,052 · median $17,479 | 33 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $8,150 – $26,198 · median $11,445 | 33 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,446 – $20,719 · median $9,059 | 33 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $34,519 – $110,955 · median $48,362 | 33 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $13,565 – $43,603 · median $19,026 | 33 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $9,452 – $30,382 · median $13,268 | 33 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $50,381 – $161,938 · median $70,568 | 33 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $27,058 – $86,973 · median $37,916 | 33 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,379 – $46,219 · median $20,166 | 33 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $37,885 – $121,773 · median $53,074 | 33 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,844 – $66,998 · median $29,216 | 33 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,936 – $41,580 · median $18,145 | 33 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $25,295 – $81,304 · median $35,447 | 33 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,857 – $44,540 · median $19,434 | 33 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,699 – $37,606 · median $16,414 | 33 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $15,361 – $49,374 · median $21,540 | 33 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $13,830 – $44,452 · median $19,396 | 33 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $16,982 – $54,585 · median $23,809 | 33 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $15,380 – $49,434 · median $21,566 | 33 plans |
| 592 | SKIN ULCERS WITH MCC | $15,427 – $49,585 · median $21,632 | 33 plans |
| 593 | SKIN ULCERS WITH CC | $9,755 – $31,355 · median $13,692 | 33 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,336 – $23,579 · median $10,305 | 33 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $16,830 – $54,098 · median $23,597 | 33 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,969 – $28,829 · median $12,591 | 33 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $13,396 – $43,058 · median $18,789 | 33 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,338 – $30,016 · median $13,109 | 33 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,598 – $21,208 · median $9,272 | 33 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,659 – $27,833 · median $12,158 | 33 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,353 – $17,207 · median $7,529 | 33 plans |
| 602 | CELLULITIS WITH MCC | $11,534 – $37,075 · median $16,183 | 33 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,367 – $23,679 · median $10,348 | 33 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,919 – $38,311 · median $16,721 | 33 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,708 – $24,776 · median $10,826 | 33 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $12,230 – $39,312 · median $17,157 | 33 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,635 – $24,543 · median $10,724 | 33 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,369 – $55,828 · median $24,351 | 33 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,179 – $87,362 · median $38,086 | 33 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,934 – $48,003 · median $20,943 | 33 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,512 – $37,002 · median $16,151 | 33 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $22,636 – $72,759 · median $31,725 | 33 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $12,194 – $39,195 · median $17,106 | 33 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,723 – $89,110 · median $38,847 | 33 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,356 – $46,144 · median $20,133 | 33 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,252 – $32,952 · median $14,387 | 33 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $23,641 – $75,989 · median $33,132 | 33 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $12,126 – $38,976 · median $17,011 | 33 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,830 – $34,811 · median $15,197 | 33 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $28,992 – $93,189 · median $40,624 | 33 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $17,270 – $55,512 · median $24,213 | 33 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,824 – $38,005 · median $16,588 | 33 plans |
| 637 | DIABETES WITH MCC | $11,651 – $37,450 · median $16,346 | 33 plans |
| 638 | DIABETES WITH CC | $7,558 – $24,294 · median $10,616 | 33 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,476 – $17,601 · median $7,701 | 33 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,885 – $34,989 · median $15,274 | 33 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,665 – $21,422 · median $9,365 | 33 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $11,540 – $37,094 · median $16,191 | 33 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $13,237 – $42,546 · median $18,566 | 33 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,534 – $27,429 · median $11,982 | 33 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,590 – $21,181 · median $9,260 | 33 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,799 – $53,998 · median $23,554 | 33 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $24,880 – $79,973 · median $34,867 | 33 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $20,012 – $64,325 · median $28,052 | 33 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,780 – $34,651 · median $15,127 | 33 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,612 – $27,682 · median $12,092 | 33 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $23,954 – $76,996 · median $33,571 | 33 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $12,283 – $39,482 · median $17,231 | 33 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,699 – $27,962 · median $12,214 | 33 plans |
| 666 | PROSTATECTOMY WITH CC | $14,018 – $45,058 · median $19,660 | 33 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $9,148 – $29,406 · median $12,842 | 33 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $12,524 – $40,256 · median $17,568 | 33 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $8,172 – $26,268 · median $11,476 | 33 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $14,364 – $46,171 · median $20,145 | 33 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,946 – $28,756 · median $12,559 | 33 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $32,588 – $104,746 · median $45,657 | 33 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $18,480 – $59,401 · median $25,907 | 33 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $13,201 – $42,432 · median $18,516 | 33 plans |
| 682 | RENAL FAILURE WITH MCC | $11,986 – $38,528 · median $16,816 | 33 plans |
| 683 | RENAL FAILURE WITH CC | $7,404 – $23,798 · median $10,400 | 33 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,318 – $17,092 · median $7,479 | 33 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $14,430 – $46,382 · median $20,237 | 33 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,706 – $27,984 · median $12,223 | 33 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,756 – $21,717 · median $9,494 | 33 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,558 – $30,722 · median $13,416 | 33 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,902 – $22,184 · median $9,697 | 33 plans |
| 693 | URINARY STONES WITH MCC | $10,953 – $35,206 · median $15,369 | 33 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,691 – $21,507 · median $9,402 | 33 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,433 – $30,321 · median $13,241 | 33 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,989 – $19,251 · median $8,420 | 33 plans |
| 697 | URETHRAL STRICTURE | $8,933 – $28,714 · median $12,541 | 33 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $13,300 – $42,748 · median $18,654 | 33 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,458 – $27,186 · median $11,876 | 33 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,996 – $19,273 · median $8,429 | 33 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $18,393 – $59,121 · median $25,785 | 33 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,382 – $36,586 · median $15,970 | 33 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $16,551 – $53,200 · median $23,206 | 33 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $9,099 – $29,247 · median $12,774 | 33 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $12,156 – $39,073 · median $17,053 | 33 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,779 – $28,218 · median $12,325 | 33 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $17,713 – $56,936 · median $24,833 | 33 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $15,087 – $48,495 · median $21,157 | 33 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $14,475 – $46,528 · median $20,300 | 33 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,425 – $30,294 · median $13,229 | 33 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,737 – $18,441 · median $8,067 | 33 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,633 – $30,963 · median $13,521 | 33 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,239 – $20,054 · median $8,770 | 33 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $12,001 – $38,574 · median $16,836 | 33 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,915 – $22,226 · median $9,715 | 33 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,789 – $28,249 · median $12,339 | 33 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,861 – $18,837 · median $8,239 | 33 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,901 – $54,324 · median $23,696 | 33 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $27,839 – $89,482 · median $39,009 | 33 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $16,375 – $52,635 · median $22,960 | 33 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,892 – $38,224 · median $16,683 | 33 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $27,902 – $89,684 · median $39,097 | 33 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $14,475 – $46,526 · median $20,299 | 33 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,571 – $37,192 · median $16,234 | 33 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $16,288 – $52,355 · median $22,838 | 33 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $9,385 – $30,167 · median $13,174 | 33 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $13,926 – $44,761 · median $19,531 | 33 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,282 – $23,406 · median $10,229 | 33 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $11,277 – $36,247 · median $15,822 | 33 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $20,214 – $64,975 · median $28,335 | 33 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,947 – $38,401 · median $16,761 | 33 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,718 – $47,307 · median $20,640 | 33 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,009 – $28,958 · median $12,647 | 33 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,045 – $25,859 · median $11,298 | 33 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,615 – $37,333 · median $16,295 | 33 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,185 – $26,310 · median $11,494 | 33 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,797 – $18,633 · median $8,150 | 33 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $8,401 – $27,003 · median $11,796 | 33 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,092 – $16,367 · median $7,163 | 33 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,365 – $26,886 · median $11,745 | 33 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,730 – $18,416 · median $8,056 | 33 plans |
| 779 | ABORTION WITHOUT D&C | $7,143 – $22,958 · median $10,034 | 33 plans |
| 795 | NORMAL NEWBORN | $2,285 – $8,131 · median $3,234 | 33 plans |
| 799 | SPLENECTOMY WITH MCC | $35,066 – $112,712 · median $49,127 | 33 plans |
| 800 | SPLENECTOMY WITH CC | $22,045 – $70,860 · median $30,898 | 33 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $15,227 – $48,943 · median $21,352 | 33 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $30,941 – $99,452 · median $43,351 | 33 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $14,848 – $47,726 · median $20,822 | 33 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $11,040 – $35,486 · median $15,491 | 33 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $17,491 – $56,220 · median $24,522 | 33 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $10,358 – $33,293 · median $14,536 | 33 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,697 – $27,955 · median $12,211 | 33 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $11,406 – $36,661 · median $16,003 | 33 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,725 – $24,830 · median $10,849 | 33 plans |
| 813 | COAGULATION DISORDERS | $12,322 – $39,606 · median $17,285 | 33 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $16,876 – $54,244 · median $23,661 | 33 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $8,450 – $27,162 · median $11,865 | 33 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,558 – $17,864 · median $7,815 | 33 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $18,049 – $58,014 · median $25,303 | 33 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,550 – $30,696 · median $13,404 | 33 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $45,182 – $145,227 · median $63,289 | 33 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,723 – $56,967 · median $24,847 | 33 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $35,489 – $114,072 · median $49,720 | 33 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $17,928 – $57,625 · median $25,133 | 33 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,990 – $35,325 · median $15,421 | 33 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $36,193 – $116,336 · median $50,705 | 33 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $18,273 – $58,734 · median $25,617 | 33 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,674 – $43,951 · median $19,178 | 33 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $24,700 – $79,394 · median $34,615 | 33 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,168 – $39,112 · median $17,070 | 33 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,236 – $20,045 · median $8,765 | 33 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,732 – $15,208 · median $6,659 | 33 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $42,343 – $136,102 · median $59,315 | 33 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $16,566 – $53,248 · median $23,227 | 33 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,006 – $32,163 · median $14,044 | 33 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $37,151 – $119,415 · median $52,047 | 33 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $16,578 – $53,287 · median $23,244 | 33 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,706 – $37,625 · median $16,422 | 33 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $25,267 – $81,217 · median $35,409 | 33 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $13,125 – $42,189 · median $18,410 | 33 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,423 – $27,074 · median $11,827 | 33 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $15,877 – $51,034 · median $22,263 | 33 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,990 – $32,112 · median $14,021 | 33 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,221 – $23,209 · median $10,143 | 33 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $20,403 – $65,581 · median $28,599 | 33 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $10,678 – $34,322 · median $14,984 | 33 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,204 – $23,155 · median $10,120 | 33 plans |
| 849 | RADIOTHERAPY | $21,289 – $68,429 · median $29,839 | 33 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $38,168 – $122,684 · median $53,470 | 33 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,902 – $51,114 · median $22,298 | 33 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,109 – $38,922 · median $16,988 | 33 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $35,216 – $113,194 · median $49,337 | 33 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $16,988 – $54,604 · median $23,818 | 33 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,319 – $36,384 · median $15,882 | 33 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $14,581 – $46,869 · median $20,449 | 33 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,328 – $26,770 · median $11,694 | 33 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,494 – $24,087 · median $10,526 | 33 plans |
| 865 | VIRAL ILLNESS WITH MCC | $12,117 – $38,949 · median $16,999 | 33 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,357 – $23,647 · median $10,334 | 33 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $16,622 – $53,429 · median $23,306 | 33 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,580 – $27,578 · median $12,046 | 33 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,297 – $20,242 · median $8,851 | 33 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $53,110 – $170,710 · median $74,388 | 33 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $15,481 – $49,761 · median $21,708 | 33 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,521 – $27,388 · median $11,964 | 33 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $2,384 – $65,258 | 33 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,963 – $16,536 · median $1,968 | 33 plans |
| 881 | DEPRESSIVE NEUROSES | $1,927 – $16,257 · median $1,931 | 33 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,892 – $18,174 · median $1,896 | 33 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $2,207 – $33,200 · median $2,217 | 33 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,963 – $28,119 · median $1,968 | 33 plans |
| 885 | PSYCHOSES | $1,927 – $23,585 · median $1,931 | 33 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,945 – $35,041 · median $1,950 | 33 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,910 – $23,220 · median $1,913 | 33 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $1,645 – $11,584 · median $1,645 | 33 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $1,673 – $27,916 · median $1,673 | 33 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $1,981 – $31,443 · median $1,986 | 33 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $1,918 – $15,419 · median $4,323 | 33 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $32,550 – $104,624 · median $45,604 | 33 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $15,269 – $49,079 · median $21,411 | 33 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,628 – $30,949 · median $13,515 | 33 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $28,586 – $91,882 · median $40,055 | 33 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $12,005 – $38,586 · median $16,841 | 33 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $15,646 – $50,291 · median $21,939 | 33 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,712 – $34,432 · median $15,032 | 33 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $13,150 – $42,267 · median $18,444 | 33 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,477 – $24,034 · median $10,503 | 33 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $13,505 – $43,410 · median $18,942 | 33 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,817 – $18,699 · median $8,179 | 33 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $2,351 – $27,268 · median $2,536 | 33 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $2,255 – $15,049 · median $2,265 | 33 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $14,635 – $47,042 · median $20,524 | 33 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $8,362 – $26,877 · median $11,741 | 33 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,985 – $19,237 · median $8,413 | 33 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $14,019 – $45,061 · median $19,661 | 33 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $8,478 – $27,252 · median $11,904 | 33 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $162,443 – $522,138 · median $227,455 | 33 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $55,085 – $177,060 · median $77,154 | 33 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $25,161 – $80,874 · median $35,260 | 33 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $30,260 – $97,264 · median $42,398 | 33 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $17,511 – $56,286 · median $24,550 | 33 plans |
| 935 | NON-EXTENSIVE BURNS | $16,371 – $52,620 · median $22,954 | 33 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $28,248 – $90,797 · median $39,582 | 33 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $18,468 – $59,360 · median $25,889 | 33 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $16,126 – $51,834 · median $22,611 | 33 plans |
| 945 | REHABILITATION WITH CC/MCC | $12,498 – $40,173 · median $17,532 | 33 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $9,456 – $30,394 · median $13,273 | 33 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $2,432 – $21,771 · median $2,624 | 33 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $2,195 – $14,232 · median $2,368 | 33 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,781 – $31,438 · median $13,728 | 33 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,525 – $17,759 · median $7,770 | 33 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,982 – $16,014 · median $7,010 | 33 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $29,266 – $94,070 · median $41,008 | 33 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $58,472 – $187,945 · median $81,895 | 33 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $32,681 – $105,045 · median $45,788 | 33 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $23,065 – $74,139 · median $32,326 | 33 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $21,473 – $69,020 · median $30,097 | 33 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,377 – $39,784 · median $17,363 | 33 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,894 – $25,373 · median $11,086 | 33 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $60,158 – $193,364 · median $84,256 | 33 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $20,743 – $66,674 · median $29,075 | 33 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $22,625 – $72,725 · median $31,710 | 33 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,578 – $34,001 · median $14,844 | 33 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,607 – $24,453 · median $10,685 | 33 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,598 – $34,067 · median $14,873 | 33 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $19,388 – $62,320 · median $27,178 | 33 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,751 – $44,199 · median $19,286 | 33 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $212,976 – $684,564 · median $298,200 | 32 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $86,579 – $278,290 · median $121,245 | 32 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $78,846 – $253,432 · median $110,418 | 32 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $43,356 – $139,359 · median $60,733 | 32 plans |
| 007 | LUNG TRANSPLANT | $218,633 – $734,430 · median $319,920 | 32 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $43,211 – $138,894 · median $60,531 | 32 plans |
| 010 | PANCREAS TRANSPLANT | $55,108 – $177,133 · median $77,186 | 32 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $45,673 – $146,806 · median $63,977 | 32 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $28,833 – $92,678 · median $40,401 | 32 plans |
| 652 | KIDNEY TRANSPLANT | $25,227 – $81,085 · median $35,352 | 32 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $14,419 – $46,346 · median $20,221 | 32 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $45,778 – $147,142 · median $64,123 | 32 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $31,508 – $101,275 · median $44,145 | 32 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $19,318 – $62,093 · median $27,080 | 32 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $32,345 – $103,967 · median $45,318 | 32 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $11,948 – $38,404 · median $16,762 | 32 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $1,216 – $11,378 · median $3,457 | 10 plans |
| 999 | UNGROUPABLE | $1,216 – $21,765 · median $6,530 | 8 plans |
No procedures match that keyword.