Palmetto General Hospital — 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 | $59,713 – $212,666 · median $86,345 | 64 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $40,398 – $146,529 · median $65,917 | 64 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $36,733 – $146,529 · median $59,005 | 64 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $47,662 – $211,702 · median $69,622 | 64 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $33,375 – $126,973 · median $52,533 | 64 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $29,116 – $126,973 · median $47,566 | 64 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $31,479 – $108,536 · median $49,424 | 64 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $20,126 – $98,074 · median $32,605 | 64 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $52,592 – $218,792 · median $76,057 | 64 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $38,286 – $147,608 · median $63,548 | 64 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $48,615 – $170,241 · median $70,324 | 64 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $33,517 – $115,874 · median $52,766 | 64 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $36,928 – $128,158 · median $55,190 | 64 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $26,210 – $89,562 · median $40,784 | 64 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $7,510 – $115,773 · median $31,647 | 64 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $7,510 – $62,110 · median $21,691 | 64 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $7,510 – $48,590 · median $17,776 | 64 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $13,267 – $86,999 · median $21,895 | 64 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $10,789 – $64,455 · median $15,836 | 64 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $7,510 – $61,104 · median $26,287 | 64 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $7,510 – $40,777 · median $17,365 | 64 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $7,510 – $78,554 · median $30,952 | 64 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $7,510 – $41,330 · median $18,175 | 64 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $7,510 – $45,905 · median $15,268 | 64 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $30,661 – $378,528 · median $60,744 | 64 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $22,727 – $146,313 · median $38,364 | 64 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $30,661 – $111,797 · median $46,861 | 64 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $22,171 – $98,074 · median $34,163 | 64 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $16,472 – $98,074 · median $25,093 | 64 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $7,997 – $61,586 · median $20,875 | 64 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,726 – $26,119 · median $11,424 | 64 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $12,861 – $67,352 · median $28,277 | 64 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $8,811 – $33,594 · median $15,049 | 64 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $10,579 – $59,383 · median $25,831 | 64 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $4,307 – $25,538 · median $11,260 | 64 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $6,188 – $130,407 · median $17,299 | 64 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,188 – $23,116 · median $11,213 | 64 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,188 – $19,440 · median $9,638 | 64 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $6,188 – $85,844 · median $15,409 | 64 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,188 – $22,744 · median $11,114 | 64 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,188 – $19,988 · median $9,857 | 64 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,307 – $26,691 · median $12,575 | 64 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,307 – $21,102 · median $9,998 | 64 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $4,307 – $21,102 · median $9,998 | 64 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,307 – $28,710 · median $10,247 | 64 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,307 – $16,810 · median $8,082 | 64 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,073 – $15,296 · median $7,246 | 64 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $12,861 – $43,815 · median $19,585 | 63 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $10,579 – $56,962 · median $15,961 | 63 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,179 – $42,322 · median $14,779 | 63 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $13,267 – $85,166 · median $35,250 | 62 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $13,267 – $67,975 · median $28,641 | 62 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $20,322 – $134,914 · median $56,137 | 62 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $15,728 – $98,074 · median $40,036 | 62 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $15,338 – $98,074 · median $22,233 | 62 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $30,038 – $227,852 · median $75,346 | 62 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $30,038 – $125,004 · median $52,161 | 62 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $27,455 – $101,635 · median $40,768 | 62 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $15,021 – $272,536 · median $43,495 | 62 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $8,510 – $78,060 · median $33,325 | 62 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $5,961 – $37,165 · median $16,461 | 62 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,332 – $21,025 · median $10,256 | 62 plans |
| 245 | AICD GENERATOR PROCEDURES | $12,998 – $106,435 · median $44,710 | 61 plans |
| 265 | AICD LEAD PROCEDURES | $12,998 – $77,694 · median $33,178 | 61 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $15,021 – $63,101 · median $27,323 | 61 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $13,142 – $51,562 · median $22,291 | 61 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $8,510 – $42,948 · median $19,237 | 61 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $8,510 – $31,215 · median $14,421 | 61 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $15,021 – $273,656 · median $79,444 | 60 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $15,021 – $111,426 · median $55,454 | 60 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $15,021 – $146,158 · median $42,252 | 60 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $130,969 – $466,780 · median $189,294 | 59 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $88,312 – $664,448 · median $127,748 | 59 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $30,237 – $157,601 · median $49,159 | 59 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $26,159 – $119,080 · median $37,866 | 59 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $17,366 – $90,406 · median $25,175 | 59 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $26,400 – $271,029 · median $72,450 | 59 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $34,770 – $258,611 · median $51,298 | 59 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $22,691 – $250,323 · median $33,491 | 59 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $35,845 – $200,839 · median $51,861 | 59 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $24,332 – $89,296 · median $35,910 | 59 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $28,388 – $97,407 · median $41,088 | 59 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $19,837 – $76,340 · median $29,057 | 59 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $16,264 – $71,330 · median $24,016 | 59 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $28,285 – $132,412 · median $54,160 | 59 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $21,640 – $73,109 · median $31,338 | 59 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $13,407 – $48,469 · median $21,452 | 59 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $20,857 – $91,271 · median $38,626 | 59 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $14,255 – $51,486 · median $20,667 | 59 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $10,988 – $34,750 · median $15,947 | 59 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $16,520 – $84,696 · median $35,743 | 59 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $15,096 – $49,545 · median $21,884 | 59 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $12,425 – $48,414 · median $18,024 | 59 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $15,440 – $72,329 · median $31,026 | 59 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,083 – $57,365 · median $16,085 | 59 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,222 – $24,790 · median $11,951 | 59 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $12,837 – $146,255 · median $34,071 | 59 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $12,837 – $49,184 · median $21,739 | 59 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $6,910 – $72,250 · median $16,898 | 59 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $13,179 – $71,824 · median $19,592 | 59 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,910 – $28,514 · median $10,056 | 59 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,405 – $32,650 · median $15,105 | 59 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,936 – $23,762 · median $11,539 | 59 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $2,130 – $54,539 · median $23,262 | 59 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $1,597 – $53,078 · median $13,666 | 59 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $9,064 – $40,204 · median $17,653 | 59 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,738 – $26,650 · median $12,697 | 59 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,735 – $19,772 · median $9,803 | 59 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $17,689 – $58,880 · median $25,629 | 59 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $12,109 – $45,016 · median $17,568 | 59 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $9,834 – $45,016 · median $14,281 | 59 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $12,168 – $43,325 · median $19,388 | 59 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,488 – $26,327 · median $10,891 | 59 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,500 – $26,400 · median $8,019 | 59 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $5,778 – $42,806 · median $14,317 | 59 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,778 – $19,581 · median $9,447 | 59 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,176 – $19,538 · median $8,996 | 59 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $8,371 – $121,322 · median $16,894 | 59 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $7,712 – $48,433 · median $11,214 | 59 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,875 – $17,277 · median $8,560 | 59 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $7,005 – $33,663 · median $15,098 | 59 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,063 – $23,330 · median $10,816 | 59 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $11,755 – $48,713 · median $17,056 | 59 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,883 – $26,327 · median $10,017 | 59 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $6,560 – $33,678 · median $15,096 | 59 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $6,560 – $21,734 · median $10,438 | 59 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,370 – $15,812 · median $7,831 | 59 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $1,597 – $43,294 · median $19,032 | 59 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $1,441 – $29,301 · median $9,911 | 59 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $14,484 – $80,014 · median $22,280 | 59 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $9,747 – $31,339 · median $14,155 | 59 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,120 – $31,976 · median $10,360 | 59 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $8,723 – $54,765 · median $21,232 | 59 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,723 – $28,567 · median $13,466 | 59 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,983 – $19,625 · median $9,450 | 59 plans |
| 088 | CONCUSSION WITH MCC | $4,982 – $30,725 · median $13,940 | 59 plans |
| 089 | CONCUSSION WITH CC | $4,982 – $23,350 · median $11,054 | 59 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $3,762 – $19,156 · median $9,222 | 59 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $9,037 – $39,703 · median $17,616 | 59 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,741 – $48,973 · median $11,256 | 59 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,111 – $17,963 · median $8,902 | 59 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $13,042 – $79,469 · median $33,019 | 59 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $13,042 – $52,211 · median $22,773 | 59 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $13,042 – $52,211 · median $22,547 | 59 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $13,042 – $78,073 · median $32,473 | 59 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $11,853 – $47,247 · median $20,608 | 59 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $9,765 – $76,278 · median $14,180 | 59 plans |
| 100 | SEIZURES WITH MCC | $7,075 – $43,240 · median $18,839 | 59 plans |
| 101 | SEIZURES WITHOUT MCC | $5,791 – $20,286 · median $9,823 | 59 plans |
| 102 | HEADACHES WITH MCC | $5,791 – $45,864 · median $11,921 | 59 plans |
| 103 | HEADACHES WITHOUT MCC | $5,110 – $19,032 · median $9,162 | 59 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $6,191 – $49,149 · median $21,152 | 59 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $6,191 – $95,156 · median $12,115 | 59 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $3,826 – $33,345 · median $14,966 | 59 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $6,574 – $63,460 · median $16,139 | 59 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,057 – $23,492 · median $11,124 | 59 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $5,920 – $25,335 · median $11,844 | 59 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,440 – $16,016 · median $7,932 | 59 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,006 – $18,207 · median $8,761 | 59 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $5,563 – $41,999 · median $13,030 | 59 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $3,876 – $18,602 · median $8,910 | 59 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $6,378 – $52,514 · median $22,469 | 59 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $5,717 – $46,921 · median $10,270 | 59 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $8,501 – $30,462 · median $14,227 | 59 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,092 – $18,388 · median $8,869 | 59 plans |
| 139 | SALIVARY GLAND PROCEDURES | $6,511 – $29,904 · median $13,754 | 59 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $26,609 – $129,234 · median $38,963 | 59 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $14,333 – $57,573 · median $20,780 | 59 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $10,848 – $57,573 · median $15,746 | 59 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $10,756 – $84,795 · median $30,063 | 59 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $10,756 – $38,261 · median $17,356 | 59 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,144 – $51,742 · median $12,246 | 59 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $9,044 – $49,966 · median $21,471 | 59 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $8,866 – $27,112 · median $12,883 | 59 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,180 – $50,285 · median $9,002 | 59 plans |
| 149 | DYSEQUILIBRIUM | $4,166 – $17,230 · median $8,286 | 59 plans |
| 150 | EPISTAXIS WITH MCC | $3,837 – $30,104 · median $13,697 | 59 plans |
| 151 | EPISTAXIS WITHOUT MCC | $3,837 – $17,414 · median $8,301 | 59 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,201 – $24,716 · median $11,848 | 59 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,642 – $16,602 · median $8,224 | 59 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $5,596 – $40,132 · median $15,778 | 59 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $3,440 – $20,495 · median $9,873 | 59 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,829 – $15,912 · median $7,646 | 59 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $6,617 – $35,665 · median $15,874 | 59 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,564 – $20,618 · median $10,024 | 59 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $3,897 – $15,688 · median $7,537 | 59 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $27,567 – $322,003 · median $42,708 | 59 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $16,561 – $59,644 · median $24,000 | 59 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $12,612 – $59,644 · median $18,294 | 59 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $23,759 – $83,860 · median $35,652 | 59 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $12,389 – $51,406 · median $17,972 | 59 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,526 – $33,520 · median $13,836 | 59 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $4,752 – $66,834 · median $28,821 | 59 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $9,860 – $49,658 · median $14,318 | 59 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,264 – $29,642 · median $9,122 | 59 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,115 – $71,324 · median $16,131 | 59 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,338 – $64,711 · median $10,674 | 59 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,993 – $28,819 · median $8,731 | 59 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $10,423 – $38,067 · median $16,982 | 59 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,053 – $24,182 · median $11,707 | 59 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,403 – $22,790 · median $9,323 | 59 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $7,774 – $34,571 · median $15,594 | 59 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,326 – $23,263 · median $11,136 | 59 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,481 – $17,760 · median $8,544 | 59 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $8,385 – $34,412 · median $15,812 | 59 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,410 – $22,427 · median $10,778 | 59 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,778 – $19,552 · median $8,421 | 59 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $8,822 – $40,342 · median $12,818 | 59 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,130 – $39,023 · median $11,818 | 59 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,533 – $21,569 · median $9,512 | 59 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,252 – $21,569 · median $7,660 | 59 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,307 – $28,700 · median $13,520 | 59 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,297 – $23,350 · median $9,170 | 59 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,103 – $17,711 · median $7,446 | 59 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $10,290 – $41,036 · median $18,142 | 59 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | — | 59 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,573 – $104,210 · median $8,125 | 59 plans |
| 199 | PNEUMOTHORAX WITH MCC | $12,015 – $73,609 · median $17,431 | 59 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,036 – $26,128 · median $11,683 | 59 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,432 – $50,931 · median $7,922 | 59 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,184 – $21,076 · median $10,452 | 59 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,550 – $16,337 · median $8,092 | 59 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,242 – $18,344 · median $9,092 | 59 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $7,832 – $52,754 · median $18,008 | 59 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,333 – $20,007 · median $9,743 | 59 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $29,401 – $390,586 · median $59,339 | 59 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $17,570 – $63,612 · median $25,496 | 59 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $43,023 – $237,269 · median $97,205 | 59 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $65,421 – $234,590 · median $96,486 | 59 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $23,464 – $137,146 · median $46,022 | 59 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $18,952 – $63,428 · median $27,454 | 59 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $10,470 – $50,769 · median $15,199 | 59 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $22,086 – $86,264 · median $31,982 | 59 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $16,779 – $82,776 · median $24,315 | 59 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $11,919 – $41,506 · median $17,609 | 59 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $17,163 – $56,987 · median $24,870 | 59 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $11,582 – $37,895 · median $16,806 | 59 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,732 – $37,895 · median $9,799 | 59 plans |
| 263 | VEIN LIGATION AND STRIPPING | $8,484 – $80,268 · median $24,779 | 59 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $20,902 – $76,123 · median $32,548 | 59 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $37,573 – $180,119 · median $55,431 | 59 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $29,794 – $135,243 · median $43,963 | 59 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $43,067 – $153,919 · median $63,762 | 59 plans |
| 277 | CELLULITIS AGE >17 W CC | $29,475 – $163,038 · median $43,492 | 59 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $4,171 – $108,972 · median $45,728 | 59 plans |
| 279 | CELLULITIS AGE 0-17 | $6,108 – $69,792 · median $30,007 | 59 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $11,265 – $35,750 · median $16,349 | 59 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,913 – $35,429 · median $10,060 | 59 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,723 – $26,575 · median $8,341 | 59 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $12,687 – $42,589 · median $19,093 | 59 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,819 – $27,450 · median $8,480 | 59 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,852 – $27,450 · median $6,910 | 59 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $17,859 – $131,407 · median $25,949 | 59 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $10,874 – $59,764 · median $15,783 | 59 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,259 – $59,764 · median $10,560 | 59 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,229 – $28,419 · median $13,407 | 59 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,546 – $29,678 · median $9,530 | 59 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,656 – $27,010 · median $6,800 | 59 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $7,829 – $26,746 · median $12,586 | 59 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $6,114 – $17,972 · median $8,906 | 59 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,247 – $38,930 · median $16,322 | 59 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,598 – $34,451 · median $8,160 | 59 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,009 – $53,251 · median $5,864 | 59 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $7,639 – $35,231 · median $15,854 | 59 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,639 – $23,318 · median $11,360 | 59 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,284 – $16,631 · median $8,239 | 59 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,441 – $25,337 · median $12,024 | 59 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,404 – $58,951 · median $7,881 | 59 plans |
| 304 | HYPERTENSION WITH MCC | $5,891 – $25,587 · median $12,052 | 59 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,878 – $17,286 · median $8,334 | 59 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $8,274 – $32,613 · median $14,822 | 59 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,940 – $20,369 · median $9,920 | 59 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $6,937 – $26,265 · median $12,319 | 59 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,809 – $17,086 · median $8,465 | 59 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,355 – $13,931 · median $6,894 | 59 plans |
| 311 | ANGINA PECTORIS | $5,561 – $16,367 · median $8,107 | 59 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,728 – $19,402 · median $9,361 | 59 plans |
| 313 | CHEST PAIN | $5,456 – $16,631 · median $8,017 | 59 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $10,332 – $136,860 · median $20,458 | 59 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,325 – $22,355 · median $10,414 | 59 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,466 – $17,939 · median $7,971 | 59 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $11,274 – $62,003 · median $26,882 | 59 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $5,082 – $39,404 · median $17,815 | 59 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $15,364 – $92,770 · median $39,227 | 59 plans |
| 324 | URINARY STONES W/O CC | $6,087 – $69,589 · median $29,926 | 59 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $18,212 – $62,337 · median $27,016 | 59 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $24,882 – $266,758 · median $46,389 | 59 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $16,024 – $150,784 · median $23,223 | 59 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $10,976 – $35,860 · median $15,930 | 59 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $27,219 – $113,448 · median $42,133 | 59 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $15,634 – $58,893 · median $22,661 | 59 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,323 – $42,203 · median $16,432 | 59 plans |
| 332 | RECTAL RESECTION WITH MCC | $22,318 – $75,548 · median $32,317 | 59 plans |
| 333 | RECTAL RESECTION WITH CC | $14,192 – $151,645 · median $20,577 | 59 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $11,369 – $45,540 · median $16,499 | 59 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $21,688 – $78,918 · median $33,669 | 59 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $14,114 – $61,064 · median $20,464 | 59 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $10,622 – $33,434 · median $15,420 | 59 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $13,016 – $61,506 · median $25,551 | 59 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,342 – $41,667 · median $15,014 | 59 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,869 – $44,346 · median $12,887 | 59 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $6,760 – $206,495 · median $22,091 | 59 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $3,079 – $27,419 · median $12,658 | 59 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,102 – $19,570 · median $9,424 | 59 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $8,931 – $52,679 · median $22,534 | 59 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $8,931 – $38,672 · median $15,152 | 59 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $6,051 – $24,015 · median $11,397 | 59 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $9,255 – $63,881 · median $26,918 | 59 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $9,255 – $37,050 · median $16,571 | 59 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $6,904 – $33,671 · median $13,412 | 59 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $25,562 – $231,238 · median $39,282 | 59 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $14,959 – $71,815 · median $21,685 | 59 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,534 – $46,662 · median $13,847 | 59 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,300 – $36,373 · median $16,598 | 59 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,492 – $26,655 · median $10,897 | 59 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,559 – $22,286 · median $8,104 | 59 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $11,910 – $38,071 · median $17,280 | 59 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,563 – $26,797 · median $10,999 | 59 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,725 – $26,797 · median $8,344 | 59 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $5,995 – $45,986 · median $20,058 | 59 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,769 – $26,761 · median $12,742 | 59 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,678 – $20,088 · median $9,721 | 59 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $8,400 – $39,600 · median $17,576 | 59 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,300 – $21,473 · median $10,620 | 59 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,188 – $17,473 · median $7,569 | 59 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $8,625 – $41,911 · median $18,320 | 59 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,925 – $23,721 · median $11,522 | 59 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,869 – $18,661 · median $8,553 | 59 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $6,124 – $48,647 · median $12,820 | 59 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,142 – $22,544 · median $9,327 | 59 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $9,142 – $91,495 · median $15,916 | 59 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,340 – $37,998 · median $10,678 | 59 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,391 – $19,781 · median $7,862 | 59 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $7,020 – $32,014 · median $14,586 | 59 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,186 – $25,088 · median $9,010 | 59 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,647 – $13,715 · median $6,786 | 59 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $5,584 – $27,976 · median $12,864 | 59 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,725 – $20,566 · median $8,566 | 59 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $8,497 – $36,068 · median $16,183 | 59 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,031 – $43,252 · median $10,230 | 59 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,186 – $15,280 · median $7,566 | 59 plans |
| 397 | COAGULATION DISORDERS | $16,324 – $53,966 · median $23,658 | 59 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $10,490 – $57,719 · median $15,228 | 59 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $8,134 – $126,268 · median $11,825 | 59 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $34,173 – $118,237 · median $49,445 | 59 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $18,324 – $91,061 · median $26,680 | 59 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $14,256 – $80,999 · median $20,669 | 59 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $22,515 – $76,258 · median $32,602 | 59 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $14,018 – $56,317 · median $20,326 | 59 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $10,719 – $42,474 · median $15,559 | 59 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $17,889 – $59,599 · median $25,918 | 59 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $14,230 – $64,155 · median $20,632 | 59 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $11,393 – $52,801 · median $16,533 | 59 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $15,790 – $76,313 · median $32,624 | 59 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $13,302 – $43,083 · median $19,291 | 59 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $9,625 – $69,574 · median $13,979 | 59 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $14,135 – $51,760 · median $22,772 | 59 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $11,368 – $36,120 · median $16,497 | 59 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $7,622 – $28,697 · median $13,278 | 59 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $15,283 – $76,873 · median $32,848 | 59 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $11,242 – $60,776 · median $16,315 | 59 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,225 – $46,830 · median $14,845 | 59 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $25,112 – $90,594 · median $37,549 | 59 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $15,148 – $91,900 · median $21,958 | 59 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $10,687 – $54,334 · median $15,513 | 59 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $10,799 – $167,818 · median $18,786 | 59 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,808 – $27,669 · median $11,353 | 59 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,550 – $23,366 · median $8,091 | 59 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $9,571 – $39,740 · median $17,472 | 59 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,158 – $36,217 · median $11,859 | 59 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,086 – $20,708 · median $8,866 | 59 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $8,978 – $49,868 · median $16,249 | 59 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,540 – $19,426 · median $9,522 | 59 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,057 – $19,426 · median $7,380 | 59 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $9,923 – $41,173 · median $18,196 | 59 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,181 – $21,469 · median $10,448 | 59 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,587 – $16,444 · median $8,145 | 59 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $7,198 – $70,167 · median $16,274 | 59 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,198 – $23,620 · median $11,277 | 59 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,363 – $18,103 · median $8,711 | 59 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $15,021 – $176,974 · median $59,964 | 59 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $15,021 – $79,729 · median $33,971 | 59 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $21,383 – $117,634 · median $47,958 | 59 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $19,172 – $64,221 · median $27,772 | 59 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,838 – $46,266 · median $17,176 | 59 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $22,985 – $110,960 · median $46,526 | 59 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $18,285 – $97,677 · median $40,146 | 59 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $14,386 – $50,561 · median $20,857 | 59 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,372 – $53,492 · median $12,169 | 59 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,410 – $74,901 · median $31,232 | 59 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $14,410 – $50,935 · median $22,441 | 59 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,078 – $58,152 · median $17,523 | 59 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $18,809 – $64,055 · median $27,706 | 59 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $13,887 – $60,092 · median $20,137 | 59 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $10,933 – $35,787 · median $15,868 | 59 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $14,472 – $55,500 · median $24,273 | 59 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $20,809 – $163,723 · median $30,138 | 59 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $14,166 – $51,400 · median $20,539 | 59 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,895 – $34,417 · median $15,814 | 59 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $11,461 – $43,009 · median $19,180 | 59 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,828 – $30,366 · median $12,827 | 59 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $12,773 – $77,345 · median $32,188 | 59 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $12,773 – $52,294 · median $22,579 | 59 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $9,662 – $41,064 · median $18,153 | 59 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $16,836 – $88,995 · median $32,771 | 59 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $13,271 – $64,906 · median $19,246 | 59 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,183 – $29,242 · median $13,737 | 59 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $9,402 – $54,992 · median $23,439 | 59 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $8,358 – $91,645 · median $12,149 | 59 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $8,131 – $123,858 · median $28,927 | 59 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $8,131 – $44,090 · median $17,288 | 59 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $6,085 – $35,799 · median $13,825 | 59 plans |
| 503 | FOOT PROCEDURES WITH MCC | $6,066 – $142,931 · median $24,476 | 59 plans |
| 504 | FOOT PROCEDURES WITH CC | $6,066 – $47,651 · median $16,875 | 59 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $6,066 – $38,224 · median $16,875 | 59 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $7,573 – $32,650 · median $14,836 | 59 plans |
| 509 | ARTHROSCOPY | $6,224 – $95,377 · median $16,890 | 59 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $6,382 – $62,249 · median $26,279 | 59 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $6,382 – $42,715 · median $18,633 | 59 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $6,382 – $35,018 · median $15,621 | 59 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $4,624 – $32,792 · median $14,749 | 59 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $4,624 – $23,237 · median $10,606 | 59 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $18,185 – $63,482 · median $27,476 | 59 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $14,088 – $55,003 · median $20,427 | 59 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $10,561 – $33,212 · median $15,330 | 59 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,261 – $28,316 · median $9,118 | 59 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,381 – $28,965 · median $13,626 | 59 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,242 – $21,457 · median $9,091 | 59 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,600 – $21,190 · median $9,766 | 59 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,399 – $19,592 · median $7,661 | 59 plans |
| 539 | OSTEOMYELITIS WITH MCC | $3,449 – $44,048 · median $19,678 | 59 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,165 – $32,993 · median $13,313 | 59 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,629 – $33,538 · median $9,650 | 59 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $8,580 – $40,622 · median $17,979 | 59 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,754 – $23,106 · median $11,276 | 59 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,908 – $18,565 · median $8,608 | 59 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $8,376 – $55,036 · median $23,456 | 59 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,340 – $31,439 · median $12,121 | 59 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,850 – $17,207 · median $8,525 | 59 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $13,482 – $43,878 · median $19,610 | 59 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,626 – $29,169 · median $12,536 | 59 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $4,393 – $29,169 · median $9,538 | 59 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $6,242 – $28,445 · median $13,179 | 59 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,925 – $18,758 · median $9,029 | 59 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $5,363 – $53,803 · median $13,394 | 59 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,363 – $18,440 · median $8,875 | 59 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $5,455 – $33,752 · median $15,125 | 59 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,455 – $19,270 · median $9,278 | 59 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,291 – $55,652 · median $17,739 | 59 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,291 – $39,065 · median $11,770 | 59 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,282 – $18,460 · median $9,149 | 59 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $5,852 – $31,875 · median $14,390 | 59 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $4,775 – $19,797 · median $9,534 | 59 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $6,472 – $34,177 · median $15,291 | 59 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,472 – $43,759 · median $10,721 | 59 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $1,731 – $17,240 · median $8,542 | 59 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $22,379 – $393,238 · median $48,587 | 59 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $11,464 – $48,421 · median $16,636 | 59 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,247 – $43,664 · median $11,988 | 59 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $22,379 – $134,126 · median $54,413 | 59 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $22,295 – $75,466 · median $32,284 | 59 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,414 – $46,442 · median $19,453 | 59 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $8,911 – $117,510 · median $47,909 | 59 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $12,931 – $57,996 · median $25,274 | 59 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $6,770 – $55,798 · median $16,325 | 59 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $10,493 – $70,990 · median $29,701 | 59 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $10,493 – $38,616 · median $17,188 | 59 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $7,056 – $53,484 · median $14,322 | 59 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $9,841 – $38,141 · median $17,001 | 59 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $8,977 – $35,778 · median $16,069 | 59 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $7,967 – $47,123 · median $19,368 | 59 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $6,165 – $43,235 · median $18,837 | 59 plans |
| 592 | SKIN ULCERS WITH MCC | $11,676 – $44,786 · median $19,620 | 59 plans |
| 593 | SKIN ULCERS WITH CC | $8,423 – $26,630 · median $12,690 | 59 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,470 – $36,355 · median $9,421 | 59 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $7,892 – $46,067 · median $19,945 | 59 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $5,906 – $23,546 · median $11,248 | 59 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $9,598 – $38,261 · median $16,894 | 59 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,863 – $126,768 · median $11,433 | 59 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,508 – $77,457 · median $9,475 | 59 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $5,256 – $20,898 · median $10,086 | 59 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,963 – $14,633 · median $7,184 | 59 plans |
| 602 | CELLULITIS WITH MCC | $8,204 – $31,999 · median $14,580 | 59 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,665 – $20,925 · median $9,594 | 59 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $5,012 – $32,359 · median $14,580 | 59 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $4,136 – $45,882 · median $9,788 | 59 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $5,893 – $35,072 · median $15,642 | 59 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $4,786 – $19,277 · median $9,281 | 59 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $15,122 – $53,537 · median $21,920 | 59 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,005 – $53,537 · median $14,527 | 59 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $24,715 – $90,117 · median $35,780 | 59 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,021 – $65,539 · median $18,885 | 59 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,868 – $85,315 · median $12,885 | 59 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $22,012 – $81,501 · median $34,705 | 59 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,907 – $47,626 · median $18,720 | 59 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,404 – $78,585 · median $10,770 | 59 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $12,317 – $62,445 · median $26,649 | 59 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $21,413 – $85,937 · median $36,486 | 59 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $14,941 – $48,985 · median $21,659 | 59 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $9,813 – $103,671 · median $14,250 | 59 plans |
| 637 | DIABETES WITH MCC | $7,301 – $31,718 · median $14,469 | 59 plans |
| 638 | DIABETES WITH CC | $6,885 – $27,707 · median $9,979 | 59 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,127 – $15,109 · median $7,480 | 59 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $5,634 – $28,924 · median $13,246 | 59 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,063 – $22,375 · median $8,833 | 59 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $3,105 – $27,031 · median $12,621 | 59 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $8,654 – $36,096 · median $16,195 | 59 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,588 – $28,387 · median $11,035 | 59 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,047 – $21,469 · median $8,708 | 59 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $30,974 – $302,839 · median $50,720 | 59 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $18,407 – $67,018 · median $26,810 | 59 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,902 – $67,018 · median $20,158 | 59 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $21,043 – $92,156 · median $30,476 | 59 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $12,395 – $55,298 · median $17,980 | 59 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $10,434 – $55,298 · median $15,148 | 59 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $16,969 – $56,286 · median $24,588 | 59 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,442 – $40,707 · median $13,715 | 59 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,547 – $29,832 · median $10,976 | 59 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $10,635 – $67,945 · median $28,509 | 59 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $10,576 – $33,267 · median $15,352 | 59 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,868 – $62,994 · median $11,441 | 59 plans |
| 665 | PROSTATECTOMY WITH MCC | $11,659 – $81,907 · median $31,186 | 59 plans |
| 666 | PROSTATECTOMY WITH CC | $11,301 – $35,878 · median $16,400 | 59 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,554 – $22,385 · median $10,986 | 59 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $6,726 – $89,177 · median $26,776 | 59 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $6,726 – $48,439 · median $15,106 | 59 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $5,151 – $20,883 · median $10,079 | 59 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $6,765 – $37,650 · median $16,609 | 59 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $5,373 – $58,610 · median $11,312 | 59 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $25,678 – $122,287 · median $38,617 | 59 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $15,300 – $55,558 · median $22,177 | 59 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $10,805 – $95,393 · median $15,683 | 59 plans |
| 682 | RENAL FAILURE WITH MCC | $10,421 – $78,310 · median $15,129 | 59 plans |
| 683 | RENAL FAILURE WITH CC | $6,714 – $26,461 · median $9,772 | 59 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,011 – $26,461 · median $7,312 | 59 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $8,532 – $41,071 · median $17,991 | 59 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,704 – $24,286 · median $11,204 | 59 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,717 – $60,293 · median $8,333 | 59 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,986 – $25,489 · median $12,232 | 59 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,192 – $18,196 · median $8,853 | 59 plans |
| 693 | URINARY STONES WITH MCC | $3,792 – $32,025 · median $14,449 | 59 plans |
| 694 | URINARY STONES WITHOUT MCC | $3,792 – $17,825 · median $8,445 | 59 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $4,127 – $24,563 · median $11,543 | 59 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $3,260 – $16,252 · median $7,812 | 59 plans |
| 697 | URETHRAL STRICTURE | $5,498 – $21,819 · median $10,471 | 59 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $7,711 – $39,491 · median $16,397 | 59 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,506 – $22,213 · median $10,869 | 59 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,701 – $16,295 · median $8,071 | 59 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $13,075 – $46,874 · median $18,963 | 59 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,304 – $32,777 · median $14,960 | 59 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $9,230 – $48,942 · median $21,071 | 59 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,230 – $32,700 · median $15,125 | 59 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $8,246 – $41,613 · median $18,202 | 59 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $5,338 – $23,296 · median $11,055 | 59 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,137 – $31,494 · median $14,641 | 59 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,021 – $20,602 · median $10,034 | 59 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $10,382 – $49,186 · median $21,354 | 59 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $9,922 – $35,545 · median $14,408 | 59 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $7,567 – $40,413 · median $17,732 | 59 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,567 – $30,132 · median $12,733 | 59 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $7,932 – $61,035 · median $16,809 | 59 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,932 – $24,457 · median $11,817 | 59 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,744 – $55,330 · median $8,150 | 59 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $5,793 – $27,499 · median $12,678 | 59 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,493 – $19,414 · median $8,260 | 59 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $5,805 – $32,004 · median $14,441 | 59 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,805 – $18,451 · median $8,899 | 59 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $4,957 – $23,978 · median $11,299 | 59 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,086 – $16,052 · median $7,088 | 59 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $19,537 – $96,062 · median $36,415 | 59 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $13,425 – $43,525 · median $19,468 | 59 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,512 – $42,271 · median $15,261 | 59 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $12,557 – $86,704 · median $35,851 | 59 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $12,335 – $60,345 · median $17,894 | 59 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,590 – $102,324 · median $14,008 | 59 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $6,105 – $48,982 · median $18,572 | 59 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $5,699 – $170,264 · median $10,667 | 59 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $5,868 – $36,473 · median $16,190 | 59 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,868 – $20,874 · median $10,088 | 59 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $7,842 – $29,671 · median $13,538 | 59 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $16,995 – $56,380 · median $24,626 | 59 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,137 – $45,509 · median $13,273 | 59 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $7,984 – $52,267 · median $17,338 | 59 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,984 – $24,178 · median $11,706 | 59 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,375 – $20,870 · median $10,055 | 59 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $7,045 – $52,845 · median $14,117 | 59 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,045 – $22,200 · median $10,863 | 59 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,208 – $15,344 · median $7,597 | 59 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $5,088 – $21,466 · median $10,316 | 59 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,088 – $35,250 · median $7,341 | 59 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $5,335 – $64,958 · median $13,759 | 59 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $3,473 – $23,435 · median $11,087 | 59 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,930 – $16,633 · median $7,996 | 59 plans |
| 779 | ABORTION WITHOUT D&C | $3,029 – $20,516 · median $9,883 | 59 plans |
| 799 | SPLENECTOMY WITH MCC | $30,077 – $103,560 · median $43,556 | 59 plans |
| 800 | SPLENECTOMY WITH CC | $18,962 – $100,270 · median $27,681 | 59 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $11,267 – $35,756 · median $16,351 | 59 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $10,081 – $161,104 · median $32,475 | 59 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $10,081 – $38,768 · median $17,331 | 59 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,024 – $24,080 · median $11,666 | 59 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $11,756 – $49,883 · median $21,629 | 59 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $8,828 – $100,011 · median $12,828 | 59 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,094 – $25,435 · median $10,322 | 59 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $6,622 – $38,683 · median $14,045 | 59 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $2,733 – $20,307 · median $9,782 | 59 plans |
| 813 | COAGULATION DISORDERS | $9,229 – $33,715 · median $15,532 | 59 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $9,028 – $45,531 · median $19,736 | 59 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,483 – $22,131 · median $10,884 | 59 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,325 – $15,684 · median $7,767 | 59 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $3,209 – $55,214 · median $23,526 | 59 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $3,209 – $28,053 · median $12,894 | 59 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,824 – $18,440 · median $8,875 | 59 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $31,335 – $126,810 · median $52,885 | 59 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $14,840 – $67,797 · median $21,513 | 59 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,255 – $33,524 · median $11,999 | 59 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $17,893 – $119,301 · median $41,807 | 59 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $14,640 – $47,903 · median $21,225 | 59 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,782 – $26,807 · median $12,760 | 59 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $23,425 – $104,968 · median $43,737 | 59 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $15,611 – $57,190 · median $22,627 | 59 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,032 – $34,911 · median $16,012 | 59 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $9,721 – $67,165 · median $28,204 | 59 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,721 – $79,316 · median $14,785 | 59 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $3,209 – $25,069 · median $11,726 | 59 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $3,209 – $17,228 · median $8,286 | 59 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,824 – $13,235 · median $6,290 | 59 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $21,548 – $120,385 · median $49,035 | 59 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $14,256 – $46,622 · median $20,670 | 59 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,637 – $27,676 · median $13,109 | 59 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $23,826 – $327,819 · median $46,093 | 59 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $13,605 – $51,552 · median $19,729 | 59 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,626 – $51,552 · median $13,980 | 59 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $12,492 – $69,456 · median $29,100 | 59 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $10,821 – $138,959 · median $15,707 | 59 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,700 – $22,910 · median $11,197 | 59 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $9,679 – $42,107 · median $18,221 | 59 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $1,511 – $26,031 · median $12,449 | 59 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,398 – $22,790 · median $9,317 | 59 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $3,966 – $55,622 · median $23,685 | 59 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $3,966 – $27,676 · median $12,747 | 59 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $3,540 – $18,482 · median $8,837 | 59 plans |
| 849 | RADIOTHERAPY | $9,124 – $186,276 · median $24,685 | 59 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $30,817 – $108,928 · median $45,710 | 59 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $13,423 – $66,677 · median $19,466 | 59 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,170 – $66,677 · median $16,210 | 59 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $28,626 – $98,263 · median $41,431 | 59 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $12,374 – $66,677 · median $21,046 | 59 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,130 – $66,677 · median $13,264 | 59 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $9,278 – $40,047 · median $17,752 | 59 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,385 – $21,778 · median $10,743 | 59 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,769 – $19,870 · median $9,852 | 59 plans |
| 865 | VIRAL ILLNESS WITH MCC | $6,095 – $43,964 · median $14,496 | 59 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,251 – $19,639 · median $9,457 | 59 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $12,225 – $115,030 · median $20,743 | 59 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,689 – $26,451 · median $11,181 | 59 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,690 – $26,451 · median $8,293 | 59 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $14,981 – $151,513 · median $61,219 | 59 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $13,205 – $44,022 · median $19,151 | 59 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,573 – $32,414 · median $11,014 | 59 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $6,809 – $172,079 · median $14,397 | 59 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $18,906 – $96,496 · median $40,722 | 59 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $12,815 – $41,330 · median $18,587 | 59 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,711 – $40,905 · median $12,658 | 59 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $15,280 – $89,735 · median $34,830 | 59 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,306 – $84,069 · median $16,408 | 59 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $6,761 – $47,535 · median $20,520 | 59 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $16,797 – $86,765 · median $36,342 | 59 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $13,538 – $139,314 · median $19,632 | 59 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,009 – $29,789 · median $13,088 | 59 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $6,547 – $40,882 · median $15,710 | 59 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,568 – $20,193 · median $9,726 | 59 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $4,138 – $66,003 · median $16,730 | 59 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $3,213 – $15,766 · median $7,479 | 59 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $1,763 – $43,357 · median $15,892 | 59 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $1,611 – $19,635 · median $9,455 | 59 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $7,480 – $39,718 · median $17,460 | 59 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $5,408 – $22,126 · median $10,688 | 59 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $3,605 – $16,181 · median $8,014 | 59 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $7,498 – $36,795 · median $16,316 | 59 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $2,211 – $22,213 · median $10,609 | 59 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $130,679 – $516,683 · median $209,316 | 59 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $39,326 – $145,466 · median $60,371 | 59 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $15,811 – $113,407 · median $29,798 | 59 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $16,549 – $96,675 · median $38,801 | 59 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $13,126 – $46,736 · median $20,756 | 59 plans |
| 935 | NON-EXTENSIVE BURNS | $10,767 – $47,838 · median $20,823 | 59 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $12,543 – $97,157 · median $28,973 | 59 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $12,543 – $45,986 · median $20,456 | 59 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $12,543 – $42,565 · median $19,083 | 59 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $1,772 – $28,013 · median $13,009 | 59 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $1,597 – $27,584 · median $8,797 | 59 plans |
| 949 | AFTERCARE WITH CC/MCC | $3,844 – $23,501 · median $11,112 | 59 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $2,667 – $75,784 · median $6,910 | 59 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,767 – $14,446 · median $6,959 | 59 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $42,639 – $148,720 · median $62,899 | 59 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $24,457 – $83,252 · median $35,408 | 59 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $45,922 – $162,570 · median $67,234 | 59 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $26,196 – $99,360 · median $38,658 | 59 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $17,329 – $137,959 · median $25,117 | 59 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $16,964 – $88,107 · median $25,745 | 59 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,411 – $36,705 · median $15,114 | 59 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,857 – $36,705 · median $9,980 | 59 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $41,733 – $518,620 · median $80,450 | 59 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $17,386 – $203,225 · median $25,206 | 59 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $19,140 – $65,039 · median $28,101 | 59 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,935 – $41,412 · median $14,426 | 59 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,404 – $62,377 · median $10,770 | 59 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,059 – $31,405 · median $14,605 | 59 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $30,092 – $103,540 · median $43,548 | 59 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $16,146 – $80,225 · median $23,400 | 59 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,427 – $72,516 · median $16,583 | 59 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $13,639 – $76,289 · median $32,038 | 59 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,717 – $37,374 · median $17,000 | 59 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,326 – $34,976 · median $12,102 | 59 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $34,246 – $261,787 · median $55,633 | 58 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $18,659 – $74,097 · median $27,119 | 58 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $22,055 – $74,601 · median $31,937 | 58 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $17,204 – $80,919 · median $24,929 | 58 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $18,185 – $71,192 · median $30,569 | 58 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $12,742 – $41,066 · median $18,482 | 58 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $11,353 – $44,468 · median $18,774 | 58 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,143 – $28,109 · median $13,283 | 58 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $10,466 – $32,873 · median $15,194 | 58 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $7,926 – $33,976 · median $12,959 | 58 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $14,056 – $47,848 · median $20,381 | 58 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,679 – $47,848 · median $12,613 | 58 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $10,325 – $39,786 · median $17,699 | 58 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $8,588 – $36,391 · median $12,435 | 58 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $1,648 – $35,742 · median $17,757 | 57 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $5,879 – $75,346 · median $36,821 | 57 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $5,280 – $47,095 · median $22,798 | 57 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $4,732 – $77,287 · median $37,468 | 57 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,735 – $30,015 · median $14,499 | 57 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $1,737 – $85,587 · median $36,345 | 57 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,425 – $43,359 · median $10,196 | 57 plans |
| 881 | DEPRESSIVE NEUROSES | $1,399 – $42,982 · median $9,993 | 57 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,373 – $20,993 · median $10,225 | 57 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,606 – $40,378 · median $17,719 | 57 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,425 – $36,377 · median $16,600 | 57 plans |
| 885 | PSYCHOSES | $1,399 – $30,701 · median $14,323 | 57 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,412 – $58,008 · median $17,229 | 57 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,386 – $25,905 · median $12,178 | 57 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $1,158 – $15,065 · median $7,234 | 57 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $1,439 – $123,094 · median $17,099 | 57 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $1,433 – $39,341 · median $9,435 | 57 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $27,217 – $285,357 · median $116,500 | 56 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $13,229 – $225,992 · median $54,752 | 56 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $104,450 – $2,002,043 · median $439,069 | 56 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $11,458 – $172,657 · median $71,281 | 56 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $3,588 – $111,250 · median $53,956 | 56 plans |
| 795 | NORMAL NEWBORN | $1,110 – $7,620 · median $3,578 | 56 plans |
| 945 | REHABILITATION WITH CC/MCC | $10,570 – $51,665 · median $15,344 | 56 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,090 – $42,874 · median $11,761 | 56 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $37,846 – $225,992 · median $54,752 | 53 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $29,205 – $165,653 · median $42,267 | 53 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $22,341 – $153,403 · median $32,350 | 53 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $65,751 – $331,494 · median $95,069 | 51 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $42,147 – $429,105 · median $61,600 | 51 plans |
| 007 | LUNG TRANSPLANT | $88,109 – $1,513,993 · median $292,138 | 51 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $40,841 – $414,358 · median $59,443 | 51 plans |
| 010 | PANCREAS TRANSPLANT | $48,276 – $254,736 · median $71,680 | 51 plans |
| 652 | KIDNEY TRANSPLANT | $19,915 – $123,997 · median $28,845 | 51 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $119,508 – $592,614 · median $242,924 | 50 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $68,758 – $527,021 · median $99,456 | 50 plans |
| 999 | UNGROUPABLE | $1,400 – $21,765 · median $21,765 | 19 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $1,400 – $11,378 · median $11,378 | 17 plans |
No procedures match that keyword.