Southwell Medical, a Campus of Trmc — 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.
Estimate your out-of-pocket cost
Enter what's left on your plan this year, then choose a procedure — click any row below or its “Estimate” button.
No procedure selected yet — pick a row in the table below to see an estimate here.
Estimate only. Your plan's actual negotiated rate, network status, and benefit rules control what you pay — confirm with your insurer. Professional fees (surgeon, anesthesia) are usually billed separately.
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 | $211,099 – $645,099 · median $303,041 | 13 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $139,179 – $949,211 · median $437,111 | 13 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $53,149 – $225,145 · median $85,423 | 13 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $30,347 – $170,115 · median $57,955 | 13 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $26,102 – $129,151 · median $36,992 | 13 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $371,468 – $2,860,061 · median $1,374,209 | 13 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $16,369 – $78,083 · median $44,659 | 13 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $79,401 – $387,184 · median $164,797 | 13 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $54,443 – $369,445 · median $153,216 | 13 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $34,774 – $357,604 · median $144,988 | 13 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $56,195 – $286,914 · median $114,873 | 13 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $24,022 – $85,955 · median $24,967 | 13 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $27,915 – $91,615 · median $29,018 | 13 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $19,100 – $70,360 · median $19,844 | 13 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $15,505 – $58,167 · median $16,102 | 13 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $36,877 – $76,934 · median $38,346 | 13 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $20,954 – $59,319 · median $21,774 | 13 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $13,496 – $61,352 · median $14,010 | 13 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $35,502 – $123,250 · median $36,915 | 13 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $13,102 – $73,551 · median $13,600 | 13 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $10,231 – $38,492 · median $10,613 | 13 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $23,770 – $94,877 · median $24,704 | 13 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $14,693 – $54,593 · median $15,257 | 13 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,948 – $69,163 · median $12,399 | 13 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $20,222 – $54,638 · median $21,011 | 13 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,926 – $81,950 · median $13,417 | 13 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,243 – $31,965 · median $7,502 | 13 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $37,155 – $208,936 · median $75,796 | 13 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $13,517 – $65,394 · median $14,033 | 13 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $17,312 – $103,214 · median $23,331 | 13 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $19,823 – $102,606 · median $23,150 | 13 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,039 – $13,107 · median $6,249 | 13 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,398 – $26,599 · median $9,745 | 13 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,287 – $17,452 · median $6,507 | 13 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $1,758 – $53,541 · median $2,585 | 13 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $1,318 – $75,826 · median $1,938 | 13 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $10,517 – $24,162 · median $10,910 | 13 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,644 – $26,848 · median $7,920 | 13 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,675 – $27,026 · median $5,870 | 13 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $16,941 – $80,018 · median $17,596 | 13 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $10,810 – $55,958 · median $11,215 | 13 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,643 – $46,419 · median $8,959 | 13 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $12,366 – $24,842 · median $12,835 | 13 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,230 – $30,689 · median $6,448 | 13 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,231 – $16,067 · median $4,368 | 13 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,041 – $61,152 · median $9,374 | 13 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,335 – $21,884 · median $5,517 | 13 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,933 – $27,912 · median $5,098 | 13 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $17,127 – $173,318 · median $56,272 | 13 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $6,326 – $69,190 · median $6,548 | 13 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,672 – $11,606 · median $4,826 | 13 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $9,872 – $15,224 · median $10,239 | 13 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,356 – $33,329 · median $6,579 | 13 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $11,793 – $69,591 · median $12,238 | 13 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,095 – $31,173 · median $5,267 | 13 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $9,517 – $31,235 · median $9,869 | 13 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $6,154 – $13,864 · median $6,369 | 13 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,123 – $13,561 · median $4,255 | 13 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $1,318 – $28,958 · median $1,938 | 13 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $1,154 – $41,859 · median $1,698 | 13 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $22,854 – $114,305 · median $29,253 | 13 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,594 – $42,420 · median $8,908 | 13 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,896 – $45,680 · median $6,100 | 13 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $13,966 – $78,235 · median $14,500 | 13 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,023 – $17,344 · median $8,314 | 13 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,644 – $9,450 · median $5,838 | 13 plans |
| 088 | CONCUSSION WITH MCC | $8,324 – $23,269 · median $8,627 | 13 plans |
| 089 | CONCUSSION WITH CC | $6,771 – $10,638 · median $7,011 | 13 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,083 – $18,553 · median $5,254 | 13 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $10,804 – $42,379 · median $11,208 | 13 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,654 – $69,962 · median $6,890 | 13 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,918 – $11,645 · median $5,082 | 13 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $25,797 – $104,786 · median $26,814 | 13 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $15,850 – $67,143 · median $16,461 | 13 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $15,850 – $25,580 · median $16,461 | 13 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $22,182 – $72,624 · median $23,051 | 13 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $14,107 – $21,539 · median $14,647 | 13 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $13,724 – $108,969 · median $25,585 | 13 plans |
| 100 | SEIZURES WITH MCC | $11,911 – $27,401 · median $12,361 | 13 plans |
| 101 | SEIZURES WITHOUT MCC | $5,569 – $18,121 · median $5,761 | 13 plans |
| 102 | HEADACHES WITH MCC | $6,908 – $65,520 · median $7,154 | 13 plans |
| 103 | HEADACHES WITHOUT MCC | $5,163 – $9,608 · median $5,337 | 13 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $14,451 – $61,669 · median $15,005 | 13 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $11,644 – $135,937 · median $38,275 | 13 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,447 – $43,892 · median $9,796 | 13 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $16,436 – $90,657 · median $17,517 | 13 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,687 – $15,880 · median $6,924 | 13 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,168 – $12,191 · median $7,424 | 13 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,853 – $18,895 · median $5,015 | 13 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,932 – $14,806 · median $5,097 | 13 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $8,148 – $59,999 · median $8,444 | 13 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,743 – $10,110 · median $4,900 | 13 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $13,341 – $51,204 · median $13,849 | 13 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,260 – $67,030 · median $6,480 | 13 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $9,191 – $27,006 · median $9,530 | 13 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,469 – $13,104 · median $5,656 | 13 plans |
| 139 | SALIVARY GLAND PROCEDURES | $7,612 – $30,707 · median $7,886 | 13 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $41,657 – $184,620 · median $64,849 | 13 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,409 – $70,160 · median $13,920 | 13 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,824 – $55,595 · median $10,189 | 13 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $32,523 – $121,136 · median $34,298 | 13 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $10,661 – $41,631 · median $11,060 | 13 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,701 – $73,917 · median $9,020 | 13 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $13,018 – $22,597 · median $13,514 | 13 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $7,831 – $31,770 · median $8,115 | 13 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $7,243 – $71,835 · median $7,502 | 13 plans |
| 149 | DYSEQUILIBRIUM | $4,643 – $18,663 · median $4,797 | 13 plans |
| 150 | EPISTAXIS WITH MCC | $8,199 – $33,685 · median $8,498 | 13 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,536 – $11,734 · median $4,685 | 13 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,284 – $15,687 · median $7,545 | 13 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,561 – $9,385 · median $4,711 | 13 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $9,622 – $57,332 · median $9,979 | 13 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $4,914 – $9,196 · median $5,768 | 13 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,272 – $21,886 · median $4,411 | 13 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $10,562 – $21,898 · median $10,957 | 13 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,614 – $9,378 · median $5,807 | 13 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,379 – $20,242 · median $4,522 | 13 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $45,400 – $460,004 · median $194,871 | 13 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $15,512 – $53,600 · median $16,109 | 13 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,772 – $27,968 · median $12,217 | 13 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $22,954 – $74,854 · median $23,855 | 13 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $11,093 – $40,671 · median $11,510 | 13 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,413 – $26,178 · median $8,721 | 13 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $16,442 – $30,225 · median $18,651 | 13 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,458 – $70,940 · median $8,767 | 13 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $4,971 – $23,951 · median $5,138 | 13 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $15,922 – $101,892 · median $22,502 | 13 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $9,772 – $92,444 · median $17,318 | 13 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,664 – $17,530 · median $4,819 | 13 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $10,864 – $24,260 · median $11,271 | 13 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,602 – $32,331 · median $6,835 | 13 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,657 – $32,557 · median $4,811 | 13 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $9,416 – $24,076 · median $9,764 | 13 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,560 – $10,521 · median $6,791 | 13 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,857 – $8,862 · median $5,020 | 13 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $9,591 – $15,563 · median $9,947 | 13 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,100 – $14,085 · median $6,313 | 13 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,433 – $24,225 · median $4,577 | 13 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,610 – $57,631 · median $7,885 | 13 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,827 – $55,748 · median $7,070 | 13 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,204 – $16,260 · median $5,380 | 13 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $3,971 – $7,549 · median $4,097 | 13 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,095 – $13,357 · median $8,389 | 13 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,976 – $15,774 · median $5,143 | 13 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,889 – $16,004 · median $4,011 | 13 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $11,607 – $37,074 · median $12,044 | 13 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | — | 13 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | — | 13 plans |
| 199 | PNEUMOTHORAX WITH MCC | $17,388 – $105,156 · median $24,291 | 13 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,776 – $34,352 · median $7,016 | 13 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,669 – $72,758 · median $7,720 | 13 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $5,990 – $16,607 · median $6,198 | 13 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,143 – $15,626 · median $4,276 | 13 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,986 – $9,717 · median $5,153 | 13 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $11,262 – $75,362 · median $11,686 | 13 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,805 – $27,310 · median $6,006 | 13 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $63,701 – $557,980 · median $243,481 | 13 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $16,890 – $68,978 · median $17,543 | 13 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $66,714 – $148,868 · median $69,401 | 13 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $104,358 – $335,129 · median $142,882 | 13 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $95,062 – $303,809 · median $127,906 | 13 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $55,978 – $162,028 · median $58,226 | 13 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $40,354 – $61,713 · median $41,965 | 13 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $76,214 – $302,432 · median $124,623 | 13 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $32,735 – $111,086 · median $34,035 | 13 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $39,240 – $129,859 · median $40,806 | 13 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $30,372 – $99,959 · median $31,575 | 13 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $19,347 – $91,193 · median $20,101 | 13 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $83,467 – $312,560 · median $130,336 | 13 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $60,170 – $194,248 · median $71,632 | 13 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $76,991 – $215,419 · median $83,583 | 13 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $49,681 – $151,346 · median $51,672 | 13 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $36,020 – $120,413 · median $37,455 | 13 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $25,720 – $99,681 · median $26,734 | 13 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $49,613 – $195,923 · median $70,994 | 13 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $17,514 – $51,095 · median $18,192 | 13 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $8,524 – $68,296 · median $8,836 | 13 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $33,411 – $165,391 · median $54,450 | 13 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $13,101 – $59,613 · median $13,600 | 13 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $11,118 – $69,414 · median $11,536 | 13 plans |
| 245 | AICD GENERATOR PROCEDURES | $28,011 – $97,361 · median $29,118 | 13 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $22,779 – $124,285 · median $33,825 | 13 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $15,391 – $92,079 · median $17,795 | 13 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $33,789 – $123,234 · median $34,963 | 13 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $25,147 – $118,252 · median $31,500 | 13 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $10,960 – $49,572 · median $11,371 | 13 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $16,575 – $37,722 · median $17,215 | 13 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,446 – $41,019 · median $10,836 | 13 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,732 – $36,217 · median $6,971 | 13 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $19,302 – $66,366 · median $20,054 | 13 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $12,434 – $58,253 · median $12,905 | 13 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $28,903 – $112,220 · median $30,046 | 13 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $11,627 – $50,272 · median $12,066 | 13 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $10,029 – $65,579 · median $10,402 | 13 plans |
| 263 | VEIN LIGATION AND STRIPPING | $26,418 – $114,668 · median $30,390 | 13 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $20,519 – $49,580 · median $21,320 | 13 plans |
| 265 | AICD LEAD PROCEDURES | $22,949 – $97,365 · median $23,850 | 13 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $59,009 – $187,384 · median $68,481 | 13 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $46,341 – $166,714 · median $57,035 | 13 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $65,675 – $540,754 · median $235,919 | 13 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $40,983 – $209,018 · median $76,288 | 13 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $32,389 – $97,784 · median $33,674 | 13 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $33,927 – $129,609 · median $38,051 | 13 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $22,313 – $99,807 · median $23,187 | 13 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $32,304 – $117,267 · median $33,586 | 13 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $20,219 – $73,360 · median $21,008 | 13 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $50,652 – $149,022 · median $52,684 | 13 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $36,867 – $70,317 · median $38,335 | 13 plans |
| 277 | CELLULITIS AGE >17 W CC | $45,821 – $232,912 · median $88,037 | 13 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $14,431 – $52,242 · median $34,850 | 13 plans |
| 279 | CELLULITIS AGE 0-17 | $21,134 – $33,848 · median $22,592 | 13 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $9,871 – $36,023 · median $10,238 | 13 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,671 – $38,671 · median $5,866 | 13 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,469 – $16,815 · median $4,615 | 13 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $12,181 – $42,013 · median $12,642 | 13 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,279 – $27,554 · median $4,418 | 13 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,707 – $5,621 · median $3,822 | 13 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $16,434 – $87,980 · median $17,068 | 13 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,596 – $37,312 · median $6,830 | 13 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $26,905 – $187,724 · median $64,360 | 13 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $10,501 – $66,467 · median $10,894 | 13 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,736 – $25,901 · median $5,934 | 13 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $7,907 – $34,429 · median $8,193 | 13 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,241 – $42,397 · median $5,418 | 13 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,505 – $38,586 · median $3,612 | 13 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $7,565 – $17,980 · median $7,837 | 13 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $4,878 – $9,868 · median $5,041 | 13 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $9,612 – $55,615 · median $9,968 | 13 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,922 – $43,221 · median $4,046 | 13 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,351 – $76,073 · median $8,956 | 13 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $10,046 – $33,825 · median $10,420 | 13 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,581 – $27,069 · median $6,813 | 13 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,448 – $7,548 · median $4,593 | 13 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,372 – $20,997 · median $7,637 | 13 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $6,623 – $84,215 · median $13,064 | 13 plans |
| 304 | HYPERTENSION WITH MCC | $7,332 – $22,918 · median $7,595 | 13 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,665 – $23,823 · median $4,819 | 13 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,697 – $28,685 · median $10,057 | 13 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,634 – $27,262 · median $5,828 | 13 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,418 – $11,878 · median $7,684 | 13 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,546 – $16,577 · median $4,695 | 13 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,506 – $5,511 · median $3,613 | 13 plans |
| 311 | ANGINA PECTORIS | $4,339 – $23,256 · median $4,480 | 13 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,379 – $18,195 · median $5,563 | 13 plans |
| 313 | CHEST PAIN | $4,450 – $12,531 · median $4,595 | 13 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $21,212 – $195,515 · median $67,253 | 13 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $5,942 – $9,479 · median $6,148 | 13 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,217 – $25,627 · median $4,353 | 13 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $35,870 – $124,093 · median $37,298 | 13 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $14,784 – $74,171 · median $15,351 | 13 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $16,718 – $39,011 · median $17,365 | 13 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $10,845 – $17,820 · median $11,252 | 13 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $26,570 – $53,161 · median $27,618 | 13 plans |
| 324 | URINARY STONES W/O CC | $19,356 – $31,471 · median $20,110 | 13 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $19,721 – $63,016 · median $20,489 | 13 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $50,028 – $381,082 · median $158,316 | 13 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $23,917 – $215,405 · median $77,071 | 13 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $9,860 – $31,579 · median $10,226 | 13 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $45,230 – $162,068 · median $54,641 | 13 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $14,734 – $71,059 · median $15,299 | 13 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,354 – $49,813 · median $10,741 | 13 plans |
| 332 | RECTAL RESECTION WITH MCC | $23,172 – $98,833 · median $24,082 | 13 plans |
| 333 | RECTAL RESECTION WITH CC | $20,934 – $216,636 · median $77,523 | 13 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,078 – $25,944 · median $10,453 | 13 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $21,931 – $91,601 · median $22,790 | 13 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $15,962 – $87,234 · median $16,577 | 13 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,447 – $28,869 · median $9,797 | 13 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $16,835 – $87,866 · median $17,486 | 13 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,261 – $59,525 · median $9,603 | 13 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,308 – $63,352 · median $7,571 | 13 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $23,313 – $294,993 · median $114,382 | 13 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $4,398 – $12,400 · median $8,221 | 13 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,373 – $24,450 · median $5,556 | 13 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $15,315 – $23,824 · median $15,904 | 13 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,383 – $55,245 · median $9,730 | 13 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,196 – $24,700 · median $7,453 | 13 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $17,830 – $67,046 · median $18,521 | 13 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,351 – $30,592 · median $10,737 | 13 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,282 – $48,102 · median $8,584 | 13 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $42,017 – $330,340 · median $133,662 | 13 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $22,182 – $102,593 · median $23,787 | 13 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,607 – $58,367 · median $8,922 | 13 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $9,796 – $39,682 · median $10,160 | 13 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,168 – $38,079 · median $6,383 | 13 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,332 – $23,048 · median $4,473 | 13 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $10,907 – $27,556 · median $11,316 | 13 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,295 – $20,048 · median $6,516 | 13 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,495 – $9,255 · median $4,642 | 13 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $8,565 – $20,797 · median $13,412 | 13 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,452 – $18,010 · median $7,720 | 13 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,702 – $28,697 · median $5,899 | 13 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $11,244 – $27,397 · median $11,667 | 13 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,048 – $15,963 · median $6,259 | 13 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,900 – $24,962 · median $4,023 | 13 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $12,067 – $20,647 · median $12,523 | 13 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,679 – $24,357 · median $6,915 | 13 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,944 – $18,981 · median $5,110 | 13 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $8,501 – $69,496 · median $8,812 | 13 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,276 – $32,205 · median $5,456 | 13 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $16,004 – $130,708 · median $36,099 | 13 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,021 – $54,283 · median $6,231 | 13 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,212 – $22,344 · median $4,348 | 13 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,090 – $28,531 · median $9,425 | 13 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,878 – $35,840 · median $5,041 | 13 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,370 – $14,384 · median $3,472 | 13 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $7,812 – $12,652 · median $8,095 | 13 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,815 – $29,380 · median $4,976 | 13 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $9,842 – $43,351 · median $10,207 | 13 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,772 – $61,789 · median $5,972 | 13 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,014 – $19,631 · median $4,142 | 13 plans |
| 397 | COAGULATION DISORDERS | $14,720 – $58,178 · median $15,285 | 13 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $13,026 – $82,456 · median $13,521 | 13 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $11,069 – $180,383 · median $58,949 | 13 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $52,488 – $157,406 · median $53,538 | 13 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $27,662 – $130,087 · median $37,456 | 13 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $21,037 – $99,426 · median $22,162 | 13 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $21,899 – $51,389 · median $22,756 | 13 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $13,386 – $52,703 · median $13,896 | 13 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,770 – $27,090 · median $10,133 | 13 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $20,290 – $71,316 · median $21,082 | 13 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $17,993 – $91,650 · median $18,692 | 13 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,217 – $75,431 · median $10,598 | 13 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $21,880 – $61,982 · median $22,737 | 13 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $12,708 – $34,376 · median $13,190 | 13 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $13,496 – $99,392 · median $21,075 | 13 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $14,668 – $34,071 · median $15,230 | 13 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,407 – $42,789 · median $10,796 | 13 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,410 – $21,368 · median $8,717 | 13 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $20,927 – $34,765 · median $21,745 | 13 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $15,316 – $86,822 · median $15,905 | 13 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $8,616 – $41,265 · median $8,932 | 13 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $37,949 – $129,420 · median $39,462 | 13 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $16,753 – $131,286 · median $37,129 | 13 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $1,121 – $56,248 · median $9,575 | 13 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $19,297 – $239,741 · median $87,938 | 13 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $1,120 – $39,527 · median $6,741 | 13 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,404 – $15,193 · median $4,547 | 13 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,297 – $21,604 · median $11,722 | 13 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $6,971 – $51,738 · median $7,219 | 13 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,267 – $20,677 · median $5,446 | 13 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,031 – $71,240 · median $10,404 | 13 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,193 – $15,051 · median $5,369 | 13 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,845 – $14,921 · median $3,966 | 13 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $11,040 – $31,897 · median $11,454 | 13 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $5,954 – $12,393 · median $6,161 | 13 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,325 – $19,819 · median $4,466 | 13 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $16,591 – $100,239 · median $21,859 | 13 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,745 – $17,421 · median $6,985 | 13 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,108 – $12,465 · median $5,280 | 13 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $110,328 – $273,656 · median $114,795 | 13 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $37,539 – $89,597 · median $39,035 | 13 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $46,234 – $146,158 · median $48,085 | 13 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $83,421 – $325,503 · median $136,402 | 13 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $36,600 – $73,808 · median $38,058 | 13 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $27,703 – $107,179 · median $28,798 | 13 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $62,949 – $176,974 · median $65,482 | 13 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $22,465 – $79,729 · median $23,345 | 13 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $60,446 – $373,981 · median $155,640 | 13 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $16,346 – $76,510 · median $16,977 | 13 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $38,569 – $126,655 · median $40,107 | 13 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $19,134 – $44,463 · median $19,879 | 13 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,218 – $27,626 · median $11,639 | 13 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $31,954 – $70,708 · median $33,222 | 13 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $21,660 – $64,304 · median $22,507 | 13 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $25,839 – $115,598 · median $30,441 | 13 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $18,634 – $88,758 · median $19,358 | 13 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $11,863 – $27,601 · median $12,311 | 13 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $47,844 – $389,337 · median $162,007 | 13 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $18,100 – $70,030 · median $18,803 | 13 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $15,005 – $34,259 · median $15,581 | 13 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $26,358 – $67,396 · median $27,398 | 13 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,989 – $72,229 · median $14,524 | 13 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,828 – $76,417 · median $10,193 | 13 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $21,218 – $89,449 · median $22,048 | 13 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $15,114 – $35,594 · median $15,695 | 13 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,735 – $83,074 · median $14,259 | 13 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $17,893 – $72,083 · median $18,587 | 13 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,303 – $85,846 · median $15,892 | 13 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $10,036 – $37,525 · median $10,409 | 13 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $17,032 – $67,917 · median $17,691 | 13 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $31,710 – $233,890 · median $86,757 | 13 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $12,857 – $70,711 · median $13,346 | 13 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,639 – $34,834 · median $9,996 | 13 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $10,881 – $61,442 · median $11,289 | 13 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $6,883 – $43,380 · median $7,128 | 13 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $22,549 – $67,421 · median $23,433 | 13 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $15,586 – $27,616 · median $16,186 | 13 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $12,338 – $42,400 · median $12,806 | 13 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $34,678 – $127,136 · median $36,973 | 13 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $18,123 – $92,723 · median $18,827 | 13 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $7,444 – $21,754 · median $7,712 | 13 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $18,533 – $28,314 · median $19,254 | 13 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $11,434 – $130,922 · median $36,741 | 13 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $31,211 – $176,939 · median $59,854 | 13 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $10,754 – $62,985 · median $11,157 | 13 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,288 – $51,142 · median $8,590 | 13 plans |
| 503 | FOOT PROCEDURES WITH MCC | $26,069 – $204,187 · median $72,221 | 13 plans |
| 504 | FOOT PROCEDURES WITH CC | $11,497 – $68,073 · median $11,930 | 13 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $11,028 – $52,428 · median $11,442 | 13 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $8,308 – $38,743 · median $8,611 | 13 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $11,111 – $63,525 · median $11,529 | 13 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,321 – $31,318 · median $9,665 | 13 plans |
| 509 | ARTHROSCOPY | $17,303 – $136,253 · median $38,929 | 13 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $18,556 – $61,413 · median $19,277 | 13 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $12,785 – $43,788 · median $13,271 | 13 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $10,185 – $43,239 · median $10,565 | 13 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,688 – $26,265 · median $10,048 | 13 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,303 – $33,196 · median $6,525 | 13 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $19,577 – $58,122 · median $20,339 | 13 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $12,777 – $40,643 · median $13,263 | 13 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,458 – $34,107 · median $9,808 | 13 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $22,952 – $97,896 · median $23,852 | 13 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,300 – $48,442 · median $12,766 | 13 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $9,195 – $39,308 · median $9,534 | 13 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | — | 13 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | — | 13 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,648 – $39,680 · median $10,005 | 13 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,978 – $14,318 · median $5,145 | 13 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $7,896 – $29,592 · median $8,182 | 13 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,987 – $12,028 · median $5,154 | 13 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,886 – $30,271 · median $6,091 | 13 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,452 – $27,988 · median $4,597 | 13 plans |
| 539 | OSTEOMYELITIS WITH MCC | $4,927 – $19,920 · median $12,355 | 13 plans |
| 540 | OSTEOMYELITIS WITH CC | $7,984 – $17,946 · median $8,273 | 13 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,863 – $47,911 · median $5,025 | 13 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $10,867 – $31,573 · median $11,274 | 13 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,338 – $22,892 · median $6,561 | 13 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,662 – $14,717 · median $4,816 | 13 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $12,537 – $24,890 · median $15,557 | 13 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,107 – $44,913 · median $7,361 | 13 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,162 – $18,779 · median $5,337 | 13 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $11,875 – $32,772 · median $12,323 | 13 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,437 – $14,036 · median $7,705 | 13 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,395 – $8,492 · median $5,579 | 13 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $8,515 – $16,808 · median $10,519 | 13 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,929 – $19,879 · median $6,135 | 13 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $7,984 – $18,943 · median $8,273 | 13 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,125 – $11,257 · median $5,298 | 13 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,207 – $76,861 · median $10,587 | 13 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,128 – $21,057 · median $5,301 | 13 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,152 – $43,707 · median $9,490 | 13 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,512 – $10,134 · median $5,701 | 13 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,093 – $79,503 · median $12,550 | 13 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $6,940 – $55,807 · median $7,187 | 13 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $4,964 – $22,378 · median $5,131 | 13 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $8,771 – $14,415 · median $9,093 | 13 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $5,526 – $20,896 · median $5,715 | 13 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,500 – $36,874 · median $9,852 | 13 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,010 – $62,514 · median $6,219 | 13 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $2,473 – $7,369 · median $4,722 | 13 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | — | 13 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,395 – $58,001 · median $10,783 | 13 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,064 – $24,179 · median $7,316 | 13 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $40,207 – $61,489 · median $41,812 | 13 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,321 – $64,057 · median $22,155 | 13 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,054 – $66,346 · median $11,469 | 13 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $12,730 – $53,143 · median $30,690 | 13 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $16,289 – $41,098 · median $16,917 | 13 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,872 – $79,712 · median $12,321 | 13 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $19,893 – $66,730 · median $20,669 | 13 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $10,631 – $18,014 · median $11,028 | 13 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,145 – $76,406 · median $10,523 | 13 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $11,848 – $47,964 · median $12,296 | 13 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $10,609 – $25,053 · median $11,005 | 13 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $13,161 – $67,319 · median $13,662 | 13 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $11,864 – $38,958 · median $12,312 | 13 plans |
| 592 | SKIN ULCERS WITH MCC | $11,902 – $23,877 · median $12,351 | 13 plans |
| 593 | SKIN ULCERS WITH CC | $7,309 – $12,043 · median $7,571 | 13 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,350 – $51,935 · median $5,532 | 13 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $13,039 – $56,655 · median $13,535 | 13 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,673 – $10,649 · median $6,909 | 13 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $10,257 – $19,881 · median $10,640 | 13 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $10,627 – $181,097 · median $59,269 | 13 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $8,421 – $110,652 · median $25,636 | 13 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,422 – $24,740 · median $6,648 | 13 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,745 – $19,465 · median $3,861 | 13 plans |
| 602 | CELLULITIS WITH MCC | $8,750 – $37,078 · median $9,071 | 13 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,375 – $29,893 · median $5,558 | 13 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,062 – $31,437 · median $9,395 | 13 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,652 – $65,546 · median $5,846 | 13 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $9,314 – $25,788 · median $9,658 | 13 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,593 – $8,512 · median $5,785 | 13 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $13,475 – $72,650 · median $13,989 | 13 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $8,615 – $28,784 · median $8,931 | 13 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $36,819 – $128,739 · median $38,070 | 13 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,503 – $41,530 · median $11,937 | 13 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $12,264 – $121,878 · median $31,735 | 13 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $17,740 – $33,782 · median $18,428 | 13 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,632 – $81,374 · median $13,112 | 13 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,284 – $34,547 · median $9,627 | 13 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $21,859 – $51,124 · median $22,716 | 13 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,035 – $36,502 · median $11,449 | 13 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,880 – $112,264 · median $26,999 | 13 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $18,554 – $71,098 · median $19,275 | 13 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,229 – $41,061 · median $9,569 | 13 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,180 – $48,537 · median $8,477 | 13 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $22,887 – $54,816 · median $23,785 | 13 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $13,395 – $39,762 · median $13,906 | 13 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $13,803 – $148,102 · median $44,138 | 13 plans |
| 637 | DIABETES WITH MCC | $8,844 – $33,971 · median $9,169 | 13 plans |
| 638 | DIABETES WITH CC | $5,530 – $39,582 · median $5,720 | 13 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,844 – $11,205 · median $3,965 | 13 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,048 – $13,081 · median $8,389 | 13 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,807 – $31,964 · median $4,967 | 13 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $4,436 – $13,347 · median $8,930 | 13 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,128 – $36,760 · median $10,506 | 13 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,320 – $40,553 · median $6,542 | 13 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,746 – $30,670 · median $4,903 | 13 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $45,381 – $236,648 · median $89,900 | 13 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $34,204 – $219,147 · median $80,412 | 13 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $54,909 – $432,628 · median $182,866 | 13 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $17,200 – $81,612 · median $17,866 | 13 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,014 – $73,376 · median $13,509 | 13 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $32,091 – $131,651 · median $38,547 | 13 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,256 – $62,219 · median $11,679 | 13 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $10,138 – $76,102 · median $10,516 | 13 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $15,615 – $38,402 · median $16,217 | 13 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,139 – $23,177 · median $8,435 | 13 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,384 – $30,019 · median $6,608 | 13 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $18,808 – $33,134 · median $19,539 | 13 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,356 – $27,972 · median $9,702 | 13 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $10,636 – $89,992 · median $16,252 | 13 plans |
| 665 | PROSTATECTOMY WITH MCC | $30,953 – $117,010 · median $32,181 | 13 plans |
| 666 | PROSTATECTOMY WITH CC | $10,761 – $29,579 · median $11,164 | 13 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,818 – $19,815 · median $7,060 | 13 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $28,725 – $127,396 · median $36,213 | 13 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $9,551 – $69,199 · median $9,905 | 13 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,027 – $15,251 · median $6,237 | 13 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $11,042 – $53,785 · median $11,456 | 13 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $10,780 – $83,729 · median $13,343 | 13 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $41,267 – $174,696 · median $60,095 | 13 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $14,375 – $53,553 · median $14,925 | 13 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $15,418 – $136,275 · median $38,796 | 13 plans |
| 682 | RENAL FAILURE WITH MCC | $14,794 – $111,871 · median $27,100 | 13 plans |
| 683 | RENAL FAILURE WITH CC | $5,405 – $30,636 · median $5,590 | 13 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,716 – $18,081 · median $3,831 | 13 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $11,095 – $18,574 · median $11,512 | 13 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,460 – $34,694 · median $6,687 | 13 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,133 – $86,133 · median $14,113 | 13 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,150 – $19,446 · median $7,405 | 13 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,999 – $12,850 · median $5,166 | 13 plans |
| 693 | URINARY STONES WITH MCC | $8,279 – $28,634 · median $8,581 | 13 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,828 – $11,695 · median $4,989 | 13 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $5,896 – $11,109 · median $7,189 | 13 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,260 – $6,814 · median $4,397 | 13 plans |
| 697 | URETHRAL STRICTURE | $6,644 – $19,857 · median $6,879 | 13 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,179 – $56,416 · median $10,559 | 13 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,259 – $26,881 · median $6,478 | 13 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,265 – $6,838 · median $4,403 | 13 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $12,300 – $66,963 · median $12,766 | 13 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,442 – $46,825 · median $9,792 | 13 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $14,304 – $69,383 · median $14,852 | 13 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $8,627 – $22,684 · median $8,943 | 13 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $12,812 – $34,652 · median $13,299 | 13 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,778 – $29,207 · median $7,019 | 13 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,253 – $32,318 · median $9,595 | 13 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,519 – $20,973 · median $6,749 | 13 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $13,754 – $22,244 · median $14,279 | 13 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $9,055 – $50,779 · median $9,388 | 13 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,627 – $38,318 · median $12,066 | 13 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,271 – $43,046 · median $8,572 | 13 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $15,576 – $87,193 · median $16,176 | 13 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,042 – $21,475 · median $7,293 | 13 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,177 – $79,043 · median $10,606 | 13 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,210 – $22,255 · median $7,468 | 13 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,462 – $27,734 · median $4,608 | 13 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,128 – $27,914 · median $9,464 | 13 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,009 – $14,870 · median $5,177 | 13 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,527 – $12,328 · median $6,757 | 13 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,155 – $22,931 · median $4,289 | 13 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $13,096 – $46,161 · median $13,594 | 13 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,285 – $41,241 · median $8,587 | 13 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $38,785 – $137,231 · median $41,664 | 13 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $12,670 – $58,068 · median $13,151 | 13 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,039 – $52,712 · median $9,372 | 13 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $25,877 – $104,791 · median $26,897 | 13 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $15,121 – $86,207 · median $15,702 | 13 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $13,530 – $146,177 · median $43,190 | 13 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $11,286 – $35,289 · median $11,710 | 13 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,643 – $51,988 · median $7,918 | 13 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $12,600 – $69,974 · median $13,078 | 13 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | — | 13 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,686 – $35,954 · median $11,087 | 13 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,306 – $26,761 · median $5,487 | 13 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,542 – $15,034 · median $8,854 | 13 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $15,779 – $59,607 · median $16,387 | 13 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,084 – $65,013 · median $9,419 | 13 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,328 – $74,667 · median $11,754 | 13 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,705 – $26,254 · median $6,943 | 13 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,924 – $9,407 · median $6,130 | 13 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,710 – $75,493 · median $10,070 | 13 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,038 – $21,038 · median $6,248 | 13 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,104 – $11,863 · median $4,235 | 13 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,213 – $12,988 · median $6,430 | 13 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,533 – $50,358 · median $3,641 | 13 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $6,606 – $29,206 · median $6,839 | 13 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $13,686 – $92,797 · median $18,377 | 13 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,183 – $26,537 · median $6,399 | 13 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,049 – $12,165 · median $4,178 | 13 plans |
| 779 | ABORTION WITHOUT D&C | $5,194 – $16,384 · median $5,369 | 13 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $18,145 – $186,295 · median $63,373 | 13 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,535 – $32,327 · median $6,766 | 13 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,908 – $21,662 · median $6,113 | 13 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $15,916 – $122,635 · median $32,381 | 13 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,883 – $26,906 · median $7,128 | 13 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $5,914 – $21,977 · median $6,119 | 13 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $2,354 – $17,755 · median $11,307 | 13 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $5,125 – $58,556 · median $37,209 | 13 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $8,399 – $39,990 · median $25,423 | 13 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $12,744 – $24,129 · median $15,354 | 13 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $8,538 – $41,079 · median $26,114 | 13 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $5,531 – $14,540 · median $9,267 | 13 plans |
| 795 | NORMAL NEWBORN | $1,250 – $8,131 · median $1,275 | 13 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $7,191 – $38,130 · median $7,448 | 13 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,169 – $26,607 · median $6,385 | 13 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $5,904 – $23,320 · median $6,108 | 13 plans |
| 799 | SPLENECTOMY WITH MCC | $27,806 – $101,530 · median $28,904 | 13 plans |
| 800 | SPLENECTOMY WITH CC | $28,701 – $143,243 · median $43,538 | 13 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $11,740 – $31,854 · median $12,183 | 13 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $35,310 – $230,149 · median $85,942 | 13 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $11,433 – $41,461 · median $11,864 | 13 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,350 – $19,544 · median $8,654 | 13 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $6,652 – $41,014 · median $6,888 | 13 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,658 – $14,977 · median $4,812 | 13 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,169 – $21,056 · median $4,303 | 13 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $13,573 – $22,559 · median $14,091 | 13 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $12,199 – $142,873 · median $41,433 | 13 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,452 – $30,393 · median $6,680 | 13 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,646 – $55,261 · median $8,963 | 13 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,665 – $17,409 · median $5,860 | 13 plans |
| 813 | COAGULATION DISORDERS | $9,388 – $38,244 · median $9,735 | 13 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $13,075 – $34,089 · median $13,573 | 13 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,252 – $22,629 · median $6,472 | 13 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,910 – $9,545 · median $4,034 | 13 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $14,025 – $50,452 · median $14,562 | 13 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $7,143 – $25,612 · median $7,398 | 13 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,308 – $20,509 · median $5,488 | 13 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $54,005 – $159,643 · median $56,173 | 13 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $13,762 – $66,409 · median $14,287 | 13 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,418 – $47,891 · median $7,684 | 13 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $46,093 – $170,430 · median $58,565 | 13 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $13,927 – $39,700 · median $14,460 | 13 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,309 – $30,788 · median $8,612 | 13 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $47,038 – $149,955 · median $49,037 | 13 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $14,207 – $81,701 · median $14,751 | 13 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,482 – $38,301 · median $10,874 | 13 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $19,412 – $46,629 · median $20,168 | 13 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $14,405 – $113,309 · median $27,808 | 13 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $7,408 – $30,753 · median $7,675 | 13 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,460 – $17,149 · median $4,605 | 13 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,241 – $5,120 · median $3,337 | 13 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $33,698 – $54,443 · median $35,038 | 13 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $12,825 – $53,175 · median $13,312 | 13 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,513 – $12,516 · median $7,783 | 13 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $49,320 – $468,312 · median $199,190 | 13 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $12,834 – $42,671 · median $13,322 | 13 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,889 – $32,217 · median $9,215 | 13 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $19,871 – $33,758 · median $20,646 | 13 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $15,445 – $198,513 · median $68,098 | 13 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,230 – $11,822 · median $6,449 | 13 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $12,267 – $60,153 · median $12,731 | 13 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $2,159 – $11,773 · median $7,650 | 13 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,257 – $32,558 · median $5,435 | 13 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $11,534 – $25,155 · median $16,250 | 13 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $8,056 – $12,516 · median $8,349 | 13 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,057 – $8,066 · median $5,348 | 13 plans |
| 849 | RADIOTHERAPY | $26,310 – $266,108 · median $101,289 | 13 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $30,318 – $84,615 · median $31,519 | 13 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $12,287 – $53,028 · median $12,752 | 13 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,215 – $23,089 · median $9,555 | 13 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $27,927 – $66,579 · median $29,031 | 13 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,166 – $21,462 · median $13,667 | 13 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,576 – $30,942 · median $8,890 | 13 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $11,218 – $29,576 · median $11,639 | 13 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,154 – $13,744 · median $6,369 | 13 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,478 – $21,116 · median $5,665 | 13 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,222 – $62,806 · median $9,562 | 13 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,367 – $9,777 · median $5,550 | 13 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $21,121 – $164,329 · median $52,574 | 13 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,357 – $21,753 · median $6,581 | 13 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,509 – $12,086 · median $4,657 | 13 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $68,521 – $205,349 · median $77,923 | 13 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $11,946 – $62,888 · median $12,397 | 13 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,310 – $22,891 · median $6,531 | 13 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $1,433 – $86,300 | 13 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,176 – $61,942 · median $1,730 | 13 plans |
| 881 | DEPRESSIVE NEUROSES | $1,154 – $61,403 · median $1,698 | 13 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,133 – $9,476 · median $1,666 | 13 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,325 – $18,261 · median $1,949 | 13 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,176 – $31,045 · median $1,730 | 13 plans |
| 885 | PSYCHOSES | $1,154 – $27,226 · median $1,698 | 13 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,165 – $82,868 · median $1,714 | 13 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,144 – $14,825 · median $1,682 | 13 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $983 – $14,902 · median $1,446 | 13 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $14,262 – $245,827 · median $82,242 | 13 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $17,541 – $175,849 · median $46,822 | 13 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $1,148 – $56,202 · median $1,689 | 13 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $25,768 – $89,424 · median $26,784 | 13 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $11,774 – $44,389 · median $12,219 | 13 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,207 – $39,599 · median $7,465 | 13 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $36,794 – $128,193 · median $38,031 | 13 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $16,235 – $120,098 · median $30,978 | 13 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $12,080 – $29,852 · median $12,537 | 13 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $23,577 – $76,056 · median $24,503 | 13 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $19,868 – $199,020 · median $68,792 | 13 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,084 – $42,556 · median $8,378 | 13 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $10,058 – $58,403 · median $10,432 | 13 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,465 – $11,520 · median $5,651 | 13 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $17,118 – $94,291 · median $19,071 | 13 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,120 – $6,541 · median $4,252 | 13 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $1,413 – $61,939 · median $2,077 | 13 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $1,354 – $8,713 · median $1,991 | 13 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $11,261 – $23,187 · median $11,685 | 13 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,181 – $10,007 · median $6,397 | 13 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,256 – $6,774 · median $4,394 | 13 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $10,762 – $21,411 · median $11,165 | 13 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $3,159 – $10,046 · median $6,401 | 13 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $224,731 – $465,668 · median $233,667 | 13 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $44,017 – $67,320 · median $45,778 | 13 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $31,327 – $162,010 · median $56,982 | 13 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $42,620 – $138,108 · median $44,737 | 13 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $13,590 – $30,471 · median $14,108 | 13 plans |
| 935 | NON-EXTENSIVE BURNS | $12,666 – $42,620 · median $13,147 | 13 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $31,264 – $138,796 · median $42,468 | 13 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $14,364 – $37,232 · median $14,915 | 13 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $12,468 – $41,482 · median $12,941 | 13 plans |
| 945 | REHABILITATION WITH CC/MCC | $9,531 – $73,807 · median $9,883 | 13 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,067 – $44,072 · median $7,319 | 13 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $1,462 – $29,601 · median $2,150 | 13 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $1,318 – $39,406 · median $1,938 | 13 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,330 – $11,166 · median $7,593 | 13 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,773 – $108,263 · median $24,333 | 13 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,444 – $6,935 · median $3,549 | 13 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $67,258 – $203,377 · median $76,768 | 13 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $25,522 – $103,543 · median $26,527 | 13 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $65,311 – $179,466 · median $67,941 | 13 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $25,874 – $73,140 · median $26,894 | 13 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $26,042 – $197,084 · median $69,067 | 13 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $26,759 – $125,867 · median $35,259 | 13 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,433 – $22,813 · median $9,781 | 13 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,802 – $36,821 · median $6,002 | 13 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $62,294 – $740,886 · median $329,274 | 13 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $26,135 – $290,321 · median $112,608 | 13 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $17,731 – $37,395 · median $18,419 | 13 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $7,976 – $14,280 · median $8,265 | 13 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $9,879 – $89,110 · median $15,656 | 13 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $7,992 – $16,416 · median $8,282 | 13 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $28,804 – $88,335 · median $29,944 | 13 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $24,116 – $114,607 · median $29,612 | 13 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,972 – $81,808 · median $13,466 | 13 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $19,485 – $34,501 · median $21,479 | 13 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,113 – $19,735 · median $10,490 | 13 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,388 – $17,411 · median $7,654 | 13 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $277,455 – $846,592 · median $410,557 | 12 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $108,543 – $752,887 · median $344,864 | 12 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $104,896 – $473,562 · median $210,640 | 12 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $47,764 – $613,006 · median $269,832 | 12 plans |
| 007 | LUNG TRANSPLANT | $128,727 – $2,162,847 · median $1,017,927 | 12 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $53,594 – $591,940 · median $261,029 | 12 plans |
| 010 | PANCREAS TRANSPLANT | $78,533 – $363,908 · median $154,492 | 12 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $38,882 – $129,052 · median $75,951 | 12 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $59,453 – $176,947 · median $63,945 | 12 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $18,898 – $59,453 · median $34,341 | 12 plans |
| 652 | KIDNEY TRANSPLANT | $30,253 – $177,139 · median $60,624 | 12 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $7,081 – $11,378 · median $9,229 | 2 plans |
| 999 | UNGROUPABLE | $13,545 – $21,765 · median $17,655 | 2 plans |
No procedures match that keyword.