AdventHealth Riverview — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 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 771 procedures
Procedures with negotiated rates only
These 771 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 |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $200,922 – $1,021,692 · median $563,986 | 16 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $78,814 – $399,696 · median $220,636 | 16 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $152,953 – $777,346 · median $429,103 | 16 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $100,961 – $512,509 · median $282,911 | 16 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $76,177 – $386,264 · median $213,222 | 16 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $34,876 – $175,885 · median $97,091 | 16 plans |
| 007 | LUNG TRANSPLANT | $93,404 – $474,018 · median $261,664 | 16 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $39,091 – $197,354 · median $108,942 | 16 plans |
| 010 | PANCREAS TRANSPLANT | $57,119 – $289,189 · median $159,635 | 16 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $38,769 – $195,715 · median $108,037 | 16 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $29,567 – $148,845 · median $82,164 | 16 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $19,216 – $96,118 · median $53,058 | 16 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $93,639 – $475,215 · median $262,324 | 16 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $43,326 – $218,928 · median $120,851 | 16 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $43,326 – $218,928 · median $120,851 | 16 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $268,885 – $1,367,881 · median $755,086 | 16 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $56,794 – $287,531 · median $158,720 | 16 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $57,747 – $292,384 · median $161,399 | 16 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $39,704 – $200,481 · median $110,668 | 16 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $25,485 – $128,051 · median $70,686 | 16 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $40,970 – $206,930 · median $114,228 | 16 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $27,417 – $137,891 · median $76,118 | 16 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $32,192 – $162,215 · median $89,544 | 16 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $22,126 – $110,938 · median $61,239 | 16 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $17,919 – $89,510 · median $49,410 | 16 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $43,636 – $220,510 · median $121,724 | 16 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $24,248 – $121,751 · median $68,655 | 16 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $16,193 – $80,717 · median $44,557 | 16 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $30,186 – $151,997 · median $83,904 | 16 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $15,553 – $77,460 · median $42,759 | 16 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,707 – $57,870 · median $31,945 | 16 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $28,036 – $141,047 · median $77,860 | 16 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $16,545 – $82,509 · median $45,546 | 16 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,399 – $66,488 · median $36,702 | 16 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $23,993 – $120,452 · median $66,491 | 16 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,820 – $58,443 · median $32,261 | 16 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,451 – $41,284 · median $22,789 | 16 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $27,206 – $136,818 · median $75,525 | 16 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $16,426 – $81,907 · median $45,214 | 16 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,862 – $63,750 · median $35,191 | 16 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,677 – $72,995 · median $40,294 | 16 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,907 – $33,420 · median $18,448 | 16 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,021 – $54,374 · median $30,015 | 16 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,115 – $39,572 · median $21,844 | 16 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $18,177 – $90,826 · median $50,137 | 16 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,848 – $48,400 · median $26,717 | 16 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,490 – $66,953 · median $36,959 | 16 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,059 – $44,381 · median $24,499 | 16 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,701 – $32,368 · median $17,868 | 16 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $19,596 – $98,055 · median $54,127 | 16 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,028 – $64,595 · median $35,657 | 16 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,350 – $50,954 · median $28,127 | 16 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,511 – $72,150 · median $39,828 | 16 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,587 – $36,884 · median $20,360 | 16 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,248 – $24,965 · median $13,806 | 16 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,706 – $52,771 · median $29,130 | 16 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,623 – $31,973 · median $17,649 | 16 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,044 – $29,020 · median $16,020 | 16 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $12,728 – $63,068 · median $34,814 | 16 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $7,851 – $38,226 · median $21,101 | 16 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,688 – $27,211 · median $15,021 | 16 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,352 – $56,060 · median $30,946 | 16 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,769 – $37,809 · median $20,871 | 16 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $12,611 – $62,473 · median $34,486 | 16 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,875 – $33,257 · median $18,358 | 16 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $11,357 – $56,086 · median $30,960 | 16 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,452 – $36,195 · median $19,980 | 16 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,094 – $24,182 · median $13,408 | 16 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $14,501 – $72,099 · median $39,800 | 16 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,789 – $32,818 · median $18,116 | 16 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $16,868 – $84,156 · median $46,455 | 16 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,247 – $50,431 · median $27,839 | 16 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,155 – $34,679 · median $19,143 | 16 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,482 – $82,190 · median $45,370 | 16 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,686 – $47,573 · median $26,261 | 16 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,641 – $32,064 · median $17,699 | 16 plans |
| 088 | CONCUSSION WITH MCC | $10,392 – $51,167 · median $28,245 | 16 plans |
| 089 | CONCUSSION WITH CC | $7,981 – $38,886 · median $21,466 | 16 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,451 – $31,095 · median $17,165 | 16 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $13,327 – $66,118 · median $36,498 | 16 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,885 – $38,400 · median $21,197 | 16 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,967 – $28,629 · median $15,803 | 16 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $26,328 – $132,342 · median $73,054 | 16 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $17,416 – $86,949 · median $47,997 | 16 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $17,416 – $86,949 · median $47,997 | 16 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $25,871 – $130,017 · median $71,771 | 16 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $15,793 – $78,683 · median $43,434 | 16 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,268 – $50,536 · median $27,897 | 16 plans |
| 100 | SEIZURES WITH MCC | $14,483 – $72,009 · median $39,750 | 16 plans |
| 101 | SEIZURES WITHOUT MCC | $6,910 – $33,431 · median $18,454 | 16 plans |
| 102 | HEADACHES WITH MCC | $8,603 – $42,056 · median $23,216 | 16 plans |
| 103 | HEADACHES WITHOUT MCC | $6,400 – $30,838 · median $17,023 | 16 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $16,415 – $81,849 · median $45,182 | 16 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,764 – $42,876 · median $23,668 | 16 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,248 – $55,531 · median $30,654 | 16 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $12,228 – $60,522 · median $33,409 | 16 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,027 – $39,122 · median $21,596 | 16 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,629 – $42,190 · median $23,290 | 16 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,176 – $24,603 · median $13,622 | 16 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,066 – $29,133 · median $16,082 | 16 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,631 – $47,294 · median $26,107 | 16 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,226 – $29,949 · median $16,532 | 16 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $17,515 – $87,453 · median $48,275 | 16 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,312 – $35,480 · median $19,586 | 16 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,305 – $50,729 · median $28,003 | 16 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,139 – $29,506 · median $16,288 | 16 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,123 – $49,800 · median $27,490 | 16 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $30,461 – $153,397 · median $84,677 | 16 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,645 – $77,928 · median $43,017 | 16 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,543 – $57,033 · median $31,483 | 16 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $23,858 – $119,763 · median $66,111 | 16 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,855 – $63,717 · median $35,173 | 16 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,783 – $42,974 · median $23,722 | 16 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $16,682 – $83,209 · median $45,932 | 16 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,210 – $45,150 · median $24,923 | 16 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,048 – $29,042 · median $16,032 | 16 plans |
| 149 | DYSEQUILIBRIUM | $5,669 – $27,113 · median $14,966 | 16 plans |
| 150 | EPISTAXIS WITH MCC | $10,189 – $50,134 · median $27,674 | 16 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,744 – $27,493 · median $15,177 | 16 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,427 – $41,160 · median $22,721 | 16 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,414 – $25,814 · median $14,250 | 16 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,927 – $58,988 · median $32,562 | 16 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $6,994 – $33,863 · median $18,693 | 16 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,134 – $24,389 · median $13,513 | 16 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,007 – $59,394 · median $32,786 | 16 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,044 – $34,117 · median $18,833 | 16 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,043 – $23,924 · median $13,277 | 16 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $33,167 – $167,180 · median $92,285 | 16 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $18,269 – $91,294 · median $50,395 | 16 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,619 – $67,609 · median $37,321 | 16 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $27,763 – $139,654 · median $77,091 | 16 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,357 – $66,274 · median $36,584 | 16 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,987 – $49,107 · median $27,108 | 16 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $22,197 – $111,301 · median $61,440 | 16 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,380 – $51,109 · median $28,213 | 16 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,146 – $29,543 · median $16,308 | 16 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,857 – $58,632 · median $32,366 | 16 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,411 – $35,984 · median $19,864 | 16 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,827 – $27,918 · median $15,411 | 16 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $12,792 – $63,394 · median $34,994 | 16 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,253 – $40,272 · median $22,230 | 16 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,310 – $30,377 · median $16,768 | 16 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,649 – $57,573 · median $31,781 | 16 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,952 – $38,741 · median $21,385 | 16 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,884 – $28,208 · median $15,571 | 16 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,597 – $57,308 · median $31,635 | 16 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,496 – $36,416 · median $20,102 | 16 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,574 – $26,630 · median $14,700 | 16 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,158 – $44,882 · median $24,775 | 16 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,343 – $40,732 · median $22,485 | 16 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,464 – $31,160 · median $17,201 | 16 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,955 – $23,475 · median $13,048 | 16 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,729 – $47,794 · median $26,383 | 16 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,185 – $29,742 · median $16,418 | 16 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,781 – $22,586 · median $12,596 | 16 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,763 – $68,338 · median $37,723 | 16 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,396 – $35,908 · median $19,822 | 16 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,334 – $25,404 · median $14,029 | 16 plans |
| 199 | PNEUMOTHORAX WITH MCC | $12,917 – $64,029 · median $35,345 | 16 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,233 – $40,170 · median $22,174 | 16 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,168 – $24,559 · median $13,600 | 16 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,230 – $35,063 · median $19,355 | 16 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,307 – $25,266 · median $13,959 | 16 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,121 – $29,416 · median $16,238 | 16 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $13,789 – $68,472 · median $37,798 | 16 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,796 – $32,854 · median $18,136 | 16 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $46,397 – $234,572 · median $129,486 | 16 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $19,457 – $97,344 · median $53,735 | 16 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $77,918 – $395,133 · median $218,118 | 16 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $75,788 – $384,284 · median $212,129 | 16 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $69,068 – $350,055 · median $193,234 | 16 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $46,331 – $234,234 · median $129,300 | 16 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $42,709 – $215,787 · median $119,117 | 16 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $55,442 – $280,647 · median $154,920 | 16 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $38,062 – $192,117 · median $106,051 | 16 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $33,049 – $166,578 · median $91,953 | 16 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $35,831 – $180,749 · median $99,776 | 16 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $22,465 – $112,669 · median $62,194 | 16 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $60,686 – $307,357 · median $169,664 | 16 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $43,844 – $221,569 · median $122,308 | 16 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $56,004 – $283,509 · median $156,500 | 16 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $38,230 – $192,969 · median $106,521 | 16 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $42,246 – $213,426 · median $117,813 | 16 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $29,627 – $149,150 · median $82,332 | 16 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $36,212 – $182,693 · median $100,849 | 16 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $21,083 – $105,628 · median $58,308 | 16 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,098 – $54,766 · median $30,231 | 16 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $24,500 – $123,031 · median $67,915 | 16 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,388 – $81,711 · median $45,106 | 16 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,197 – $65,458 · median $36,134 | 16 plans |
| 245 | AICD GENERATOR PROCEDURES | $35,144 – $177,249 · median $97,844 | 16 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $16,814 – $83,880 · median $46,303 | 16 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,473 – $56,677 · median $31,286 | 16 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $24,773 – $124,424 · median $68,683 | 16 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $18,525 – $92,600 · median $51,116 | 16 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $12,803 – $63,452 · median $35,026 | 16 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $18,978 – $94,903 · median $52,388 | 16 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,407 – $61,432 · median $33,911 | 16 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,697 – $32,350 · median $17,858 | 16 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $20,323 – $101,758 · median $56,172 | 16 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $12,862 – $63,754 · median $35,193 | 16 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $24,601 – $123,546 · median $68,199 | 16 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $13,859 – $68,828 · median $37,994 | 16 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $11,154 – $55,052 · median $30,389 | 16 plans |
| 263 | VEIN LIGATION AND STRIPPING | $19,445 – $97,282 · median $53,701 | 16 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $25,234 – $126,771 · median $69,979 | 16 plans |
| 265 | AICD LEAD PROCEDURES | $25,747 – $129,386 · median $71,422 | 16 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $43,005 – $217,292 · median $119,948 | 16 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $33,847 – $170,644 · median $94,198 | 16 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $47,824 – $241,841 · median $133,499 | 16 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $29,973 – $150,913 · median $83,306 | 16 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $36,897 – $186,179 · median $102,773 | 16 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $24,873 – $124,932 · median $68,964 | 16 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $18,164 – $90,757 · median $50,099 | 16 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $28,190 – $141,830 · median $78,292 | 16 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $22,570 – $113,202 · median $62,489 | 16 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $50,668 – $256,327 · median $141,495 | 16 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $44,455 – $224,677 · median $124,024 | 16 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $33,471 – $168,729 · median $93,140 | 16 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $35,973 – $181,475 · median $100,176 | 16 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $23,164 – $116,227 · median $64,158 | 16 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,034 – $59,535 · median $32,864 | 16 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,910 – $33,435 · median $18,456 | 16 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,510 – $26,300 · median $14,518 | 16 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $14,270 – $70,924 · median $39,151 | 16 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,623 – $26,877 · median $14,836 | 16 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,344 – $20,363 · median $11,466 | 16 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $16,107 – $80,279 · median $44,315 | 16 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,106 – $39,525 · median $21,818 | 16 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $19,797 – $99,074 · median $54,690 | 16 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $11,574 – $57,188 · median $31,569 | 16 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,318 – $35,509 · median $19,602 | 16 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,638 – $47,326 · median $26,125 | 16 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,479 – $31,237 · median $17,243 | 16 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,254 – $19,902 · median $11,232 | 16 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $9,091 – $44,541 · median $24,587 | 16 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,970 – $28,647 · median $15,813 | 16 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,013 – $59,426 · median $32,804 | 16 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,362 – $25,549 · median $14,407 | 16 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,492 – $16,021 · median $9,224 | 16 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $11,865 – $58,672 · median $32,388 | 16 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,970 – $38,832 · median $21,436 | 16 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,426 – $25,876 · median $14,284 | 16 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,630 – $42,194 · median $23,292 | 16 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,134 – $24,389 · median $13,513 | 16 plans |
| 304 | HYPERTENSION WITH MCC | $8,712 – $42,611 · median $23,522 | 16 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,692 – $27,229 · median $15,031 | 16 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,009 – $54,312 · median $29,981 | 16 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,943 – $33,601 · median $18,548 | 16 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,933 – $43,739 · median $24,145 | 16 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,611 – $26,815 · median $14,802 | 16 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,331 – $20,294 · median $11,431 | 16 plans |
| 311 | ANGINA PECTORIS | $5,319 – $25,328 · median $13,991 | 16 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,551 – $31,603 · median $17,445 | 16 plans |
| 313 | CHEST PAIN | $5,426 – $25,876 · median $14,284 | 16 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $15,681 – $78,110 · median $43,117 | 16 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,199 – $34,904 · median $19,267 | 16 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,208 – $24,762 · median $13,703 | 16 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $44,398 – $224,387 · median $123,864 | 16 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $31,626 – $159,331 · median $87,953 | 16 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $16,829 – $83,960 · median $46,347 | 16 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $20,618 – $103,256 · median $56,999 | 16 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $13,229 – $65,621 · median $36,224 | 16 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $30,676 – $154,493 · median $85,282 | 16 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $23,098 – $115,889 · median $63,972 | 16 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $20,726 – $103,811 · median $57,305 | 16 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $36,512 – $184,220 · median $101,692 | 16 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,636 – $88,070 · median $48,615 | 16 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,693 – $57,798 · median $31,905 | 16 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $33,044 – $166,553 · median $91,939 | 16 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,178 – $85,734 · median $47,326 | 16 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,103 – $59,883 · median $33,056 | 16 plans |
| 332 | RECTAL RESECTION WITH MCC | $25,046 – $125,813 · median $69,450 | 16 plans |
| 333 | RECTAL RESECTION WITH CC | $15,480 – $77,087 · median $42,553 | 16 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,157 – $60,159 · median $33,208 | 16 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $26,147 – $131,424 · median $72,548 | 16 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $15,387 – $76,615 · median $42,292 | 16 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,277 – $55,680 · median $30,736 | 16 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $19,533 – $97,732 · median $53,949 | 16 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,947 – $53,997 · median $29,807 | 16 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,214 – $45,168 · median $24,933 | 16 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $17,200 – $85,846 · median $47,388 | 16 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,311 – $45,662 · median $25,206 | 16 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,619 – $31,951 · median $17,637 | 16 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $17,569 – $87,729 · median $48,427 | 16 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,060 – $54,570 · median $30,123 | 16 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,198 – $39,992 · median $22,076 | 16 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $21,231 – $106,383 · median $58,725 | 16 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,459 – $61,701 · median $34,059 | 16 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,840 – $48,356 · median $26,693 | 16 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $30,721 – $154,721 · median $85,408 | 16 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $16,382 – $81,682 · median $45,090 | 16 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,996 – $49,151 · median $27,132 | 16 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,238 – $60,573 · median $33,437 | 16 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,592 – $36,909 · median $20,374 | 16 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,317 – $25,317 · median $13,985 | 16 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $12,793 – $63,402 · median $34,998 | 16 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,676 – $37,334 · median $20,609 | 16 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,512 – $26,311 · median $14,524 | 16 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $15,381 – $76,583 · median $42,274 | 16 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,096 – $44,566 · median $24,601 | 16 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,634 – $32,027 · median $17,679 | 16 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,293 – $65,948 · median $36,404 | 16 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,367 – $35,760 · median $19,740 | 16 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,880 – $23,094 · median $12,855 | 16 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,049 – $69,796 · median $38,528 | 16 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,102 – $39,503 · median $21,806 | 16 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,682 – $27,178 · median $15,002 | 16 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,348 – $45,854 · median $25,312 | 16 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,539 – $31,541 · median $17,411 | 16 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,916 – $58,933 · median $32,532 | 16 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,414 – $35,999 · median $19,872 | 16 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,119 – $24,312 · median $13,474 | 16 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,813 – $53,315 · median $29,430 | 16 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,054 – $29,075 · median $16,050 | 16 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,243 – $19,847 · median $11,204 | 16 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,493 – $46,590 · median $25,718 | 16 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,903 – $28,302 · median $15,623 | 16 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,138 – $60,065 · median $33,156 | 16 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,049 – $34,142 · median $18,847 | 16 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,878 – $23,083 · median $12,849 | 16 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $17,990 – $89,872 · median $49,611 | 16 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,121 – $54,885 · median $30,297 | 16 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,349 – $40,761 · median $22,501 | 16 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $28,204 – $141,899 · median $78,330 | 16 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $39,002 – $196,904 · median $108,693 | 16 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $20,344 – $101,863 · median $56,230 | 16 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $15,555 – $77,468 · median $42,763 | 16 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $25,278 – $126,996 · median $70,103 | 16 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $15,275 – $76,042 · median $41,976 | 16 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,391 – $56,260 · median $31,056 | 16 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $19,831 – $99,252 · median $54,788 | 16 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $15,525 – $77,315 · median $42,679 | 16 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,185 – $60,301 · median $33,287 | 16 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $25,296 – $127,086 · median $70,153 | 16 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $14,432 – $71,748 · median $39,606 | 16 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,103 – $49,699 · median $27,434 | 16 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $17,269 – $86,198 · median $47,582 | 16 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,155 – $60,152 · median $33,204 | 16 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,729 – $47,791 · median $26,381 | 16 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $25,479 – $128,018 · median $70,668 | 16 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,007 – $59,397 · median $32,788 | 16 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,810 – $53,297 · median $29,420 | 16 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $29,309 – $147,529 · median $81,437 | 16 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $16,605 – $82,818 · median $45,716 | 16 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,354 – $56,068 · median $30,950 | 16 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $74,938 – $379,953 · median $209,738 | 16 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $50,922 – $257,622 · median $142,210 | 16 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $39,539 – $199,639 · median $110,203 | 16 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $59,737 – $302,522 · median $166,995 | 16 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $39,300 – $198,421 · median $109,530 | 16 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,297 – $71,059 · median $39,225 | 16 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,964 – $38,803 · median $21,420 | 16 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,306 – $25,263 · median $13,958 | 16 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,339 – $66,180 · median $36,532 | 16 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,376 – $40,903 · median $22,579 | 16 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,938 – $28,480 · median $15,721 | 16 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,193 – $60,344 · median $33,311 | 16 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,472 – $31,200 · median $17,223 | 16 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,726 – $22,310 · median $12,456 | 16 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,807 – $68,567 · median $37,850 | 16 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,226 – $35,045 · median $19,345 | 16 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,350 – $25,488 · median $14,072 | 16 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,341 – $61,095 · median $33,725 | 16 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,069 – $39,336 · median $21,714 | 16 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,024 – $28,919 · median $15,964 | 16 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $48,088 – $243,186 · median $134,242 | 16 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $29,424 – $148,113 · median $81,760 | 16 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $37,018 – $186,799 · median $103,115 | 16 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $22,321 – $111,932 · median $61,788 | 16 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $60,652 – $307,186 · median $169,570 | 16 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $41,215 – $208,174 · median $114,914 | 16 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $31,093 – $156,618 · median $86,455 | 16 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $44,044 – $222,584 · median $122,869 | 16 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $20,739 – $103,873 · median $57,339 | 16 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $38,805 – $195,900 · median $108,139 | 16 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $21,342 – $106,949 · median $59,037 | 16 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,709 – $62,970 · median $34,760 | 16 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $36,623 – $184,786 · median $102,004 | 16 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $24,736 – $124,235 · median $68,579 | 16 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $19,026 – $95,150 · median $52,524 | 16 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $23,622 – $118,559 · median $65,446 | 16 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $13,772 – $68,389 · median $37,751 | 16 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $34,934 – $176,179 · median $97,253 | 16 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $20,976 – $105,084 · median $58,008 | 16 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $17,204 – $85,868 · median $47,400 | 16 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $32,280 – $162,665 · median $89,793 | 16 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $15,708 – $78,247 · median $43,193 | 16 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,629 – $42,187 · median $23,288 | 16 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $24,834 – $124,736 · median $68,856 | 16 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $16,999 – $84,823 · median $46,823 | 16 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,991 – $64,410 · median $35,555 | 16 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $21,288 – $106,673 · median $58,885 | 16 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,121 – $75,259 · median $41,544 | 16 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,643 – $57,540 · median $31,763 | 16 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $18,491 – $92,426 · median $51,020 | 16 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $23,270 – $116,767 · median $64,457 | 16 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,449 – $76,927 · median $42,465 | 16 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,599 – $57,315 · median $31,639 | 16 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $14,341 – $71,287 · median $39,351 | 16 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,165 – $44,918 · median $24,795 | 16 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $25,633 – $128,806 · median $71,102 | 16 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $17,443 – $87,087 · median $48,073 | 16 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $13,772 – $68,385 · median $37,749 | 16 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $25,415 – $127,696 · median $70,489 | 16 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,396 – $71,563 · median $39,503 | 16 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,907 – $48,697 · median $26,882 | 16 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $18,325 – $91,581 · median $50,554 | 16 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $8,612 – $42,103 · median $23,242 | 16 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $22,910 – $114,932 · median $63,444 | 16 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,055 – $64,733 · median $35,733 | 16 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,295 – $50,678 · median $27,975 | 16 plans |
| 503 | FOOT PROCEDURES WITH MCC | $19,192 – $95,995 · median $52,990 | 16 plans |
| 504 | FOOT PROCEDURES WITH CC | $12,843 – $63,656 · median $35,139 | 16 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $12,843 – $63,656 · median $35,139 | 16 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $11,021 – $54,374 · median $30,015 | 16 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,148 – $70,300 · median $38,807 | 16 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,536 – $46,811 · median $25,840 | 16 plans |
| 509 | ARTHROSCOPY | $12,855 – $63,717 · median $35,173 | 16 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $20,698 – $103,666 · median $57,225 | 16 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $14,311 – $71,135 · median $39,267 | 16 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $11,795 – $58,317 · median $32,191 | 16 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,067 – $54,610 · median $30,145 | 16 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,607 – $36,982 · median $20,414 | 16 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $22,366 – $112,164 · median $61,916 | 16 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $14,671 – $72,966 · median $40,278 | 16 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $10,975 – $54,142 · median $29,887 | 16 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $25,867 – $129,995 · median $71,759 | 16 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $14,388 – $71,523 · median $39,481 | 16 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,552 – $51,984 · median $28,696 | 16 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $21,101 – $105,719 · median $58,358 | 16 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,358 – $76,463 · median $42,208 | 16 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,205 – $55,310 · median $30,532 | 16 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,143 – $29,525 · median $16,298 | 16 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,816 – $48,237 · median $26,627 | 16 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,121 – $29,412 · median $16,236 | 16 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,890 – $33,333 · median $18,400 | 16 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,128 – $24,356 · median $13,496 | 16 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,747 – $73,354 · median $40,492 | 16 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,561 – $46,938 · median $25,910 | 16 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,576 – $31,733 · median $17,517 | 16 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,627 – $67,649 · median $37,343 | 16 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,901 – $38,480 · median $21,241 | 16 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,728 – $27,410 · median $15,131 | 16 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $18,340 – $91,653 · median $50,594 | 16 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,590 – $41,991 · median $23,179 | 16 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,660 – $27,065 · median $14,940 | 16 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,692 – $73,072 · median $40,336 | 16 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,928 – $43,710 · median $24,129 | 16 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,485 – $31,269 · median $17,261 | 16 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,497 – $61,893 · median $34,166 | 16 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,209 – $34,958 · median $19,297 | 16 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,646 – $47,370 · median $26,149 | 16 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,289 – $30,272 · median $16,710 | 16 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,935 – $48,843 · median $26,962 | 16 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,161 – $29,615 · median $16,348 | 16 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,381 – $56,209 · median $31,028 | 16 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,497 – $31,331 · median $17,295 | 16 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,565 – $67,330 · median $37,167 | 16 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,455 – $41,302 · median $22,799 | 16 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,168 – $29,655 · median $16,370 | 16 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,768 – $53,083 · median $29,302 | 16 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,711 – $32,419 · median $17,896 | 16 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,520 – $56,916 · median $31,419 | 16 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,607 – $36,986 · median $20,416 | 16 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,673 – $27,134 · median $14,978 | 16 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $21,781 – $109,183 · median $60,270 | 16 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,269 – $60,729 · median $33,523 | 16 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,481 – $41,436 · median $22,873 | 16 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $44,197 – $223,364 · median $123,299 | 16 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $25,019 – $125,675 · median $69,374 | 16 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,564 – $72,422 · median $39,978 | 16 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $38,764 – $195,693 · median $108,025 | 16 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $19,307 – $96,582 · median $53,315 | 16 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,383 – $61,312 · median $33,845 | 16 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $23,555 – $118,222 · median $65,260 | 16 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,971 – $64,308 · median $35,499 | 16 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,595 – $52,201 · median $28,816 | 16 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $12,816 – $63,518 · median $35,063 | 16 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,044 – $59,582 · median $32,890 | 16 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $14,925 – $74,261 · median $40,993 | 16 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,482 – $72,002 · median $39,746 | 16 plans |
| 592 | SKIN ULCERS WITH MCC | $14,989 – $74,584 · median $41,171 | 16 plans |
| 593 | SKIN ULCERS WITH CC | $9,053 – $44,349 · median $24,481 | 16 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,390 – $30,783 · median $16,993 | 16 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $15,407 – $76,717 · median $42,349 | 16 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,045 – $39,213 · median $21,646 | 16 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,855 – $63,717 · median $35,173 | 16 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,029 – $39,133 · median $21,602 | 16 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,434 – $31,008 · median $17,117 | 16 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,158 – $34,697 · median $19,153 | 16 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,615 – $21,744 · median $12,169 | 16 plans |
| 602 | CELLULITIS WITH MCC | $10,808 – $53,289 · median $29,416 | 16 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,618 – $31,947 · median $17,635 | 16 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,926 – $53,888 · median $29,747 | 16 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,924 – $33,504 · median $18,494 | 16 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,813 – $58,407 · median $32,241 | 16 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,500 – $31,345 · median $17,303 | 16 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $16,574 – $82,662 · median $45,630 | 16 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,550 – $51,976 · median $28,692 | 16 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,868 – $140,187 · median $77,385 | 16 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,101 – $70,061 · median $38,674 | 16 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,212 – $45,161 · median $24,929 | 16 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $19,761 – $98,893 · median $54,590 | 16 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,718 – $57,925 · median $31,975 | 16 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,755 – $53,021 · median $29,268 | 16 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $26,992 – $135,726 · median $74,922 | 16 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,967 – $69,379 · median $38,298 | 16 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,489 – $36,383 · median $20,084 | 16 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $20,762 – $103,993 · median $57,405 | 16 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,094 – $54,744 · median $30,219 | 16 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,368 – $45,952 · median $25,366 | 16 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $28,442 – $143,114 · median $79,001 | 16 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $16,362 – $81,577 · median $45,031 | 16 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,325 – $50,827 · median $28,057 | 16 plans |
| 637 | DIABETES WITH MCC | $10,716 – $52,821 · median $29,158 | 16 plans |
| 638 | DIABETES WITH CC | $6,878 – $33,268 · median $18,364 | 16 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,808 – $22,727 · median $12,668 | 16 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $9,803 – $48,168 · median $26,589 | 16 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,911 – $28,342 · median $15,645 | 16 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $9,184 – $45,016 · median $24,849 | 16 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,148 – $60,112 · median $33,182 | 16 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,705 – $37,482 · median $20,691 | 16 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,891 – $28,244 · median $15,591 | 16 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $33,153 – $167,111 · median $92,247 | 16 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $25,073 – $125,951 · median $69,526 | 16 plans |
| 652 | KIDNEY TRANSPLANT | $22,217 – $111,403 · median $61,496 | 16 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $40,041 – $202,196 · median $111,615 | 16 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $20,442 – $102,360 · median $56,504 | 16 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $15,138 – $75,346 · median $42,487 | 16 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $23,546 – $118,171 · median $65,232 | 16 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,364 – $66,307 · median $36,602 | 16 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,056 – $54,552 · median $30,113 | 16 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,748 – $93,735 · median $51,743 | 16 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,888 – $48,603 · median $26,829 | 16 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,657 – $37,236 · median $20,555 | 16 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $22,560 – $113,151 · median $62,461 | 16 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,223 – $55,400 · median $30,582 | 16 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,035 – $39,165 · median $21,620 | 16 plans |
| 665 | PROSTATECTOMY WITH MCC | $24,796 – $124,540 · median $68,748 | 16 plans |
| 666 | PROSTATECTOMY WITH CC | $12,076 – $59,749 · median $32,982 | 16 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,665 – $37,279 · median $20,579 | 16 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $21,112 – $105,777 · median $58,390 | 16 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,366 – $56,129 · median $30,984 | 16 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,152 – $34,664 · median $19,135 | 16 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $12,620 – $62,520 · median $34,512 | 16 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,139 – $39,695 · median $21,912 | 16 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $30,179 – $151,961 · median $83,884 | 16 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $16,784 – $83,728 · median $46,219 | 16 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,492 – $56,775 · median $31,340 | 16 plans |
| 682 | RENAL FAILURE WITH MCC | $11,041 – $54,475 · median $30,071 | 16 plans |
| 683 | RENAL FAILURE WITH CC | $6,676 – $32,241 · median $17,798 | 16 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,672 – $22,031 · median $12,314 | 16 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,774 – $68,396 · median $37,755 | 16 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,842 – $38,182 · median $21,077 | 16 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,503 – $26,267 · median $14,500 | 16 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,680 – $42,448 · median $23,432 | 16 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,062 – $29,111 · median $16,070 | 16 plans |
| 693 | URINARY STONES WITH MCC | $10,817 – $53,333 · median $29,440 | 16 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,911 – $28,342 · median $15,645 | 16 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,377 – $40,906 · median $22,581 | 16 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,273 – $25,092 · median $13,871 | 16 plans |
| 697 | URETHRAL STRICTURE | $7,480 – $36,336 · median $20,058 | 16 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,316 – $60,968 · median $33,655 | 16 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,609 – $36,993 · median $20,420 | 16 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,290 – $25,179 · median $13,915 | 16 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,165 – $70,388 · median $38,855 | 16 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,903 – $53,772 · median $29,683 | 16 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $16,347 – $81,505 · median $44,991 | 16 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,037 – $54,457 · median $30,061 | 16 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $13,951 – $69,299 · median $38,254 | 16 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,963 – $38,795 · median $21,416 | 16 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,643 – $52,448 · median $28,952 | 16 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,038 – $34,084 · median $18,815 | 16 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $16,427 – $81,911 · median $45,216 | 16 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,453 – $51,479 · median $28,417 | 16 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,559 – $67,301 · median $37,151 | 16 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,118 – $44,682 · median $24,665 | 16 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $12,657 – $62,709 · median $34,616 | 16 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,342 – $40,729 · median $22,483 | 16 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,535 – $26,427 · median $14,588 | 16 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,337 – $45,796 · median $25,280 | 16 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,647 – $27,000 · median $14,904 | 16 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,810 – $53,297 · median $29,420 | 16 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,165 – $29,637 · median $16,360 | 16 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,186 – $39,931 · median $22,042 | 16 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,668 – $22,013 · median $12,305 | 16 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $15,320 – $76,271 · median $42,102 | 16 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,990 – $44,029 · median $24,305 | 16 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $28,385 – $142,821 · median $78,839 | 16 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $14,576 – $72,484 · median $40,012 | 16 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,148 – $55,019 · median $30,371 | 16 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $28,693 – $144,391 · median $79,706 | 16 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,294 – $65,952 · median $36,406 | 16 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,127 – $49,822 · median $27,502 | 16 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,354 – $66,256 · median $36,574 | 16 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $8,882 – $43,478 · median $24,000 | 16 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $14,260 – $70,874 · median $39,123 | 16 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,644 – $37,171 · median $20,519 | 16 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,271 – $60,739 · median $33,529 | 16 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,148 – $34,646 · median $19,125 | 16 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,047 – $49,412 · median $27,276 | 16 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $18,779 – $93,891 · median $51,829 | 16 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,529 – $46,771 · median $25,818 | 16 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,230 – $65,625 · median $36,226 | 16 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,251 – $40,264 · median $22,226 | 16 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,147 – $34,639 · median $19,121 | 16 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,424 – $51,334 · median $28,337 | 16 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,605 – $36,971 · median $20,408 | 16 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,904 – $23,213 · median $12,916 | 16 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,365 – $35,749 · median $19,734 | 16 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,860 – $22,992 · median $12,803 | 16 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $6,833 – $39,764 · median $10,049 | 16 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,241 – $50,399 · median $27,821 | 16 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,008 – $39,028 · median $21,544 | 16 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,427 – $25,879 · median $14,286 | 16 plans |
| 779 | ABORTION WITHOUT D&C | $7,003 – $33,906 · median $18,717 | 16 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $9,111 – $66,815 · median $14,426 | 16 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,058 – $39,281 · median $13,680 | 16 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,566 – $31,683 · median $13,680 | 16 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $9,111 – $58,610 · median $13,680 | 16 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,907 – $38,513 · median $13,680 | 16 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,789 – $32,814 · median $13,680 | 16 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $13,182 – $65,382 · median $35,235 | 16 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $42,677 – $215,624 · median $116,203 | 16 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $29,256 – $147,257 · median $79,359 | 16 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $17,790 – $88,853 · median $47,884 | 16 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $30,043 – $151,268 · median $81,521 | 16 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $10,858 – $53,543 · median $28,855 | 16 plans |
| 795 | NORMAL NEWBORN | $1,769 – $7,247 · median $4,117 | 16 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $6,833 – $46,304 · median $10,224 | 16 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,833 – $35,118 · median $10,049 | 16 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,833 – $35,118 · median $10,049 | 16 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $34,204 – $172,461 · median $95,201 | 16 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $21,095 – $105,686 · median $58,340 | 16 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $12,036 – $59,546 · median $32,870 | 16 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $25,873 – $130,024 · median $71,775 | 16 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,021 – $64,562 · median $35,639 | 16 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,219 – $40,101 · median $22,136 | 16 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $6,833 – $36,198 · median $10,049 | 16 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,499 – $26,246 · median $10,049 | 16 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,885 – $23,116 · median $10,049 | 16 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $16,655 – $83,071 · median $45,856 | 16 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,165 – $44,922 · median $24,797 | 16 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,124 – $34,523 · median $19,057 | 16 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,365 – $51,030 · median $28,169 | 16 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,918 – $33,475 · median $18,478 | 16 plans |
| 813 | COAGULATION DISORDERS | $11,369 – $56,148 · median $30,994 | 16 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,232 – $75,825 · median $41,856 | 16 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,582 – $36,855 · median $20,344 | 16 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,042 – $23,917 · median $13,273 | 16 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $18,398 – $91,951 · median $50,758 | 16 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,518 – $46,717 · median $25,788 | 16 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,161 – $29,615 · median $16,348 | 16 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $41,805 – $211,181 · median $116,574 | 16 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $16,243 – $80,971 · median $44,697 | 16 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,490 – $41,483 · median $22,899 | 16 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $33,667 – $169,730 · median $93,693 | 16 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $16,008 – $79,774 · median $44,036 | 16 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,111 – $44,642 · median $24,643 | 16 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $34,351 – $173,212 · median $95,615 | 16 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $17,150 – $85,596 · median $47,250 | 16 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,760 – $58,139 · median $32,093 | 16 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $22,305 – $111,853 · median $61,744 | 16 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,760 – $53,046 · median $29,282 | 16 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,542 – $41,748 · median $23,045 | 16 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,668 – $27,109 · median $14,964 | 16 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,048 – $18,854 · median $10,699 | 16 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $39,704 – $200,481 · median $110,668 | 16 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $15,555 – $77,471 · median $42,765 | 16 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,395 – $46,090 · median $25,442 | 16 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $36,001 – $181,616 · median $100,254 | 16 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $14,789 – $73,565 · median $40,609 | 16 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,105 – $49,706 · median $27,438 | 16 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $23,054 – $115,668 · median $63,850 | 16 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,512 – $56,873 · median $31,394 | 16 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,837 – $38,153 · median $21,061 | 16 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $13,828 – $68,672 · median $37,908 | 16 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,857 – $43,351 · median $23,930 | 16 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,305 – $30,352 · median $16,754 | 16 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $18,531 – $92,629 · median $51,132 | 16 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,395 – $46,090 · median $25,442 | 16 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,178 – $29,702 · median $16,396 | 16 plans |
| 849 | RADIOTHERAPY | $19,366 – $96,883 · median $53,481 | 16 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $65,941 – $334,125 · median $184,441 | 16 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $35,959 – $181,402 · median $100,136 | 16 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $14,574 – $72,473 · median $40,006 | 16 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,922 – $58,962 · median $32,548 | 16 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $32,472 – $163,640 · median $90,331 | 16 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,862 – $79,031 · median $43,626 | 16 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,521 – $46,732 · median $25,796 | 16 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,439 – $66,691 · median $36,814 | 16 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,466 – $36,267 · median $20,020 | 16 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,741 – $32,571 · median $17,980 | 16 plans |
| 865 | VIRAL ILLNESS WITH MCC | $10,856 – $53,532 · median $29,550 | 16 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,647 – $32,093 · median $17,715 | 16 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,615 – $77,776 · median $42,933 | 16 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,824 – $38,088 · median $21,025 | 16 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,471 – $26,101 · median $14,408 | 16 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $49,881 – $252,319 · median $139,283 | 16 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,318 – $71,167 · median $39,285 | 16 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,688 – $37,395 · median $20,643 | 16 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $28,328 – $142,531 · median $78,678 | 16 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,172 – $34,769 · median $19,193 | 16 plans |
| 881 | DEPRESSIVE NEUROSES | $6,855 – $33,155 · median $18,302 | 16 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,197 – $34,893 · median $19,261 | 16 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $13,547 – $67,243 · median $37,119 | 16 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,239 – $60,580 · median $33,441 | 16 plans |
| 885 | PSYCHOSES | $10,384 – $51,128 · median $28,223 | 16 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $13,139 – $65,161 · median $35,970 | 16 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,816 – $43,141 · median $23,814 | 16 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,791 – $22,637 · median $12,622 | 16 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $10,656 – $52,517 · median $28,990 | 16 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $13,027 – $64,591 · median $35,655 | 16 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,628 – $31,998 · median $17,663 | 16 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $31,894 – $160,699 · median $88,707 | 16 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $13,859 – $68,828 · median $37,994 | 16 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,027 – $44,218 · median $24,409 | 16 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $27,840 – $140,046 · median $77,307 | 16 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $12,083 – $59,782 · median $33,000 | 16 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $15,887 – $79,161 · median $43,698 | 16 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $28,713 – $144,493 · median $79,762 | 16 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,710 – $73,162 · median $40,386 | 16 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,378 – $46,003 · median $25,394 | 16 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $11,870 – $58,697 · median $32,402 | 16 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,872 – $33,239 · median $18,348 | 16 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,721 – $63,035 · median $34,796 | 16 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,075 – $24,088 · median $13,360 | 16 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $12,022 – $59,474 · median $32,830 | 16 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,645 – $32,085 · median $17,711 | 16 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,332 – $66,144 · median $36,512 | 16 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,580 – $36,848 · median $20,340 | 16 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,243 – $24,944 · median $13,795 | 16 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,376 – $61,276 · median $33,825 | 16 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,609 – $36,993 · median $20,420 | 16 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $169,268 – $860,450 · median $474,978 | 16 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $47,904 – $242,250 · median $133,725 | 16 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $22,993 – $115,356 · median $63,678 | 16 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $31,157 – $156,941 · median $86,633 | 16 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $15,626 – $77,830 · median $42,963 | 16 plans |
| 935 | NON-EXTENSIVE BURNS | $15,986 – $79,666 · median $43,976 | 16 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $22,947 – $115,124 · median $63,550 | 16 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $15,381 – $76,583 · median $42,274 | 16 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $14,262 – $70,884 · median $39,129 | 16 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,216 – $55,368 · median $30,564 | 16 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,297 – $40,497 · median $22,355 | 16 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,505 – $46,652 · median $25,752 | 16 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,004 – $28,817 · median $15,907 | 16 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,030 – $39,136 · median $21,604 | 16 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,520 – $21,258 · median $11,921 | 16 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,384 – $20,566 · median $11,569 | 16 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $48,968 – $247,669 · median $136,716 | 16 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $27,564 – $138,642 · median $76,532 | 16 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $53,496 – $270,734 · median $149,448 | 16 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $29,611 – $149,067 · median $82,286 | 16 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $19,173 – $95,897 · median $52,936 | 16 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $19,691 – $98,537 · median $54,394 | 16 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,028 – $54,410 · median $30,035 | 16 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,845 – $33,101 · median $18,272 | 16 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $45,379 – $229,389 · median $126,625 | 16 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $19,240 – $96,238 · median $53,124 | 16 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $21,610 – $108,312 · median $59,790 | 16 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,468 – $51,556 · median $28,459 | 16 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,489 – $36,380 · median $20,082 | 16 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,614 – $52,299 · median $28,870 | 16 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $34,197 – $172,429 · median $95,183 | 16 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,780 – $88,802 · median $49,020 | 16 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,225 – $60,507 · median $33,401 | 16 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $25,288 – $127,046 · median $70,131 | 16 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,566 – $62,241 · median $34,358 | 16 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,574 – $41,911 · median $23,135 | 16 plans |
No procedures match that keyword.