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.
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Showing all 766 procedures
Procedures with negotiated rates only
These 766 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $131,356 – $645,099 · median $175,141 | 15 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 $247,493 | 15 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $31,189 – $225,145 · median $41,603 | 15 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $23,794 – $170,115 · median $31,747 | 15 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $17,134 – $129,151 · median $22,871 | 15 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $371,468 – $2,860,061 · median $803,487 | 15 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $16,369 – $102,300 · median $51,164 | 15 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $65,629 – $387,184 · median $87,505 | 15 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $54,443 – $369,445 · median $79,261 | 15 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $34,774 – $357,604 · median $73,225 | 15 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $43,145 – $286,914 · median $57,538 | 15 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $22,276 – $85,955 · median $29,724 | 15 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $25,445 – $91,615 · median $33,947 | 15 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $18,270 – $70,360 · median $24,384 | 15 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $15,343 – $58,167 · median $20,483 | 15 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $32,741 – $87,308 · median $43,671 | 15 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $19,779 – $59,319 · median $26,396 | 15 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $13,707 – $61,352 · median $18,303 | 15 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $25,114 – $123,250 · median $33,507 | 15 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $13,387 – $73,551 · median $17,876 | 15 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,050 – $38,492 · median $14,762 | 15 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $22,071 – $94,877 · median $29,450 | 15 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $14,682 – $54,593 · median $19,603 | 15 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $12,447 – $69,163 · median $16,624 | 15 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $19,183 – $54,638 · median $25,601 | 15 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $10,849 – $81,950 · median $14,494 | 15 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,617 – $31,965 · median $11,520 | 15 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $25,453 – $208,936 · median $33,958 | 15 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $13,725 – $65,394 · median $18,327 | 15 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $11,374 – $103,214 · median $15,193 | 15 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $11,791 – $102,606 · median $15,749 | 15 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,638 – $20,367 · median $10,214 | 15 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,371 – $27,657 · median $13,857 | 15 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,839 – $20,905 · median $10,482 | 15 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $14,346 – $53,541 · median $19,154 | 15 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,217 – $75,826 · median $12,318 | 15 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $11,283 – $30,088 · median $15,072 | 15 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,944 – $26,848 · median $11,955 | 15 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,341 – $27,026 · median $9,818 | 15 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $16,512 – $80,018 · median $22,041 | 15 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $11,521 – $55,958 · median $15,389 | 15 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $9,757 – $46,419 · median $13,038 | 15 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $12,788 – $34,101 · median $17,078 | 15 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,793 – $30,689 · median $10,420 | 15 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,166 – $16,443 · median $8,252 | 15 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,081 – $61,152 · median $13,470 | 15 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,065 – $21,884 · median $9,450 | 15 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,737 – $27,912 · median $9,013 | 15 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $16,022 – $173,318 · median $21,389 | 15 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $7,871 – $69,190 · median $10,525 | 15 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,524 – $17,399 · median $8,730 | 15 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $10,758 – $28,687 · median $14,372 | 15 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,895 – $33,329 · median $10,557 | 15 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $12,321 – $69,591 · median $16,456 | 15 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,869 – $31,173 · median $9,189 | 15 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $10,468 – $31,235 · median $13,986 | 15 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,731 – $20,616 · median $10,338 | 15 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $6,078 – $16,207 · median $8,135 | 15 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $11,785 – $31,426 · median $15,741 | 15 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,220 – $41,859 · median $9,657 | 15 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $14,159 – $114,305 · median $18,905 | 15 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $9,717 – $42,420 · median $12,985 | 15 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,521 – $45,680 · median $10,058 | 15 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $14,090 – $78,235 · median $18,814 | 15 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,252 – $24,673 · median $12,366 | 15 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,316 – $19,508 · median $9,784 | 15 plans |
| 088 | CONCUSSION WITH MCC | $9,497 – $25,327 · median $12,692 | 15 plans |
| 089 | CONCUSSION WITH CC | $8,234 – $21,956 · median $11,008 | 15 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,859 – $18,553 · median $9,176 | 15 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $11,516 – $42,379 · median $15,383 | 15 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,856 – $69,962 · median $10,505 | 15 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,725 – $17,932 · median $8,997 | 15 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $20,317 – $104,786 · median $27,113 | 15 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $15,624 – $67,143 · median $20,858 | 15 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $15,624 – $41,664 · median $20,858 | 15 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $20,778 – $72,624 · median $27,728 | 15 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $14,205 – $37,880 · median $18,967 | 15 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $9,550 – $108,969 · median $12,763 | 15 plans |
| 100 | SEIZURES WITH MCC | $12,417 – $33,113 · median $16,584 | 15 plans |
| 101 | SEIZURES WITHOUT MCC | $7,255 – $19,347 · median $9,704 | 15 plans |
| 102 | HEADACHES WITH MCC | $8,345 – $65,520 · median $11,156 | 15 plans |
| 103 | HEADACHES WITHOUT MCC | $6,924 – $18,465 · median $9,263 | 15 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $14,485 – $61,669 · median $19,340 | 15 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,503 – $135,937 · median $12,700 | 15 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $10,411 – $43,892 · median $13,911 | 15 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $11,775 – $90,657 · median $15,728 | 15 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,165 – $21,774 · median $10,917 | 15 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,557 – $22,817 · median $11,438 | 15 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,672 – $18,895 · median $8,927 | 15 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,736 – $17,963 · median $9,012 | 15 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $9,354 – $59,999 · median $12,501 | 15 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,582 – $17,553 · median $8,807 | 15 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $13,582 – $51,204 · median $18,136 | 15 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,818 – $67,030 · median $10,454 | 15 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,203 – $27,209 · median $13,633 | 15 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,173 – $19,129 · median $9,595 | 15 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,918 – $30,707 · median $11,920 | 15 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $24,040 – $184,620 · median $32,075 | 15 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,637 – $70,160 · median $18,209 | 15 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $10,718 – $55,595 · median $14,320 | 15 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $21,451 – $121,136 · median $28,624 | 15 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $11,400 – $41,631 · median $15,228 | 15 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,751 – $73,917 · median $11,698 | 15 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $13,319 – $35,517 · median $17,786 | 15 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,097 – $31,770 · median $12,158 | 15 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,729 – $71,835 · median $9,002 | 15 plans |
| 149 | DYSEQUILIBRIUM | $6,502 – $18,663 · median $8,699 | 15 plans |
| 150 | EPISTAXIS WITH MCC | $9,396 – $33,685 · median $12,557 | 15 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,414 – $17,103 · median $8,582 | 15 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,651 – $23,069 · median $11,564 | 15 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,435 – $17,159 · median $8,610 | 15 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $10,554 – $57,332 · median $14,101 | 15 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $4,914 – $19,532 · median $9,796 | 15 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,200 – $21,886 · median $8,297 | 15 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $11,319 – $30,185 · median $15,121 | 15 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,291 – $19,443 · median $9,752 | 15 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,286 – $20,242 · median $8,413 | 15 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $45,400 – $460,004 · median $102,657 | 15 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $15,349 – $53,600 · median $20,491 | 15 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $12,305 – $32,812 · median $16,434 | 15 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $21,407 – $74,854 · median $28,565 | 15 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $11,752 – $40,671 · median $15,697 | 15 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,570 – $26,178 · median $12,790 | 15 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $16,442 – $46,951 · median $23,500 | 15 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $9,606 – $70,940 · median $12,837 | 15 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,768 – $23,951 · median $9,055 | 15 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $10,550 – $101,892 · median $14,095 | 15 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,622 – $92,444 · median $10,192 | 15 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,518 – $17,530 · median $8,722 | 15 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $11,565 – $30,840 · median $15,448 | 15 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,096 – $32,331 · median $10,824 | 15 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,513 – $32,557 · median $8,714 | 15 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $10,386 – $27,697 · median $13,877 | 15 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,061 – $21,497 · median $10,778 | 15 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,676 – $17,802 · median $8,932 | 15 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $10,529 – $28,078 · median $14,068 | 15 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,687 – $20,499 · median $10,279 | 15 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,330 – $24,225 · median $8,471 | 15 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $8,916 – $57,631 · median $11,918 | 15 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,279 – $55,748 · median $11,068 | 15 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,958 – $18,554 · median $9,307 | 15 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,954 – $15,879 · median $7,970 | 15 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,311 – $24,829 · median $12,444 | 15 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,773 – $18,060 · median $9,061 | 15 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,887 – $16,004 · median $7,880 | 15 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $12,170 – $37,074 · median $16,254 | 15 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | — | 15 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | — | 15 plans |
| 199 | PNEUMOTHORAX WITH MCC | $11,555 – $105,156 · median $15,435 | 15 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,237 – $34,352 · median $11,013 | 15 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,319 – $72,758 · median $8,457 | 15 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,598 – $20,260 · median $10,160 | 15 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $6,094 – $16,251 · median $8,157 | 15 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,780 – $18,080 · median $9,071 | 15 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $11,889 – $75,362 · median $15,880 | 15 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,447 – $27,310 · median $9,960 | 15 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $63,701 – $557,980 · median $131,767 | 15 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $16,470 – $68,978 · median $21,986 | 15 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $57,028 – $152,076 · median $76,042 | 15 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $57,170 – $335,129 · median $76,231 | 15 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $51,581 – $303,809 · median $68,781 | 15 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $35,571 – $162,028 · median $47,443 | 15 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $35,571 – $94,855 · median $47,443 | 15 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $48,249 – $302,432 · median $64,341 | 15 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $29,369 – $111,086 · median $39,177 | 15 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $27,908 – $129,859 · median $37,230 | 15 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $27,445 – $99,959 · median $36,613 | 15 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $18,471 – $91,193 · median $24,652 | 15 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $51,059 – $312,560 · median $68,085 | 15 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $33,012 – $194,248 · median $44,032 | 15 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $40,911 – $215,419 · median $54,561 | 15 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $30,017 – $151,346 · median $40,041 | 15 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $32,043 – $120,413 · median $42,741 | 15 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $23,658 – $99,681 · median $31,566 | 15 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $27,317 – $195,923 · median $36,442 | 15 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $16,978 – $51,095 · median $22,663 | 15 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,660 – $68,296 · median $12,909 | 15 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $18,687 – $165,391 · median $24,940 | 15 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $13,386 – $59,613 · median $17,876 | 15 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $11,772 – $69,414 · median $15,724 | 15 plans |
| 245 | AICD GENERATOR PROCEDURES | $25,523 – $97,361 · median $34,052 | 15 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $13,644 – $124,285 · median $18,219 | 15 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $10,210 – $92,079 · median $13,642 | 15 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $20,162 – $123,234 · median $26,906 | 15 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $15,706 – $118,252 · median $20,967 | 15 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $11,643 – $49,572 · median $15,552 | 15 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $16,214 – $43,238 · median $21,644 | 15 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $11,225 – $41,019 · median $14,995 | 15 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,202 – $36,217 · median $10,965 | 15 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $18,434 – $66,366 · median $24,603 | 15 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $12,843 – $58,253 · median $17,152 | 15 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $18,986 – $112,220 · median $25,339 | 15 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $12,186 – $50,272 · median $16,276 | 15 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $10,886 – $65,579 · median $14,543 | 15 plans |
| 263 | VEIN LIGATION AND STRIPPING | $18,011 – $114,668 · median $24,039 | 15 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $19,425 – $51,799 · median $25,923 | 15 plans |
| 265 | AICD LEAD PROCEDURES | $20,810 – $97,365 · median $27,770 | 15 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $33,340 – $187,384 · median $44,470 | 15 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $26,514 – $166,714 · median $35,371 | 15 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $65,675 – $540,754 · median $127,703 | 15 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $25,833 – $209,018 · median $34,465 | 15 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $29,087 – $97,784 · median $38,801 | 15 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $20,501 – $129,609 · median $27,358 | 15 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $15,493 – $99,807 · median $20,684 | 15 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $23,342 – $117,267 · median $31,145 | 15 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $19,181 – $73,360 · median $25,598 | 15 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $38,342 – $149,022 · median $51,136 | 15 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $32,732 – $87,285 · median $43,659 | 15 plans |
| 277 | CELLULITIS AGE >17 W CC | $31,076 – $232,912 · median $41,452 | 15 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $14,431 – $81,423 · median $40,730 | 15 plans |
| 279 | CELLULITIS AGE 0-17 | $20,751 – $55,337 · median $27,692 | 15 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $10,757 – $36,023 · median $14,371 | 15 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,338 – $38,671 · median $9,814 | 15 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,359 – $16,958 · median $8,510 | 15 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $12,637 – $42,013 · median $16,877 | 15 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,205 – $27,554 · median $8,304 | 15 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,503 – $15,305 · median $7,684 | 15 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $13,795 – $87,980 · median $18,420 | 15 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,091 – $37,312 · median $10,818 | 15 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $19,990 – $187,724 · median $26,677 | 15 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $11,270 – $66,467 · median $15,055 | 15 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,391 – $25,901 · median $9,884 | 15 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,158 – $34,429 · median $12,240 | 15 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,988 – $42,397 · median $9,347 | 15 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,405 – $38,586 · median $7,465 | 15 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $8,879 – $23,679 · median $11,869 | 15 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $6,692 – $17,846 · median $8,954 | 15 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $10,546 – $55,615 · median $14,090 | 15 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,915 – $43,221 · median $7,917 | 15 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,351 – $76,073 · median $6,727 | 15 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $10,900 – $33,825 · median $14,561 | 15 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,078 – $27,069 · median $10,801 | 15 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,342 – $16,913 · median $8,487 | 15 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,723 – $23,261 · median $11,660 | 15 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $6,110 – $84,215 · median $8,178 | 15 plans |
| 304 | HYPERTENSION WITH MCC | $8,690 – $23,173 · median $11,616 | 15 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,519 – $23,823 · median $8,723 | 15 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $10,616 – $28,685 · median $14,183 | 15 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,308 – $27,262 · median $9,774 | 15 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,760 – $23,359 · median $11,709 | 15 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,422 – $17,126 · median $8,594 | 15 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,793 – $14,868 · median $7,465 | 15 plans |
| 311 | ANGINA PECTORIS | $6,253 – $23,256 · median $8,369 | 15 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,101 – $18,935 · median $9,498 | 15 plans |
| 313 | CHEST PAIN | $6,344 – $16,917 · median $8,489 | 15 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $20,946 – $195,515 · median $27,951 | 15 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,558 – $20,155 · median $10,108 | 15 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,155 – $25,627 · median $8,237 | 15 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $25,027 – $124,093 · median $33,390 | 15 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $14,756 – $74,171 · median $19,701 | 15 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $16,331 – $43,549 · median $21,800 | 15 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $11,550 – $30,800 · median $15,428 | 15 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $24,350 – $64,934 · median $32,488 | 15 plans |
| 324 | URINARY STONES W/O CC | $18,478 – $49,275 · median $24,662 | 15 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $18,775 – $63,016 · median $25,057 | 15 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $50,028 – $381,082 · median $81,996 | 15 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $23,917 – $215,405 · median $33,808 | 15 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $10,748 – $31,579 · median $14,359 | 15 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $25,693 – $162,068 · median $34,278 | 15 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $14,716 – $71,059 · median $19,647 | 15 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,150 – $49,813 · median $14,895 | 15 plans |
| 332 | RECTAL RESECTION WITH MCC | $20,823 – $98,833 · median $27,787 | 15 plans |
| 333 | RECTAL RESECTION WITH CC | $20,934 – $216,636 · median $34,004 | 15 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,926 – $29,135 · median $14,596 | 15 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $20,574 – $91,601 · median $27,455 | 15 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $13,276 – $87,234 · median $17,728 | 15 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $10,412 – $28,869 · median $13,911 | 15 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $15,642 – $87,866 · median $20,882 | 15 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,261 – $59,525 · median $13,710 | 15 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,671 – $63,352 · median $11,591 | 15 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $23,313 – $294,993 · median $55,121 | 15 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $4,398 – $24,754 · median $12,406 | 15 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,096 – $24,450 · median $9,491 | 15 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $15,188 – $40,502 · median $20,277 | 15 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $10,359 – $55,245 · median $13,841 | 15 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,579 – $24,700 · median $11,468 | 15 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $17,235 – $67,046 · median $23,005 | 15 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $11,148 – $30,592 · median $14,892 | 15 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,464 – $48,102 · median $12,647 | 15 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $42,017 – $330,340 · median $67,484 | 15 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $14,358 – $102,593 · median $19,170 | 15 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,728 – $58,367 · median $12,999 | 15 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,696 – $39,682 · median $14,290 | 15 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,742 – $38,079 · median $10,353 | 15 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,248 – $23,048 · median $8,361 | 15 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $11,600 – $30,934 · median $15,495 | 15 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,846 – $20,923 · median $10,492 | 15 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,381 – $17,015 · median $8,538 | 15 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $8,565 – $35,801 · median $17,927 | 15 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,788 – $23,434 · median $11,746 | 15 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,364 – $28,697 · median $9,848 | 15 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $11,874 – $31,665 · median $15,860 | 15 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,645 – $20,387 · median $10,224 | 15 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,897 – $24,962 · median $7,893 | 15 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $12,544 – $33,451 · median $16,753 | 15 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,158 – $24,357 · median $10,907 | 15 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,746 – $18,981 · median $9,025 | 15 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,642 – $69,496 · median $12,885 | 15 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,017 – $32,205 · median $9,386 | 15 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $10,648 – $130,708 · median $14,226 | 15 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,623 – $54,283 · median $10,194 | 15 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,151 – $22,344 · median $8,232 | 15 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,121 – $28,531 · median $13,524 | 15 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,692 – $35,840 · median $8,954 | 15 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,390 – $14,574 · median $7,318 | 15 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,081 – $24,215 · median $12,137 | 15 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,641 – $29,380 · median $8,886 | 15 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $10,733 – $43,351 · median $14,339 | 15 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,420 – $61,789 · median $9,924 | 15 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,989 – $19,631 · median $8,017 | 15 plans |
| 397 | COAGULATION DISORDERS | $14,704 – $58,178 · median $19,632 | 15 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $10,305 – $82,456 · median $13,769 | 15 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $11,069 – $180,383 · median $22,602 | 15 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $30,056 – $157,406 · median $40,093 | 15 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $17,226 – $130,087 · median $22,993 | 15 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $13,829 – $99,426 · median $18,466 | 15 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $20,548 – $54,794 · median $27,420 | 15 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $13,618 – $52,703 · median $18,184 | 15 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $10,675 – $28,467 · median $14,262 | 15 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $19,238 – $71,316 · median $25,675 | 15 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $13,245 – $91,650 · median $17,687 | 15 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $11,038 – $75,431 · median $14,746 | 15 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $20,533 – $61,982 · median $27,400 | 15 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $13,066 – $34,842 · median $17,448 | 15 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $9,555 – $99,392 · median $12,769 | 15 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $14,662 – $39,098 · median $19,575 | 15 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $11,194 – $42,789 · median $14,953 | 15 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,567 – $25,513 · median $12,786 | 15 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $19,757 – $52,684 · median $26,366 | 15 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $11,423 – $86,822 · median $15,258 | 15 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,736 – $41,265 · median $13,010 | 15 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $23,480 – $129,420 · median $31,328 | 15 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $13,671 – $131,286 · median $18,255 | 15 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $10,239 – $56,248 · median $13,680 | 15 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $19,297 – $239,741 · median $39,748 | 15 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,022 – $39,527 · median $10,726 | 15 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,306 – $16,817 · median $8,439 | 15 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,918 – $31,781 · median $15,918 | 15 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,396 – $51,738 · median $11,224 | 15 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,009 – $20,677 · median $9,376 | 15 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,887 – $71,240 · median $14,545 | 15 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,949 – $18,530 · median $9,296 | 15 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,852 – $15,604 · median $7,833 | 15 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $11,708 – $31,897 · median $15,639 | 15 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,568 – $20,182 · median $10,121 | 15 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,242 – $19,819 · median $8,354 | 15 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $11,090 – $100,239 · median $14,815 | 15 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,213 – $21,900 · median $10,980 | 15 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,879 – $18,345 · median $9,203 | 15 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $46,982 – $273,656 · median $62,652 | 15 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $33,280 – $89,597 · median $44,389 | 15 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $25,739 – $146,158 · median $34,339 | 15 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $53,657 – $325,503 · median $71,548 | 15 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $32,515 – $86,706 · median $43,370 | 15 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $23,578 – $107,179 · median $31,458 | 15 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $35,855 – $176,974 · median $47,822 | 15 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $21,008 – $79,729 · median $28,034 | 15 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $60,446 – $373,981 · median $80,794 | 15 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $16,027 – $76,510 · median $21,395 | 15 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $31,199 – $126,655 · median $41,616 | 15 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,297 – $48,792 · median $24,420 | 15 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,853 – $31,608 · median $15,832 | 15 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $28,733 – $76,621 · median $38,329 | 15 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $20,353 – $64,304 · median $27,161 | 15 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $16,467 – $115,598 · median $21,981 | 15 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $17,890 – $88,758 · median $23,878 | 15 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $12,378 – $33,008 · median $16,532 | 15 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $47,844 – $389,337 · median $84,014 | 15 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $17,455 – $70,030 · median $23,299 | 15 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $14,936 – $39,829 · median $19,941 | 15 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $24,178 – $67,396 · median $32,259 | 15 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $14,109 – $72,229 · median $18,839 | 15 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,641 – $76,417 · median $11,551 | 15 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $19,994 – $89,449 · median $26,682 | 15 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $15,025 – $40,067 · median $20,060 | 15 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,029 – $83,074 · median $16,066 | 15 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $17,287 – $72,083 · median $23,074 | 15 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $13,205 – $85,846 · median $17,633 | 15 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $10,891 – $37,525 · median $14,550 | 15 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $16,586 – $67,917 · median $22,140 | 15 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $29,876 – $233,890 · median $39,853 | 15 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $13,188 – $70,711 · median $17,611 | 15 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,568 – $34,834 · median $14,119 | 15 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $11,579 – $61,442 · median $15,467 | 15 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,324 – $43,380 · median $11,129 | 15 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $21,077 – $67,421 · median $28,125 | 15 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $15,409 – $41,090 · median $20,571 | 15 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $12,765 – $42,400 · median $17,048 | 15 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $20,848 – $127,136 · median $27,820 | 15 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $11,754 – $92,723 · median $15,700 | 15 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,781 – $23,416 · median $11,738 | 15 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $17,808 – $47,489 · median $23,769 | 15 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $11,434 – $130,922 · median $17,103 | 15 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $18,547 – $176,939 · median $24,754 | 15 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $11,476 – $62,985 · median $15,329 | 15 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $9,468 – $51,142 · median $12,653 | 15 plans |
| 503 | FOOT PROCEDURES WITH MCC | $23,414 – $204,187 · median $31,241 | 15 plans |
| 504 | FOOT PROCEDURES WITH CC | $12,080 – $68,073 · median $16,135 | 15 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $11,699 – $52,428 · median $15,626 | 15 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,484 – $38,743 · median $12,675 | 15 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $11,767 – $63,525 · median $15,717 | 15 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,309 – $31,318 · median $13,774 | 15 plans |
| 509 | ARTHROSCOPY | $11,519 – $136,253 · median $15,386 | 15 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $17,827 – $61,413 · median $23,794 | 15 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $13,129 – $43,788 · median $17,533 | 15 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $11,013 – $43,239 · median $14,712 | 15 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $10,608 – $28,288 · median $14,173 | 15 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,853 – $33,196 · median $10,500 | 15 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $18,657 – $58,122 · median $24,901 | 15 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $13,123 – $40,643 · median $17,524 | 15 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $10,420 – $34,107 · median $13,922 | 15 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $21,405 – $97,896 · median $28,562 | 15 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,734 – $48,442 · median $17,006 | 15 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,207 – $39,308 · median $13,638 | 15 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $17,077 – $57,374 · median $22,794 | 15 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $13,320 – $78,575 · median $17,788 | 15 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $10,575 – $39,680 · median $14,129 | 15 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,774 – $18,063 · median $9,062 | 15 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,149 – $29,592 · median $12,228 | 15 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,781 – $18,083 · median $9,072 | 15 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,513 – $30,271 · median $10,048 | 15 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,345 – $27,988 · median $8,491 | 15 plans |
| 539 | OSTEOMYELITIS WITH MCC | $4,927 – $33,551 · median $16,803 | 15 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,220 – $24,588 · median $12,323 | 15 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,680 – $47,911 · median $8,938 | 15 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,567 – $31,573 · median $15,451 | 15 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,881 – $22,892 · median $10,538 | 15 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,516 – $17,377 · median $8,719 | 15 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $12,537 – $40,366 · median $20,209 | 15 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,507 – $44,913 · median $11,372 | 15 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,924 – $18,779 · median $9,262 | 15 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,388 – $33,035 · median $16,545 | 15 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,776 – $23,402 · median $11,730 | 15 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,275 – $18,968 · median $9,514 | 15 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $8,515 – $29,643 · median $14,850 | 15 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,548 – $20,129 · median $10,094 | 15 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,220 – $24,588 · median $12,323 | 15 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,893 – $18,382 · median $9,222 | 15 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,348 – $76,861 · median $12,493 | 15 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,896 – $21,057 · median $9,225 | 15 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $10,172 – $43,707 · median $13,591 | 15 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,208 – $19,222 · median $9,641 | 15 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,059 – $79,503 · median $16,106 | 15 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,371 – $55,807 · median $11,191 | 15 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,763 – $22,378 · median $9,047 | 15 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $9,862 – $26,298 · median $13,178 | 15 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,220 – $20,896 · median $9,657 | 15 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $10,455 – $36,874 · median $13,968 | 15 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,614 – $62,514 · median $10,182 | 15 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $2,473 – $17,307 · median $8,684 | 15 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | — | 15 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $11,183 – $58,001 · median $14,939 | 15 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,472 – $24,179 · median $11,325 | 15 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $35,451 – $94,537 · median $47,284 | 15 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,078 – $64,057 · median $26,793 | 15 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,720 – $66,346 · median $15,654 | 15 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $12,730 – $72,572 · median $36,306 | 15 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $15,981 – $42,616 · median $21,334 | 15 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,768 – $79,712 · median $14,386 | 15 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $18,915 – $66,730 · median $25,244 | 15 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $11,375 – $30,334 · median $15,195 | 15 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $9,953 – $76,406 · median $13,300 | 15 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $12,367 – $47,964 · median $16,516 | 15 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $11,357 – $30,286 · median $15,171 | 15 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $13,435 – $67,319 · median $17,941 | 15 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $12,379 – $38,958 · median $16,533 | 15 plans |
| 592 | SKIN ULCERS WITH MCC | $12,410 – $33,093 · median $16,574 | 15 plans |
| 593 | SKIN ULCERS WITH CC | $8,671 – $23,124 · median $11,591 | 15 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,077 – $51,935 · median $9,466 | 15 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $13,335 – $56,655 · median $17,808 | 15 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,153 – $21,742 · median $10,901 | 15 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $11,071 – $29,523 · median $14,790 | 15 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $10,627 – $181,097 · median $22,777 | 15 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,590 – $110,652 · median $8,818 | 15 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,949 – $24,740 · median $10,629 | 15 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,770 – $19,465 · median $7,724 | 15 plans |
| 602 | CELLULITIS WITH MCC | $9,844 – $37,078 · median $13,155 | 15 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,097 – $29,893 · median $9,493 | 15 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,098 – $31,437 · median $13,493 | 15 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,322 – $65,546 · median $9,793 | 15 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $10,303 – $27,475 · median $13,766 | 15 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,274 – $19,398 · median $9,729 | 15 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $13,690 – $72,650 · median $18,281 | 15 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $9,735 – $28,784 · median $13,008 | 15 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $20,157 – $128,739 · median $26,900 | 15 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,086 – $41,530 · median $16,142 | 15 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,829 – $121,878 · median $13,135 | 15 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $17,162 – $45,767 · median $22,908 | 15 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $10,738 – $81,374 · median $14,346 | 15 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,279 – $34,547 · median $13,734 | 15 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $20,516 – $54,709 · median $27,378 | 15 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,704 – $36,502 · median $15,634 | 15 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,999 – $112,264 · median $12,028 | 15 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $17,825 – $71,098 · median $23,791 | 15 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $10,234 – $41,061 · median $13,674 | 15 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,380 – $48,537 · median $12,536 | 15 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $21,352 – $56,940 · median $28,493 | 15 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $13,625 – $39,762 · median $18,194 | 15 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,702 – $148,102 · median $14,298 | 15 plans |
| 637 | DIABETES WITH MCC | $9,921 – $33,971 · median $13,257 | 15 plans |
| 638 | DIABETES WITH CC | $7,223 – $39,582 · median $9,661 | 15 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,851 – $15,602 · median $7,832 | 15 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,048 – $25,111 · median $12,585 | 15 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,634 – $31,964 · median $8,876 | 15 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $4,436 – $26,262 · median $13,160 | 15 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,966 – $36,760 · median $14,650 | 15 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,866 – $40,553 · median $10,518 | 15 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,585 – $30,670 · median $8,811 | 15 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $31,917 – $236,648 · median $42,573 | 15 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $27,367 – $219,147 · median $36,509 | 15 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $54,909 – $432,628 · median $96,212 | 15 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $16,723 – $81,612 · median $22,322 | 15 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,315 – $73,376 · median $17,780 | 15 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $18,642 – $131,651 · median $24,880 | 15 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,884 – $62,219 · median $15,874 | 15 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $10,496 – $76,102 · median $14,023 | 15 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $15,433 – $41,154 · median $20,603 | 15 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,347 – $24,926 · median $12,492 | 15 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,918 – $30,019 · median $10,587 | 15 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $18,031 – $48,084 · median $24,067 | 15 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $10,338 – $27,972 · median $13,813 | 15 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,976 – $89,992 · median $10,664 | 15 plans |
| 665 | PROSTATECTOMY WITH MCC | $18,329 – $117,010 · median $24,464 | 15 plans |
| 666 | PROSTATECTOMY WITH CC | $11,482 – $30,618 · median $15,337 | 15 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,272 – $22,057 · median $11,058 | 15 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $17,325 – $127,396 · median $23,125 | 15 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $10,497 – $69,199 · median $14,024 | 15 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,628 – $20,342 · median $10,201 | 15 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $11,710 – $53,785 · median $15,641 | 15 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,138 – $83,729 · median $10,881 | 15 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $23,722 – $174,696 · median $31,651 | 15 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $14,423 – $53,553 · median $19,257 | 15 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $10,943 – $136,275 · median $14,619 | 15 plans |
| 682 | RENAL FAILURE WITH MCC | $10,142 – $111,871 · median $13,552 | 15 plans |
| 683 | RENAL FAILURE WITH CC | $7,121 – $30,636 · median $9,526 | 15 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,746 – $18,081 · median $7,693 | 15 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $11,753 – $31,342 · median $15,699 | 15 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,980 – $34,694 · median $10,670 | 15 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,695 – $86,133 · median $8,957 | 15 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,542 – $22,778 · median $11,418 | 15 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,791 – $18,108 · median $9,085 | 15 plans |
| 693 | URINARY STONES WITH MCC | $9,461 – $28,634 · median $12,644 | 15 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,652 – $17,738 · median $8,900 | 15 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $5,896 – $22,558 · median $11,309 | 15 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,657 – $16,504 · median $8,283 | 15 plans |
| 697 | URETHRAL STRICTURE | $8,130 – $21,679 · median $10,870 | 15 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $11,008 – $56,416 · median $14,705 | 15 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,816 – $26,881 · median $10,452 | 15 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $6,194 – $16,516 · median $8,289 | 15 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $12,734 – $66,963 · median $17,007 | 15 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,408 – $46,825 · median $13,906 | 15 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $14,366 – $69,383 · median $19,181 | 15 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,744 – $25,984 · median $13,021 | 15 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $13,151 – $35,070 · median $17,562 | 15 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,239 – $29,207 · median $11,015 | 15 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,254 – $32,318 · median $13,701 | 15 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,028 – $21,408 · median $10,734 | 15 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $13,917 – $37,113 · median $18,583 | 15 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,092 – $50,779 · median $13,485 | 15 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $12,186 – $38,318 · median $16,276 | 15 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,454 – $43,046 · median $12,635 | 15 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $11,783 – $87,193 · median $15,739 | 15 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,454 – $22,543 · median $11,301 | 15 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,023 – $79,043 · median $8,061 | 15 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,591 – $22,909 · median $11,484 | 15 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,354 – $27,734 · median $8,503 | 15 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,152 – $27,914 · median $13,565 | 15 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,799 – $18,131 · median $9,096 | 15 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,034 – $21,425 · median $10,742 | 15 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,978 – $22,931 · median $8,170 | 15 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $13,382 – $46,161 · median $17,870 | 15 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,466 – $41,241 · median $12,650 | 15 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $20,592 – $137,231 · median $27,479 | 15 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $13,035 – $58,068 · median $17,408 | 15 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,080 – $52,712 · median $13,469 | 15 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $20,634 – $104,791 · median $27,535 | 15 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $11,783 – $86,207 · median $15,738 | 15 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,427 – $146,177 · median $13,931 | 15 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $11,908 – $35,289 · median $15,906 | 15 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $8,943 – $51,988 · median $11,953 | 15 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $12,978 – $69,974 · median $17,331 | 15 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | — | 15 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $11,421 – $35,954 · median $15,256 | 15 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,041 – $26,761 · median $9,419 | 15 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $9,675 – $25,799 · median $12,929 | 15 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $15,566 – $59,607 · median $20,781 | 15 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,116 – $65,013 · median $13,517 | 15 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,943 – $74,667 · median $15,952 | 15 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,180 – $26,254 · median $10,936 | 15 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,250 – $20,118 · median $10,089 | 15 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,897 – $75,493 · median $13,225 | 15 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,637 – $21,038 · median $10,212 | 15 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,062 – $16,166 · median $8,114 | 15 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,779 – $20,744 · median $10,402 | 15 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,598 – $50,358 · median $7,495 | 15 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $8,099 – $29,206 · median $10,828 | 15 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $11,185 – $92,797 · median $14,941 | 15 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,755 – $26,537 · median $10,370 | 15 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $6,018 – $16,048 · median $8,055 | 15 plans |
| 779 | ABORTION WITHOUT D&C | $6,949 – $18,531 · median $9,296 | 15 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $18,145 – $186,295 · median $25,955 | 15 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,041 – $32,327 · median $10,752 | 15 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,531 – $21,662 · median $10,071 | 15 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $10,983 – $122,635 · median $14,673 | 15 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,324 – $26,906 · median $11,129 | 15 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,536 – $21,977 · median $10,078 | 15 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $2,354 – $31,322 · median $15,689 | 15 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $5,125 – $86,446 · median $43,240 | 15 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $8,399 – $61,361 · median $30,703 | 15 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $12,744 – $39,934 · median $19,993 | 15 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $8,538 – $62,834 · median $31,438 | 15 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $5,531 – $26,978 · median $13,518 | 15 plans |
| 795 | NORMAL NEWBORN | $1,968 – $9,993 · median $5,028 | 15 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $8,575 – $38,130 · median $11,463 | 15 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,743 – $26,607 · median $10,355 | 15 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $7,527 – $23,320 · median $10,067 | 15 plans |
| 799 | SPLENECTOMY WITH MCC | $25,356 – $101,530 · median $33,829 | 15 plans |
| 800 | SPLENECTOMY WITH CC | $16,773 – $143,243 · median $22,389 | 15 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $12,278 – $32,742 · median $16,399 | 15 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $29,878 – $230,149 · median $39,856 | 15 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $12,029 – $41,461 · median $16,066 | 15 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,518 – $25,382 · median $12,720 | 15 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $8,137 – $41,014 · median $10,879 | 15 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $6,514 – $17,369 · median $8,715 | 15 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $6,115 – $21,056 · median $8,185 | 15 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $13,771 – $36,722 · median $18,388 | 15 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,598 – $142,873 · median $12,826 | 15 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,974 – $30,393 · median $10,662 | 15 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $9,759 – $55,261 · median $13,042 | 15 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,333 – $19,555 · median $9,808 | 15 plans |
| 813 | COAGULATION DISORDERS | $10,363 – $38,244 · median $13,847 | 15 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $13,365 – $35,641 · median $17,848 | 15 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,811 – $22,629 · median $10,445 | 15 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,905 – $15,745 · median $7,904 | 15 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $14,139 – $50,452 · median $18,878 | 15 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,536 – $25,612 · median $11,411 | 15 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,042 – $20,509 · median $9,420 | 15 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $32,024 – $159,643 · median $42,716 | 15 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $13,924 – $66,409 · median $18,592 | 15 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,760 – $47,891 · median $11,709 | 15 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $25,635 – $170,430 · median $34,201 | 15 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $14,059 – $39,700 · median $18,772 | 15 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,485 – $30,788 · median $12,676 | 15 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $26,099 – $149,955 · median $34,819 | 15 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $14,286 – $81,701 · median $19,075 | 15 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,254 – $38,301 · median $15,034 | 15 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $18,523 – $49,395 · median $24,722 | 15 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,262 – $113,309 · median $13,712 | 15 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,752 – $30,753 · median $11,699 | 15 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,352 – $17,149 · median $8,500 | 15 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,370 – $14,293 · median $7,178 | 15 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $30,153 – $80,408 · median $40,222 | 15 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $13,161 – $53,175 · median $17,575 | 15 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,837 – $23,565 · median $11,812 | 15 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $49,320 – $468,312 · median $105,336 | 15 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $13,169 – $42,671 · median $17,586 | 15 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,957 – $32,217 · median $13,305 | 15 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $18,897 – $50,392 · median $25,220 | 15 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $15,445 – $198,513 · median $28,154 | 15 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,793 – $20,782 · median $10,421 | 15 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $12,707 – $60,153 · median $16,970 | 15 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $2,159 – $23,538 · median $11,798 | 15 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,001 – $32,558 · median $9,365 | 15 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $11,534 – $41,841 · median $20,946 | 15 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,280 – $24,746 · median $12,402 | 15 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,057 – $18,639 · median $9,350 | 15 plans |
| 849 | RADIOTHERAPY | $26,310 – $266,108 · median $47,868 | 15 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $27,401 – $84,615 · median $36,554 | 15 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $12,723 – $53,028 · median $16,992 | 15 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,223 – $27,262 · median $13,660 | 15 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $25,455 – $67,880 · median $33,960 | 15 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,439 – $35,838 · median $17,946 | 15 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,703 – $30,942 · median $12,966 | 15 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $11,853 – $31,608 · median $15,832 | 15 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,731 – $20,616 · median $10,338 | 15 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,181 – $21,116 · median $9,605 | 15 plans |
| 865 | VIRAL ILLNESS WITH MCC | $10,229 – $62,806 · median $13,667 | 15 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,091 – $18,908 · median $9,484 | 15 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $14,630 – $164,329 · median $19,533 | 15 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,897 – $21,753 · median $10,559 | 15 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,392 – $17,046 · median $8,554 | 15 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $37,250 – $205,349 · median $49,682 | 15 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $12,446 – $62,888 · median $16,622 | 15 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,858 – $22,891 · median $10,507 | 15 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $22,042 – $86,300 · median $29,411 | 15 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,543 – $61,942 · median $10,087 | 15 plans |
| 881 | DEPRESSIVE NEUROSES | $7,446 – $61,403 · median $9,959 | 15 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $4,716 – $21,626 · median $10,843 | 15 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $9,857 – $33,506 · median $16,780 | 15 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $10,781 – $31,045 · median $14,403 | 15 plans |
| 885 | PSYCHOSES | $9,722 – $27,226 · median $12,992 | 15 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $13,109 – $82,868 · median $17,506 | 15 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,095 – $21,588 · median $10,824 | 15 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,829 – $15,544 · median $7,803 | 15 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $14,262 – $245,827 · median $40,653 | 15 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $16,616 – $175,849 · median $22,180 | 15 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $7,156 – $56,202 · median $9,572 | 15 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $23,697 – $89,424 · median $31,618 | 15 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $12,306 – $44,389 · median $16,436 | 15 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,588 – $39,599 · median $11,480 | 15 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $21,084 – $128,193 · median $28,135 | 15 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,154 – $120,098 · median $13,568 | 15 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $12,555 – $33,479 · median $16,767 | 15 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $21,914 – $76,056 · median $29,241 | 15 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $19,868 – $199,020 · median $28,778 | 15 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,302 – $42,556 · median $12,432 | 15 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $10,909 – $58,403 · median $14,574 | 15 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,170 – $19,120 · median $9,590 | 15 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $11,144 – $94,291 · median $14,886 | 15 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,076 – $16,202 · median $8,132 | 15 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $10,579 – $61,939 · median $14,133 | 15 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,775 – $18,742 · median $9,401 | 15 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $11,888 – $31,702 · median $15,879 | 15 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,725 – $20,674 · median $10,367 | 15 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,150 – $16,496 · median $8,279 | 15 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $11,482 – $30,619 · median $15,338 | 15 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $3,159 – $20,879 · median $10,470 | 15 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $109,322 – $465,668 · median $145,762 | 15 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $38,553 – $102,807 · median $51,417 | 15 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $18,827 – $162,010 · median $25,126 | 15 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $22,188 – $138,108 · median $29,606 | 15 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $13,784 – $36,758 · median $18,406 | 15 plans |
| 935 | NON-EXTENSIVE BURNS | $13,032 – $42,620 · median $17,404 | 15 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $20,862 – $138,796 · median $27,839 | 15 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $14,415 – $38,439 · median $19,246 | 15 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $12,871 – $41,482 · median $17,189 | 15 plans |
| 945 | REHABILITATION WITH CC/MCC | $10,480 – $73,807 · median $14,002 | 15 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,474 – $44,072 · median $11,329 | 15 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,086 – $29,601 · median $12,144 | 15 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,746 – $39,406 · median $9,025 | 15 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,688 – $23,169 · median $11,614 | 15 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,773 – $108,263 · median $7,875 | 15 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,525 – $14,734 · median $7,398 | 15 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $36,348 – $203,377 · median $48,479 | 15 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $21,533 – $103,543 · median $28,733 | 15 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $40,785 – $179,466 · median $54,392 | 15 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $23,784 – $73,140 · median $31,733 | 15 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $22,127 – $197,084 · median $29,526 | 15 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $16,396 – $125,867 · median $21,886 | 15 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,400 – $27,733 · median $13,895 | 15 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,444 – $36,821 · median $9,956 | 15 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $62,294 – $740,886 · median $180,804 | 15 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $26,135 – $290,321 · median $54,316 | 15 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $17,155 – $45,748 · median $22,899 | 15 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,214 – $24,570 · median $12,315 | 15 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,256 – $89,110 · median $9,705 | 15 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,227 – $24,606 · median $12,332 | 15 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $26,169 – $88,335 · median $34,912 | 15 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,022 – $114,607 · median $20,055 | 15 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,305 – $81,808 · median $15,102 | 15 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $19,485 – $52,968 · median $26,507 | 15 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,954 – $29,211 · median $14,634 | 15 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,736 – $23,295 · median $11,677 | 15 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $179,050 – $846,592 · median $244,702 | 14 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $108,543 – $752,887 · median $191,031 | 13 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $85,600 – $473,562 · median $114,133 | 13 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $47,764 – $613,006 · median $144,237 | 13 plans |
| 007 | LUNG TRANSPLANT | $128,727 – $2,162,847 · median $574,452 | 13 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $53,594 – $591,940 · median $139,837 | 13 plans |
| 010 | PANCREAS TRANSPLANT | $60,212 – $363,908 · median $80,285 | 13 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $38,882 – $167,300 · median $83,651 | 13 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $32,348 – $176,947 · median $45,287 | 13 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $18,898 – $79,641 · median $39,839 | 13 plans |
| 652 | KIDNEY TRANSPLANT | $18,870 – $177,139 · median $26,418 | 13 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $7,081 – $11,378 · median $7,965 | 3 plans |
| 999 | UNGROUPABLE | $13,545 – $21,765 · median $15,236 | 3 plans |
No procedures match that keyword.