Parrish 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 |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $37,757 – $535,667 · median $202,158 | 26 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $24,640 – $354,163 · median $175,310 | 26 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $9,702 – $122,172 · median $47,047 | 26 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $7,500 – $94,438 · median $39,427 | 26 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $5,126 – $87,294 · median $27,447 | 26 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $13,998 – $192,990 · median $74,946 | 26 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $9,417 – $192,990 · median $50,420 | 26 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $5,652 – $192,990 · median $42,756 | 26 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $10,194 – $128,359 · median $53,700 | 26 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $6,959 – $119,151 · median $37,259 | 26 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $8,088 – $101,863 · median $43,305 | 26 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $5,531 – $101,863 · median $29,613 | 26 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $4,488 – $95,178 · median $24,029 | 26 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $10,688 – $134,586 · median $47,477 | 26 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $6,069 – $81,659 · median $32,493 | 26 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $3,905 – $49,172 · median $19,677 | 26 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $7,970 – $100,363 · median $35,613 | 26 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $3,791 – $60,216 · median $20,297 | 26 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $2,958 – $37,249 · median $15,143 | 26 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $6,886 – $86,704 · median $31,032 | 26 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $4,252 – $53,547 · median $21,956 | 26 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $3,456 – $47,693 · median $18,504 | 26 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $5,856 – $73,743 · median $26,686 | 26 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $2,886 – $44,577 · median $15,454 | 26 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $2,091 – $28,727 · median $11,196 | 26 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $6,869 – $86,491 · median $30,657 | 26 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $3,911 – $49,251 · median $19,707 | 26 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $3,073 – $38,700 · median $14,900 | 26 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $3,222 – $40,573 · median $17,059 | 26 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $1,742 – $38,047 · median $9,326 | 26 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $2,716 – $34,203 · median $13,985 | 26 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $1,814 – $24,959 · median $9,711 | 26 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $4,133 – $52,037 · median $19,407 | 26 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $2,305 – $29,021 · median $12,095 | 26 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $3,041 – $38,293 · median $15,068 | 26 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $2,207 – $27,796 · median $11,710 | 26 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $1,636 – $26,167 · median $8,867 | 26 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $4,905 – $61,759 · median $26,260 | 26 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $3,126 – $60,066 · median $16,736 | 26 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $2,497 – $60,066 · median $13,370 | 26 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $3,577 – $45,046 · median $18,108 | 26 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $1,797 – $35,129 · median $9,623 | 26 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $1,217 – $35,129 · median $7,099 | 26 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $2,613 – $32,899 · median $12,862 | 26 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $1,538 – $19,363 · median $8,368 | 26 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $1,421 – $19,346 · median $7,958 | 26 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $2,961 – $37,292 · median $14,463 | 26 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $1,825 – $24,167 · median $9,772 | 26 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $1,345 – $18,180 · median $7,638 | 26 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $2,854 – $35,936 · median $14,008 | 26 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $1,834 – $23,090 · median $9,759 | 26 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $3,411 – $42,952 · median $17,312 | 26 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $1,468 – $35,129 · median $8,156 | 26 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $3,220 – $40,544 · median $16,396 | 26 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $1,593 – $30,040 · median $8,685 | 26 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $4,066 – $51,197 · median $20,447 | 26 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $2,483 – $41,816 · median $13,294 | 26 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $1,700 – $41,816 · median $9,137 | 26 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $4,041 – $50,891 · median $18,893 | 26 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $2,317 – $29,180 · median $12,075 | 26 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $1,627 – $20,489 · median $8,770 | 26 plans |
| 088 | CONCUSSION WITH MCC | $2,405 – $30,280 · median $11,993 | 26 plans |
| 089 | CONCUSSION WITH CC | $1,954 – $24,609 · median $10,210 | 26 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $1,464 – $18,440 · median $7,982 | 26 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $3,124 – $39,339 · median $15,221 | 26 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $1,820 – $26,089 · median $9,743 | 26 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $1,417 – $19,733 · median $7,939 | 26 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $6,261 – $78,835 · median $28,224 | 26 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $4,588 – $57,774 · median $21,701 | 26 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,588 – $57,774 · median $21,701 | 26 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $6,425 – $80,904 · median $28,802 | 26 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $4,082 – $51,406 · median $20,527 | 26 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $2,424 – $37,652 · median $12,976 | 26 plans |
| 100 | SEIZURES WITH MCC | $3,445 – $43,384 · median $16,344 | 26 plans |
| 101 | SEIZURES WITHOUT MCC | $1,606 – $20,218 · median $8,667 | 26 plans |
| 102 | HEADACHES WITH MCC | $1,994 – $25,108 · median $10,377 | 26 plans |
| 103 | HEADACHES WITHOUT MCC | $1,488 – $18,733 · median $8,159 | 26 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $4,182 – $52,665 · median $19,233 | 26 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $2,407 – $30,307 · median $12,121 | 26 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $2,730 – $34,382 · median $13,223 | 26 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $3,216 – $40,501 · median $15,387 | 26 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $1,930 – $24,302 · median $10,178 | 26 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $2,069 – $26,058 · median $10,696 | 26 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $1,398 – $17,602 · median $7,783 | 26 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $1,421 – $17,889 · median $7,878 | 26 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $2,354 – $29,637 · median $11,896 | 26 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $1,366 – $17,199 · median $7,574 | 26 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $3,860 – $48,608 · median $17,900 | 26 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $1,806 – $22,743 · median $9,627 | 26 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $2,656 – $33,448 · median $13,698 | 26 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $1,576 – $19,851 · median $8,530 | 26 plans |
| 139 | SALIVARY GLAND PROCEDURES | $2,198 – $27,680 · median $11,240 | 26 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $7,587 – $95,543 · median $37,340 | 26 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $3,880 – $76,822 · median $20,774 | 26 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $2,840 – $76,822 · median $15,205 | 26 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $6,665 – $83,924 · median $29,510 | 26 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $3,083 – $38,817 · median $15,740 | 26 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $2,139 – $26,932 · median $11,220 | 26 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $3,767 – $47,430 · median $17,862 | 26 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $2,262 – $28,482 · median $11,843 | 26 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $1,418 – $26,111 · median $7,945 | 26 plans |
| 149 | DYSEQUILIBRIUM | $1,337 – $16,836 · median $7,454 | 26 plans |
| 150 | EPISTAXIS WITH MCC | $2,369 – $29,826 · median $11,725 | 26 plans |
| 151 | EPISTAXIS WITHOUT MCC | $1,306 – $16,442 · median $7,325 | 26 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $2,103 – $26,481 · median $11,177 | 26 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $1,313 – $17,592 · median $7,503 | 26 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $2,781 – $35,022 · median $13,567 | 26 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $1,630 – $20,530 · median $8,786 | 26 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $1,229 – $15,481 · median $7,079 | 26 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $3,054 – $38,456 · median $14,708 | 26 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $1,618 – $20,380 · median $8,728 | 26 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $1,260 – $15,870 · median $7,137 | 26 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $7,973 – $131,796 · median $64,615 | 26 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $4,490 – $79,585 · median $24,040 | 26 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $3,405 – $79,585 · median $18,232 | 26 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $6,649 – $83,724 · median $33,004 | 26 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $3,208 – $68,592 · median $17,176 | 26 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $2,431 – $44,727 · median $13,014 | 26 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $5,295 – $82,189 · median $28,348 | 26 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $2,443 – $39,552 · median $13,083 | 26 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $1,432 – $39,552 · median $8,004 | 26 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $2,780 – $51,703 · median $14,884 | 26 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $1,736 – $51,703 · median $9,296 | 26 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $1,343 – $38,454 · median $7,629 | 26 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $3,142 – $39,558 · median $16,021 | 26 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $1,905 – $30,090 · median $10,201 | 26 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $1,341 – $30,090 · median $7,620 | 26 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $2,722 – $34,270 · median $13,449 | 26 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $1,893 – $23,836 · median $10,043 | 26 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $1,399 – $17,618 · median $7,788 | 26 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $2,772 – $34,910 · median $14,254 | 26 plans |
| 187 | PLEURAL EFFUSION WITH CC | $1,760 – $29,925 · median $9,421 | 26 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $1,276 – $26,089 · median $7,345 | 26 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $2,198 – $48,314 · median $11,766 | 26 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $1,970 – $28,781 · median $10,550 | 26 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $1,500 – $28,781 · median $8,290 | 26 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $1,142 – $28,781 · median $6,780 | 26 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $2,338 – $31,157 · median $12,519 | 26 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $1,434 – $31,157 · median $8,011 | 26 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $1,118 – $23,633 · median $6,679 | 26 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $3,357 – $42,273 · median $16,774 | 26 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $1,688 – $56,183 · median $24,542 | 26 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $1,274 – $23,096 · median $7,337 | 26 plans |
| 199 | PNEUMOTHORAX WITH MCC | $3,138 – $39,516 · median $16,129 | 26 plans |
| 200 | PNEUMOTHORAX WITH CC | $1,956 – $34,864 · median $10,470 | 26 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $1,272 – $23,510 · median $7,329 | 26 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $1,728 – $22,574 · median $9,253 | 26 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $1,192 – $19,247 · median $6,990 | 26 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $1,436 – $21,575 · median $8,022 | 26 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $3,257 – $41,014 · median $15,711 | 26 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $1,674 – $21,081 · median $8,995 | 26 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $11,447 – $176,552 · median $86,545 | 26 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $4,890 – $84,880 · median $26,180 | 26 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $19,344 – $287,879 · median $103,569 | 26 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $17,712 – $311,325 · median $94,835 | 26 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $17,403 – $219,135 · median $89,926 | 26 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $11,697 – $195,518 · median $62,626 | 26 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $11,697 – $195,518 · median $62,626 | 26 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $13,659 – $171,994 · median $73,131 | 26 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $9,486 – $169,423 · median $50,792 | 26 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $8,966 – $169,423 · median $48,005 | 26 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $8,801 – $127,768 · median $47,121 | 26 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $5,603 – $127,768 · median $29,997 | 26 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $14,996 – $196,959 · median $80,290 | 26 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $10,785 – $196,959 · median $57,743 | 26 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $13,600 – $171,252 · median $72,816 | 26 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $9,718 – $126,151 · median $52,029 | 26 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $10,440 – $136,259 · median $55,895 | 26 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $7,451 – $96,624 · median $39,896 | 26 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $8,755 – $110,246 · median $39,317 | 26 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $5,071 – $67,742 · median $27,149 | 26 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $2,463 – $67,742 · median $13,186 | 26 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $5,680 – $82,876 · median $30,410 | 26 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $3,791 – $82,876 · median $20,296 | 26 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $3,215 – $56,118 · median $17,215 | 26 plans |
| 245 | AICD GENERATOR PROCEDURES | $8,116 – $102,198 · median $40,097 | 26 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $3,882 – $48,888 · median $20,459 | 26 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $2,659 – $45,408 · median $14,234 | 26 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $6,205 – $82,742 · median $33,224 | 26 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $4,617 – $82,742 · median $24,722 | 26 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $3,169 – $55,383 · median $16,970 | 26 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $4,798 – $60,422 · median $24,054 | 26 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $3,020 – $50,564 · median $16,172 | 26 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $1,943 – $50,564 · median $10,403 | 26 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $5,589 – $70,383 · median $27,743 | 26 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $3,597 – $51,382 · median $19,259 | 26 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $5,786 – $72,863 · median $26,132 | 26 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $3,363 – $42,347 · median $17,082 | 26 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $2,899 – $36,510 · median $15,457 | 26 plans |
| 263 | VEIN LIGATION AND STRIPPING | $5,439 – $68,486 · median $24,434 | 26 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $5,943 – $74,829 · median $29,434 | 26 plans |
| 265 | AICD LEAD PROCEDURES | $6,436 – $82,876 · median $34,461 | 26 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $10,902 – $240,338 · median $58,369 | 26 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $8,469 – $180,459 · median $45,344 | 26 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $12,235 – $170,957 · median $83,804 | 26 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $7,513 – $94,600 · median $36,070 | 26 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $9,386 – $118,189 · median $45,922 | 26 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $6,326 – $88,518 · median $33,872 | 26 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $4,542 – $65,615 · median $24,316 | 26 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $7,339 – $92,411 · median $32,946 | 26 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $5,856 – $73,734 · median $26,683 | 26 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $12,684 – $188,053 · median $67,913 | 26 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $10,685 – $134,548 · median $57,209 | 26 plans |
| 277 | CELLULITIS AGE >17 W CC | $8,216 – $133,386 · median $43,988 | 26 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $9,902 – $124,683 · median $52,933 | 26 plans |
| 279 | CELLULITIS AGE 0-17 | $6,415 – $85,546 · median $34,349 | 26 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $2,854 – $47,274 · median $15,278 | 26 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $1,635 – $47,274 · median $8,861 | 26 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $1,286 – $35,460 · median $7,389 | 26 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $3,524 – $44,370 · median $17,851 | 26 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $1,231 – $36,628 · median $7,157 | 26 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $1,065 – $36,628 · median $6,456 | 26 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $3,936 – $49,567 · median $19,121 | 26 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $1,904 – $23,970 · median $10,094 | 26 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $4,814 – $79,746 · median $25,775 | 26 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $3,036 – $79,746 · median $16,257 | 26 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $1,654 – $79,746 · median $8,941 | 26 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $2,284 – $28,757 · median $12,096 | 26 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $1,510 – $26,990 · median $8,335 | 26 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $1,007 – $26,990 · median $6,209 | 26 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $2,778 – $45,969 · median $14,876 | 26 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $1,128 – $45,969 · median $6,720 | 26 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $810 – $45,969 · median $5,376 | 26 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $2,904 – $36,572 · median $14,222 | 26 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $1,899 – $23,912 · median $10,072 | 26 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $1,280 – $17,921 · median $7,364 | 26 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $2,129 – $26,804 · median $11,171 | 26 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $1,198 – $18,841 · median $7,014 | 26 plans |
| 304 | HYPERTENSION WITH MCC | $2,117 – $26,656 · median $10,896 | 26 plans |
| 305 | HYPERTENSION WITHOUT MCC | $1,343 – $17,007 · median $7,585 | 26 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $2,803 – $35,298 · median $13,898 | 26 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $1,624 – $20,456 · median $8,817 | 26 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $2,142 – $26,970 · median $11,234 | 26 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $1,309 – $21,746 · median $7,484 | 26 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $1,007 – $17,411 · median $6,210 | 26 plans |
| 311 | ANGINA PECTORIS | $1,249 – $18,426 · median $7,230 | 26 plans |
| 312 | SYNCOPE AND COLLAPSE | $1,550 – $19,524 · median $8,421 | 26 plans |
| 313 | CHEST PAIN | $1,281 – $16,128 · median $7,294 | 26 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $3,709 – $46,708 · median $17,621 | 26 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $1,714 – $29,828 · median $9,193 | 26 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,213 – $22,652 · median $7,081 | 26 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $7,939 – $99,969 · median $35,133 | 26 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $4,279 – $53,879 · median $21,520 | 26 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $4,840 – $76,835 · median $25,914 | 26 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $3,136 – $48,736 · median $16,792 | 26 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $7,698 – $110,654 · median $41,216 | 26 plans |
| 324 | URINARY STONES W/O CC | $5,605 – $79,345 · median $30,011 | 26 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $5,711 – $71,913 · median $30,577 | 26 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $8,872 – $111,718 · median $49,895 | 26 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $4,348 – $71,834 · median $23,280 | 26 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $2,850 – $47,848 · median $15,261 | 26 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $8,177 – $102,962 · median $40,131 | 26 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $4,264 – $78,583 · median $22,832 | 26 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $2,994 – $56,313 · median $16,029 | 26 plans |
| 332 | RECTAL RESECTION WITH MCC | $6,441 – $82,191 · median $34,485 | 26 plans |
| 333 | RECTAL RESECTION WITH CC | $4,167 – $82,191 · median $22,308 | 26 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $2,914 – $60,766 · median $15,600 | 26 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $6,352 – $79,988 · median $31,395 | 26 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $3,751 – $62,613 · median $20,084 | 26 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $2,731 – $42,498 · median $14,620 | 26 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $4,595 – $57,855 · median $21,692 | 26 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $2,677 – $37,577 · median $14,331 | 26 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $2,110 – $29,379 · median $11,298 | 26 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $4,084 – $59,608 · median $29,242 | 26 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $2,328 – $29,317 · median $11,789 | 26 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $1,549 – $19,501 · median $8,414 | 26 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $4,433 – $55,819 · median $20,473 | 26 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $2,712 – $34,149 · median $13,964 | 26 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $2,077 – $26,159 · median $10,730 | 26 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $5,162 – $65,005 · median $23,523 | 26 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $2,993 – $37,686 · median $15,129 | 26 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $2,393 – $30,128 · median $12,061 | 26 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $7,814 – $98,399 · median $40,874 | 26 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $4,137 – $73,799 · median $22,149 | 26 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $2,487 – $62,263 · median $13,314 | 26 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $2,832 – $35,659 · median $14,539 | 26 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $1,779 – $29,738 · median $9,526 | 26 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $1,247 – $29,738 · median $7,222 | 26 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $3,154 – $39,717 · median $16,370 | 26 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $1,816 – $35,757 · median $9,724 | 26 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $1,294 – $35,757 · median $7,422 | 26 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $3,805 – $47,907 · median $18,022 | 26 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $2,152 – $28,727 · median $11,521 | 26 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $1,644 – $25,664 · median $8,901 | 26 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $3,252 – $40,947 · median $15,689 | 26 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $1,745 – $24,250 · median $9,341 | 26 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $1,121 – $18,889 · median $6,693 | 26 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $3,491 – $43,953 · median $16,697 | 26 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $1,927 – $24,900 · median $10,320 | 26 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $1,424 – $24,900 · median $7,971 | 26 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $2,456 – $30,928 · median $12,329 | 26 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $1,521 – $19,148 · median $8,296 | 26 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $2,815 – $35,444 · median $14,457 | 26 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $1,737 – $26,394 · median $9,299 | 26 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $1,212 – $26,394 · median $7,075 | 26 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $2,627 – $33,080 · median $13,051 | 26 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $1,405 – $20,268 · median $7,890 | 26 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $968 – $15,574 · median $6,044 | 26 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $2,256 – $28,410 · median $11,484 | 26 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $1,387 – $17,463 · median $7,737 | 26 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $2,845 – $35,824 · median $14,175 | 26 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $1,665 – $24,531 · median $8,986 | 26 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,155 – $19,167 · median $6,833 | 26 plans |
| 397 | COAGULATION DISORDERS | $4,260 – $60,047 · median $22,810 | 26 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $2,693 – $40,447 · median $14,416 | 26 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $2,036 – $29,751 · median $10,903 | 26 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $9,731 – $122,539 · median $52,103 | 26 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $5,159 – $119,215 · median $27,623 | 26 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $3,948 – $108,080 · median $21,140 | 26 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $6,343 – $79,869 · median $33,637 | 26 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $3,873 – $75,146 · median $20,738 | 26 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $2,824 – $56,674 · median $15,122 | 26 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $5,876 – $73,994 · median $29,194 | 26 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $3,740 – $60,737 · median $20,025 | 26 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $2,954 – $42,695 · median $15,815 | 26 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $6,337 – $79,802 · median $28,718 | 26 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $3,676 – $46,294 · median $19,684 | 26 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $2,425 – $30,538 · median $12,985 | 26 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $4,245 – $53,455 · median $21,306 | 26 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $3,009 – $40,808 · median $16,111 | 26 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $2,430 – $30,594 · median $12,558 | 26 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $6,061 – $76,319 · median $31,795 | 26 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $3,091 – $70,244 · median $16,549 | 26 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $2,490 – $62,487 · median $13,329 | 26 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $7,388 – $93,027 · median $36,354 | 26 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $3,892 – $72,500 · median $20,838 | 26 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $2,669 – $72,500 · median $14,289 | 26 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $3,501 – $44,088 · median $18,331 | 26 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $1,879 – $31,178 · median $10,060 | 26 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $1,267 – $31,178 · median $7,310 | 26 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $3,267 – $41,142 · median $15,975 | 26 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $2,012 – $27,631 · median $10,773 | 26 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $1,518 – $27,631 · median $8,367 | 26 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $2,900 – $36,516 · median $14,698 | 26 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $1,496 – $25,921 · median $8,276 | 26 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $1,105 – $25,921 · median $6,625 | 26 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $3,193 – $40,201 · median $16,115 | 26 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $1,717 – $28,647 · median $9,208 | 26 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $1,245 – $20,674 · median $7,213 | 26 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $2,972 – $37,428 · median $14,509 | 26 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $1,947 – $24,515 · median $10,301 | 26 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $1,472 – $18,532 · median $8,092 | 26 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $14,949 – $188,236 · median $72,286 | 26 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $10,608 – $135,615 · median $56,795 | 26 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $7,423 – $135,615 · median $39,742 | 26 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $9,825 – $123,715 · median $51,427 | 26 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $4,732 – $98,870 · median $25,335 | 26 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $10,139 – $127,669 · median $44,769 | 26 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $5,541 – $69,769 · median $28,517 | 26 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,244 – $61,734 · median $17,370 | 26 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $9,260 – $116,601 · median $41,058 | 26 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $6,273 – $78,996 · median $31,503 | 26 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $4,888 – $66,358 · median $26,173 | 26 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $5,396 – $67,944 · median $26,815 | 26 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $3,431 – $52,502 · median $18,372 | 26 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $8,590 – $108,163 · median $51,284 | 26 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $5,241 – $65,993 · median $27,804 | 26 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $4,343 – $54,685 · median $21,267 | 26 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $7,637 – $96,161 · median $34,203 | 26 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $4,048 – $52,788 · median $21,675 | 26 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $2,099 – $52,788 · median $11,241 | 26 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $6,145 – $77,383 · median $27,907 | 26 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $4,375 – $55,086 · median $21,926 | 26 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $3,307 – $41,639 · median $17,705 | 26 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $5,181 – $65,236 · median $25,906 | 26 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $3,726 – $54,303 · median $19,949 | 26 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $2,901 – $47,752 · median $15,534 | 26 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $4,931 – $62,091 · median $23,635 | 26 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $5,741 – $72,287 · median $30,570 | 26 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $3,720 – $68,584 · median $19,916 | 26 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $2,786 – $42,775 · median $14,917 | 26 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $3,147 – $39,623 · median $16,046 | 26 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $1,987 – $33,089 · median $10,637 | 26 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $6,531 – $82,244 · median $29,247 | 26 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $4,511 – $56,809 · median $21,312 | 26 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $3,569 – $44,946 · median $17,029 | 26 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $6,450 – $81,216 · median $29,192 | 26 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $3,209 – $48,605 · median $17,181 | 26 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $2,149 – $27,066 · median $11,508 | 26 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $5,367 – $67,576 · median $24,377 | 26 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $3,584 – $45,132 · median $17,092 | 26 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $5,630 – $70,892 · median $25,225 | 26 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $3,110 – $39,157 · median $15,088 | 26 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $2,394 – $30,148 · median $12,067 | 26 plans |
| 503 | FOOT PROCEDURES WITH MCC | $4,965 – $62,521 · median $22,473 | 26 plans |
| 504 | FOOT PROCEDURES WITH CC | $3,325 – $41,870 · median $15,785 | 26 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $3,189 – $40,159 · median $15,273 | 26 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $2,400 – $30,222 · median $12,454 | 26 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $3,213 – $40,463 · median $16,366 | 26 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $2,694 – $33,923 · median $14,424 | 26 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $5,373 – $67,659 · median $24,163 | 26 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $3,699 – $46,579 · median $17,232 | 26 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $2,945 – $37,081 · median $14,251 | 26 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $2,801 – $35,264 · median $13,513 | 26 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $1,819 – $22,900 · median $9,637 | 26 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $5,669 – $71,387 · median $25,896 | 26 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $3,697 – $46,549 · median $18,680 | 26 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $2,734 – $34,422 · median $14,068 | 26 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $6,648 – $83,716 · median $35,596 | 26 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $3,558 – $44,804 · median $19,051 | 26 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $2,657 – $33,463 · median $13,866 | 26 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $5,106 – $64,292 · median $25,427 | 26 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $3,767 – $52,502 · median $20,170 | 26 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $2,789 – $37,783 · median $14,931 | 26 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $1,434 – $37,783 · median $8,013 | 26 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $2,281 – $28,717 · median $12,210 | 26 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $1,437 – $28,631 · median $8,024 | 26 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $1,698 – $21,376 · median $9,108 | 26 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $1,281 – $16,168 · median $7,296 | 26 plans |
| 539 | OSTEOMYELITIS WITH MCC | $3,504 – $44,121 · median $18,760 | 26 plans |
| 540 | OSTEOMYELITIS WITH CC | $2,306 – $44,024 · median $12,346 | 26 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $1,401 – $44,024 · median $7,872 | 26 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $3,142 – $39,570 · median $15,227 | 26 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $1,829 – $24,772 · median $9,791 | 26 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $1,342 – $24,772 · median $7,626 | 26 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $4,415 – $55,590 · median $20,397 | 26 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $2,052 – $25,836 · median $10,853 | 26 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $1,488 – $19,947 · median $8,239 | 26 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $3,435 – $43,252 · median $17,823 | 26 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $2,147 – $38,921 · median $11,498 | 26 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $1,555 – $38,921 · median $8,523 | 26 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $2,982 – $37,545 · median $14,405 | 26 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $1,710 – $21,533 · median $9,167 | 26 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $2,306 – $29,037 · median $11,695 | 26 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $1,477 – $18,594 · median $8,113 | 26 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $2,351 – $29,608 · median $11,770 | 26 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $1,478 – $18,605 · median $8,116 | 26 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $2,645 – $33,307 · median $12,998 | 26 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $1,589 – $20,008 · median $8,587 | 26 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $3,317 – $41,774 · median $15,824 | 26 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $2,003 – $25,225 · median $10,571 | 26 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $1,430 – $21,048 · median $7,996 | 26 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $2,535 – $31,916 · median $12,624 | 26 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $1,593 – $20,059 · median $8,529 | 26 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $2,746 – $34,577 · median $13,552 | 26 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $1,733 – $21,827 · median $9,279 | 26 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $1,333 – $18,686 · median $7,586 | 26 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $5,232 – $167,962 · median $63,798 | 26 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $3,005 – $64,610 · median $16,091 | 26 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $2,039 – $58,262 · median $10,918 | 26 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $11,654 – $146,751 · median $50,666 | 26 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $6,175 – $77,759 · median $30,853 | 26 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $3,197 – $58,262 · median $17,115 | 26 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $8,719 – $109,787 · median $38,012 | 26 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $4,715 – $59,376 · median $21,875 | 26 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $2,858 – $35,983 · median $14,024 | 26 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $5,761 – $72,542 · median $26,026 | 26 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $3,074 – $38,707 · median $15,698 | 26 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $2,567 – $32,325 · median $12,797 | 26 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $3,427 – $43,156 · median $16,542 | 26 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $3,068 – $38,627 · median $15,051 | 26 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $3,808 – $47,952 · median $17,861 | 26 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $3,432 – $43,212 · median $16,135 | 26 plans |
| 592 | SKIN ULCERS WITH MCC | $3,443 – $43,351 · median $17,464 | 26 plans |
| 593 | SKIN ULCERS WITH CC | $2,110 – $33,709 · median $11,299 | 26 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $1,542 – $33,709 · median $8,469 | 26 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $3,772 – $47,504 · median $17,712 | 26 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $1,926 – $24,248 · median $10,200 | 26 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $2,966 – $37,343 · median $15,179 | 26 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $2,012 – $27,709 · median $10,775 | 26 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $1,369 – $26,407 · median $7,737 | 26 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $1,853 – $23,332 · median $9,782 | 26 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $1,076 – $15,173 · median $6,502 | 26 plans |
| 602 | CELLULITIS WITH MCC | $2,528 – $31,837 · median $13,085 | 26 plans |
| 603 | CELLULITIS WITHOUT MCC | $1,549 – $20,265 · median $8,499 | 26 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $2,619 – $32,975 · median $12,888 | 26 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $1,629 – $20,518 · median $8,724 | 26 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $2,692 – $33,896 · median $13,193 | 26 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $1,612 – $20,303 · median $8,633 | 26 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $3,899 – $71,436 · median $20,876 | 26 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $2,489 – $71,436 · median $13,328 | 26 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $6,204 – $87,451 · median $33,215 | 26 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $3,327 – $87,451 · median $17,814 | 26 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $2,523 – $87,451 · median $13,508 | 26 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $5,136 – $64,678 · median $26,268 | 26 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $2,847 – $56,471 · median $15,242 | 26 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $2,683 – $56,471 · median $14,367 | 26 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $6,331 – $79,726 · median $31,296 | 26 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $3,191 – $63,548 · median $17,086 | 26 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $2,227 – $63,548 · median $11,924 | 26 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $5,372 – $67,650 · median $24,643 | 26 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $2,667 – $35,559 · median $14,281 | 26 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $2,363 – $29,754 · median $12,293 | 26 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $6,630 – $83,480 · median $32,723 | 26 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $3,876 – $61,819 · median $20,752 | 26 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $2,596 – $48,003 · median $13,901 | 26 plans |
| 637 | DIABETES WITH MCC | $2,556 – $32,182 · median $12,749 | 26 plans |
| 638 | DIABETES WITH CC | $1,594 – $21,078 · median $8,689 | 26 plans |
| 639 | DIABETES WITHOUT CC/MCC | $1,105 – $19,923 · median $6,624 | 26 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $2,376 – $29,917 · median $12,355 | 26 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $1,384 – $19,252 · median $7,803 | 26 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $2,530 – $31,855 · median $12,640 | 26 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $2,928 – $36,873 · median $14,484 | 26 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $1,823 – $24,985 · median $9,763 | 26 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $1,367 – $18,394 · median $7,729 | 26 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $9,244 – $122,934 · median $60,273 | 26 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $4,980 – $89,424 · median $26,662 | 26 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $3,765 – $89,424 · median $20,159 | 26 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $5,664 – $73,785 · median $30,324 | 26 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $3,255 – $73,785 · median $17,430 | 26 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $2,760 – $73,785 · median $14,780 | 26 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $4,520 – $56,916 · median $24,140 | 26 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $2,351 – $54,317 · median $12,588 | 26 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $1,842 – $39,806 · median $9,862 | 26 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $5,446 – $68,578 · median $24,709 | 26 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $2,704 – $34,052 · median $14,045 | 26 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $1,862 – $23,451 · median $9,971 | 26 plans |
| 665 | PROSTATECTOMY WITH MCC | $5,552 – $69,915 · median $25,241 | 26 plans |
| 666 | PROSTATECTOMY WITH CC | $3,112 – $39,184 · median $15,879 | 26 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $1,968 – $25,619 · median $10,536 | 26 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $5,194 – $65,408 · median $23,423 | 26 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $2,761 – $34,765 · median $13,615 | 26 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $1,739 – $21,892 · median $9,299 | 26 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $3,193 – $40,208 · median $15,289 | 26 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $1,920 – $24,181 · median $10,066 | 26 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $7,474 – $94,116 · median $36,768 | 26 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $4,160 – $74,133 · median $22,274 | 26 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $2,920 – $74,133 · median $15,633 | 26 plans |
| 682 | RENAL FAILURE WITH MCC | $2,635 – $35,308 · median $14,106 | 26 plans |
| 683 | RENAL FAILURE WITH CC | $1,558 – $35,308 · median $8,536 | 26 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $1,068 – $35,308 · median $6,467 | 26 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $3,209 – $40,403 · median $15,506 | 26 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $1,864 – $24,633 · median $9,980 | 26 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $1,406 – $19,819 · median $7,894 | 26 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $2,064 – $25,991 · median $10,862 | 26 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $1,440 – $18,699 · median $8,038 | 26 plans |
| 693 | URINARY STONES WITH MCC | $2,392 – $30,117 · median $11,820 | 26 plans |
| 694 | URINARY STONES WITHOUT MCC | $1,391 – $17,510 · median $7,676 | 26 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $2,035 – $25,621 · median $10,549 | 26 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $1,226 – $15,434 · median $7,063 | 26 plans |
| 697 | URETHRAL STRICTURE | $1,917 – $24,143 · median $10,054 | 26 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $2,943 – $37,059 · median $14,385 | 26 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $1,806 – $22,736 · median $9,667 | 26 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $1,227 – $21,147 · median $7,140 | 26 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $3,558 – $48,204 · median $19,052 | 26 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $2,729 – $39,138 · median $14,612 | 26 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $4,140 – $52,127 · median $19,438 | 26 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $2,493 – $31,387 · median $12,914 | 26 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $3,707 – $46,677 · median $17,610 | 26 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $1,956 – $24,633 · median $10,218 | 26 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $2,674 – $33,676 · median $13,785 | 26 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $1,881 – $23,686 · median $9,986 | 26 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $3,980 – $50,116 · median $18,763 | 26 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $2,617 – $32,950 · median $13,649 | 26 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $3,363 – $42,347 · median $16,158 | 26 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $2,389 – $30,085 · median $12,419 | 26 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $3,219 – $40,537 · median $15,551 | 26 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $2,033 – $25,596 · median $10,712 | 26 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,166 – $17,216 · median $6,883 | 26 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $2,082 – $26,212 · median $10,748 | 26 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $1,284 – $16,173 · median $7,309 | 26 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $2,638 – $33,217 · median $12,968 | 26 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $1,443 – $18,171 · median $7,972 | 26 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $1,883 – $23,715 · median $9,910 | 26 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,195 – $15,053 · median $6,868 | 26 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $3,789 – $63,845 · median $20,287 | 26 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $2,393 – $63,845 · median $12,815 | 26 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $6,359 – $80,069 · median $30,935 | 26 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $3,666 – $56,404 · median $19,626 | 26 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $2,612 – $56,404 · median $13,987 | 26 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $6,373 – $80,255 · median $28,587 | 26 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $3,219 – $40,535 · median $16,653 | 26 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $2,537 – $31,945 · median $13,126 | 26 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $3,264 – $41,100 · median $16,606 | 26 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $2,207 – $27,792 · median $11,547 | 26 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $3,645 – $45,900 · median $17,009 | 26 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $2,023 – $35,599 · median $17,478 | 26 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $3,090 – $38,911 · median $14,859 | 26 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $1,529 – $19,257 · median $8,333 | 26 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $2,468 – $31,076 · median $12,796 | 26 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $4,567 – $57,514 · median $23,534 | 26 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $2,625 – $51,010 · median $14,056 | 26 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $3,276 – $41,254 · median $15,791 | 26 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $1,935 – $24,367 · median $10,290 | 26 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,709 – $21,515 · median $9,148 | 26 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $2,547 – $32,075 · median $12,713 | 26 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $1,742 – $21,930 · median $9,318 | 26 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,180 – $20,340 · median $6,942 | 26 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $1,792 – $22,568 · median $9,525 | 26 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $1,015 – $14,690 · median $6,243 | 26 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $1,906 – $34,076 · median $10,206 | 26 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $3,006 – $37,852 · median $14,363 | 26 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $1,784 – $22,460 · median $9,303 | 26 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $1,165 – $14,665 · median $6,741 | 26 plans |
| 779 | ABORTION WITHOUT D&C | $1,497 – $18,845 · median $8,115 | 26 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $4,367 – $41,724 · median $19,999 | 26 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $1,886 – $28,909 · median $10,097 | 26 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $1,704 – $20,821 · median $9,152 | 26 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $2,934 – $28,909 · median $15,029 | 26 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $1,987 – $28,909 · median $10,637 | 26 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $1,706 – $20,821 · median $9,160 | 26 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $2,076 – $21,385 · median $10,724 | 26 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $1,780 – $18,881 · median $9,472 | 26 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $1,703 – $18,230 · median $9,116 | 26 plans |
| 799 | SPLENECTOMY WITH MCC | $8,056 – $101,447 · median $40,815 | 26 plans |
| 800 | SPLENECTOMY WITH CC | $4,998 – $86,834 · median $26,758 | 26 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $3,396 – $42,759 · median $18,099 | 26 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $7,087 – $89,244 · median $31,259 | 26 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $3,307 – $41,639 · median $16,490 | 26 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $2,412 – $30,374 · median $12,909 | 26 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $1,920 – $20,065 · median $9,965 | 26 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $1,341 – $15,178 · median $7,547 | 26 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $1,199 – $13,979 · median $6,884 | 26 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $3,928 – $49,457 · median $19,218 | 26 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $2,252 – $33,939 · median $12,057 | 26 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $1,862 – $33,939 · median $9,968 | 26 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $2,498 – $31,456 · median $12,506 | 26 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $1,633 – $20,568 · median $8,681 | 26 plans |
| 813 | COAGULATION DISORDERS | $2,713 – $34,167 · median $13,971 | 26 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $3,783 – $47,638 · median $17,932 | 26 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $1,804 – $26,065 · median $9,658 | 26 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $1,124 – $19,370 · median $6,705 | 26 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $4,059 – $51,108 · median $18,721 | 26 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $2,062 – $25,966 · median $10,456 | 26 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $1,530 – $19,262 · median $8,252 | 26 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $10,433 – $131,372 · median $49,519 | 26 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $3,982 – $90,464 · median $21,321 | 26 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $2,142 – $34,455 · median $11,467 | 26 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $8,156 – $102,700 · median $36,396 | 26 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $4,030 – $51,657 · median $21,579 | 26 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $2,400 – $30,227 · median $12,655 | 26 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $8,321 – $104,783 · median $38,368 | 26 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $4,111 – $67,627 · median $22,013 | 26 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $3,031 – $45,769 · median $16,228 | 26 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $5,621 – $70,784 · median $25,324 | 26 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $2,677 – $33,712 · median $13,798 | 26 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $2,139 – $26,936 · median $10,775 | 26 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $1,284 – $16,164 · median $7,233 | 26 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $930 – $11,713 · median $5,770 | 26 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $9,766 – $122,974 · median $43,195 | 26 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $3,710 – $62,209 · median $19,866 | 26 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $2,169 – $27,816 · median $11,615 | 26 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $8,546 – $136,045 · median $66,697 | 26 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $3,713 – $68,787 · median $19,881 | 26 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $2,569 – $68,787 · median $13,752 | 26 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $5,755 – $72,462 · median $26,256 | 26 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $2,902 – $36,543 · median $15,538 | 26 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $1,797 – $24,325 · median $9,623 | 26 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $3,549 – $44,684 · median $16,942 | 26 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $2,166 – $27,944 · median $11,595 | 26 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $1,515 – $24,010 · median $8,354 | 26 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $4,612 – $58,072 · median $21,011 | 26 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $2,327 – $29,304 · median $11,553 | 26 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $1,511 – $19,027 · median $8,174 | 26 plans |
| 849 | RADIOTHERAPY | $4,820 – $60,693 · median $24,179 | 26 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $8,785 – $110,625 · median $43,240 | 26 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $3,554 – $88,969 · median $19,031 | 26 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,663 – $88,969 · median $14,260 | 26 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $8,092 – $101,891 · median $41,383 | 26 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $3,809 – $88,969 · median $20,397 | 26 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,478 – $88,969 · median $13,267 | 26 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $3,244 – $40,851 · median $15,679 | 26 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $1,775 – $26,787 · median $9,504 | 26 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $1,579 – $24,870 · median $8,626 | 26 plans |
| 865 | VIRAL ILLNESS WITH MCC | $2,665 – $33,562 · median $13,161 | 26 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $1,547 – $19,479 · median $8,406 | 26 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $3,724 – $46,888 · median $18,809 | 26 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $1,834 – $35,294 · median $9,821 | 26 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $1,298 – $35,294 · median $7,439 | 26 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $12,295 – $154,824 · median $52,819 | 26 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $3,455 – $43,512 · median $18,501 | 26 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $1,820 – $43,251 · median $9,746 | 26 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $6,875 – $86,574 · median $32,817 | 26 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,708 – $21,508 · median $9,158 | 26 plans |
| 881 | DEPRESSIVE NEUROSES | $1,674 – $22,270 · median $9,025 | 26 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,910 – $24,053 · median $10,125 | 26 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $3,498 – $44,045 · median $16,727 | 26 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $2,862 – $36,039 · median $14,043 | 26 plans |
| 885 | PSYCHOSES | $2,485 – $31,288 · median $13,027 | 26 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $3,692 – $46,487 · median $17,374 | 26 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,905 – $23,988 · median $10,101 | 26 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $1,097 – $13,819 · median $6,462 | 26 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $2,518 – $37,438 · median $18,379 | 26 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $3,104 – $39,090 · median $14,770 | 26 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $1,570 – $19,775 · median $8,420 | 26 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $7,465 – $94,004 · median $33,480 | 26 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $3,406 – $54,581 · median $18,234 | 26 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $2,081 – $54,581 · median $11,140 | 26 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $6,534 – $82,277 · median $29,548 | 26 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $2,639 – $44,115 · median $14,129 | 26 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $3,494 – $44,000 · median $16,549 | 26 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $6,830 – $86,000 · median $30,796 | 26 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $3,549 – $48,493 · median $19,003 | 26 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $2,335 – $39,667 · median $12,503 | 26 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $2,908 – $36,615 · median $14,160 | 26 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $1,575 – $19,835 · median $8,525 | 26 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $2,991 – $37,668 · median $14,303 | 26 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $1,185 – $14,925 · median $6,826 | 26 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $2,790 – $35,132 · median $13,739 | 26 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $1,525 – $19,199 · median $8,313 | 26 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $3,257 – $41,010 · median $15,710 | 26 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $1,783 – $22,452 · median $9,546 | 26 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $1,225 – $19,960 · median $7,129 | 26 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $3,112 – $39,187 · median $15,098 | 26 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $1,810 – $22,796 · median $9,602 | 26 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $37,980 – $478,251 · median $185,302 | 26 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $12,759 – $160,668 · median $61,193 | 26 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $5,729 – $72,146 · median $26,453 | 26 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $6,927 – $87,230 · median $31,209 | 26 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $3,932 – $49,517 · median $19,809 | 26 plans |
| 935 | NON-EXTENSIVE BURNS | $3,665 – $46,144 · median $17,826 | 26 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $6,455 – $81,278 · median $28,927 | 26 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $4,157 – $52,347 · median $20,368 | 26 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $3,607 – $45,420 · median $18,251 | 26 plans |
| 945 | REHABILITATION WITH CC/MCC | $2,755 – $57,209 · median $14,750 | 26 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $2,040 – $57,209 · median $10,923 | 26 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $2,258 – $28,435 · median $11,792 | 26 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $1,424 – $18,581 · median $7,971 | 26 plans |
| 949 | AFTERCARE WITH CC/MCC | $2,116 – $26,649 · median $10,680 | 26 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $1,117 – $14,060 · median $6,542 | 26 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $989 – $19,276 · median $6,134 | 26 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $11,974 – $187,021 · median $64,110 | 26 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $6,694 – $87,189 · median $35,840 | 26 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $13,555 – $170,686 · median $65,885 | 26 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $7,496 – $132,579 · median $40,135 | 26 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,237 – $132,579 · median $28,041 | 26 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $4,863 – $61,237 · median $24,265 | 26 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $2,726 – $48,976 · median $14,597 | 26 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $1,673 – $48,976 · median $9,022 | 26 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $10,889 – $248,655 · median $121,058 | 26 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $4,692 – $120,484 · median $29,389 | 26 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $5,134 – $64,646 · median $25,992 | 26 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $2,304 – $55,257 · median $12,334 | 26 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $1,606 – $55,257 · median $8,738 | 26 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $2,308 – $31,560 · median $12,360 | 26 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $8,346 – $105,096 · median $43,791 | 26 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $4,373 – $96,761 · median $23,416 | 26 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $3,049 – $96,761 · median $16,325 | 26 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $6,099 – $76,796 · median $27,710 | 26 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $2,924 – $46,670 · median $15,654 | 26 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $2,133 – $46,670 · median $11,422 | 26 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $76,817 – $1,201,723 · median $588,879 | 25 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $12,692 – $156,092 · median $67,953 | 25 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $3,206 – $47,536 · median $17,165 | 25 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $10,573 – $148,445 · median $56,608 | 25 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $7,221 – $90,922 · median $32,447 | 25 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $4,357 – $54,862 · median $19,956 | 25 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $6,056 – $93,399 · median $32,625 | 25 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,221 – $33,060 · median $12,788 | 25 plans |
| 795 | NORMAL NEWBORN | $355 – $6,849 · median $3,391 | 25 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $21,379 – $301,548 · median $114,463 | 24 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $9,663 – $301,548 · median $51,739 | 24 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $8,363 – $123,662 · median $37,272 | 23 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $6,592 – $123,662 · median $29,794 | 23 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $49,851 – $562,916 · median $210,374 | 22 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $20,158 – $345,021 · median $132,921 | 22 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $18,341 – $306,495 · median $88,803 | 22 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $8,249 – $306,495 · median $94,761 | 22 plans |
| 007 | LUNG TRANSPLANT | $23,037 – $836,002 · median $286,816 | 22 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $9,970 – $187,707 · median $92,011 | 22 plans |
| 010 | PANCREAS TRANSPLANT | $12,765 – $154,523 · median $62,101 | 22 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $10,548 – $301,548 · median $51,488 | 22 plans |
| 652 | KIDNEY TRANSPLANT | $5,745 – $123,662 · median $28,487 | 22 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $8,396 – $31,235 · median $13,307 | 20 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,066 – $18,939 · median $9,361 | 20 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,200 – $18,939 · median $6,966 | 20 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $8,363 – $22,601 · median $11,072 | 20 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,893 – $22,601 · median $7,890 | 20 plans |
| 509 | ARTHROSCOPY | $7,966 – $136,253 · median $14,856 | 20 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $51,384 – $273,656 · median $67,176 | 15 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $35,913 – $95,767 · median $46,961 | 15 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $27,399 – $146,158 · median $35,836 | 15 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $38,821 – $176,974 · median $50,760 | 15 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $22,058 – $79,729 · median $28,857 | 15 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $11,378 – $11,378 · median $11,378 | 3 plans |
| 999 | UNGROUPABLE | $21,765 – $21,765 · median $21,765 | 3 plans |
No procedures match that keyword.