CommonSpirit St. Anthony Summit Hospital — Pricing
783 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 783 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 783 procedures
Procedures with negotiated rates only
These 783 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $18,386 – $70,884 · median $41,455 | 17 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,522 – $70,884 · median $23,140 | 17 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,777 – $70,884 · median $22,290 | 17 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $70,884 – $670,079 · median $402,349 | 16 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $70,884 – $277,439 · median $162,695 | 16 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $70,884 – $509,824 · median $304,738 | 16 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $70,884 – $336,131 · median $198,869 | 16 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $70,884 – $253,330 · median $148,032 | 16 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $34,356 – $115,355 · median $66,575 | 16 plans |
| 007 | LUNG TRANSPLANT | $70,884 – $310,885 · median $185,931 | 16 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $37,374 – $129,437 · median $80,467 | 16 plans |
| 010 | PANCREAS TRANSPLANT | $34,191 – $189,668 · median $103,024 | 16 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $36,625 – $128,361 · median $78,306 | 16 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $28,447 – $97,620 · median $60,531 | 16 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $19,076 – $70,884 · median $41,375 | 16 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $70,884 – $311,670 · median $172,545 | 16 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $43,875 – $143,585 · median $85,135 | 16 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $43,875 – $143,585 · median $77,993 | 16 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $70,884 – $897,126 · median $619,991 | 16 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $56,778 – $188,576 · median $102,434 | 16 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $60,037 – $191,759 · median $112,975 | 16 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $43,622 – $139,158 · median $76,005 | 16 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $24,695 – $88,884 · median $45,619 | 16 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $40,265 – $135,715 · median $82,272 | 16 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $26,912 – $90,435 · median $56,165 | 16 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $31,367 – $106,389 · median $65,279 | 16 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $20,976 – $72,759 · median $44,640 | 16 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $17,281 – $70,884 · median $36,222 | 16 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $42,803 – $144,622 · median $86,263 | 16 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $24,350 – $79,851 · median $48,982 | 16 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $16,472 – $70,884 · median $31,517 | 16 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $29,240 – $99,687 · median $64,328 | 16 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $15,298 – $70,884 · median $30,596 | 16 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,527 – $70,884 · median $23,875 | 16 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $27,712 – $92,507 · median $55,573 | 16 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $16,333 – $70,884 · median $34,321 | 16 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $12,844 – $70,884 · median $27,893 | 16 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $23,977 – $78,999 · median $47,266 | 16 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,364 – $70,884 · median $23,346 | 16 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,105 – $70,884 · median $19,212 | 16 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $27,350 – $89,731 · median $55,437 | 16 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $15,845 – $70,884 · median $31,568 | 16 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,358 – $70,884 · median $24,805 | 16 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $13,812 – $70,884 · median $26,005 | 16 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,988 – $70,884 · median $17,397 | 16 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,466 – $70,884 · median $22,461 | 16 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,623 – $70,884 · median $17,771 | 16 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $17,005 – $70,884 · median $33,354 | 16 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,683 – $70,884 · median $20,323 | 16 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $12,273 – $70,884 · median $24,544 | 16 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,433 – $70,884 · median $19,817 | 16 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,374 – $70,884 · median $16,848 | 16 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $19,908 – $70,884 · median $39,585 | 16 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,295 – $70,884 · median $25,229 | 16 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,561 – $70,884 · median $21,323 | 16 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,227 – $70,884 · median $28,873 | 16 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,219 – $70,884 · median $17,685 | 16 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,883 – $70,884 · median $14,672 | 16 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,064 – $70,884 · median $21,923 | 16 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,187 – $70,884 · median $16,336 | 16 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,673 – $70,884 · median $15,729 | 16 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $12,711 – $70,884 · median $23,902 | 16 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $7,542 – $70,884 · median $17,830 | 16 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,562 – $70,884 · median $15,336 | 16 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $10,747 – $70,884 · median $23,177 | 16 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,289 – $70,884 · median $17,874 | 16 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $13,594 – $70,884 · median $27,530 | 16 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,553 – $70,884 · median $15,974 | 16 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $15,688 – $70,884 · median $25,987 | 16 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,460 – $70,884 · median $16,624 | 16 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $16,183 – $70,884 · median $32,815 | 16 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $9,634 – $70,884 · median $21,249 | 16 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,533 – $70,884 · median $17,181 | 16 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,144 – $70,884 · median $32,618 | 16 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,355 – $70,884 · median $20,388 | 16 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,295 – $70,884 · median $16,801 | 16 plans |
| 088 | CONCUSSION WITH MCC | $10,895 – $70,884 · median $20,842 | 16 plans |
| 089 | CONCUSSION WITH CC | $8,168 – $70,884 · median $18,501 | 16 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,640 – $70,884 · median $15,955 | 16 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $12,709 – $70,884 · median $25,214 | 16 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,288 – $70,884 · median $17,802 | 16 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,501 – $70,884 · median $15,706 | 16 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $25,732 – $86,795 · median $50,529 | 16 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $16,935 – $70,884 · median $37,031 | 16 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $15,482 – $70,884 · median $37,031 | 16 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $25,833 – $85,282 · median $51,856 | 16 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $15,303 – $70,884 · median $32,949 | 16 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $9,377 – $70,884 · median $20,940 | 16 plans |
| 100 | SEIZURES WITH MCC | $14,082 – $70,884 · median $27,807 | 16 plans |
| 101 | SEIZURES WITHOUT MCC | $6,461 – $70,884 · median $16,689 | 16 plans |
| 102 | HEADACHES WITH MCC | $8,570 – $70,884 · median $18,707 | 16 plans |
| 103 | HEADACHES WITHOUT MCC | $5,984 – $70,884 · median $16,076 | 16 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $17,809 – $70,884 · median $33,756 | 16 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,749 – $70,884 · median $20,853 | 16 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,112 – $70,884 · median $22,535 | 16 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $13,004 – $70,884 · median $25,960 | 16 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,512 – $70,884 · median $18,375 | 16 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,100 – $70,884 · median $19,099 | 16 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,288 – $70,884 · median $15,609 | 16 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,711 – $70,884 · median $15,728 | 16 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,389 – $70,884 · median $20,577 | 16 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,665 – $70,884 · median $15,443 | 16 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $18,838 – $70,884 · median $31,155 | 16 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,670 – $70,884 · median $17,731 | 16 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,688 – $70,884 · median $22,150 | 16 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,149 – $70,884 · median $16,538 | 16 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,436 – $70,884 · median $19,769 | 16 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $26,836 – $100,608 · median $61,238 | 16 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $14,715 – $70,884 · median $31,315 | 16 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $10,974 – $70,884 · median $23,104 | 16 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $23,622 – $78,547 · median $53,791 | 16 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,292 – $70,884 · median $24,880 | 16 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,673 – $70,884 · median $19,460 | 16 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $14,994 – $70,884 · median $30,400 | 16 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $8,778 – $70,884 · median $20,100 | 16 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,320 – $70,884 · median $15,714 | 16 plans |
| 149 | DYSEQUILIBRIUM | $5,290 – $70,884 · median $15,293 | 16 plans |
| 150 | EPISTAXIS WITH MCC | $9,337 – $70,884 · median $20,655 | 16 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,474 – $70,884 · median $15,130 | 16 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,440 – $70,884 · median $19,274 | 16 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,219 – $70,884 · median $15,169 | 16 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $10,926 – $70,884 · median $22,800 | 16 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $6,724 – $70,884 · median $16,818 | 16 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,656 – $70,884 · median $14,734 | 16 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,125 – $70,884 · median $24,649 | 16 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,666 – $70,884 · median $16,756 | 16 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,796 – $70,884 · median $14,895 | 16 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $33,481 – $109,646 · median $64,347 | 16 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $18,115 – $70,884 · median $36,238 | 16 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,328 – $70,884 · median $27,483 | 16 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $28,822 – $91,946 · median $53,664 | 16 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $12,926 – $70,884 · median $25,892 | 16 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,630 – $70,884 · median $20,977 | 16 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $21,842 – $72,997 · median $42,733 | 16 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $9,965 – $70,884 · median $21,044 | 16 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,793 – $70,884 · median $15,787 | 16 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,050 – $70,884 · median $22,792 | 16 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,009 – $70,884 · median $17,368 | 16 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,422 – $70,884 · median $15,325 | 16 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $12,346 – $70,884 · median $25,355 | 16 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,821 – $70,884 · median $18,246 | 16 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,391 – $70,884 · median $15,313 | 16 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,184 – $70,884 · median $22,489 | 16 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,472 – $70,884 · median $18,182 | 16 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,368 – $70,884 · median $15,616 | 16 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,025 – $70,884 · median $22,753 | 16 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,077 – $70,884 · median $17,489 | 16 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,302 – $70,884 · median $14,975 | 16 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $8,751 – $70,884 · median $19,766 | 16 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,827 – $70,884 · median $18,585 | 16 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,030 – $70,884 · median $16,138 | 16 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,559 – $70,884 · median $14,280 | 16 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,423 – $70,884 · median $20,496 | 16 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,840 – $70,884 · median $15,795 | 16 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,444 – $70,884 · median $14,155 | 16 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,463 – $70,884 · median $27,095 | 16 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,085 – $70,884 · median $17,119 | 16 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,528 – $70,884 · median $14,966 | 16 plans |
| 199 | PNEUMOTHORAX WITH MCC | $12,601 – $70,884 · median $25,328 | 16 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,650 – $70,884 · median $18,508 | 16 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,015 – $70,884 · median $14,956 | 16 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,801 – $70,884 · median $17,323 | 16 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,936 – $70,884 · median $14,539 | 16 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,845 – $70,884 · median $15,809 | 16 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $12,859 – $70,884 · median $26,288 | 16 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,489 – $70,884 · median $17,045 | 16 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $49,067 – $156,528 · median $92,385 | 16 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $19,205 – $70,884 · median $39,464 | 16 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $70,884 – $259,147 · median $156,123 | 16 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $70,884 – $252,036 · median $142,956 | 16 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $68,937 – $229,583 · median $140,455 | 16 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $45,213 – $153,622 · median $94,404 | 16 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $40,464 – $141,529 · median $94,404 | 16 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $54,773 – $184,063 · median $110,240 | 16 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $37,252 – $125,999 · median $76,565 | 16 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $33,019 – $109,251 · median $72,364 | 16 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $35,790 – $118,543 · median $71,032 | 16 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $22,585 – $73,894 · median $45,218 | 16 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $57,642 – $201,582 · median $121,031 | 16 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $42,253 – $145,316 · median $87,043 | 16 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $55,400 – $185,938 · median $109,765 | 16 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $36,921 – $126,560 · median $78,430 | 16 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $41,770 – $139,976 · median $84,258 | 16 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $28,705 – $97,820 · median $60,140 | 16 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $34,143 – $119,818 · median $70,663 | 16 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $19,954 – $70,884 · median $40,926 | 16 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,872 – $70,884 · median $21,144 | 16 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $24,542 – $80,696 · median $45,840 | 16 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,178 – $70,884 · median $30,594 | 16 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $12,995 – $70,884 · median $25,951 | 16 plans |
| 245 | AICD GENERATOR PROCEDURES | $32,186 – $116,250 · median $65,504 | 16 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $16,698 – $70,884 · median $31,335 | 16 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,272 – $70,884 · median $22,162 | 16 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $23,822 – $81,604 · median $50,083 | 16 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $18,120 – $70,884 · median $37,266 | 16 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $12,324 – $70,884 · median $25,581 | 16 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $19,515 – $70,884 · median $38,728 | 16 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $11,647 – $70,884 · median $24,377 | 16 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,039 – $70,884 · median $18,442 | 16 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $19,239 – $70,884 · median $45,112 | 16 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $13,258 – $70,884 · median $29,032 | 16 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $23,548 – $81,048 · median $46,702 | 16 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $13,366 – $70,884 · median $27,143 | 16 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $11,687 – $70,884 · median $23,413 | 16 plans |
| 263 | VEIN LIGATION AND STRIPPING | $20,067 – $70,884 · median $43,896 | 16 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $23,198 – $83,144 · median $47,962 | 16 plans |
| 265 | AICD LEAD PROCEDURES | $25,103 – $84,857 · median $51,948 | 16 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $44,366 – $142,512 · median $87,988 | 16 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $34,664 – $111,918 · median $68,353 | 16 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $48,689 – $158,613 · median $98,748 | 16 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $29,538 – $98,976 · median $60,634 | 16 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $35,919 – $122,109 · median $75,754 | 16 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $24,549 – $81,942 · median $51,059 | 16 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $17,328 – $70,884 · median $36,654 | 16 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $27,680 – $93,019 · median $59,231 | 16 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $23,019 – $74,244 · median $47,260 | 16 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $49,975 – $168,112 · median $102,374 | 16 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $44,111 – $147,355 · median $86,239 | 16 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $33,969 – $110,676 · median $66,309 | 16 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $31,682 – $119,019 · median $79,916 | 16 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $22,734 – $76,228 · median $51,778 | 16 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $11,269 – $70,884 · median $23,175 | 16 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,485 – $70,884 · median $16,842 | 16 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,101 – $70,884 · median $15,030 | 16 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $14,003 – $70,884 · median $28,439 | 16 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,254 – $70,884 · median $14,744 | 16 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,471 – $70,884 · median $13,881 | 16 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $15,311 – $70,884 · median $31,770 | 16 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,683 – $70,884 · median $18,238 | 16 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $18,418 – $70,884 · median $38,854 | 16 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $10,496 – $70,884 · median $24,507 | 16 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,282 – $70,884 · median $16,940 | 16 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,120 – $70,884 · median $20,214 | 16 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,084 – $70,884 · median $16,194 | 16 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,988 – $70,884 · median $13,577 | 16 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,388 – $70,884 · median $22,785 | 16 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,175 – $70,884 · median $14,206 | 16 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,118 – $70,884 · median $12,552 | 16 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $11,196 – $70,884 · median $23,441 | 16 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,579 – $70,884 · median $18,214 | 16 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,042 – $70,884 · median $14,998 | 16 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,963 – $70,884 · median $19,407 | 16 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,674 – $70,884 · median $14,568 | 16 plans |
| 304 | HYPERTENSION WITH MCC | $8,161 – $70,884 · median $19,346 | 16 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,352 – $70,884 · median $15,325 | 16 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $10,916 – $70,884 · median $22,913 | 16 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,695 – $70,884 · median $16,787 | 16 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,539 – $70,884 · median $19,476 | 16 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,290 – $70,884 · median $15,146 | 16 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,928 – $70,884 · median $13,578 | 16 plans |
| 311 | ANGINA PECTORIS | $4,959 – $70,884 · median $14,834 | 16 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,133 – $70,884 · median $16,403 | 16 plans |
| 313 | CHEST PAIN | $5,140 – $70,884 · median $15,001 | 16 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $14,870 – $70,884 · median $29,938 | 16 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,871 – $70,884 · median $17,250 | 16 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,920 – $70,884 · median $14,650 | 16 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $30,982 – $104,498 · median $64,075 | 16 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $15,811 – $70,884 · median $34,534 | 16 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $20,419 – $70,884 · median $39,063 | 16 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $12,952 – $70,884 · median $25,312 | 16 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $29,406 – $101,326 · median $62,130 | 16 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $21,086 – $76,009 · median $45,240 | 16 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $18,782 – $70,884 · median $46,093 | 16 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $36,076 – $120,822 · median $71,606 | 16 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,739 – $70,884 · median $35,092 | 16 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,346 – $70,884 · median $23,158 | 16 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $32,083 – $109,237 · median $65,994 | 16 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $16,849 – $70,884 · median $34,417 | 16 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,876 – $70,884 · median $24,162 | 16 plans |
| 332 | RECTAL RESECTION WITH MCC | $25,767 – $82,803 · median $51,984 | 16 plans |
| 333 | RECTAL RESECTION WITH CC | $14,771 – $70,884 · median $33,628 | 16 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $11,401 – $70,884 · median $23,516 | 16 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $25,393 – $86,213 · median $51,269 | 16 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $14,954 – $70,884 · median $30,275 | 16 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $10,629 – $70,884 · median $22,536 | 16 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $19,465 – $70,884 · median $37,082 | 16 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,943 – $70,884 · median $22,256 | 16 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,147 – $70,884 · median $19,311 | 16 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $18,106 – $70,884 · median $32,959 | 16 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,244 – $70,884 · median $20,445 | 16 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,931 – $70,884 · median $16,393 | 16 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $17,047 – $70,884 · median $35,777 | 16 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $10,339 – $70,884 · median $22,439 | 16 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,877 – $70,884 · median $19,141 | 16 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $20,771 – $70,884 · median $41,665 | 16 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,202 – $70,884 · median $24,155 | 16 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,679 – $70,884 · median $20,779 | 16 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $30,392 – $101,474 · median $63,069 | 16 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $15,604 – $70,884 · median $33,388 | 16 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,100 – $70,884 · median $21,268 | 16 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $11,734 – $70,884 · median $23,062 | 16 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,020 – $70,884 · median $17,592 | 16 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,282 – $70,884 · median $14,823 | 16 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $12,414 – $70,884 · median $25,457 | 16 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,403 – $70,884 · median $17,784 | 16 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,089 – $70,884 · median $15,069 | 16 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $14,909 – $70,884 · median $30,706 | 16 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,512 – $70,884 · median $19,528 | 16 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,332 – $70,884 · median $16,890 | 16 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $12,716 – $70,884 · median $26,245 | 16 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,988 – $70,884 · median $17,411 | 16 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,498 – $70,884 · median $14,172 | 16 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $13,840 – $70,884 · median $28,172 | 16 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,622 – $70,884 · median $18,362 | 16 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,378 – $70,884 · median $15,746 | 16 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,931 – $70,884 · median $21,109 | 16 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,220 – $70,884 · median $16,247 | 16 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,130 – $70,884 · median $22,973 | 16 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,901 – $70,884 · median $17,371 | 16 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,859 – $70,884 · median $14,643 | 16 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,324 – $70,884 · median $21,998 | 16 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,657 – $70,884 · median $15,646 | 16 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,971 – $70,884 · median $13,374 | 16 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,061 – $70,884 · median $20,070 | 16 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,580 – $70,884 · median $15,552 | 16 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $11,504 – $70,884 · median $23,131 | 16 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,655 – $70,884 · median $16,995 | 16 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,599 – $70,884 · median $14,344 | 16 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $15,958 – $70,884 · median $34,384 | 16 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $10,749 – $70,884 · median $22,338 | 16 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,906 – $70,884 · median $18,928 | 16 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $39,103 – $129,142 · median $78,542 | 16 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $20,509 – $70,884 · median $41,639 | 16 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $15,279 – $70,884 · median $31,868 | 16 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $26,439 – $84,341 · median $51,193 | 16 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $13,903 – $70,884 · median $31,260 | 16 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,118 – $70,884 · median $23,023 | 16 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $20,460 – $70,884 · median $47,427 | 16 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $14,529 – $70,884 · median $30,186 | 16 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,723 – $70,884 · median $23,840 | 16 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $25,039 – $83,351 · median $51,150 | 16 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $14,034 – $70,884 · median $29,672 | 16 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $9,512 – $70,884 · median $20,949 | 16 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $16,463 – $70,884 · median $34,262 | 16 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $11,611 – $70,884 · median $24,287 | 16 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,328 – $70,884 · median $20,972 | 16 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $22,735 – $83,960 · median $48,917 | 16 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,143 – $70,884 · median $24,946 | 16 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,022 – $70,884 · median $21,283 | 16 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $27,779 – $96,756 · median $59,626 | 16 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $14,826 – $70,884 · median $31,412 | 16 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,378 – $70,884 · median $22,215 | 16 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $13,609 – $70,884 · median $28,258 | 16 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,323 – $70,884 · median $18,109 | 16 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,755 – $70,884 · median $14,932 | 16 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $12,501 – $70,884 · median $26,370 | 16 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,818 – $70,884 · median $18,802 | 16 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,903 – $70,884 · median $16,233 | 16 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $11,853 – $70,884 · median $23,416 | 16 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,074 – $70,884 · median $16,121 | 16 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,373 – $70,884 · median $14,089 | 16 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $12,986 – $70,884 · median $25,767 | 16 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,758 – $70,884 · median $17,269 | 16 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,077 – $70,884 · median $14,813 | 16 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $11,601 – $70,884 · median $23,990 | 16 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,720 – $70,884 · median $18,462 | 16 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,693 – $70,884 · median $15,993 | 16 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $59,874 – $201,468 · median $120,651 | 16 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $43,153 – $137,660 · median $85,614 | 16 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $32,184 – $102,718 · median $59,908 | 16 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $48,432 – $154,500 · median $79,296 | 16 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $20,217 – $70,884 · median $38,191 | 16 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $40,229 – $128,483 · median $81,830 | 16 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $21,319 – $70,884 · median $44,719 | 16 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,288 – $70,884 · median $26,184 | 16 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $36,840 – $121,193 · median $74,736 | 16 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $24,763 – $81,478 · median $50,633 | 16 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $18,962 – $70,884 · median $39,454 | 16 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $23,652 – $77,758 · median $43,549 | 16 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $13,366 – $70,884 · median $27,694 | 16 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $34,940 – $115,548 · median $69,327 | 16 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $20,992 – $70,884 · median $42,298 | 16 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $17,478 – $70,884 · median $35,051 | 16 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $30,563 – $106,684 · median $61,635 | 16 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $15,234 – $70,884 · median $32,673 | 16 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,360 – $70,884 · median $19,256 | 16 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $23,930 – $81,809 · median $49,599 | 16 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $16,931 – $70,884 · median $35,308 | 16 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,240 – $70,884 · median $26,689 | 16 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $20,946 – $70,884 · median $41,813 | 16 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $14,738 – $70,884 · median $30,072 | 16 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,282 – $70,884 · median $23,424 | 16 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $17,645 – $70,884 · median $39,797 | 16 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $23,397 – $76,689 · median $46,333 | 16 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $14,265 – $70,884 · median $30,023 | 16 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,973 – $70,884 · median $22,825 | 16 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $14,963 – $70,884 · median $25,397 | 16 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,791 – $70,884 · median $18,670 | 16 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $24,591 – $84,478 · median $52,714 | 16 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $17,059 – $70,884 · median $36,412 | 16 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $13,277 – $70,884 · median $28,808 | 16 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $25,437 – $83,748 · median $52,055 | 16 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,117 – $70,884 · median $25,899 | 16 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $10,139 – $70,884 · median $19,516 | 16 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $18,546 – $70,884 · median $43,313 | 16 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $9,161 – $70,884 · median $28,927 | 16 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $23,034 – $75,379 · median $45,438 | 16 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $12,329 – $70,884 · median $25,098 | 16 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $9,821 – $70,884 · median $20,788 | 16 plans |
| 503 | FOOT PROCEDURES WITH MCC | $19,049 – $70,884 · median $40,073 | 16 plans |
| 504 | FOOT PROCEDURES WITH CC | $12,268 – $70,884 · median $26,837 | 16 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $12,116 – $70,884 · median $25,740 | 16 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,389 – $70,884 · median $20,818 | 16 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $15,141 – $70,884 · median $25,935 | 16 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,186 – $70,884 · median $22,346 | 16 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $19,324 – $70,884 · median $43,366 | 16 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $14,162 – $70,884 · median $29,855 | 16 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $11,463 – $70,884 · median $23,767 | 16 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,514 – $70,884 · median $22,899 | 16 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,398 – $70,884 · median $17,796 | 16 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $22,456 – $73,563 · median $45,755 | 16 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $14,496 – $70,884 · median $29,836 | 16 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $10,615 – $70,884 · median $22,552 | 16 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $25,939 – $85,259 · median $53,658 | 16 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $13,983 – $70,884 · median $28,718 | 16 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,168 – $70,884 · median $22,156 | 16 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $21,268 – $70,884 · median $41,208 | 16 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,003 – $70,884 · median $30,405 | 16 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,588 – $70,884 · median $22,838 | 16 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,753 – $70,884 · median $15,797 | 16 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,210 – $70,884 · median $20,197 | 16 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,591 – $70,884 · median $15,811 | 16 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,869 – $70,884 · median $17,167 | 16 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,037 – $70,884 · median $15,004 | 16 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,095 – $70,884 · median $28,280 | 16 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,221 – $70,884 · median $20,329 | 16 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,094 – $70,884 · median $15,624 | 16 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $12,954 – $70,884 · median $25,362 | 16 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,747 – $70,884 · median $17,849 | 16 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,452 – $70,884 · median $15,321 | 16 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $17,709 – $70,884 · median $35,631 | 16 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,519 – $70,884 · median $19,008 | 16 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,778 – $70,884 · median $16,075 | 16 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $13,849 – $70,884 · median $27,723 | 16 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,568 – $70,884 · median $19,505 | 16 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,540 – $70,884 · median $16,426 | 16 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,089 – $70,884 · median $24,064 | 16 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,864 – $70,884 · median $17,232 | 16 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,600 – $70,884 · median $20,329 | 16 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,837 – $70,884 · median $16,019 | 16 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,937 – $70,884 · median $20,565 | 16 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,856 – $70,884 · median $16,023 | 16 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,058 – $70,884 · median $22,091 | 16 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,239 – $70,884 · median $16,602 | 16 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,144 – $70,884 · median $26,775 | 16 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,041 – $70,884 · median $18,756 | 16 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,542 – $70,884 · median $15,777 | 16 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,802 – $70,884 · median $21,517 | 16 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,361 – $70,884 · median $16,624 | 16 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,094 – $70,884 · median $22,616 | 16 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,099 – $70,884 · median $17,353 | 16 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,331 – $70,884 · median $15,272 | 16 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $20,756 – $71,617 · median $42,226 | 16 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,018 – $70,884 · median $24,257 | 16 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,095 – $70,884 · median $18,942 | 16 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $44,167 – $146,494 · median $94,061 | 16 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $24,191 – $82,425 · median $49,840 | 16 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,533 – $70,884 · median $25,800 | 16 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $40,367 – $128,773 · median $70,368 | 16 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $18,817 – $70,884 · median $38,057 | 16 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,439 – $70,884 · median $23,196 | 16 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $23,740 – $77,534 · median $46,496 | 16 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,406 – $70,884 · median $24,810 | 16 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $9,566 – $70,884 · median $21,686 | 16 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $11,841 – $70,884 · median $27,661 | 16 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $10,810 – $70,884 · median $24,758 | 16 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $13,912 – $70,884 · median $30,735 | 16 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $11,961 – $70,884 · median $27,697 | 16 plans |
| 592 | SKIN ULCERS WITH MCC | $14,846 – $70,884 · median $27,786 | 16 plans |
| 593 | SKIN ULCERS WITH CC | $8,594 – $70,884 · median $19,312 | 16 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,593 – $70,884 · median $16,358 | 16 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $15,449 – $70,884 · median $30,448 | 16 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,167 – $70,884 · median $18,352 | 16 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $11,368 – $70,884 · median $23,935 | 16 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,515 – $70,884 · median $18,804 | 16 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,414 – $70,884 · median $15,458 | 16 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,284 – $70,884 · median $17,974 | 16 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,422 – $70,884 · median $13,938 | 16 plans |
| 602 | CELLULITIS WITH MCC | $10,566 – $70,884 · median $21,485 | 16 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,284 – $70,884 · median $16,396 | 16 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,699 – $70,884 · median $21,955 | 16 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,455 – $70,884 · median $16,813 | 16 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,264 – $70,884 · median $22,335 | 16 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,347 – $70,884 · median $16,724 | 16 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $15,999 – $70,884 · median $31,468 | 16 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,449 – $70,884 · median $21,281 | 16 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $28,111 – $91,946 · median $50,070 | 16 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,096 – $70,884 · median $26,853 | 16 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,250 – $70,884 · median $21,457 | 16 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,173 – $89,070 · median $51,101 | 16 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,221 – $70,884 · median $25,756 | 16 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,916 – $70,884 · median $19,919 | 16 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $20,749 – $70,884 · median $43,361 | 16 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $10,597 – $70,884 · median $22,207 | 16 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,779 – $70,884 · median $20,625 | 16 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $28,515 – $93,882 · median $53,507 | 16 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $16,073 – $70,884 · median $31,282 | 16 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $9,918 – $70,884 · median $21,838 | 16 plans |
| 637 | DIABETES WITH MCC | $10,294 – $70,884 · median $21,627 | 16 plans |
| 638 | DIABETES WITH CC | $6,388 – $70,884 · median $16,630 | 16 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,422 – $70,884 · median $14,087 | 16 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $9,342 – $70,884 · median $20,693 | 16 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,550 – $70,884 · median $15,539 | 16 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $9,257 – $70,884 · median $21,492 | 16 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $11,685 – $70,884 · median $23,634 | 16 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,541 – $70,884 · median $17,821 | 16 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,405 – $70,884 · median $15,447 | 16 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $31,946 – $109,601 · median $67,500 | 16 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $24,565 – $82,604 · median $53,205 | 16 plans |
| 652 | KIDNEY TRANSPLANT | $21,340 – $73,064 · median $46,367 | 16 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $38,453 – $132,610 · median $74,607 | 16 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $19,444 – $70,884 · median $40,191 | 16 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $14,972 – $70,884 · median $30,389 | 16 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $22,286 – $77,501 · median $45,711 | 16 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,099 – $70,884 · median $26,274 | 16 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $10,515 – $70,884 · median $22,691 | 16 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,389 – $70,884 · median $36,481 | 16 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,560 – $70,884 · median $20,564 | 16 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,447 – $70,884 · median $17,917 | 16 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $21,286 – $74,211 · median $43,955 | 16 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $10,363 – $70,884 · median $22,399 | 16 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,541 – $70,884 · median $18,023 | 16 plans |
| 665 | PROSTATECTOMY WITH MCC | $21,942 – $81,681 · median $44,812 | 16 plans |
| 666 | PROSTATECTOMY WITH CC | $12,199 – $70,884 · median $25,115 | 16 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,455 – $70,884 · median $18,572 | 16 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $20,016 – $70,884 · median $41,923 | 16 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $10,900 – $70,884 · median $22,693 | 16 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,837 – $70,884 · median $17,380 | 16 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $12,160 – $70,884 · median $25,771 | 16 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,554 – $70,884 · median $18,325 | 16 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $26,267 – $99,680 · median $60,324 | 16 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $16,921 – $70,884 · median $33,576 | 16 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,269 – $70,884 · median $23,566 | 16 plans |
| 682 | RENAL FAILURE WITH MCC | $10,660 – $70,884 · median $22,037 | 16 plans |
| 683 | RENAL FAILURE WITH CC | $6,398 – $70,884 · median $16,441 | 16 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,322 – $70,884 · median $13,894 | 16 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,065 – $70,884 · median $25,896 | 16 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,425 – $70,884 · median $18,032 | 16 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,547 – $70,884 · median $15,651 | 16 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,342 – $70,884 · median $19,072 | 16 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,731 – $70,884 · median $15,828 | 16 plans |
| 693 | URINARY STONES WITH MCC | $10,060 – $70,884 · median $20,775 | 16 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,560 – $70,884 · median $15,571 | 16 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,495 – $70,884 · median $18,919 | 16 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,916 – $70,884 · median $14,714 | 16 plans |
| 697 | URETHRAL STRICTURE | $7,906 – $70,884 · median $18,309 | 16 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $11,751 – $70,884 · median $23,753 | 16 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,251 – $70,884 · median $17,728 | 16 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,031 – $70,884 · median $14,723 | 16 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $13,935 – $70,884 · median $28,719 | 16 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,360 – $70,884 · median $22,529 | 16 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $15,058 – $70,884 · median $33,411 | 16 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $8,767 – $70,884 · median $21,299 | 16 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $15,079 – $70,884 · median $29,918 | 16 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,441 – $70,884 · median $18,511 | 16 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,304 – $70,884 · median $22,244 | 16 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,808 – $70,884 · median $18,120 | 16 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $15,680 – $70,884 · median $32,122 | 16 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,102 – $70,884 · median $21,944 | 16 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $12,883 – $70,884 · median $27,143 | 16 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,352 – $70,884 · median $20,762 | 16 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $13,317 – $70,884 · median $25,983 | 16 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,915 – $70,884 · median $18,909 | 16 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,750 – $70,884 · median $14,406 | 16 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,814 – $70,884 · median $19,163 | 16 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,192 – $70,884 · median $15,019 | 16 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,514 – $70,884 · median $22,054 | 16 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,683 – $70,884 · median $15,844 | 16 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,131 – $70,884 · median $18,132 | 16 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,415 – $70,884 · median $14,557 | 16 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $15,439 – $70,884 · median $30,581 | 16 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,951 – $70,884 · median $20,784 | 16 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $27,611 – $93,668 · median $51,320 | 16 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $14,020 – $70,884 · median $29,585 | 16 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,693 – $70,884 · median $21,921 | 16 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $25,687 – $94,701 · median $51,440 | 16 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $12,693 – $70,884 · median $25,981 | 16 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,229 – $70,884 · median $21,529 | 16 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $12,657 – $70,884 · median $26,343 | 16 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $8,254 – $70,884 · median $19,815 | 16 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $13,371 – $70,884 · median $29,420 | 16 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,358 – $70,884 · median $18,861 | 16 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $11,905 – $70,884 · median $24,940 | 16 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,302 – $70,884 · median $16,293 | 16 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $9,979 – $70,884 · median $21,170 | 16 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $17,880 – $70,884 · median $36,864 | 16 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,660 – $70,884 · median $21,989 | 16 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,158 – $70,884 · median $26,442 | 16 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,705 – $70,884 · median $18,401 | 16 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,030 – $70,884 · median $17,224 | 16 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,595 – $70,884 · median $21,583 | 16 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,050 – $70,884 · median $17,396 | 16 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,590 – $70,884 · median $14,479 | 16 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,070 – $70,884 · median $17,659 | 16 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,302 – $70,884 · median $13,619 | 16 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $3,499 – $27,601 · median $18,252 | 16 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,966 – $70,884 · median $24,261 | 16 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $5,673 – $70,884 · median $17,615 | 16 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,091 – $70,884 · median $14,397 | 16 plans |
| 779 | ABORTION WITHOUT D&C | $7,026 – $70,884 · median $16,122 | 16 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $5,490 – $35,249 · median $35,249 | 16 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $5,490 – $26,326 · median $18,145 | 16 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,490 – $26,326 · median $17,200 | 16 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $5,490 – $39,642 · median $23,682 | 16 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $5,490 – $26,326 · median $18,670 | 16 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $5,490 – $26,326 · median $17,209 | 16 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $12,923 – $70,884 · median $25,875 | 16 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $42,619 – $141,432 · median $85,333 | 16 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $29,106 – $96,590 · median $58,277 | 16 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $17,562 – $70,884 · median $35,164 | 16 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $29,899 – $99,219 · median $59,864 | 16 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $10,583 – $70,884 · median $21,990 | 16 plans |
| 795 | NORMAL NEWBORN | $1,433 – $70,884 · median $10,191 | 16 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $3,499 – $19,134 · median $19,134 | 16 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $3,499 – $23,033 · median $17,593 | 16 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,499 – $17,193 · median $17,193 | 16 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $35,192 – $113,110 · median $65,023 | 16 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $20,014 – $70,884 · median $40,336 | 16 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $12,712 – $70,884 · median $27,407 | 16 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $24,081 – $85,278 · median $57,201 | 16 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,199 – $70,884 · median $26,689 | 16 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,597 – $70,884 · median $20,881 | 16 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,499 – $23,740 · median $18,322 | 16 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,499 – $17,212 · median $15,315 | 16 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,499 – $14,577 · median $14,577 | 16 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $15,556 – $70,884 · median $31,700 | 16 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $8,555 – $70,884 · median $20,048 | 16 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,135 – $70,884 · median $18,021 | 16 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $9,970 – $70,884 · median $21,328 | 16 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,398 – $70,884 · median $16,833 | 16 plans |
| 813 | COAGULATION DISORDERS | $11,081 – $70,884 · median $22,446 | 16 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,116 – $70,884 · median $30,534 | 16 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,062 – $70,884 · median $17,719 | 16 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,045 – $70,884 · median $14,187 | 16 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $16,017 – $70,884 · median $32,758 | 16 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,333 – $70,884 · median $19,062 | 16 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,444 – $70,884 · median $16,294 | 16 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $42,950 – $138,503 · median $84,203 | 16 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $15,855 – $70,884 · median $32,140 | 16 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,799 – $70,884 · median $19,476 | 16 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $31,977 – $111,318 · median $65,826 | 16 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $15,860 – $70,884 · median $32,528 | 16 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,173 – $70,884 · median $20,820 | 16 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $31,174 – $113,602 · median $67,161 | 16 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $16,459 – $70,884 · median $33,183 | 16 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,652 – $70,884 · median $24,462 | 16 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $22,401 – $73,359 · median $45,369 | 16 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,231 – $70,884 · median $22,259 | 16 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $7,173 – $70,884 · median $19,462 | 16 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,240 – $70,884 · median $15,016 | 16 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,635 – $70,884 · median $13,179 | 16 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $39,770 – $131,485 · median $78,820 | 16 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $15,879 – $70,884 · median $29,947 | 16 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $8,504 – $70,884 · median $19,619 | 16 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $33,786 – $119,112 · median $68,977 | 16 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $13,868 – $70,884 · median $29,970 | 16 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,256 – $70,884 · median $21,694 | 16 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $22,198 – $75,876 · median $46,445 | 16 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,177 – $70,884 · median $23,427 | 16 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,575 – $70,884 · median $17,686 | 16 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $13,216 – $70,884 · median $28,640 | 16 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,220 – $70,884 · median $19,600 | 16 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,143 – $70,884 · median $16,218 | 16 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $17,360 – $70,884 · median $37,221 | 16 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $8,613 – $70,884 · median $20,439 | 16 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,395 – $70,884 · median $16,197 | 16 plans |
| 849 | RADIOTHERAPY | $19,117 – $70,884 · median $38,901 | 16 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $35,510 – $118,986 · median $70,905 | 16 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $14,477 – $70,884 · median $28,687 | 16 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,088 – $70,884 · median $22,187 | 16 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $31,455 – $107,324 · median $65,307 | 16 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,170 – $70,884 · median $30,746 | 16 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,116 – $70,884 · median $21,222 | 16 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,084 – $70,884 · median $26,184 | 16 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,142 – $70,884 · median $17,570 | 16 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,271 – $70,884 · median $16,551 | 16 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,648 – $70,884 · median $22,197 | 16 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,518 – $70,884 · median $16,384 | 16 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $14,862 – $70,884 · median $30,053 | 16 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,710 – $70,884 · median $17,877 | 16 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,906 – $70,884 · median $15,091 | 16 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $49,472 – $165,495 · median $99,235 | 16 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,082 – $70,884 · median $27,889 | 16 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,315 – $70,884 · median $17,805 | 16 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $26,505 – $93,480 · median $55,490 | 16 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,781 – $70,884 · median $17,222 | 16 plans |
| 881 | DEPRESSIVE NEUROSES | $6,439 – $70,884 · median $17,043 | 16 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $6,672 – $70,884 · median $18,272 | 16 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $13,321 – $70,884 · median $28,231 | 16 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,479 – $70,884 · median $23,219 | 16 plans |
| 885 | PSYCHOSES | $9,706 – $70,884 · median $21,258 | 16 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $11,945 – $70,884 · median $29,796 | 16 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,203 – $70,884 · median $18,245 | 16 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,081 – $70,884 · median $14,048 | 16 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $11,427 – $70,884 · median $21,432 | 16 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $12,630 – $70,884 · median $25,055 | 16 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,077 – $70,884 · median $16,506 | 16 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $30,740 – $105,394 · median $60,252 | 16 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $13,387 – $70,884 · median $27,487 | 16 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,818 – $70,884 · median $19,158 | 16 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $23,129 – $91,851 · median $52,736 | 16 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,249 – $70,884 · median $22,059 | 16 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $13,365 – $70,884 · median $28,202 | 16 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $26,420 – $94,767 · median $55,122 | 16 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,235 – $70,884 · median $28,646 | 16 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,634 – $70,884 · median $20,481 | 16 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $10,615 – $70,884 · median $23,469 | 16 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,447 – $70,884 · median $16,531 | 16 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,601 – $70,884 · median $24,143 | 16 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,679 – $70,884 · median $14,504 | 16 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $11,336 – $70,884 · median $22,845 | 16 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,115 – $70,884 · median $16,268 | 16 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $12,961 – $70,884 · median $26,285 | 16 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,343 – $70,884 · median $17,611 | 16 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,956 – $70,884 · median $14,709 | 16 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,394 – $70,884 · median $25,117 | 16 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,184 – $70,884 · median $17,753 | 16 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $70,884 – $597,262 · median $306,537 | 16 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $49,151 – $158,882 · median $102,981 | 16 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $22,840 – $75,657 · median $46,242 | 16 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $21,536 – $102,932 · median $55,910 | 16 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $14,863 – $70,884 · median $31,738 | 16 plans |
| 935 | NON-EXTENSIVE BURNS | $14,498 – $70,884 · median $29,576 | 16 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $22,838 – $75,505 · median $52,096 | 16 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $15,389 – $70,884 · median $33,552 | 16 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $13,183 – $70,884 · median $29,112 | 16 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,890 – $70,884 · median $20,080 | 16 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,689 – $70,884 · median $15,745 | 16 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,359 – $70,884 · median $19,344 | 16 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,462 – $70,884 · median $14,148 | 16 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,191 – $70,884 · median $13,485 | 16 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $43,259 – $162,436 · median $96,641 | 16 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $27,547 – $90,930 · median $54,027 | 16 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $51,372 – $177,561 · median $109,402 | 16 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $28,730 – $97,765 · median $60,500 | 16 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $17,988 – $70,884 · median $42,270 | 16 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $19,422 – $70,884 · median $39,250 | 16 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,662 – $70,884 · median $22,514 | 16 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,790 – $70,884 · median $17,040 | 16 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $48,816 – $155,726 · median $87,886 | 16 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $17,078 – $70,884 · median $37,866 | 16 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $20,716 – $71,037 · median $41,435 | 16 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,684 – $70,884 · median $20,317 | 16 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,004 – $70,884 · median $16,690 | 16 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,059 – $70,884 · median $20,342 | 16 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $33,671 – $113,105 · median $67,362 | 16 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,658 – $70,884 · median $35,298 | 16 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,615 – $70,884 · median $24,609 | 16 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $23,985 – $83,336 · median $49,223 | 16 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,054 – $70,884 · median $23,598 | 16 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,673 – $70,884 · median $19,431 | 16 plans |
| 945 | REHABILITATION WITH CC/MCC | $10,722 – $36,313 · median $22,662 | 15 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,193 – $26,559 · median $18,947 | 15 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $70,884 – $147,165 · median $96,000 | 14 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $57,724 – $93,476 · median $57,724 | 14 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $70,884 – $249,357 · median $158,235 | 14 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $70,884 – $168,878 · median $103,640 | 14 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $70,884 – $130,969 · median $80,717 | 14 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $70,884 – $198,409 · median $129,354 | 14 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $70,884 – $130,134 · median $82,800 | 14 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $70,884 – $159,493 · median $95,930 | 14 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $60,887 – $97,139 · median $60,887 | 14 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $70,884 – $122,511 · median $76,519 | 14 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $46,380 – $73,411 · median $46,380 | 14 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $70,884 – $219,137 · median $124,328 | 14 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $162,508 – $162,508 · median $162,508 | 9 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $81,936 – $81,936 · median $81,936 | 9 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $34,776 – $34,776 · median $34,776 | 9 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $49,369 – $49,369 · median $49,369 | 9 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $34,663 – $34,663 · median $34,663 | 9 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $10,732 – $70,884 · median $30,355 | 7 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,223 – $70,884 · median $19,590 | 7 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,262 – $70,884 · median $13,088 | 7 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $7,769 – $70,884 · median $24,107 | 7 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $4,486 – $70,884 · median $15,505 | 7 plans |
| 509 | ARTHROSCOPY | $9,420 – $70,884 · median $30,954 | 7 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $62,942 – $200,790 · median $131,866 | 2 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $43,444 – $138,589 · median $91,016 | 2 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $32,713 – $104,358 · median $68,536 | 2 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $47,109 – $150,281 · median $98,695 | 2 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $25,982 – $82,884 · median $54,433 | 2 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $70,884 – $70,884 · median $70,884 | 1 plans |
| 999 | UNGROUPABLE | $70,884 – $70,884 · median $70,884 | 1 plans |
No procedures match that keyword.