North Shore Medical Center — Pricing
766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Showing all 766 procedures
Procedures with negotiated rates only
These 766 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $51,927 – $212,666 · median $79,918 | 60 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $35,231 – $166,214 · median $61,974 | 60 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $32,572 – $166,214 · median $56,727 | 60 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $39,444 – $211,702 · median $64,837 | 60 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $29,159 – $144,030 · median $51,057 | 60 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $25,478 – $144,030 · median $44,438 | 60 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $27,521 – $108,618 · median $48,633 | 60 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $17,707 – $108,618 · median $31,276 | 60 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $45,772 – $218,792 · median $77,804 | 60 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $33,405 – $167,438 · median $58,691 | 60 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $42,334 – $166,841 · median $72,174 | 60 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $29,282 – $113,560 · median $51,832 | 60 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $32,231 – $125,598 · median $56,581 | 60 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $22,966 – $87,773 · median $40,571 | 60 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $6,215 – $115,773 · median $29,077 | 60 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $6,215 – $70,454 · median $20,051 | 60 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $6,215 – $48,590 · median $16,501 | 60 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $10,979 – $86,999 · median $20,462 | 60 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $9,635 – $64,455 · median $15,738 | 60 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $6,215 – $59,883 · median $24,201 | 60 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $6,215 – $43,681 · median $16,128 | 60 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $6,215 – $78,554 · median $28,912 | 60 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $6,215 – $40,504 · median $17,080 | 60 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $6,215 – $45,905 · median $14,228 | 60 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $36,327 – $378,528 · median $55,048 | 60 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $23,220 – $146,313 · median $37,516 | 60 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $28,303 – $109,564 · median $46,025 | 60 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $19,474 – $90,726 · median $34,400 | 60 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $14,548 – $88,432 · median $25,693 | 60 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $7,997 – $61,586 · median $19,556 | 60 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,163 – $26,119 · median $10,744 | 60 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $13,674 – $66,007 · median $26,451 | 60 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,270 – $33,594 · median $14,153 | 60 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $10,579 – $58,197 · median $23,614 | 60 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $3,562 – $28,968 · median $10,472 | 60 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $5,122 – $130,407 · median $15,853 | 60 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $5,122 – $24,576 · median $10,692 | 60 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,122 – $18,833 · median $9,049 | 60 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $5,122 – $85,844 · median $14,163 | 60 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $5,122 – $24,576 · median $10,525 | 60 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $5,122 – $19,344 · median $9,293 | 60 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $3,562 – $26,691 · median $11,629 | 60 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $3,562 – $20,384 · median $9,325 | 60 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,562 – $20,384 · median $9,325 | 60 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,562 – $28,710 · median $9,548 | 60 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,562 – $16,376 · median $7,632 | 60 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,562 – $14,962 · median $6,906 | 60 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $11,984 – $42,940 · median $18,306 | 59 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $9,815 – $56,962 · median $15,172 | 59 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,108 – $48,007 · median $13,905 | 59 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $10,979 – $83,465 · median $32,866 | 58 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $10,979 – $66,618 · median $26,675 | 58 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $20,322 – $132,219 · median $50,780 | 58 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $20,589 – $93,764 · median $36,650 | 58 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $13,568 – $88,432 · median $20,732 | 58 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $24,858 – $227,852 · median $68,620 | 58 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $24,858 – $122,507 · median $48,139 | 58 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $24,042 – $115,289 · median $38,340 | 58 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $12,430 – $272,536 · median $40,293 | 58 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $7,043 – $76,500 · median $30,889 | 58 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $5,961 – $36,423 · median $15,542 | 58 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,505 – $20,572 · median $9,757 | 58 plans |
| 245 | AICD GENERATOR PROCEDURES | $12,998 – $104,309 · median $40,524 | 57 plans |
| 265 | AICD LEAD PROCEDURES | $12,998 – $76,142 · median $30,755 | 57 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $12,430 – $61,841 · median $25,393 | 57 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $12,430 – $50,532 · median $20,765 | 57 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $7,043 – $42,090 · median $17,988 | 57 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $7,043 – $30,592 · median $13,615 | 57 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $12,430 – $273,656 · median $71,696 | 56 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $12,430 – $104,746 · median $50,167 | 56 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $12,430 – $146,158 · median $38,319 | 56 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $113,522 – $457,458 · median $198,539 | 55 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $75,356 – $664,448 · median $131,776 | 55 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $29,678 – $157,601 · median $44,517 | 55 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $22,922 – $119,080 · median $38,985 | 55 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $15,321 – $90,406 · median $25,175 | 55 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $26,400 – $271,029 · median $76,250 | 55 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $30,365 – $258,611 · median $52,509 | 55 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $19,924 – $250,323 · median $33,539 | 55 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $31,295 – $200,839 · median $54,025 | 55 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $21,343 – $101,292 · median $36,116 | 55 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $24,849 – $95,461 · median $42,487 | 55 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $17,457 – $86,596 · median $29,057 | 55 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $14,368 – $80,913 · median $23,830 | 55 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $33,252 – $129,767 · median $49,878 | 55 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $19,016 – $71,649 · median $31,889 | 55 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $13,101 – $47,501 · median $19,651 | 55 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $23,376 – $89,448 · median $35,064 | 55 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $12,631 – $51,486 · median $20,288 | 55 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $9,807 – $34,056 · median $14,711 | 55 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $21,625 – $83,004 · median $32,696 | 55 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $13,359 – $48,556 · median $21,625 | 55 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,050 – $48,414 · median $17,414 | 55 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $18,829 – $70,885 · median $28,243 | 55 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $9,890 – $57,365 · median $15,307 | 55 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,416 – $24,422 · median $11,316 | 55 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $16,804 – $146,255 · median $31,782 | 55 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $13,272 – $48,201 · median $19,909 | 55 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $9,046 – $72,250 · median $15,982 | 55 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $11,988 – $71,824 · median $17,982 | 55 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,283 – $32,345 · median $9,424 | 55 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,303 – $31,998 · median $13,955 | 55 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,170 – $23,287 · median $10,938 | 55 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $12,120 – $53,450 · median $21,837 | 55 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,442 – $53,078 · median $12,663 | 55 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $11,117 – $39,401 · median $16,675 | 55 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,863 – $26,118 · median $11,865 | 55 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,131 – $22,245 · median $9,349 | 55 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $15,600 – $57,704 · median $25,682 | 55 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $10,777 – $51,063 · median $16,919 | 55 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,810 – $51,063 · median $13,449 | 55 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $11,866 – $42,459 · median $17,799 | 55 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,782 – $29,864 · median $10,345 | 55 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,064 – $29,864 · median $7,596 | 55 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $7,563 – $42,806 · median $13,608 | 55 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,074 – $18,964 · median $9,111 | 55 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,649 – $19,538 · median $8,610 | 55 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $10,557 – $121,322 · median $15,835 | 55 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $6,976 – $48,433 · median $10,641 | 55 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,388 – $16,812 · median $8,095 | 55 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $8,861 – $32,991 · median $14,320 | 55 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,915 – $23,330 · median $10,373 | 55 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $10,471 – $48,713 · median $15,928 | 55 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,259 – $29,864 · median $9,545 | 55 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $8,588 – $33,006 · median $14,325 | 55 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $6,683 – $21,300 · median $10,024 | 55 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,951 – $16,101 · median $7,427 | 55 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $11,859 – $42,430 · median $17,788 | 55 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,196 – $29,301 · median $9,448 | 55 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $13,597 – $80,014 · median $20,395 | 55 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,735 – $35,549 · median $13,334 | 55 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,464 – $35,549 · median $9,858 | 55 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $11,419 – $54,765 · median $19,970 | 55 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,323 – $27,996 · median $12,485 | 55 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,087 – $19,005 · median $9,131 | 55 plans |
| 088 | CONCUSSION WITH MCC | $6,521 – $30,111 · median $13,262 | 55 plans |
| 089 | CONCUSSION WITH CC | $6,521 – $22,884 · median $10,606 | 55 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $4,925 – $18,567 · median $8,922 | 55 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $10,996 – $38,910 · median $16,495 | 55 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,001 – $48,973 · median $10,679 | 55 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,592 – $17,453 · median $8,388 | 55 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $17,072 – $77,882 · median $30,814 | 55 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $13,999 – $51,168 · median $20,999 | 55 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $13,999 – $51,168 · median $20,999 | 55 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $17,072 – $76,513 · median $30,311 | 55 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $11,853 – $46,304 · median $19,211 | 55 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,750 – $76,278 · median $13,357 | 55 plans |
| 100 | SEIZURES WITH MCC | $9,261 – $42,376 · median $17,768 | 55 plans |
| 101 | SEIZURES WITHOUT MCC | $6,284 – $19,674 · median $9,427 | 55 plans |
| 102 | HEADACHES WITH MCC | $7,528 – $45,864 · median $11,292 | 55 plans |
| 103 | HEADACHES WITHOUT MCC | $5,911 – $18,451 · median $8,866 | 55 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $8,104 – $48,167 · median $19,896 | 55 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,646 – $95,156 · median $11,469 | 55 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $5,009 – $32,679 · median $14,205 | 55 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $8,606 – $63,460 · median $15,284 | 55 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,105 – $23,023 · median $10,657 | 55 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,547 – $24,829 · median $11,321 | 55 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,012 – $15,634 · median $7,518 | 55 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,665 – $17,681 · median $8,497 | 55 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $7,282 – $41,999 · median $12,424 | 55 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,074 – $18,049 · median $8,674 | 55 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $8,349 – $51,465 · median $21,108 | 55 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,580 – $46,921 · median $9,870 | 55 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $8,778 – $29,853 · median $13,167 | 55 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,719 – $17,849 · median $8,578 | 55 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,523 – $29,307 · median $12,966 | 55 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $23,578 – $129,234 · median $35,367 | 55 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $12,699 – $65,308 · median $20,411 | 55 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,687 – $65,308 · median $14,938 | 55 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $14,080 – $84,795 · median $28,094 | 55 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $10,650 – $37,497 · median $15,975 | 55 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,660 – $51,742 · median $11,490 | 55 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $11,839 – $48,968 · median $20,190 | 55 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $7,974 – $26,570 · median $11,961 | 55 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,652 – $50,285 · median $8,615 | 55 plans |
| 149 | DYSEQUILIBRIUM | $5,374 – $16,768 · median $8,060 | 55 plans |
| 150 | EPISTAXIS WITH MCC | $5,022 – $29,503 · median $13,038 | 55 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,022 – $16,940 · median $8,143 | 55 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,399 – $24,222 · median $11,098 | 55 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,186 – $16,181 · median $7,780 | 55 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $7,326 – $40,132 · median $14,953 | 55 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $3,440 – $19,928 · median $9,520 | 55 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,981 – $15,537 · median $7,471 | 55 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $8,661 – $34,952 · median $15,040 | 55 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,383 – $20,077 · median $9,575 | 55 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,914 – $15,327 · median $7,371 | 55 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $25,565 – $322,003 · median $38,347 | 55 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $14,626 – $67,657 · median $23,912 | 55 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,211 – $67,657 · median $17,708 | 55 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $21,597 – $82,185 · median $32,395 | 55 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $11,019 – $58,311 · median $17,358 | 55 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,544 – $38,023 · median $13,042 | 55 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $4,752 – $69,870 · median $26,764 | 55 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,833 – $49,658 · median $13,484 | 55 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,724 – $33,624 · median $8,725 | 55 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $9,917 – $71,324 · median $15,357 | 55 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,652 – $64,711 · median $10,146 | 55 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,490 – $32,690 · median $8,306 | 55 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $10,604 – $37,307 · median $15,906 | 55 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,270 – $25,580 · median $11,092 | 55 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,844 – $25,580 · median $8,909 | 55 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $9,765 – $33,881 · median $14,647 | 55 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,326 – $22,799 · median $10,575 | 55 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,531 – $17,263 · median $8,297 | 55 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $8,385 – $33,725 · median $14,590 | 55 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,715 – $25,440 · median $10,072 | 55 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,304 – $22,179 · median $7,956 | 55 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,935 – $41,072 · median $12,110 | 55 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,337 – $39,023 · median $11,194 | 55 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,957 – $24,467 · median $9,082 | 55 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,849 – $24,467 · median $7,274 | 55 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,355 – $28,126 · median $12,724 | 55 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,753 – $26,487 · median $8,769 | 55 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,721 – $20,091 · median $7,082 | 55 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $11,316 – $40,216 · median $16,975 | 55 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | — | 55 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,127 – $104,210 · median $7,691 | 55 plans |
| 199 | PNEUMOTHORAX WITH MCC | $10,695 – $73,609 · median $16,043 | 55 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,256 – $29,639 · median $11,070 | 55 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,005 – $50,931 · median $7,508 | 55 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,520 – $20,634 · median $9,943 | 55 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,107 – $16,362 · median $7,661 | 55 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,706 – $18,341 · median $8,558 | 55 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $10,253 – $52,754 · median $17,004 | 55 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,201 – $19,362 · median $9,302 | 55 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $35,279 – $390,586 · median $52,919 | 55 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $15,498 – $72,158 · median $25,496 | 55 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $43,023 – $244,732 · median $89,390 | 55 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $56,861 – $264,664 · median $99,424 | 55 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $27,801 – $137,146 · median $41,701 | 55 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $16,692 – $62,161 · median $27,666 | 55 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,360 – $57,589 · median $14,344 | 55 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $19,401 – $86,264 · median $32,589 | 55 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $14,814 – $82,776 · median $24,254 | 55 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $10,612 – $47,082 · median $16,893 | 55 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $15,146 – $55,849 · median $22,927 | 55 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,321 – $42,985 · median $16,090 | 55 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,129 – $42,985 · median $9,345 | 55 plans |
| 263 | VEIN LIGATION AND STRIPPING | $11,106 – $80,268 · median $23,233 | 55 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $19,740 – $74,603 · median $29,609 | 55 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $32,789 – $204,316 · median $56,913 | 55 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $26,064 – $153,412 · median $44,695 | 55 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $38,415 – $159,867 · median $58,763 | 55 plans |
| 277 | CELLULITIS AGE >17 W CC | $25,788 – $163,038 · median $44,193 | 55 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $4,171 – $106,795 · median $42,248 | 55 plans |
| 279 | CELLULITIS AGE 0-17 | $6,108 – $72,724 · median $27,851 | 55 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $10,047 – $40,188 · median $15,593 | 55 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,285 – $40,188 · median $9,584 | 55 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,256 – $30,145 · median $7,885 | 55 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $11,689 – $41,738 · median $17,534 | 55 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,340 – $31,138 · median $8,009 | 55 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,852 – $31,138 · median $6,601 | 55 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $15,747 – $131,407 · median $25,949 | 55 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $9,709 – $67,793 · median $14,979 | 55 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,584 – $67,793 · median $10,042 | 55 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,287 – $27,851 · median $12,431 | 55 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,968 – $29,678 · median $9,099 | 55 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,334 – $27,010 · median $6,501 | 55 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $7,886 – $26,212 · median $11,829 | 55 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,595 – $19,214 · median $8,392 | 55 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $10,032 – $39,080 · median $15,565 | 55 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,148 – $39,080 · median $7,722 | 55 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,775 – $53,251 · median $5,662 | 55 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $9,923 – $34,528 · median $14,884 | 55 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,063 – $22,852 · median $10,594 | 55 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,195 – $16,209 · median $7,793 | 55 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,548 – $24,831 · median $11,321 | 55 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,981 – $58,951 · median $7,471 | 55 plans |
| 304 | HYPERTENSION WITH MCC | $7,608 – $25,076 · median $11,412 | 55 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,390 – $16,820 · median $8,085 | 55 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,294 – $31,962 · median $13,942 | 55 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,309 – $19,774 · median $9,463 | 55 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $6,937 – $25,740 · median $11,656 | 55 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,331 – $18,487 · median $7,996 | 55 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,355 – $14,801 · median $6,586 | 55 plans |
| 311 | ANGINA PECTORIS | $5,116 – $16,279 · median $7,674 | 55 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,021 – $18,797 · median $9,031 | 55 plans |
| 313 | CHEST PAIN | $5,195 – $16,209 · median $7,793 | 55 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $12,725 – $136,860 · median $19,087 | 55 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,325 – $25,358 · median $9,745 | 55 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,035 – $19,257 · median $7,552 | 55 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $11,274 – $65,319 · median $24,989 | 55 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $5,082 – $41,431 · median $16,686 | 55 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $15,364 – $94,069 · median $36,294 | 55 plans |
| 324 | URINARY STONES W/O CC | $6,087 – $68,199 · median $27,777 | 55 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $16,430 – $61,092 · median $25,112 | 55 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $28,021 – $266,758 · median $42,032 | 55 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $14,161 – $150,784 · median $23,067 | 55 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $9,797 – $40,677 · median $15,138 | 55 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $25,474 – $113,448 · median $38,211 | 55 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,824 – $66,805 · median $22,455 | 55 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,098 – $47,873 · median $15,685 | 55 plans |
| 332 | RECTAL RESECTION WITH MCC | $19,602 – $74,039 · median $32,953 | 55 plans |
| 333 | RECTAL RESECTION WITH CC | $12,577 – $151,645 · median $20,190 | 55 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,137 – $51,658 · median $15,757 | 55 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $20,410 – $77,341 · median $30,616 | 55 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $12,510 – $61,064 · median $20,067 | 55 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,492 – $36,128 · median $14,583 | 55 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $15,554 – $61,506 · median $23,330 | 55 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,249 – $41,667 · median $14,143 | 55 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,976 – $44,346 · median $12,173 | 55 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $8,849 – $206,495 · median $20,760 | 55 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $3,079 – $26,871 · median $12,071 | 55 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,071 – $18,954 · median $9,107 | 55 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $11,691 – $51,627 · median $21,167 | 55 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,332 – $38,672 · median $13,997 | 55 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,230 – $23,535 · median $10,845 | 55 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $12,115 – $62,605 · median $25,201 | 55 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,360 – $36,310 · median $15,539 | 55 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,436 – $33,671 · median $12,654 | 55 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $23,769 – $231,238 · median $35,653 | 55 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $13,240 – $71,815 · median $21,394 | 55 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,550 – $52,931 · median $13,051 | 55 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,197 – $35,646 · median $15,295 | 55 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,786 – $26,655 · median $10,351 | 55 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,115 – $25,281 · median $7,672 | 55 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $10,605 – $37,311 · median $16,213 | 55 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,847 – $30,397 · median $10,444 | 55 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,258 – $30,397 · median $7,887 | 55 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $5,995 – $45,068 · median $18,757 | 55 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,890 – $26,227 · median $12,040 | 55 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,082 – $21,818 · median $9,273 | 55 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $10,972 – $38,809 · median $16,458 | 55 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,620 – $21,044 · median $10,097 | 55 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,794 – $17,473 · median $7,191 | 55 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $11,290 – $41,074 · median $17,290 | 55 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,160 – $23,247 · median $10,923 | 55 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,383 – $21,168 · median $8,086 | 55 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $8,017 – $48,647 · median $12,113 | 55 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,012 – $22,544 · median $9,018 | 55 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $9,961 – $91,495 · median $14,941 | 55 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,655 – $37,998 · median $10,150 | 55 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,970 – $22,438 · median $7,455 | 55 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,151 – $31,375 · median $13,726 | 55 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,656 – $25,088 · median $8,622 | 55 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,326 – $13,486 · median $6,489 | 55 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $7,310 – $27,418 · median $12,272 | 55 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,545 – $20,566 · median $8,318 | 55 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $10,124 – $35,347 · median $15,186 | 55 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,387 – $43,252 · median $9,740 | 55 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,793 – $16,294 · median $7,189 | 55 plans |
| 397 | COAGULATION DISORDERS | $14,421 – $52,889 · median $22,036 | 55 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $9,377 – $57,719 · median $14,375 | 55 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $7,341 – $126,268 · median $11,200 | 55 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $29,850 – $115,876 · median $51,573 | 55 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $16,149 – $101,347 · median $26,680 | 55 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $12,632 – $91,881 · median $20,290 | 55 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $19,772 – $74,735 · median $33,262 | 55 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $12,427 – $63,883 · median $19,917 | 55 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,575 – $48,180 · median $14,735 | 55 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $15,773 – $58,408 · median $25,996 | 55 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $12,610 – $64,155 · median $20,250 | 55 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,158 – $52,801 · median $15,794 | 55 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $19,785 – $74,789 · median $29,678 | 55 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $11,808 – $42,223 · median $18,792 | 55 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,629 – $69,574 · median $13,172 | 55 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $13,891 – $50,726 · median $20,836 | 55 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,136 – $35,399 · median $15,755 | 55 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,354 – $28,124 · median $12,532 | 55 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $15,283 – $75,337 · median $30,453 | 55 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,028 – $60,776 · median $15,557 | 55 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,148 – $53,122 · median $13,966 | 55 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $22,732 – $90,594 · median $34,098 | 55 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $13,404 – $91,900 · median $21,691 | 55 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,548 – $61,633 · median $14,685 | 55 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $11,708 – $167,818 · median $17,563 | 55 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,059 – $27,669 · median $10,768 | 55 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,107 – $26,505 · median $7,660 | 55 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,005 – $38,946 · median $16,508 | 55 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,361 – $36,217 · median $11,232 | 55 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,571 – $23,490 · median $8,473 | 55 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,164 – $49,868 · median $15,246 | 55 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,963 – $22,036 · median $9,091 | 55 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,681 – $22,036 · median $7,022 | 55 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $11,349 – $40,351 · median $17,024 | 55 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,517 – $24,353 · median $9,776 | 55 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,139 – $17,575 · median $7,709 | 55 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $9,423 – $70,167 · median $15,408 | 55 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,136 – $23,149 · median $10,703 | 55 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,634 – $17,584 · median $8,451 | 55 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $12,430 – $176,974 · median $54,214 | 55 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $12,430 – $79,729 · median $30,886 | 55 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $27,991 – $115,284 · median $44,557 | 55 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,882 – $62,938 · median $27,991 | 55 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,543 – $52,481 · median $16,493 | 55 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $28,103 – $108,744 · median $42,154 | 55 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $23,935 – $95,726 · median $37,371 | 55 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $12,745 – $50,561 · median $20,494 | 55 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,547 – $53,492 · median $11,515 | 55 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $18,863 – $73,405 · median $29,169 | 55 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $13,693 – $49,917 · median $20,539 | 55 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $10,750 – $58,152 · median $16,870 | 55 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $16,842 – $62,776 · median $25,264 | 55 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $12,314 – $60,092 · median $19,712 | 55 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $9,760 – $40,595 · median $15,071 | 55 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $14,789 – $54,391 · median $22,183 | 55 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $18,298 – $163,723 · median $30,583 | 55 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $12,554 – $58,305 · median $20,149 | 55 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,727 – $36,364 · median $15,012 | 55 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $11,741 – $43,009 · median $17,612 | 55 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,940 – $30,366 · median $12,118 | 55 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $16,721 – $75,800 · median $30,049 | 55 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $14,019 – $51,249 · median $21,029 | 55 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $11,323 – $40,244 · median $16,985 | 55 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $19,873 – $88,995 · median $29,809 | 55 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $11,781 – $64,906 · median $18,744 | 55 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,485 – $28,658 · median $12,728 | 55 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $12,308 – $53,894 · median $22,000 | 55 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $7,535 – $91,645 · median $11,497 | 55 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $10,644 – $123,858 · median $27,049 | 55 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $10,644 – $44,090 · median $16,195 | 55 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $7,966 – $35,799 · median $13,156 | 55 plans |
| 503 | FOOT PROCEDURES WITH MCC | $7,940 – $142,931 · median $22,955 | 55 plans |
| 504 | FOOT PROCEDURES WITH CC | $7,940 – $47,651 · median $15,962 | 55 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $7,940 – $37,460 · median $15,962 | 55 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,303 – $31,998 · median $13,955 | 55 plans |
| 509 | ARTHROSCOPY | $8,148 – $95,377 · median $15,975 | 55 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $8,355 – $61,006 · median $24,613 | 55 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $8,355 – $41,862 · median $17,579 | 55 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $8,355 – $34,318 · median $14,808 | 55 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $6,053 – $32,137 · median $14,006 | 55 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,053 – $23,237 · median $10,194 | 55 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $16,705 – $62,214 · median $25,057 | 55 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $12,488 – $55,003 · median $20,027 | 55 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,438 – $32,549 · median $14,487 | 55 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,721 – $32,120 · median $8,721 | 55 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,419 – $28,387 · median $12,850 | 55 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,705 – $24,340 · median $8,558 | 55 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,270 – $21,190 · median $9,405 | 55 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,976 – $19,592 · median $7,464 | 55 plans |
| 539 | OSTEOMYELITIS WITH MCC | $3,449 – $43,168 · median $18,392 | 55 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,232 – $37,425 · median $12,562 | 55 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,040 – $37,425 · median $9,209 | 55 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,217 – $39,811 · median $16,826 | 55 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,012 – $22,645 · median $10,697 | 55 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,416 – $21,059 · median $8,155 | 55 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $8,776 – $53,937 · median $22,016 | 55 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,518 – $31,439 · median $11,277 | 55 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,367 – $16,957 · median $8,052 | 55 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $11,999 – $43,002 · median $17,998 | 55 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,766 – $33,088 · median $11,649 | 55 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $4,393 – $33,088 · median $8,959 | 55 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,171 – $27,877 · median $12,441 | 55 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,829 – $18,195 · median $8,743 | 55 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,021 – $53,803 · median $12,759 | 55 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,734 – $17,898 · median $8,602 | 55 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $7,141 – $33,078 · median $14,352 | 55 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,982 – $18,674 · median $8,972 | 55 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,544 – $55,652 · median $16,757 | 55 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,419 – $39,065 · median $11,128 | 55 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,740 – $17,917 · median $8,750 | 55 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $7,660 – $31,238 · median $13,676 | 55 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,139 – $19,165 · median $9,208 | 55 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $8,472 – $33,495 · median $14,505 | 55 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,797 – $43,759 · median $10,195 | 55 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $1,731 – $16,778 · median $8,065 | 55 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $17,754 – $393,238 · median $28,597 | 55 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,219 – $54,926 · median $15,906 | 55 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,438 – $49,529 · median $11,349 | 55 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $29,295 – $131,447 · median $50,496 | 55 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $19,582 – $73,958 · median $29,373 | 55 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,905 – $49,529 · median $18,969 | 55 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $8,911 – $115,163 · median $44,512 | 55 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $15,388 – $56,837 · median $23,082 | 55 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $8,863 – $55,798 · median $15,455 | 55 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $13,736 – $69,572 · median $27,761 | 55 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $10,735 – $37,845 · median $16,103 | 55 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $8,990 – $53,484 · median $13,485 | 55 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $10,621 – $37,379 · median $15,932 | 55 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $10,054 – $35,063 · median $15,081 | 55 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $10,428 – $47,123 · median $18,255 | 55 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $8,070 – $42,372 · median $17,767 | 55 plans |
| 592 | SKIN ULCERS WITH MCC | $12,217 – $43,892 · median $18,325 | 55 plans |
| 593 | SKIN ULCERS WITH CC | $7,858 – $28,657 · median $11,807 | 55 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,903 – $36,355 · median $8,999 | 55 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $10,330 – $45,147 · median $18,786 | 55 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $5,906 – $23,076 · median $10,677 | 55 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $10,650 – $37,497 · median $15,975 | 55 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,106 – $126,768 · median $10,841 | 55 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,935 – $77,457 · median $8,903 | 55 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,467 – $20,419 · median $9,700 | 55 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,600 – $14,343 · median $6,900 | 55 plans |
| 602 | CELLULITIS WITH MCC | $9,147 – $31,360 · median $13,721 | 55 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,071 – $20,925 · median $9,189 | 55 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $6,561 – $31,712 · median $13,850 | 55 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,414 – $45,882 · median $9,442 | 55 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $7,714 – $34,372 · median $14,827 | 55 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,188 – $18,680 · median $8,976 | 55 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $13,381 – $60,729 · median $21,651 | 55 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $8,958 – $60,729 · median $13,675 | 55 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $21,674 – $90,117 · median $36,718 | 55 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,565 – $74,344 · median $18,350 | 55 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,975 – $85,315 · median $12,171 | 55 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $21,031 – $79,873 · median $31,546 | 55 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,466 – $54,024 · median $18,172 | 55 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,710 – $78,585 · median $10,234 | 55 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $16,123 – $61,198 · median $24,684 | 55 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $22,096 – $84,221 · median $33,143 | 55 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $13,225 – $52,554 · median $21,366 | 55 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,792 – $103,671 · median $13,421 | 55 plans |
| 637 | DIABETES WITH MCC | $9,080 – $31,085 · median $13,619 | 55 plans |
| 638 | DIABETES WITH CC | $6,261 – $27,707 · median $9,547 | 55 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,741 – $16,937 · median $7,112 | 55 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $5,634 – $28,346 · median $12,613 | 55 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,551 – $22,375 · median $8,432 | 55 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $3,105 – $26,491 · median $11,932 | 55 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,131 – $35,375 · median $15,196 | 55 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,868 – $28,387 · median $10,477 | 55 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,537 – $21,469 · median $8,340 | 55 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $30,612 – $302,839 · median $45,919 | 55 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $16,221 – $76,021 · median $26,810 | 55 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $12,327 – $76,021 · median $19,734 | 55 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $18,500 – $92,156 · median $30,951 | 55 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,024 – $62,726 · median $17,367 | 55 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,329 – $62,726 · median $14,288 | 55 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $14,977 – $55,162 · median $24,551 | 55 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,472 – $46,176 · median $12,931 | 55 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,833 – $33,840 · median $10,423 | 55 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $13,921 – $66,588 · median $26,664 | 55 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,451 – $32,602 · median $14,177 | 55 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,111 – $62,994 · median $10,667 | 55 plans |
| 665 | PROSTATECTOMY WITH MCC | $15,261 – $81,907 · median $29,127 | 55 plans |
| 666 | PROSTATECTOMY WITH CC | $10,078 – $35,162 · median $15,261 | 55 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,839 – $21,938 · median $10,432 | 55 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $8,804 – $89,177 · median $25,070 | 55 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $8,804 – $48,439 · median $14,335 | 55 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,462 – $20,399 · median $9,693 | 55 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $8,855 – $37,650 · median $15,717 | 55 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,034 – $58,610 · median $10,781 | 55 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $23,371 – $122,287 · median $35,056 | 55 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $13,535 – $63,022 · median $21,930 | 55 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $9,649 – $95,393 · median $14,870 | 55 plans |
| 682 | RENAL FAILURE WITH MCC | $9,318 – $78,310 · median $14,268 | 55 plans |
| 683 | RENAL FAILURE WITH CC | $6,113 – $30,016 · median $9,321 | 55 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,641 – $30,016 · median $6,962 | 55 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $10,655 – $40,250 · median $16,987 | 55 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,969 – $24,286 · median $10,631 | 55 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,252 – $60,293 · median $7,878 | 55 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,584 – $24,980 · median $11,376 | 55 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,662 – $17,671 · median $8,492 | 55 plans |
| 693 | URINARY STONES WITH MCC | $4,964 – $31,386 · median $13,730 | 55 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,964 – $17,323 · median $8,326 | 55 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $4,127 – $24,073 · median $11,043 | 55 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $3,260 – $15,855 · median $7,623 | 55 plans |
| 697 | URETHRAL STRICTURE | $6,703 – $21,383 · median $10,055 | 55 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,094 – $39,491 · median $15,381 | 55 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,798 – $21,770 · median $10,197 | 55 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,701 – $17,978 · median $7,642 | 55 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $11,612 – $46,874 · median $18,436 | 55 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,217 – $33,272 · median $14,084 | 55 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $12,083 – $48,568 · median $19,822 | 55 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,315 – $32,047 · median $13,973 | 55 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $10,794 – $40,782 · median $17,182 | 55 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,988 – $22,831 · median $10,587 | 55 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,026 – $30,865 · median $13,539 | 55 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,379 – $20,058 · median $9,568 | 55 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $13,273 – $48,203 · median $19,909 | 55 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $8,886 – $35,545 · median $13,565 | 55 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $9,905 – $39,606 · median $16,750 | 55 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,906 – $30,132 · median $11,859 | 55 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $10,384 – $61,035 · median $15,757 | 55 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,336 – $23,968 · median $11,005 | 55 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,275 – $55,330 · median $7,912 | 55 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,583 – $26,950 · median $12,100 | 55 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,357 – $19,414 · median $8,036 | 55 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $7,599 – $31,364 · median $13,722 | 55 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,737 – $17,908 · median $8,606 | 55 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,489 – $23,499 · median $10,832 | 55 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,039 – $16,052 · median $6,958 | 55 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $22,053 – $96,062 · median $33,080 | 55 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $11,914 – $47,950 · median $18,985 | 55 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,396 – $47,950 · median $14,411 | 55 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $16,437 – $84,972 · median $33,419 | 55 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $10,972 – $60,345 · median $16,458 | 55 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,647 – $102,324 · median $12,971 | 55 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $7,991 – $48,982 · median $17,523 | 55 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,823 – $170,264 · median $10,235 | 55 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $7,681 – $35,744 · median $15,331 | 55 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,460 – $20,389 · median $9,689 | 55 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,588 – $29,078 · median $12,882 | 55 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $15,000 – $55,254 · median $23,129 | 55 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,207 – $45,509 · median $12,527 | 55 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,451 – $52,267 · median $16,388 | 55 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,269 – $23,695 · median $10,904 | 55 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,375 – $20,384 · median $9,688 | 55 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,865 – $52,845 · median $13,298 | 55 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,795 – $21,757 · median $10,192 | 55 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,812 – $17,291 · median $7,217 | 55 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,619 – $21,038 · median $9,928 | 55 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,780 – $35,250 · median $7,169 | 55 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $6,984 – $64,958 · median $13,095 | 55 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $4,546 – $22,967 · median $10,434 | 55 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,145 – $16,211 · median $7,794 | 55 plans |
| 779 | ABORTION WITHOUT D&C | $3,965 – $19,953 · median $9,348 | 55 plans |
| 799 | SPLENECTOMY WITH MCC | $26,326 – $101,491 · median $39,489 | 55 plans |
| 800 | SPLENECTOMY WITH CC | $16,700 – $100,270 · median $27,681 | 55 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $10,049 – $35,042 · median $15,596 | 55 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $13,196 – $161,104 · median $30,313 | 55 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $10,772 – $37,994 · median $16,158 | 55 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,246 – $24,742 · median $11,055 | 55 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $12,220 – $48,886 · median $20,160 | 55 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,941 – $100,011 · median $12,118 | 55 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,442 – $28,852 · median $9,824 | 55 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,669 – $38,683 · median $13,232 | 55 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $3,578 – $19,699 · median $9,256 | 55 plans |
| 813 | COAGULATION DISORDERS | $9,559 – $33,042 · median $14,339 | 55 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $11,818 – $44,622 · median $18,593 | 55 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,778 – $22,158 · median $10,339 | 55 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,913 – $16,467 · median $7,369 | 55 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $4,200 – $54,112 · median $22,080 | 55 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $4,200 – $27,492 · median $12,299 | 55 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,696 – $17,898 · median $8,438 | 55 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $31,907 – $124,277 · median $47,861 | 55 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $13,137 – $76,905 · median $21,208 | 55 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,445 – $33,524 · median $11,360 | 55 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $23,422 – $119,301 · median $38,898 | 55 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $12,965 – $46,946 · median $20,894 | 55 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,901 – $26,271 · median $12,057 | 55 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $26,434 – $104,968 · median $39,651 | 55 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $13,804 – $57,491 · median $22,419 | 55 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,846 – $38,909 · median $15,228 | 55 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $12,725 – $65,824 · median $26,384 | 55 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,112 – $79,316 · median $13,668 | 55 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $4,200 – $24,568 · median $11,115 | 55 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,200 – $16,766 · median $7,906 | 55 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,059 – $13,037 · median $6,155 | 55 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $27,871 – $117,980 · median $45,548 | 55 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $12,633 – $52,885 · median $20,291 | 55 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,109 – $27,123 · median $12,271 | 55 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $27,646 – $327,819 · median $41,469 | 55 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $12,070 – $58,477 · median $19,268 | 55 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,630 – $58,477 · median $13,174 | 55 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $16,352 – $68,069 · median $27,209 | 55 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $9,664 – $138,959 · median $14,896 | 55 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,965 – $22,453 · median $10,448 | 55 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $11,364 – $42,107 · median $17,047 | 55 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $1,511 – $25,512 · median $11,572 | 55 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,840 – $22,790 · median $8,904 | 55 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $5,192 – $54,511 · median $22,227 | 55 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $5,192 – $27,123 · median $12,072 | 55 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $3,540 – $17,938 · median $8,620 | 55 plans |
| 849 | RADIOTHERAPY | $11,943 – $186,276 · median $23,147 | 55 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $27,615 – $106,753 · median $41,422 | 55 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $11,912 – $75,635 · median $18,982 | 55 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,965 – $75,635 · median $15,443 | 55 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $25,054 – $96,300 · median $40,341 | 55 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $12,374 – $75,635 · median $19,644 | 55 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,202 – $75,635 · median $12,518 | 55 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $11,079 – $39,247 · median $16,618 | 55 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,693 – $22,772 · median $10,040 | 55 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,160 – $21,143 · median $9,393 | 55 plans |
| 865 | VIRAL ILLNESS WITH MCC | $7,978 – $43,964 · median $13,773 | 55 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,091 – $19,018 · median $9,137 | 55 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $12,677 – $115,030 · median $19,015 | 55 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,956 – $30,004 · median $10,611 | 55 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,228 – $30,004 · median $7,842 | 55 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $19,611 – $148,486 · median $56,757 | 55 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $11,724 – $44,022 · median $18,640 | 55 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,856 – $36,769 · median $10,458 | 55 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $8,914 – $172,079 · median $13,553 | 55 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $24,630 – $94,569 · median $36,946 | 55 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $11,387 – $46,401 · median $18,027 | 55 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,839 – $46,401 · median $11,963 | 55 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $20,002 – $89,735 · median $32,480 | 55 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,083 – $84,069 · median $15,658 | 55 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $8,851 – $46,585 · median $19,315 | 55 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $21,988 – $85,032 · median $33,441 | 55 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,012 – $139,314 · median $19,162 | 55 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,097 – $33,722 · median $12,357 | 55 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $8,571 – $40,882 · median $14,890 | 55 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,257 – $19,561 · median $9,385 | 55 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $5,417 – $66,003 · median $15,828 | 55 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,205 – $15,401 · median $7,265 | 55 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $8,424 – $43,357 · median $15,058 | 55 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $4,743 – $19,014 · median $9,136 | 55 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $9,791 – $38,925 · median $16,500 | 55 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $5,408 – $21,684 · median $10,165 | 55 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $3,605 – $16,969 · median $7,591 | 55 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $9,815 – $36,060 · median $15,448 | 55 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $2,211 – $21,770 · median $10,197 | 55 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $125,501 – $506,363 · median $188,252 | 55 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $36,386 – $142,561 · median $54,579 | 55 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $18,094 – $113,407 · median $27,141 | 55 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $21,663 – $96,675 · median $36,133 | 55 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $12,685 – $45,802 · median $19,027 | 55 plans |
| 935 | NON-EXTENSIVE BURNS | $12,133 – $46,882 · median $19,424 | 55 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $16,419 – $97,157 · median $27,091 | 55 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $12,505 – $45,068 · median $18,757 | 55 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $11,683 – $41,715 · median $17,525 | 55 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,190 – $27,454 · median $12,285 | 55 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,619 – $27,584 · median $8,429 | 55 plans |
| 949 | AFTERCARE WITH CC/MCC | $5,032 – $23,031 · median $10,419 | 55 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,491 – $75,784 · median $6,600 | 55 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,430 – $16,387 · median $6,645 | 55 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $37,167 – $158,990 · median $64,869 | 55 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $21,451 – $81,589 · median $36,313 | 55 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $40,492 – $159,323 · median $60,738 | 55 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $22,954 – $112,708 · median $39,043 | 55 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $15,289 – $137,959 · median $25,117 | 55 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $15,670 – $88,107 · median $23,504 | 55 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,309 – $41,636 · median $14,251 | 55 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,237 – $41,636 · median $9,510 | 55 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $35,405 – $518,620 · median $54,630 | 55 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $15,338 – $203,225 · median $25,206 | 55 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $17,079 – $63,740 · median $25,618 | 55 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,897 – $46,975 · median $13,582 | 55 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,709 – $62,377 · median $10,234 | 55 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,004 – $30,777 · median $13,746 | 55 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $26,321 – $101,472 · median $43,873 | 55 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $14,266 – $82,258 · median $23,259 | 55 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,188 – $82,258 · median $15,848 | 55 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $13,639 – $74,765 · median $29,669 | 55 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,437 – $39,675 · median $15,940 | 55 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,507 – $39,675 · median $11,454 | 55 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $33,551 – $261,787 · median $50,327 | 54 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $16,439 – $84,051 · median $26,166 | 54 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $19,374 – $73,111 · median $29,853 | 54 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $15,181 – $80,919 · median $24,061 | 54 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $18,556 – $69,770 · median $27,834 | 54 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $11,324 – $44,633 · median $17,604 | 54 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $11,599 – $44,468 · median $17,399 | 54 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $8,213 – $27,864 · median $12,499 | 54 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,357 – $32,216 · median $14,312 | 54 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,089 – $33,976 · median $12,134 | 54 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $12,460 – $54,276 · median $19,506 | 54 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $7,812 – $54,276 · median $11,822 | 54 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $11,016 – $38,991 · median $16,524 | 54 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,733 – $36,391 · median $11,599 | 54 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $1,648 – $40,411 · median $16,633 | 53 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $5,879 – $71,048 · median $34,039 | 53 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $6,911 – $44,662 · median $21,003 | 53 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $5,977 – $72,860 · median $34,242 | 53 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,271 – $28,709 · median $13,513 | 53 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $22,011 – $83,877 · median $33,655 | 53 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,477 – $43,359 · median $9,716 | 53 plans |
| 881 | DEPRESSIVE NEUROSES | $6,245 – $42,982 · median $9,522 | 53 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $3,301 – $20,534 · median $9,743 | 53 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $6,900 – $39,572 · median $16,738 | 53 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $10,198 – $35,650 · median $15,297 | 53 plans |
| 885 | PSYCHOSES | $8,835 – $30,088 · median $13,391 | 53 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $10,293 – $58,008 · median $16,288 | 53 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,684 – $25,388 · median $11,526 | 53 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,728 – $14,746 · median $7,093 | 53 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $4,844 – $123,094 · median $16,164 | 53 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $4,844 – $39,341 · median $9,117 | 53 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $27,217 – $279,658 · median $107,059 | 52 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $13,229 – $256,352 · median $50,512 | 52 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $136,728 – $2,002,043 · median $315,661 | 52 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $11,458 – $169,208 · median $65,648 | 52 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $3,588 – $126,196 · median $49,302 | 52 plans |
| 795 | NORMAL NEWBORN | $1,453 – $7,793 · median $3,586 | 52 plans |
| 945 | REHABILITATION WITH CC/MCC | $9,447 – $51,665 · median $14,423 | 52 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,303 – $48,634 · median $10,954 | 52 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $33,024 – $256,352 · median $50,512 | 49 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $25,555 – $165,653 · median $39,079 | 49 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $19,621 – $153,403 · median $29,997 | 49 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $57,146 – $331,494 · median $87,433 | 47 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $27,182 – $429,105 · median $41,570 | 47 plans |
| 007 | LUNG TRANSPLANT | $115,338 – $1,513,993 · median $200,404 | 47 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $29,931 – $414,358 · median $45,777 | 47 plans |
| 010 | PANCREAS TRANSPLANT | $43,153 – $254,736 · median $66,014 | 47 plans |
| 652 | KIDNEY TRANSPLANT | $17,524 – $123,997 · median $26,787 | 47 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $148,745 – $592,614 · median $223,118 | 46 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $59,082 – $527,021 · median $90,396 | 46 plans |
| 999 | UNGROUPABLE | $4,832 – $21,765 · median $21,765 | 18 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $2,844 – $11,378 · median $11,378 | 16 plans |
No procedures match that keyword.