Grady Memorial Hospital (Acute Care) — Pricing
785 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 785 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 785 procedures
Procedures with negotiated rates only
These 785 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 |
|---|---|---|---|
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $5,702 – $98,391 · median $31,786 | 23 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $5,702 – $67,289 · median $21,736 | 23 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $5,702 – $44,275 · median $13,810 | 23 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,702 – $20,271 · median $6,846 | 23 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $5,702 – $51,044 · median $15,978 | 23 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $5,702 – $30,589 · median $9,758 | 23 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,702 – $21,034 · median $6,682 | 23 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $5,702 – $49,852 · median $15,883 | 23 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $5,702 – $28,855 · median $9,107 | 23 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,702 – $19,448 · median $6,395 | 23 plans |
| 088 | CONCUSSION WITH MCC | $5,702 – $31,035 · median $9,681 | 23 plans |
| 089 | CONCUSSION WITH CC | $5,702 – $23,586 · median $7,680 | 23 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,481 – $18,861 · median $5,883 | 23 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $5,702 – $34,921 · median $10,892 | 23 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $5,702 – $23,498 · median $7,439 | 23 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,237 – $17,109 · median $5,702 | 23 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $56,127 – $186,426 · median $75,636 | 23 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $40,365 – $134,391 · median $54,525 | 23 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $50,902 – $171,961 · median $69,767 | 23 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $36,371 – $117,044 · median $47,487 | 23 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $14,531 – $50,877 · median $20,642 | 23 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $9,950 – $34,377 · median $13,947 | 23 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $35,130 – $112,926 · median $45,816 | 23 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $23,636 – $75,777 · median $30,744 | 23 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $5,702 – $28,706 · median $8,975 | 23 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,653 – $18,946 · median $5,935 | 23 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $5,702 – $106,861 · median $33,757 | 23 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $5,702 – $63,738 · median $20,596 | 23 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $5,702 – $52,083 · median $17,067 | 23 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $5,702 – $56,060 · median $19,378 | 23 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $5,702 – $33,548 · median $10,960 | 23 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,367 – $17,908 · median $5,702 | 23 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $5,702 – $29,258 · median $9,126 | 23 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,377 – $17,840 · median $5,702 | 23 plans |
| 604 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $5,702 – $32,685 · median $10,291 | 23 plans |
| 605 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,702 – $20,321 · median $6,404 | 23 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $15,600 – $59,983 · median $20,186 | 23 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $10,655 – $35,134 · median $14,254 | 23 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,031 – $32,160 · median $13,048 | 23 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $5,702 – $48,015 · median $14,977 | 23 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $5,702 – $87,641 · median $27,337 | 23 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $5,702 – $44,376 · median $13,948 | 23 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $5,702 – $27,903 · median $9,177 | 23 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $5,702 – $35,603 · median $11,427 | 23 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,702 – $20,161 · median $6,289 | 23 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $5,702 – $150,223 · median $47,057 | 23 plans |
| 956 | LIMB REATTACHMENT- HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $5,702 – $84,093 · median $26,307 | 23 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $5,702 – $164,212 · median $53,270 | 23 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $5,702 – $90,416 · median $29,459 | 23 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,702 – $58,166 · median $20,582 | 23 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $5,702 – $59,767 · median $19,112 | 23 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $5,702 – $33,002 · median $10,714 | 23 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,702 – $20,077 · median $6,575 | 23 plans |
| 011 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W MCC | $36,314 – $118,710 · median $43,146 | 22 plans |
| 012 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W CC | $28,070 – $90,281 · median $33,051 | 22 plans |
| 013 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W/O CC/MCC | $18,185 – $58,300 · median $21,900 | 22 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $52,391 – $177,344 · median $63,634 | 22 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $35,246 – $121,601 · median $43,632 | 22 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $21,155 – $77,669 · median $27,869 | 22 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $38,152 – $125,512 · median $45,491 | 22 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $26,046 – $83,637 · median $30,640 | 22 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $16,798 – $54,292 · median $19,832 | 22 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $40,003 – $133,749 · median $48,134 | 22 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $22,715 – $73,847 · median $26,906 | 22 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $14,616 – $48,959 · median $17,605 | 22 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $28,757 – $92,193 · median $34,364 | 22 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $14,188 – $46,983 · median $16,980 | 22 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $10,949 – $35,101 · median $12,933 | 22 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $25,771 – $85,551 · median $30,885 | 22 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $15,610 – $50,046 · median $18,508 | 22 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $12,579 – $40,328 · median $14,972 | 22 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $21,919 – $73,060 · median $26,328 | 22 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $10,803 – $35,449 · median $12,863 | 22 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,811 – $25,040 · median $9,189 | 22 plans |
| 040 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $25,708 – $82,986 · median $30,331 | 22 plans |
| 041 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $14,639 – $49,680 · median $17,826 | 22 plans |
| 042 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $11,503 – $38,667 · median $13,883 | 22 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,166 – $32,980 · median $12,028 | 22 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,789 – $24,002 · median $8,612 | 22 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $15,447 – $55,090 · median $19,767 | 22 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,589 – $29,357 · median $10,535 | 22 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $11,382 – $40,610 · median $14,572 | 22 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,262 – $26,919 · median $9,798 | 22 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,124 – $19,633 · median $7,198 | 22 plans |
| 061 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $18,357 – $59,475 · median $21,702 | 22 plans |
| 062 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $11,699 – $39,180 · median $14,090 | 22 plans |
| 063 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $9,347 – $30,906 · median $11,176 | 22 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $13,389 – $43,762 · median $15,907 | 22 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,727 – $22,372 · median $8,070 | 22 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,557 – $15,143 · median $5,464 | 22 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,779 – $32,008 · median $11,627 | 22 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,755 – $19,393 · median $6,959 | 22 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,318 – $17,602 · median $6,363 | 22 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $11,084 – $38,254 · median $13,726 | 22 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $6,831 – $23,186 · median $8,319 | 22 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,035 – $16,504 · median $5,991 | 22 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $10,606 – $34,003 · median $12,506 | 22 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,863 – $22,933 · median $8,255 | 22 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $11,820 – $37,893 · median $14,389 | 22 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,494 – $20,172 · median $7,238 | 22 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $12,051 – $43,732 · median $15,692 | 22 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,926 – $19,906 · median $7,149 | 22 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $11,693 – $40,104 · median $14,390 | 22 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,811 – $23,291 · median $8,357 | 22 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,302 – $17,365 · median $6,306 | 22 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $23,432 – $80,271 · median $28,803 | 22 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $16,450 – $52,738 · median $19,714 | 22 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $16,450 – $52,738 · median $19,714 | 22 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $24,047 – $78,861 · median $28,623 | 22 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $14,886 – $47,725 · median $17,703 | 22 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $9,071 – $30,653 · median $10,999 | 22 plans |
| 100 | SEIZURES WITH MCC | $12,895 – $43,677 · median $15,672 | 22 plans |
| 101 | SEIZURES WITHOUT MCC | $6,010 – $20,277 · median $7,276 | 22 plans |
| 102 | HEADACHES WITH MCC | $7,463 – $25,509 · median $9,153 | 22 plans |
| 103 | HEADACHES WITHOUT MCC | $5,568 – $18,704 · median $6,718 | 22 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $15,485 – $49,645 · median $18,289 | 22 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,112 – $26,006 · median $10,005 | 22 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $10,219 – $33,682 · median $12,198 | 22 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $11,450 – $36,709 · median $13,767 | 22 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,223 – $23,729 · median $8,606 | 22 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,745 – $25,590 · median $9,257 | 22 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,655 – $14,923 · median $5,774 | 22 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,317 – $17,670 · median $6,376 | 22 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,809 – $28,686 · median $10,444 | 22 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,112 – $18,165 · median $6,518 | 22 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $14,448 – $53,044 · median $19,033 | 22 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,713 – $21,520 · median $7,915 | 22 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $9,598 – $30,769 · median $11,461 | 22 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,582 – $17,897 · median $6,728 | 22 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,227 – $30,206 · median $10,838 | 22 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $28,398 – $93,042 · median $33,784 | 22 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $14,522 – $47,267 · median $17,212 | 22 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $10,629 – $34,593 · median $12,598 | 22 plans |
| 143 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $22,658 – $72,642 · median $27,832 | 22 plans |
| 144 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH CC | $11,538 – $38,647 · median $13,897 | 22 plans |
| 145 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,005 – $26,066 · median $9,490 | 22 plans |
| 146 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH MCC | $14,098 – $50,470 · median $18,110 | 22 plans |
| 147 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH CC | $8,466 – $27,386 · median $10,000 | 22 plans |
| 148 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,307 – $17,615 · median $6,360 | 22 plans |
| 149 | DYSEQUILIBRIUM | $5,004 – $16,445 · median $5,963 | 22 plans |
| 150 | EPISTAXIS WITH MCC | $8,865 – $30,408 · median $10,911 | 22 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,887 – $16,676 · median $5,984 | 22 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,787 – $24,966 · median $9,197 | 22 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,884 – $15,657 · median $5,757 | 22 plans |
| 154 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH MCC | $10,410 – $35,779 · median $12,838 | 22 plans |
| 155 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH CC | $6,102 – $20,539 · median $7,370 | 22 plans |
| 156 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,601 – $14,793 · median $5,417 | 22 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $11,237 – $36,025 · median $13,309 | 22 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,057 – $20,693 · median $7,425 | 22 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,526 – $14,511 · median $5,420 | 22 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $29,840 – $101,402 · median $36,385 | 22 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $16,805 – $55,374 · median $20,056 | 22 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $12,745 – $41,008 · median $15,010 | 22 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $24,886 – $84,707 · median $30,394 | 22 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $12,007 – $40,198 · median $14,458 | 22 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,098 – $29,786 · median $10,818 | 22 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $19,817 – $67,509 · median $24,223 | 22 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $9,145 – $31,000 · median $11,123 | 22 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,360 – $17,919 · median $6,449 | 22 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $10,405 – $35,563 · median $12,761 | 22 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,498 – $21,826 · median $7,839 | 22 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,027 – $16,933 · median $6,076 | 22 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $11,758 – $38,452 · median $13,973 | 22 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,131 – $24,427 · median $8,765 | 22 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,019 – $18,425 · median $6,611 | 22 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $10,377 – $34,760 · median $12,499 | 22 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,585 – $22,088 · median $7,938 | 22 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,775 – $16,152 · median $5,796 | 22 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $8,225 – $27,223 · median $9,841 | 22 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,375 – $24,706 · median $8,884 | 22 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,613 – $18,900 · median $6,782 | 22 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,274 – $14,238 · median $5,132 | 22 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,751 – $28,989 · median $10,475 | 22 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,366 – $18,040 · median $6,477 | 22 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,185 – $13,699 · median $4,976 | 22 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $12,565 – $41,450 · median $15,005 | 22 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,319 – $21,780 · median $7,815 | 22 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,768 – $15,409 · median $5,629 | 22 plans |
| 199 | PNEUMOTHORAX WITH MCC | $11,745 – $38,837 · median $14,045 | 22 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,319 – $24,365 · median $8,785 | 22 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,646 – $14,896 · median $5,521 | 22 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,466 – $21,267 · median $7,709 | 22 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,461 – $15,325 · median $5,499 | 22 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,376 – $17,842 · median $6,442 | 22 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $12,191 – $41,532 · median $14,902 | 22 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,216 – $19,928 · median $7,332 | 22 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $42,842 – $142,278 · median $51,355 | 22 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $18,301 – $59,044 · median $21,585 | 22 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $35,506 – $116,527 · median $42,279 | 22 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $31,515 – $101,037 · median $38,114 | 22 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $32,940 – $109,633 · median $39,533 | 22 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $20,969 – $68,339 · median $24,872 | 22 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $39,073 – $129,452 · median $46,774 | 22 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $27,889 – $90,466 · median $32,994 | 22 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $32,769 – $110,812 · median $39,761 | 22 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $18,979 – $64,068 · median $22,989 | 22 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,217 – $33,218 · median $11,919 | 22 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $21,258 – $74,624 · median $26,776 | 22 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $14,188 – $49,562 · median $17,784 | 22 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $12,034 – $39,703 · median $14,372 | 22 plans |
| 245 | AICD GENERATOR PROCEDURES | $30,377 – $107,510 · median $38,576 | 22 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $23,225 – $75,469 · median $27,503 | 22 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $17,282 – $56,166 · median $20,467 | 22 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $11,863 – $38,487 · median $14,035 | 22 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $17,955 – $57,563 · median $21,106 | 22 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $11,305 – $37,261 · median $13,494 | 22 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,120 – $19,622 · median $7,798 | 22 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $19,252 – $61,721 · median $23,504 | 22 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $12,062 – $38,669 · median $14,913 | 22 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $21,657 – $74,936 · median $26,888 | 22 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $12,587 – $41,747 · median $15,077 | 22 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $10,415 – $33,392 · median $12,471 | 22 plans |
| 263 | VEIN LIGATION AND STRIPPING | $18,405 – $59,006 · median $22,657 | 22 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $22,242 – $76,892 · median $27,590 | 22 plans |
| 265 | AICD LEAD PROCEDURES | $24,090 – $78,478 · median $28,567 | 22 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $40,803 – $131,798 · median $48,158 | 22 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $31,698 – $103,503 · median $37,638 | 22 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $45,755 – $146,687 · median $53,798 | 22 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $28,118 – $91,535 · median $33,331 | 22 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $16,998 – $55,048 · median $20,091 | 22 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $26,833 – $86,027 · median $31,872 | 22 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $21,417 – $68,662 · median $25,435 | 22 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $47,474 – $155,474 · median $56,463 | 22 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $39,992 – $136,277 · median $48,898 | 22 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $30,750 – $102,342 · median $36,905 | 22 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $34,334 – $110,073 · median $41,786 | 22 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $21,989 – $70,497 · median $26,907 | 22 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH MCC | $10,680 – $36,111 · median $12,957 | 22 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH CC | $6,119 – $20,280 · median $7,327 | 22 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITHOUT CC/MCC | $4,814 – $15,952 · median $5,764 | 22 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH MCC | $13,188 – $43,019 · median $15,651 | 22 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH CC | $4,609 – $16,302 · median $5,849 | 22 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITHOUT CC/MCC | $3,852 – $12,351 · median $4,599 | 22 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITH MCC | $14,733 – $48,693 · median $17,612 | 22 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,125 – $23,973 · median $8,604 | 22 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $18,018 – $60,093 · median $21,650 | 22 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $10,820 – $34,687 · median $13,003 | 22 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,190 – $21,538 · median $7,728 | 22 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,765 – $12,071 · median $4,427 | 22 plans |
| 296 | CARDIAC ARREST- UNEXPLAINED WITH MCC | $10,399 – $36,045 · median $12,933 | 22 plans |
| 297 | CARDIAC ARREST- UNEXPLAINED WITH CC | $4,221 – $15,497 · median $5,561 | 22 plans |
| 298 | CARDIAC ARREST- UNEXPLAINED WITHOUT CC/MCC | $3,030 – $9,717 · median $3,562 | 22 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $10,871 – $35,587 · median $12,926 | 22 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,107 – $23,553 · median $8,509 | 22 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,792 – $15,695 · median $5,699 | 22 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,967 – $25,593 · median $9,374 | 22 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,482 – $14,793 · median $5,354 | 22 plans |
| 304 | HYPERTENSION WITH MCC | $7,923 – $25,846 · median $9,403 | 22 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,027 – $16,515 · median $5,990 | 22 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $10,276 – $32,943 · median $12,191 | 22 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,080 – $20,381 · median $7,326 | 22 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,016 – $26,530 · median $9,590 | 22 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,898 – $16,265 · median $5,871 | 22 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,769 – $12,309 · median $4,476 | 22 plans |
| 311 | ANGINA PECTORIS | $4,673 – $15,363 · median $5,570 | 22 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,803 – $19,169 · median $6,935 | 22 plans |
| 313 | CHEST PAIN | $4,794 – $15,695 · median $5,701 | 22 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $13,883 – $47,377 · median $17,000 | 22 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,414 – $21,171 · median $7,662 | 22 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,541 – $15,019 · median $5,431 | 22 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $42,452 – $136,101 · median $50,981 | 22 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $29,714 – $96,642 · median $35,204 | 22 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $15,885 – $50,926 · median $18,738 | 22 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $18,115 – $62,630 · median $22,473 | 22 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $11,738 – $39,802 · median $14,282 | 22 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $28,812 – $93,707 · median $34,135 | 22 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $20,979 – $70,292 · median $25,274 | 22 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $19,640 – $62,966 · median $23,995 | 22 plans |
| 326 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $33,206 – $111,738 · median $40,100 | 22 plans |
| 327 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $16,274 – $53,418 · median $19,380 | 22 plans |
| 328 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $10,668 – $35,057 · median $12,712 | 22 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $30,604 – $101,022 · median $36,560 | 22 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $15,961 – $52,001 · median $18,928 | 22 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,205 – $36,322 · median $13,251 | 22 plans |
| 332 | RECTAL RESECTION WITH MCC | $23,803 – $76,311 · median $28,136 | 22 plans |
| 333 | RECTAL RESECTION WITH CC | $14,584 – $46,757 · median $17,672 | 22 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,905 – $36,489 · median $13,127 | 22 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $23,775 – $79,715 · median $28,653 | 22 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $14,040 – $46,471 · median $16,798 | 22 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $10,220 – $33,772 · median $12,216 | 22 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $17,196 – $59,279 · median $21,270 | 22 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,018 – $32,751 · median $11,903 | 22 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,898 – $27,397 · median $9,830 | 22 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $15,284 – $52,070 · median $18,683 | 22 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,639 – $27,696 · median $10,193 | 22 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,796 – $19,380 · median $6,974 | 22 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $16,591 – $53,211 · median $19,505 | 22 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $10,150 – $33,099 · median $12,043 | 22 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,566 – $24,257 · median $9,003 | 22 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $19,322 – $64,526 · median $23,233 | 22 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $11,201 – $37,424 · median $13,473 | 22 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,955 – $29,330 · median $10,651 | 22 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $29,247 – $93,845 · median $34,392 | 22 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $15,454 – $49,544 · median $18,179 | 22 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,299 – $29,812 · median $10,934 | 22 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,599 – $36,740 · median $13,183 | 22 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,659 – $22,387 · median $8,038 | 22 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,666 – $15,356 · median $5,565 | 22 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $11,805 – $38,456 · median $13,999 | 22 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,798 – $22,645 · median $8,162 | 22 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,843 – $15,959 · median $5,780 | 22 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $14,240 – $46,451 · median $16,899 | 22 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,054 – $27,031 · median $9,712 | 22 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,059 – $19,426 · median $7,172 | 22 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $12,171 – $40,000 · median $14,504 | 22 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,530 – $21,690 · median $7,828 | 22 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,197 – $14,007 · median $5,045 | 22 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $13,064 – $42,335 · median $15,447 | 22 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,214 – $23,960 · median $8,648 | 22 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,142 – $16,485 · median $6,142 | 22 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $8,675 – $27,812 · median $10,468 | 22 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,691 – $19,131 · median $6,869 | 22 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $10,535 – $35,746 · median $12,826 | 22 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,500 – $21,835 · median $7,842 | 22 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,536 – $14,747 · median $5,373 | 22 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,833 – $32,338 · median $11,722 | 22 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,259 – $17,635 · median $6,338 | 22 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,622 – $12,038 · median $4,344 | 22 plans |
| 391 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $8,444 – $28,259 · median $10,166 | 22 plans |
| 392 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,191 – $17,167 · median $6,207 | 22 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $10,648 – $36,432 · median $13,072 | 22 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,230 – $20,709 · median $7,472 | 22 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,321 – $14,001 · median $5,109 | 22 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $15,945 – $54,512 · median $19,560 | 22 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $10,078 – $33,290 · median $12,044 | 22 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,621 – $24,724 · median $9,017 | 22 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $26,769 – $86,068 · median $31,513 | 22 plans |
| 405 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH MCC | $36,423 – $119,431 · median $43,349 | 22 plans |
| 406 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH CC | $19,272 – $61,785 · median $22,671 | 22 plans |
| 407 | PANCREAS- LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $14,656 – $46,988 · median $17,290 | 22 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $23,740 – $77,029 · median $28,089 | 22 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $14,387 – $46,123 · median $16,967 | 22 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $10,571 – $34,124 · median $12,472 | 22 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $18,778 – $60,201 · median $23,759 | 22 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $13,999 – $46,895 · median $16,862 | 22 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $11,056 – $36,575 · median $13,224 | 22 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $23,720 – $77,084 · median $28,090 | 22 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $13,574 – $43,518 · median $16,052 | 22 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $9,077 – $30,144 · median $10,880 | 22 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $15,889 – $52,283 · median $18,948 | 22 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $11,263 – $36,485 · median $13,314 | 22 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,042 – $28,987 · median $10,654 | 22 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $22,685 – $77,649 · median $27,862 | 22 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $11,238 – $36,027 · median $13,382 | 22 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,318 – $32,327 · median $11,599 | 22 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $27,651 – $89,483 · median $32,669 | 22 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $14,567 – $50,233 · median $18,024 | 22 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,989 – $34,008 · median $12,203 | 22 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $71,885 – $230,459 · median $85,275 | 22 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $48,062 – $156,259 · median $56,931 | 22 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $37,431 – $121,090 · median $44,216 | 22 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $57,235 – $183,493 · median $68,716 | 22 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $37,540 – $120,351 · median $44,573 | 22 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $13,104 – $43,100 · median $15,623 | 22 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,032 – $23,536 · median $8,466 | 22 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,744 – $15,323 · median $5,599 | 22 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $12,229 – $40,141 · median $14,563 | 22 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,531 – $24,809 · median $8,986 | 22 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,388 – $17,274 · median $6,487 | 22 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,854 – $36,601 · median $13,133 | 22 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,601 – $18,924 · median $6,790 | 22 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,137 – $13,532 · median $4,917 | 22 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $11,949 – $41,589 · median $14,923 | 22 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,427 – $21,256 · median $7,686 | 22 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,659 – $15,459 · median $5,582 | 22 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $11,125 – $37,057 · median $13,358 | 22 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,287 – $23,859 · median $8,665 | 22 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,471 – $17,541 · median $6,450 | 22 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $44,486 – $147,503 · median $53,277 | 22 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $28,022 – $89,837 · median $33,048 | 22 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $35,341 – $113,302 · median $41,614 | 22 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $21,177 – $67,892 · median $25,064 | 22 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH MCC | $55,950 – $186,322 · median $67,171 | 22 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH CC | $39,385 – $126,267 · median $46,458 | 22 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $27,781 – $94,996 · median $34,086 | 22 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC | $36,772 – $135,007 · median $48,443 | 22 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC | $17,710 – $63,004 · median $22,607 | 22 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $37,063 – $118,822 · median $44,026 | 22 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $20,234 – $64,869 · median $24,047 | 22 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,914 – $38,194 · median $14,123 | 22 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $34,658 – $112,081 · median $40,932 | 22 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $23,480 – $75,354 · median $27,613 | 22 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $18,002 – $57,713 · median $21,313 | 22 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $20,195 – $71,911 · median $25,803 | 22 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $12,843 – $41,481 · median $15,157 | 22 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $28,582 – $98,663 · median $35,402 | 22 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $14,804 – $47,461 · median $17,582 | 22 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,858 – $25,588 · median $9,316 | 22 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $23,001 – $75,658 · median $27,423 | 22 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $16,048 – $51,449 · median $19,033 | 22 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,186 – $39,068 · median $14,423 | 22 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $19,390 – $64,702 · median $23,305 | 22 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $13,945 – $45,648 · median $16,581 | 22 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $10,859 – $34,901 · median $12,781 | 22 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $21,486 – $70,825 · median $25,648 | 22 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $13,923 – $46,660 · median $16,775 | 22 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,428 – $34,764 · median $12,527 | 22 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $11,777 – $43,239 · median $15,515 | 22 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,436 – $27,245 · median $9,776 | 22 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH MCC | $24,369 – $78,126 · median $28,682 | 22 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH CC | $16,476 – $52,822 · median $19,580 | 22 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITHOUT CC/MCC | $12,938 – $41,479 · median $15,428 | 22 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $24,140 – $77,453 · median $28,385 | 22 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,010 – $43,406 · median $15,575 | 22 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,045 – $29,537 · median $10,598 | 22 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $17,326 – $55,548 · median $21,813 | 22 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $7,966 – $30,222 · median $13,750 | 22 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $21,071 – $69,711 · median $25,204 | 22 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $11,639 – $39,263 · median $14,088 | 22 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,961 – $30,738 · median $11,029 | 22 plans |
| 503 | FOOT PROCEDURES WITH MCC | $18,162 – $58,225 · median $21,568 | 22 plans |
| 504 | FOOT PROCEDURES WITH CC | $12,043 – $38,610 · median $14,366 | 22 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $11,937 – $38,610 · median $14,099 | 22 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $8,983 – $32,980 · median $11,834 | 22 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $12,027 – $42,640 · median $15,300 | 22 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $8,856 – $28,393 · median $11,053 | 22 plans |
| 510 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W MCC | $19,613 – $62,878 · median $23,313 | 22 plans |
| 511 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W CC | $13,458 – $43,146 · median $16,021 | 22 plans |
| 512 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W/O CC/MCC | $11,022 – $35,372 · median $12,962 | 22 plans |
| 513 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $10,332 – $33,123 · median $12,222 | 22 plans |
| 514 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,807 – $22,431 · median $8,124 | 22 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $21,218 – $68,033 · median $24,941 | 22 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $13,805 – $44,257 · median $16,242 | 22 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $10,231 – $32,839 · median $12,033 | 22 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $24,594 – $78,848 · median $29,059 | 22 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $13,317 – $43,382 · median $15,792 | 22 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $9,835 – $31,530 · median $11,618 | 22 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $19,110 – $64,123 · median $23,041 | 22 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $14,100 – $46,378 · median $16,811 | 22 plans |
| 537 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITH CC/MCC | $6,306 – $20,218 · median $7,437 | 22 plans |
| 538 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITHOUT CC/MCC | $4,608 – $14,773 · median $5,515 | 22 plans |
| 539 | OSTEOMYELITIS WITH MCC | $13,114 – $44,493 · median $15,965 | 22 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,631 – $28,470 · median $10,307 | 22 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,243 – $19,248 · median $6,906 | 22 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,761 – $41,032 · median $14,723 | 22 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,844 – $23,340 · median $8,375 | 22 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,024 – $16,625 · median $6,010 | 22 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $16,523 – $55,592 · median $19,952 | 22 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,679 – $25,469 · median $9,198 | 22 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,121 – $16,416 · median $6,253 | 22 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,856 – $44,321 · median $15,903 | 22 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,038 – $26,512 · median $9,598 | 22 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,820 – $18,966 · median $6,903 | 22 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $11,160 – $37,541 · median $13,474 | 22 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,400 – $21,204 · median $7,662 | 22 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,631 – $28,732 · median $10,360 | 22 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,527 – $18,361 · median $6,626 | 22 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,801 – $29,625 · median $10,630 | 22 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,530 – $17,963 · median $6,547 | 22 plans |
| 557 | TENDONITIS- MYOSITIS AND BURSITIS WITH MCC | $9,900 – $34,093 · median $12,233 | 22 plans |
| 558 | TENDONITIS- MYOSITIS AND BURSITIS WITHOUT MCC | $5,928 – $19,004 · median $6,977 | 22 plans |
| 559 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,417 – $40,839 · median $14,803 | 22 plans |
| 560 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,498 – $25,051 · median $9,018 | 22 plans |
| 561 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,352 – $17,987 · median $6,459 | 22 plans |
| 562 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W MCC | $9,486 – $32,197 · median $11,553 | 22 plans |
| 563 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W/O MCC | $5,962 – $19,664 · median $7,119 | 22 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $10,277 – $34,522 · median $12,399 | 22 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,488 – $22,433 · median $8,049 | 22 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,989 – $16,458 · median $5,958 | 22 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $19,582 – $66,224 · median $23,762 | 22 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $11,249 – $36,835 · median $13,378 | 22 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,632 – $25,133 · median $9,105 | 22 plans |
| 579 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $21,562 – $71,707 · median $25,866 | 22 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $12,017 – $38,526 · median $14,550 | 22 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $11,273 – $36,139 · median $13,359 | 22 plans |
| 584 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $14,050 – $45,043 · median $16,620 | 22 plans |
| 585 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $12,844 – $43,672 · median $15,670 | 22 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $11,100 – $38,647 · median $13,867 | 22 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,404 – $23,736 · median $8,769 | 22 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,123 – $18,808 · median $6,749 | 22 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,564 – $21,045 · median $7,910 | 22 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,028 – $13,189 · median $4,790 | 22 plans |
| 602 | CELLULITIS WITH MCC | $9,463 – $32,322 · median $11,598 | 22 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,798 – $19,378 · median $6,975 | 22 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $10,075 – $35,427 · median $12,712 | 22 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,930 – $19,012 · median $7,025 | 22 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $14,593 – $50,138 · median $17,990 | 22 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $9,317 – $31,526 · median $11,312 | 22 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,219 – $85,030 · median $30,510 | 22 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,453 – $42,495 · median $15,248 | 22 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,544 – $27,392 · median $10,514 | 22 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,697 – $82,324 · median $29,539 | 22 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,944 – $42,082 · median $15,100 | 22 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,884 – $22,068 · median $8,853 | 22 plans |
| 625 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $19,675 – $63,076 · median $23,352 | 22 plans |
| 626 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,983 – $33,205 · median $11,977 | 22 plans |
| 627 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,694 – $27,872 · median $10,297 | 22 plans |
| 628 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $24,813 – $86,805 · median $31,147 | 22 plans |
| 629 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $14,507 – $49,480 · median $17,754 | 22 plans |
| 630 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $9,616 – $30,829 · median $11,355 | 22 plans |
| 637 | DIABETES WITH MCC | $9,566 – $32,039 · median $11,521 | 22 plans |
| 638 | DIABETES WITH CC | $5,967 – $20,178 · median $7,240 | 22 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,136 – $13,785 · median $4,968 | 22 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITH MCC | $8,892 – $29,216 · median $10,595 | 22 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,181 – $17,191 · median $6,207 | 22 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $8,517 – $27,304 · median $10,510 | 22 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,960 – $36,461 · median $13,150 | 22 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,824 – $22,735 · median $8,195 | 22 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,115 – $17,131 · median $6,161 | 22 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $34,598 – $122,641 · median $44,006 | 22 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $18,638 – $62,086 · median $22,380 | 22 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $14,092 – $45,701 · median $16,669 | 22 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $21,198 – $71,676 · median $25,719 | 22 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $12,184 – $40,218 · median $14,555 | 22 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $10,321 – $33,088 · median $12,136 | 22 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $16,917 – $56,855 · median $20,415 | 22 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,800 – $29,480 · median $10,600 | 22 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,894 – $22,585 · median $8,201 | 22 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $20,384 – $68,631 · median $24,626 | 22 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $10,122 – $33,603 · median $12,130 | 22 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,970 – $23,756 · median $8,524 | 22 plans |
| 665 | PROSTATECTOMY WITH MCC | $20,781 – $75,539 · median $27,105 | 22 plans |
| 666 | PROSTATECTOMY WITH CC | $11,304 – $36,241 · median $13,466 | 22 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,053 – $22,612 · median $8,454 | 22 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $19,441 – $64,159 · median $23,222 | 22 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $10,333 – $34,045 · median $12,331 | 22 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,507 – $21,025 · median $7,681 | 22 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $11,828 – $37,921 · median $13,967 | 22 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,187 – $24,077 · median $8,658 | 22 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $27,974 – $92,171 · median $33,384 | 22 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $15,570 – $50,785 · median $18,477 | 22 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $10,741 – $34,437 · median $12,723 | 22 plans |
| 682 | RENAL FAILURE WITH MCC | $9,861 – $33,042 · median $11,880 | 22 plans |
| 683 | RENAL FAILURE WITH CC | $5,831 – $19,556 · median $7,028 | 22 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,997 – $13,363 · median $4,809 | 22 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $12,009 – $41,485 · median $14,886 | 22 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,976 – $23,159 · median $8,361 | 22 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,970 – $15,932 · median $5,994 | 22 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,725 – $25,747 · median $9,279 | 22 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,390 – $17,657 · median $6,411 | 22 plans |
| 693 | URINARY STONES WITH MCC | $8,952 – $32,349 · median $11,607 | 22 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,205 – $17,191 · median $6,220 | 22 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,615 – $24,812 · median $9,031 | 22 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,587 – $15,220 · median $5,496 | 22 plans |
| 697 | URETHRAL STRICTURE | $6,875 – $22,040 · median $8,238 | 22 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $11,015 – $36,980 · median $13,285 | 22 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,758 – $22,438 · median $8,100 | 22 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,593 – $15,272 · median $5,510 | 22 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $13,317 – $42,693 · median $15,653 | 22 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,173 – $32,615 · median $11,979 | 22 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $15,420 – $49,436 · median $18,163 | 22 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,329 – $33,031 · median $11,852 | 22 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $13,111 – $42,033 · median $15,811 | 22 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,322 – $23,531 · median $8,617 | 22 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,923 – $31,812 · median $11,708 | 22 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,448 – $20,673 · median $7,890 | 22 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $14,896 – $49,683 · median $17,899 | 22 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $9,740 – $31,225 · median $11,476 | 22 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $12,587 – $40,821 · median $14,889 | 22 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,454 – $27,102 · median $10,193 | 22 plans |
| 722 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH MCC | $11,864 – $38,036 · median $14,042 | 22 plans |
| 723 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH CC | $7,608 – $24,704 · median $9,006 | 22 plans |
| 724 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,366 – $16,029 · median $5,752 | 22 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,791 – $27,777 · median $9,967 | 22 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,807 – $16,377 · median $5,876 | 22 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,873 – $32,327 · median $11,741 | 22 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,401 – $17,976 · median $6,482 | 22 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,049 – $24,220 · median $8,690 | 22 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,165 – $13,352 · median $5,057 | 22 plans |
| 734 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $14,182 – $46,262 · median $16,830 | 22 plans |
| 735 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,330 – $26,706 · median $10,121 | 22 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $23,799 – $86,627 · median $31,083 | 22 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $13,713 – $43,965 · median $16,121 | 22 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,777 – $33,372 · median $11,974 | 22 plans |
| 739 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC | $23,854 – $87,580 · median $31,425 | 22 plans |
| 740 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC | $12,048 – $40,003 · median $14,440 | 22 plans |
| 741 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC | $9,426 – $30,219 · median $11,115 | 22 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $12,216 – $40,187 · median $14,566 | 22 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $8,226 – $26,371 · median $9,686 | 22 plans |
| 744 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $13,409 – $42,988 · median $15,883 | 22 plans |
| 745 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,032 – $22,546 · median $8,550 | 22 plans |
| 746 | VAGINA- CERVIX AND VULVA PROCEDURES WITH CC/MCC | $11,491 – $36,841 · median $13,545 | 22 plans |
| 747 | VAGINA- CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,724 – $21,014 · median $7,540 | 22 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $9,237 – $29,971 · median $10,929 | 22 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $17,095 – $56,949 · median $20,528 | 22 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,849 – $28,369 · median $10,913 | 22 plans |
| 754 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,262 – $39,805 · median $14,512 | 22 plans |
| 755 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,243 – $24,422 · median $8,763 | 22 plans |
| 756 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,395 – $21,010 · median $7,619 | 22 plans |
| 757 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,534 – $31,137 · median $11,321 | 22 plans |
| 758 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,518 – $22,425 · median $8,046 | 22 plans |
| 759 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,392 – $14,080 · median $5,176 | 22 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,708 – $21,683 · median $7,920 | 22 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,798 – $13,946 · median $5,004 | 22 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $9,535 – $30,569 · median $12,108 | 22 plans |
| 770 | ABORTION WITH D&C- ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,676 – $23,672 · median $8,494 | 22 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,359 – $15,697 · median $5,632 | 22 plans |
| 779 | ABORTION WITHOUT D&C | $5,601 – $20,566 · median $7,379 | 22 plans |
| 789 | NEONATES- DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $11,999 – $39,657 · median $14,344 | 22 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME- NEONATE | $39,572 – $130,786 · median $47,306 | 22 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $27,025 – $89,318 · median $32,307 | 22 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $16,307 – $53,893 · median $19,494 | 22 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $27,761 – $91,751 · median $33,187 | 22 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $9,827 – $32,476 · median $11,747 | 22 plans |
| 795 | NORMAL NEWBORN | $1,330 – $4,396 · median $1,590 | 22 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $30,154 – $104,606 · median $37,534 | 22 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $18,705 – $64,104 · median $23,001 | 22 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $11,266 – $36,117 · median $13,999 | 22 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $24,600 – $78,866 · median $29,925 | 22 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $12,215 – $39,160 · median $14,442 | 22 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,587 – $24,323 · median $9,674 | 22 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $14,700 – $50,387 · median $18,080 | 22 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $8,428 – $27,247 · median $9,952 | 22 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,531 – $20,940 · median $7,906 | 22 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $9,350 – $30,952 · median $11,187 | 22 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,113 – $20,304 · median $7,328 | 22 plans |
| 813 | COAGULATION DISORDERS | $10,155 – $34,056 · median $12,240 | 22 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $14,160 – $45,991 · median $16,763 | 22 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,751 – $22,354 · median $8,079 | 22 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,208 – $14,507 · median $5,205 | 22 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $15,191 – $55,772 · median $20,012 | 22 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $7,718 – $28,336 · median $10,167 | 22 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,603 – $17,963 · median $6,650 | 22 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $39,048 – $128,091 · median $46,484 | 22 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $14,905 – $49,113 · median $17,788 | 22 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,848 – $25,161 · median $9,313 | 22 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $30,526 – $102,949 · median $36,940 | 22 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $15,084 – $48,387 · median $17,735 | 22 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,446 – $27,078 · median $10,210 | 22 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $31,145 – $105,061 · median $37,698 | 22 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $15,388 – $51,918 · median $18,629 | 22 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,999 – $35,264 · median $13,109 | 22 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $21,039 – $67,844 · median $24,808 | 22 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,020 – $32,175 · median $11,788 | 22 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $7,898 – $25,322 · median $9,340 | 22 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,804 – $16,443 · median $5,900 | 22 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,481 – $11,436 · median $4,148 | 22 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $36,552 – $121,601 · median $43,857 | 22 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $13,887 – $46,990 · median $16,861 | 22 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,119 – $27,955 · median $10,031 | 22 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $31,987 – $110,158 · median $39,527 | 22 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $13,898 – $44,620 · median $16,348 | 22 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,404 – $30,149 · median $11,163 | 22 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $21,538 – $70,158 · median $25,540 | 22 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $10,760 – $34,496 · median $12,700 | 22 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,727 – $23,142 · median $8,304 | 22 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $12,992 – $41,653 · median $15,422 | 22 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,105 – $26,294 · median $9,589 | 22 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,670 – $18,410 · median $6,711 | 22 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $17,261 – $56,184 · median $20,459 | 22 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $8,710 – $27,955 · median $10,244 | 22 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,619 – $18,016 · median $6,624 | 22 plans |
| 849 | RADIOTHERAPY | $18,040 – $58,764 · median $21,392 | 22 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $57,655 – $202,662 · median $72,719 | 22 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $32,881 – $110,029 · median $39,583 | 22 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $13,303 – $43,958 · median $15,902 | 22 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,968 – $35,763 · median $12,832 | 22 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $30,285 – $99,255 · median $36,034 | 22 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $14,258 – $47,936 · median $17,210 | 22 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,841 – $28,345 · median $10,619 | 22 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $12,142 – $40,451 · median $14,581 | 22 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,644 – $21,998 · median $7,951 | 22 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,910 – $19,756 · median $7,111 | 22 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,976 – $32,470 · median $11,824 | 22 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,790 – $19,466 · median $6,988 | 22 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $13,937 – $47,175 · median $16,927 | 22 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,865 – $23,102 · median $8,291 | 22 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,858 – $15,831 · median $5,762 | 22 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $46,019 – $153,043 · median $55,206 | 22 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $12,933 – $43,166 · median $15,547 | 22 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,813 – $22,682 · median $8,178 | 22 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $25,700 – $86,451 · median $31,030 | 22 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,392 – $21,089 · median $7,634 | 22 plans |
| 881 | DEPRESSIVE NEUROSES | $6,259 – $20,110 · median $7,365 | 22 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $6,601 – $21,164 · median $8,033 | 22 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $12,739 – $40,786 · median $15,125 | 22 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $10,653 – $36,744 · median $13,184 | 22 plans |
| 885 | PSYCHOSES | $9,255 – $31,011 · median $11,150 | 22 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $12,327 – $39,523 · median $15,253 | 22 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,124 – $26,167 · median $9,389 | 22 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE- LEFT AMA | $4,061 – $13,730 · median $4,927 | 22 plans |
| 895 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY | $9,388 – $31,854 · median $11,430 | 22 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC | $11,585 – $39,178 · median $14,058 | 22 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC | $5,859 – $19,408 · median $7,013 | 22 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $11,196 – $38,234 · median $13,719 | 22 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,436 – $14,610 · median $5,293 | 22 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $10,442 – $36,073 · median $12,943 | 22 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,707 – $19,461 · median $6,982 | 22 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $12,190 – $40,119 · median $14,538 | 22 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,673 – $22,350 · median $8,037 | 22 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,583 – $15,129 · median $5,475 | 22 plans |
| 922 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $11,593 – $37,167 · median $13,655 | 22 plans |
| 923 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,776 – $22,438 · median $8,109 | 22 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $21,781 – $69,828 · median $26,848 | 22 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $14,489 – $46,451 · median $17,591 | 22 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $13,411 – $42,995 · median $15,810 | 22 plans |
| 945 | REHABILITATION WITH CC/MCC | $10,311 – $33,583 · median $12,226 | 22 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,635 – $24,563 · median $8,991 | 22 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,452 – $28,296 · median $10,177 | 22 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,330 – $17,479 · median $6,344 | 22 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,404 – $23,738 · median $8,974 | 22 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,022 – $12,894 · median $4,810 | 22 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,702 – $12,474 · median $4,476 | 22 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $40,756 – $139,135 · median $49,924 | 22 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $17,560 – $58,373 · median $21,060 | 22 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $19,215 – $65,696 · median $23,573 | 22 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,622 – $31,271 · median $11,221 | 22 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,010 – $22,066 · median $7,918 | 22 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $8,640 – $31,722 · median $11,382 | 22 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $31,238 – $104,586 · median $37,616 | 22 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $16,369 – $53,863 · median $19,520 | 22 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,412 – $36,700 · median $13,436 | 22 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $22,826 – $77,059 · median $27,650 | 22 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,943 – $37,752 · median $13,546 | 22 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,929 – $25,421 · median $9,349 | 22 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $186,584 – $619,703 · median $195,913 | 21 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $75,447 – $242,433 · median $79,220 | 21 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $68,648 – $234,287 · median $73,079 | 21 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $30,873 – $106,682 · median $33,276 | 21 plans |
| 007 | LUNG TRANSPLANT | $86,223 – $287,514 · median $90,534 | 21 plans |
| 008 | SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT | $37,316 – $119,704 · median $39,181 | 21 plans |
| 010 | PANCREAS TRANSPLANT | $47,776 – $175,406 · median $54,713 | 21 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $80,016 – $288,240 · median $89,908 | 21 plans |
| 016 | AUTOLOUS BONE MARROW TRANSPLANT WITH CC/MCC | $39,480 – $132,790 · median $41,454 | 21 plans |
| 017 | AUTOLOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $36,168 – $132,790 · median $41,420 | 21 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $258,794 – $829,682 · median $301,888 | 21 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $47,502 – $174,401 · median $54,399 | 21 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $31,302 – $101,361 · median $32,867 | 21 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $23,829 – $76,395 · median $25,907 | 21 plans |
| 652 | KIDNEY TRANSPLANT | $21,077 – $67,571 · median $22,577 | 21 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,058 – $23,826 · median $7,432 | 21 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $65,134 – $212,324 · median $67,309 | 20 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $43,779 – $142,074 · median $45,142 | 20 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $40,825 – $130,885 · median $44,873 | 20 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | — | 20 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE?PROCEDURES | $72,400 – $239,666 · median $74,756 | 19 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $66,294 – $233,086 · median $69,609 | 19 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $51,122 – $170,225 · median $53,096 | 19 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | — | 18 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | — | 18 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | — | 18 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | — | 18 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | — | 18 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | — | 18 plans |
| 580 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | — | 18 plans |
| 581 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | — | 18 plans |
| 592 | SKIN ULCERS WITH MCC | — | 18 plans |
| 593 | SKIN ULCERS WITH CC | — | 18 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | — | 18 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | — | 18 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | — | 18 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | — | 18 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | — | 18 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | — | 18 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | — | 18 plans |
| 935 | NON-EXTENSIVE BURNS | — | 18 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $141,318 – $318,378 · median $141,318 | 17 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $92,223 – $207,771 · median $92,223 | 17 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | — | 17 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | — | 17 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | — | 17 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | — | 17 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | — | 17 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $7,135 – $16,074 · median $7,135 | 16 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $12,641 – $36,827 · median $16,346 | 16 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,994 – $14,367 · median $6,377 | 16 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $10,982 – $24,743 · median $10,982 | 16 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,286 – $16,752 · median $7,436 | 16 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,208 – $14,382 · median $6,384 | 16 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $7,770 – $17,505 · median $7,770 | 16 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,644 – $15,006 · median $6,661 | 16 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,372 – $14,357 · median $6,372 | 16 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $6,849 – $16,188 · median $7,185 | 16 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,966 – $11,310 · median $5,020 | 16 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,373 – $10,113 · median $4,489 | 16 plans |
| 209 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS AGE 0-17 | $75,361 – $169,782 · median $75,361 | 15 plans |
| 213 | SPLENIC PROCEDURES AGE 0-17 | $37,997 – $85,604 · median $37,997 | 15 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $16,127 – $36,333 · median $16,127 | 15 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $22,894 – $51,579 · median $22,894 | 15 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $16,074 – $36,215 · median $16,074 | 15 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $10,611 – $34,019 · median $25,205 | 10 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $6,848 – $21,954 · median $16,266 | 10 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,575 – $14,667 · median $10,867 | 10 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $8,427 – $27,016 · median $20,016 | 10 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,420 – $17,376 · median $12,874 | 10 plans |
| 509 | ARTHROSCOPY | $12,055 – $38,647 · median $28,634 | 10 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $33,700 – $33,700 · median $33,700 | 1 plans |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | $25,500 – $25,500 · median $25,500 | 1 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $30,000 – $30,000 · median $30,000 | 1 plans |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC | $28,500 – $28,500 · median $28,500 | 1 plans |
| 453 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC | $79,094 – $79,094 · median $79,094 | 1 plans |
| 454 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC | $54,592 – $54,592 · median $54,592 | 1 plans |
| 455 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC | $41,108 – $41,108 · median $41,108 | 1 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $59,198 – $59,198 · median $59,198 | 1 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $32,649 – $32,649 · median $32,649 | 1 plans |
No procedures match that keyword.