Idaho Falls Community Hospital, Llc — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 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 771 procedures
Procedures with negotiated rates only
These 771 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 |
|---|---|---|---|
| 028 | SPINAL PROCEDURES WITH COMORBITY | $37,433 – $101,903 · median $42,823 | 18 plans |
| 029 | SPINAL PROCEDURES WITH COMPLICATION OR SPINAL NEUROSTIMULATORS | $24,550 – $57,705 · median $24,550 | 18 plans |
| 030 | SPINAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $15,991 – $41,260 · median $15,991 | 18 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $59,678 – $150,495 · median $59,678 | 18 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $42,505 – $113,706 · median $42,505 | 18 plans |
| 458 | SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITHOUT COMPLICATION/COMORBITY | $29,906 – $87,649 · median $29,906 | 18 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $34,523 – $87,848 · median $34,523 | 18 plans |
| 472 | CERVICAL SPINAL FUSION WITH COMPLICATION | $21,275 – $53,450 · median $21,275 | 18 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY | $16,636 – $44,450 · median $17,722 | 18 plans |
| 003 | ECMO OR TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITH MAJ O.R. | $149,905 – $334,261 · median $149,905 | 15 plans |
| 004 | TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITHOUT MAJ O.R. | $98,016 – $207,877 · median $98,016 | 15 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $38,924 – $87,859 · median $38,924 | 15 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $30,211 – $67,064 · median $30,211 | 15 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $20,822 – $47,682 · median $20,822 | 15 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $304,421 – $655,263 · median $304,421 | 15 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $50,749 – $116,870 · median $50,749 | 15 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $55,916 – $180,752 · median $55,916 | 15 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $37,795 – $131,999 · median $37,795 | 15 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $22,902 – $84,719 · median $22,902 | 15 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $40,867 – $99,218 · median $40,867 | 15 plans |
| 024 | CRANIO WITH MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX WITHOUT COMORBITY | $28,071 – $68,933 · median $28,071 | 15 plans |
| 025 | CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMORBITY | $32,538 – $78,682 · median $32,538 | 15 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $22,422 – $53,571 · median $22,422 | 15 plans |
| 027 | CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $18,297 – $44,034 · median $18,297 | 15 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $32,072 – $76,470 · median $32,072 | 15 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $15,539 – $38,801 · median $15,539 | 15 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,245 – $30,144 · median $12,245 | 15 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $27,781 – $69,647 · median $27,781 | 15 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,365 – $40,964 · median $17,365 | 15 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,214 – $32,442 · median $14,214 | 15 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $23,709 – $57,335 · median $23,709 | 15 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,961 – $29,022 · median $11,961 | 15 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,815 – $19,936 · median $8,815 | 15 plans |
| 040 | PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMORBITY | $27,714 – $67,667 · median $27,714 | 15 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $16,015 – $41,090 · median $16,015 | 15 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,701 – $33,054 · median $12,701 | 15 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $13,289 – $32,408 · median $13,289 | 15 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,434 – $19,892 · median $7,434 | 15 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,288 – $23,930 · median $11,288 | 15 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,718 – $18,272 · median $7,718 | 15 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $16,891 – $38,400 · median $16,891 | 15 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT COMORBITY | $9,660 – $22,169 · median $9,660 | 15 plans |
| 058 | MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMORBITY | $12,573 – $30,408 · median $12,573 | 15 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,275 – $19,719 · median $9,275 | 15 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,016 – $16,056 · median $7,016 | 15 plans |
| 061 | ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMORBITY | $19,945 – $50,591 · median $19,945 | 15 plans |
| 062 | ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMPLICATION | $12,908 – $34,795 · median $12,908 | 15 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,421 – $29,932 · median $10,421 | 15 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY | $14,694 – $33,565 · median $14,694 | 15 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS | $7,652 – $17,845 · median $7,652 | 15 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION/COMORBITY | $5,359 – $12,450 · median $5,359 | 15 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,878 – $24,957 · median $10,878 | 15 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,626 – $15,554 · median $6,626 | 15 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,164 – $13,771 · median $6,164 | 15 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMORBITY | $12,258 – $29,386 · median $12,258 | 15 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION | $7,763 – $17,703 · median $7,763 | 15 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,864 – $13,501 · median $5,864 | 15 plans |
| 073 | CRANIAL & PERIPHERAL NERVE DISORDERS WITH COMORBITY | $11,832 – $25,414 · median $11,832 | 15 plans |
| 074 | CRANIAL & PERIPHERAL NERVE DISORDERS WITHOUT COMORBITY | $7,797 – $17,838 · median $7,797 | 15 plans |
| 075 | VIRAL MENINGITIS WITH COMPLICATION/COMORBITY | $14,036 – $28,485 · median $14,036 | 15 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,350 – $17,255 · median $6,350 | 15 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $13,280 – $36,652 · median $13,280 | 15 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,845 – $13,512 · median $6,845 | 15 plans |
| 082 | TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMORBITY | $16,627 – $39,582 · median $16,627 | 15 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,365 – $23,496 · median $10,365 | 15 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,269 – $15,836 · median $7,269 | 15 plans |
| 085 | TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMORBITY | $16,530 – $40,430 · median $16,530 | 15 plans |
| 086 | TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMPLICATION | $9,710 – $22,283 · median $9,710 | 15 plans |
| 087 | TRAUMATIC STUPOR & COMA; COMA <1 HR WITHOUT COMPLICATION/COMORBITY | $6,980 – $15,094 · median $6,980 | 15 plans |
| 088 | CONCUSSION WITH MCC | $10,056 – $25,449 · median $10,056 | 15 plans |
| 089 | CONCUSSION WITH COMPLICATION | $8,274 – $18,596 · median $8,274 | 15 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,336 – $14,929 · median $6,336 | 15 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMORBITY | $12,901 – $28,886 · median $12,901 | 15 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION | $7,742 – $17,297 · median $7,742 | 15 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION/COMORBITY | $6,146 – $13,697 · median $6,146 | 15 plans |
| 094 | BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMORBITY | $25,309 – $63,646 · median $25,309 | 15 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $18,693 – $43,901 · median $18,693 | 15 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $18,693 – $40,833 · median $18,693 | 15 plans |
| 097 | NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH COMORBITY | $25,959 – $65,492 · median $25,959 | 15 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $16,692 – $37,002 · median $16,692 | 15 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,130 – $24,546 · median $10,130 | 15 plans |
| 100 | SEIZURES WITH COMORBITY | $14,172 – $32,837 · median $14,172 | 15 plans |
| 101 | SEIZURES WITHOUT COMORBITY | $6,895 – $15,549 · median $6,895 | 15 plans |
| 102 | HEADACHES WITH MCC | $8,431 – $20,169 · median $8,431 | 15 plans |
| 103 | HEADACHES WITHOUT COMORBITY | $6,428 – $14,509 · median $6,428 | 15 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $17,088 – $38,400 · median $17,088 | 15 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,064 – $25,319 · median $10,064 | 15 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,344 – $25,487 · median $11,344 | 15 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $13,267 – $32,954 · median $13,267 | 15 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,177 – $18,216 · median $8,177 | 15 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,729 – $20,830 · median $8,729 | 15 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT COMPLICATION/COMORBITY | $6,073 – $11,295 · median $6,073 | 15 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,163 – $13,410 · median $6,163 | 15 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,854 – $24,521 · median $9,854 | 15 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,946 – $14,646 · median $5,946 | 15 plans |
| 135 | SINUS & MASTOID PROCEDURES WITH COMPLICATION/COMORBITY | $15,813 – $37,492 · median $15,813 | 15 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,688 – $21,980 · median $7,688 | 15 plans |
| 137 | MOUTH PROCEDURES WITH COMPLICATION/COMORBITY | $11,051 – $26,415 · median $11,051 | 15 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,779 – $14,994 · median $6,779 | 15 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,239 – $21,609 · median $9,239 | 15 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $30,558 – $69,571 · median $30,558 | 15 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,891 – $38,603 · median $15,891 | 15 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,777 – $28,102 · median $11,777 | 15 plans |
| 143 | OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $26,908 – $52,150 · median $26,908 | 15 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,737 – $30,828 · median $12,737 | 15 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,004 – $21,434 · median $9,004 | 15 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $15,443 – $35,705 · median $15,443 | 15 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,490 – $22,769 · median $9,490 | 15 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,152 – $13,783 · median $6,152 | 15 plans |
| 149 | DYSEQUILIBRIUM | $5,832 – $12,892 · median $5,832 | 15 plans |
| 150 | EPISTAXIS WITH MCC | $9,913 – $23,223 · median $9,913 | 15 plans |
| 151 | EPISTAXIS WITHOUT COMORBITY | $5,708 – $12,919 · median $5,708 | 15 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,862 – $18,907 · median $8,862 | 15 plans |
| 153 | OTITIS MEDIA & URI WITHOUT COMORBITY | $5,738 – $12,481 · median $5,738 | 15 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,545 – $27,055 · median $11,545 | 15 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $6,992 – $15,913 · median $6,992 | 15 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,406 – $11,522 · median $5,406 | 15 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,624 – $27,557 · median $12,624 | 15 plans |
| 158 | DENTAL & ORAL DISEASES WITH COMPLICATION | $6,945 – $15,752 · median $6,945 | 15 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,529 – $11,610 · median $5,529 | 15 plans |
| 163 | MAJOR CHEST PROCEDURES WITH COMORBITY | $32,081 – $87,612 · median $32,081 | 15 plans |
| 164 | MAJOR CHEST PROCEDURES WITH COMPLICATION | $18,304 – $46,477 · median $18,304 | 15 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $14,013 – $33,555 · median $14,013 | 15 plans |
| 166 | OTHER RESP SYSTEM O.R. PROCEDURES WITH COMORBITY | $26,845 – $65,163 · median $26,845 | 15 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,233 – $31,834 · median $13,233 | 15 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,158 – $23,713 · median $10,158 | 15 plans |
| 175 | PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE | $10,209 – $27,050 · median $10,209 | 15 plans |
| 176 | PULMONARY EMBOLISM WITHOUT COMORBITY | $6,208 – $15,528 · median $6,208 | 15 plans |
| 177 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY | $11,540 – $32,352 · median $11,540 | 15 plans |
| 178 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMPLICATION | $7,411 – $21,131 · median $7,411 | 15 plans |
| 179 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITHOUT COMPLICATION/COMORBITY | $5,856 – $15,276 · median $5,856 | 15 plans |
| 180 | RESPIRATORY NEOPLASMS WITH COMORBITY | $12,970 – $30,441 · median $12,970 | 15 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,080 – $19,602 · median $8,080 | 15 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,847 – $13,865 · median $5,847 | 15 plans |
| 183 | MAJOR CHEST TRAUMA WITH COMORBITY | $11,309 – $27,256 · median $11,309 | 15 plans |
| 184 | MAJOR CHEST TRAUMA WITH COMPLICATION | $8,031 – $18,197 · median $8,031 | 15 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,078 – $13,545 · median $6,078 | 15 plans |
| 186 | PLEURAL EFFUSION WITH COMORBITY | $11,510 – $27,022 · median $11,510 | 15 plans |
| 187 | PLEURAL EFFUSION WITH COMPLICATION | $7,503 – $18,074 · median $7,503 | 15 plans |
| 188 | PLEURAL EFFUSION WITHOUT COMPLICATION/COMORBITY | $5,590 – $12,770 · median $5,590 | 15 plans |
| 189 | PULMONARY EDEMA & RESPIRATORY FAILURE | $9,236 – $21,452 · median $9,236 | 15 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY | $8,338 – $19,686 · median $8,338 | 15 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION | $6,475 – $15,474 · median $6,475 | 15 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION/COMORBITY | $5,061 – $12,173 · median $5,061 | 15 plans |
| 193 | SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY | $9,792 – $22,955 · median $9,792 | 15 plans |
| 194 | SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION | $6,214 – $15,117 · median $6,214 | 15 plans |
| 195 | SIMPLE PNEUMONIA & PLEURISY WITHOUT COMPLICATION/COMORBITY | $4,966 – $11,650 · median $4,966 | 15 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,823 – $30,408 · median $13,823 | 15 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH COMPLICATION | $7,222 – $17,616 · median $7,222 | 15 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,583 – $13,010 · median $5,583 | 15 plans |
| 199 | PNEUMOTHORAX WITH COMORBITY | $12,957 – $31,306 · median $12,957 | 15 plans |
| 200 | PNEUMOTHORAX WITH COMPLICATION | $8,279 – $18,828 · median $8,279 | 15 plans |
| 201 | PNEUMOTHORAX WITHOUT COMPLICATION/COMORBITY | $5,575 – $12,415 · median $5,575 | 15 plans |
| 202 | BRONCHITIS & ASTHMA WITH COMPLICATION/COMORBITY | $7,377 – $16,921 · median $7,377 | 15 plans |
| 203 | BRONCHITIS & ASTHMA WITHOUT COMPLICATION/COMORBITY | $5,258 – $12,371 · median $5,258 | 15 plans |
| 204 | RESPIRATORY SIGNS & SYMPTOMS | $6,225 – $13,890 · median $6,225 | 15 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH COMORBITY | $13,428 – $29,467 · median $13,428 | 15 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT COMORBITY | $7,165 – $15,500 · median $7,165 | 15 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $45,824 – $100,326 · median $45,824 | 15 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $19,886 – $44,527 · median $19,886 | 15 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $70,611 – $184,825 · median $70,611 | 15 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $69,385 – $175,746 · median $69,385 | 15 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $46,813 – $113,493 · median $46,813 | 15 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $46,813 – $107,039 · median $46,813 | 15 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $54,575 – $141,034 · median $54,575 | 15 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $38,070 – $94,619 · median $38,070 | 15 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $36,011 – $80,190 · median $36,011 | 15 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $35,358 – $93,321 · median $35,358 | 15 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT COMORBITY | $22,706 – $60,239 · median $22,706 | 15 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $59,864 – $152,586 · median $59,864 | 15 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $43,206 – $104,192 · median $43,206 | 15 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $54,342 – $138,931 · median $54,342 | 15 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $38,984 – $93,793 · median $38,984 | 15 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $41,840 – $108,050 · median $41,840 | 15 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $30,020 – $72,251 · median $30,020 | 15 plans |
| 239 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMORBITY | $35,177 – $84,271 · median $35,177 | 15 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $20,602 – $48,808 · median $20,602 | 15 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $10,285 – $27,858 · median $10,285 | 15 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMORBITY | $23,011 – $65,228 · median $23,011 | 15 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION | $15,538 – $44,081 · median $15,538 | 15 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,262 – $36,118 · median $13,262 | 15 plans |
| 245 | AICD GENERATOR PROCEDURES | $32,649 – $94,854 · median $32,649 | 15 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $15,901 – $44,149 · median $15,901 | 15 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,060 – $29,029 · median $11,060 | 15 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH COMORBITY | $25,090 – $58,186 · median $25,090 | 15 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $18,808 – $46,445 · median $18,808 | 15 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,081 – $31,785 · median $13,081 | 15 plans |
| 255 | UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMORBITY | $19,525 – $44,364 · median $19,525 | 15 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,491 – $28,770 · median $12,491 | 15 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,229 – $20,344 · median $8,229 | 15 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $22,654 – $55,449 · median $22,654 | 15 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $14,772 – $36,566 · median $14,772 | 15 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $23,433 – $62,421 · median $23,433 | 15 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMPLICATION | $13,846 – $34,893 · median $13,846 | 15 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $12,013 – $29,873 · median $12,013 | 15 plans |
| 263 | VEIN LIGATION AND STRIPPING | $22,058 – $40,486 · median $22,058 | 15 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $24,051 – $56,921 · median $24,051 | 15 plans |
| 265 | AICD LEAD PROCEDURES | $26,004 – $58,888 · median $26,004 | 15 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $43,669 – $123,356 · median $43,669 | 15 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $34,045 – $98,005 · median $34,045 | 15 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $48,943 – $121,895 · median $48,943 | 15 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $30,262 – $75,560 · median $30,262 | 15 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMORBITY | $37,672 – $90,783 · median $37,672 | 15 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMPLICATION | $25,569 – $62,412 · median $25,569 | 15 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $18,508 – $47,072 · median $18,508 | 15 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $29,574 – $66,973 · median $29,574 | 15 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $23,707 – $57,552 · median $23,707 | 15 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMORBITY | $11,831 – $28,110 · median $11,831 | 15 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMPLICATION | $7,011 – $16,280 · median $7,011 | 15 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITHOUT COMPLICATION/COMORBITY | $5,631 – $12,709 · median $5,631 | 15 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMORBITY | $14,482 – $32,638 · median $14,482 | 15 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,414 – $12,647 · median $5,414 | 15 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,757 – $8,654 · median $4,757 | 15 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITH COMORBITY | $16,114 – $37,375 · median $16,114 | 15 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITHOUT COMORBITY | $8,073 – $19,514 · median $8,073 | 15 plans |
| 288 | ACUTE & SUBACUTE ENDOCARDITIS WITH COMORBITY | $19,587 – $46,984 · median $19,587 | 15 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,554 – $28,761 · median $12,554 | 15 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,085 – $17,952 · median $7,085 | 15 plans |
| 291 | HEART FAILURE & SHOCK WITH COMORBITY | $9,577 – $22,187 · median $9,577 | 15 plans |
| 292 | HEART FAILURE & SHOCK WITH COMPLICATION | $6,517 – $15,106 · median $6,517 | 15 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,526 – $10,325 · median $4,526 | 15 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,534 – $27,927 · median $11,534 | 15 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,004 – $12,366 · median $5,004 | 15 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,745 – $8,556 · median $3,745 | 15 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH COMORBITY | $12,032 – $26,807 · median $12,032 | 15 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION | $8,055 – $18,258 · median $8,055 | 15 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY | $5,607 – $12,989 · median $5,607 | 15 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,963 – $19,152 · median $8,963 | 15 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,280 – $11,856 · median $5,280 | 15 plans |
| 304 | HYPERTENSION WITH COMORBITY | $8,917 – $19,196 · median $8,917 | 15 plans |
| 305 | HYPERTENSION WITHOUT COMORBITY | $5,857 – $12,947 · median $5,857 | 15 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,632 – $26,366 · median $11,632 | 15 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,969 – $15,225 · median $6,969 | 15 plans |
| 308 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY | $9,015 – $21,011 · median $9,015 | 15 plans |
| 309 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION | $5,720 – $13,129 · median $5,720 | 15 plans |
| 310 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATION/COMORBITY | $4,527 – $9,783 · median $4,527 | 15 plans |
| 311 | ANGINA PECTORIS | $5,482 – $12,227 · median $5,482 | 15 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,676 – $14,674 · median $6,676 | 15 plans |
| 313 | CHEST PAIN | $5,610 – $12,625 · median $5,610 | 15 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY | $15,217 – $36,477 · median $15,217 | 15 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION | $7,322 – $17,028 · median $7,322 | 15 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,343 – $12,656 · median $5,343 | 15 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $31,948 – $75,546 · median $31,948 | 15 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $17,469 – $42,093 · median $17,469 | 15 plans |
| 326 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMORBITY | $35,639 – $93,034 · median $35,639 | 15 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,743 – $44,886 · median $17,743 | 15 plans |
| 328 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITHOUT COMPLICATION/COMORBITY | $11,818 – $29,176 · median $11,818 | 15 plans |
| 329 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY | $32,889 – $85,510 · median $32,889 | 15 plans |
| 330 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION | $17,412 – $44,620 · median $17,412 | 15 plans |
| 331 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $12,386 – $29,948 · median $12,386 | 15 plans |
| 332 | RECTAL RESECTION WITH MCC | $26,022 – $72,872 · median $26,022 | 15 plans |
| 333 | RECTAL RESECTION WITH CC | $17,025 – $37,489 · median $17,025 | 15 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,069 – $28,163 · median $12,069 | 15 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH COMORBITY | $25,671 – $68,453 · median $25,671 | 15 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH COMPLICATION | $15,382 – $40,101 · median $15,382 | 15 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION/COMORBITY | $11,345 – $28,653 · median $11,345 | 15 plans |
| 344 | MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY | $18,718 – $49,322 · median $18,718 | 15 plans |
| 345 | MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION | $11,132 – $27,631 · median $11,132 | 15 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,890 – $22,330 · median $8,890 | 15 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $16,697 – $43,131 · median $16,697 | 15 plans |
| 348 | ANAL & STOMAL PROCEDURES WITH COMPLICATION | $9,753 – $23,597 · median $9,753 | 15 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,669 – $17,145 · median $6,669 | 15 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $18,078 – $42,947 · median $18,078 | 15 plans |
| 351 | INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMPLICATION | $11,271 – $26,126 · median $11,271 | 15 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,761 – $19,329 · median $8,761 | 15 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $20,964 – $52,925 · median $20,964 | 15 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,382 – $31,234 · median $12,382 | 15 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,008 – $23,811 · median $10,008 | 15 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMORBITY | $31,455 – $75,402 · median $31,455 | 15 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $16,908 – $39,709 · median $16,908 | 15 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,380 – $23,622 · median $10,380 | 15 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH COMORBITY | $11,745 – $34,134 · median $11,745 | 15 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION | $7,581 – $18,865 · median $7,581 | 15 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT COMPLICATION/COMORBITY | $5,474 – $13,097 · median $5,474 | 15 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMORBITY | $13,020 – $30,270 · median $13,020 | 15 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMPLICATION | $7,728 – $18,008 · median $7,728 | 15 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITHOUT COMPLICATION/COMORBITY | $5,662 – $13,031 · median $5,662 | 15 plans |
| 374 | DIGESTIVE MALIGNANCY WITH COMORBITY | $15,593 – $36,288 · median $15,593 | 15 plans |
| 375 | DIGESTIVE MALIGNANCY WITH COMPLICATION | $9,055 – $21,137 · median $9,055 | 15 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,047 – $15,738 · median $7,047 | 15 plans |
| 377 | G.I. HEMORRHAGE WITH COMORBITY | $13,407 – $31,530 · median $13,407 | 15 plans |
| 378 | G.I. HEMORRHAGE WITH COMPLICATION | $7,444 – $17,399 · median $7,444 | 15 plans |
| 379 | G.I. HEMORRHAGE WITHOUT COMPLICATION/COMORBITY | $4,979 – $11,160 · median $4,979 | 15 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH COMORBITY | $14,351 – $33,016 · median $14,351 | 15 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH COMPLICATION | $8,168 – $18,543 · median $8,168 | 15 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,177 – $13,456 · median $6,177 | 15 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH COMORBITY | $10,259 – $22,978 · median $10,259 | 15 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT COMORBITY | $6,558 – $15,631 · median $6,558 | 15 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH COMORBITY | $11,678 – $28,389 · median $11,678 | 15 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH COMPLICATION | $7,413 – $17,411 · median $7,413 | 15 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION/COMORBITY | $5,337 – $12,509 · median $5,337 | 15 plans |
| 388 | G.I. OBSTRUCTION WITH COMORBITY | $10,935 – $26,497 · median $10,935 | 15 plans |
| 389 | G.I. OBSTRUCTION WITH COMPLICATION | $6,101 – $14,403 · median $6,101 | 15 plans |
| 390 | G.I. OBSTRUCTION WITHOUT COMPLICATION/COMORBITY | $4,371 – $10,201 · median $4,371 | 15 plans |
| 391 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY | $9,468 – $21,856 · median $9,468 | 15 plans |
| 392 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY | $6,029 – $13,402 · median $6,029 | 15 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMORBITY | $11,797 – $29,066 · median $11,797 | 15 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION | $7,127 – $16,464 · median $7,127 | 15 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $5,110 – $11,401 · median $5,110 | 15 plans |
| 405 | PANCREAS; LIVER & SHUNT PROCEDURES WITH COMORBITY | $39,039 – $100,420 · median $39,039 | 15 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $20,952 – $50,419 · median $20,952 | 15 plans |
| 407 | PANCREAS; LIVER & SHUNT PROCEDURES WITHOUT COMPLICATION/COMORBITY | $16,162 – $37,065 · median $16,162 | 15 plans |
| 408 | BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITH COMORBITY | $25,634 – $65,653 · median $25,634 | 15 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $15,865 – $37,039 · median $15,865 | 15 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,716 – $27,473 · median $11,716 | 15 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $23,788 – $65,704 · median $23,788 | 15 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $15,338 – $39,860 · median $15,338 | 15 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,228 – $30,340 · median $12,228 | 15 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $25,613 – $63,476 · median $25,613 | 15 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMPLICATION | $15,086 – $35,560 · median $15,086 | 15 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,136 – $24,896 · median $10,136 | 15 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMORBITY | $17,336 – $42,443 · median $17,336 | 15 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION | $12,447 – $29,565 · median $12,447 | 15 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY | $10,154 – $23,034 · median $10,154 | 15 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $24,519 – $61,521 · median $24,519 | 15 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,770 – $33,385 · median $12,770 | 15 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,391 – $25,452 · median $10,391 | 15 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMORBITY | $29,768 – $73,241 · median $29,768 | 15 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMPLICATION | $15,939 – $39,982 · median $15,939 | 15 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,101 – $27,015 · median $11,101 | 15 plans |
| 432 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMORBITY | $14,393 – $32,916 · median $14,393 | 15 plans |
| 433 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMPLICATION | $7,975 – $18,025 · median $7,975 | 15 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,557 – $10,862 · median $5,557 | 15 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMORBITY | $13,468 – $30,693 · median $13,468 | 15 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,502 – $19,630 · median $8,502 | 15 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,548 – $15,684 · median $6,548 | 15 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMORBITY | $12,015 – $27,965 · median $12,015 | 15 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION | $6,462 – $14,793 · median $6,462 | 15 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $4,916 – $10,612 · median $4,916 | 15 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMORBITY | $13,172 – $32,893 · median $13,172 | 15 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMPLICATION | $7,336 – $16,272 · median $7,336 | 15 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,467 – $11,610 · median $5,467 | 15 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH COMORBITY | $12,301 – $29,255 · median $12,301 | 15 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH COMPLICATION | $8,244 – $18,865 · median $8,244 | 15 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION/COMORBITY | $6,365 – $14,296 · median $6,365 | 15 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $39,408 – $106,418 · median $39,408 | 15 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $19,261 – $55,053 · median $19,261 | 15 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $40,650 – $94,001 · median $40,650 | 15 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,461 – $52,075 · median $22,461 | 15 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,376 – $32,275 · median $13,376 | 15 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMORBITY | $37,173 – $93,569 · median $37,173 | 15 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION | $25,360 – $62,633 · median $25,360 | 15 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY | $19,881 – $49,074 · median $19,881 | 15 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT | $21,888 – $54,016 · median $21,888 | 15 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY | $14,117 – $33,276 · median $14,117 | 15 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $30,752 – $71,339 · median $30,752 | 15 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMPLICATION | $16,557 – $38,437 · median $16,557 | 15 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,848 – $20,311 · median $8,848 | 15 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY | $24,853 – $58,781 · median $24,853 | 15 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION | $17,848 – $41,274 · median $17,848 | 15 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,624 – $31,670 · median $13,624 | 15 plans |
| 480 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMORBITY | $21,037 – $52,957 · median $21,037 | 15 plans |
| 481 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION | $15,282 – $36,689 · median $15,282 | 15 plans |
| 482 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY | $12,020 – $28,807 · median $12,020 | 15 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $20,049 – $41,771 · median $20,049 | 15 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $23,252 – $59,656 · median $23,252 | 15 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,258 – $37,618 · median $15,258 | 15 plans |
| 487 | KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY | $11,564 – $28,723 · median $11,564 | 15 plans |
| 488 | KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION/COMORBITY | $12,991 – $34,584 · median $12,991 | 15 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,402 – $22,726 · median $8,402 | 15 plans |
| 492 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMORBITY | $26,380 – $60,734 · median $26,380 | 15 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $18,390 – $40,710 · median $18,390 | 15 plans |
| 494 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITHOUT COMPLICATION/COMORBITY | $14,663 – $32,421 · median $14,663 | 15 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $26,057 – $63,737 · median $26,057 | 15 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $13,237 – $34,755 · median $13,237 | 15 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,046 – $25,414 · median $9,046 | 15 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $21,772 – $45,245 · median $21,772 | 15 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $14,721 – $21,004 · median $14,721 | 15 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $22,814 – $55,815 · median $22,814 | 15 plans |
| 501 | SOFT TISSUE PROCEDURES WITH COMPLICATION | $12,844 – $30,697 · median $12,844 | 15 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,014 – $23,328 · median $10,014 | 15 plans |
| 503 | FOOT PROCEDURES WITH MCC | $20,184 – $46,186 · median $20,184 | 15 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,697 – $31,061 · median $13,697 | 15 plans |
| 505 | FOOT PROCEDURES WITHOUT COMPLICATION/COMORBITY | $13,159 – $31,061 · median $13,159 | 15 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,037 – $25,967 · median $10,037 | 15 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $13,255 – $36,052 · median $13,255 | 15 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,200 – $24,677 · median $11,200 | 15 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $21,798 – $48,029 · median $21,798 | 15 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $15,176 – $34,426 · median $15,176 | 15 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,192 – $27,213 · median $12,192 | 15 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,621 – $27,514 · median $11,621 | 15 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,737 – $17,484 · median $7,737 | 15 plans |
| 515 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMORBITY | $22,969 – $54,952 · median $22,969 | 15 plans |
| 516 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMPLICATION | $15,167 – $34,344 · median $15,167 | 15 plans |
| 517 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITHOUT COMPLICATION/COMORBITY | $11,357 – $24,465 · median $11,357 | 15 plans |
| 518 | BACK & NECK PROC EXC SPINAL FUSION WITH COMORBITY OR DISC DEVICE/NEUROSTIM | $26,842 – $62,773 · median $26,842 | 15 plans |
| 519 | BACK & NECK PROC EXC SPINAL FUSION WITH COMPLICATION | $14,618 – $34,295 · median $14,618 | 15 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,056 – $24,826 · median $11,056 | 15 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $20,741 – $53,660 · median $20,741 | 15 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,445 – $38,330 · median $15,445 | 15 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,575 – $24,775 · median $11,575 | 15 plans |
| 534 | FRACTURES OF FEMUR WITHOUT COMORBITY | $6,215 – $13,809 · median $6,215 | 15 plans |
| 535 | FRACTURES OF HIP & PELVIS WITH COMORBITY | $9,564 – $21,564 · median $9,564 | 15 plans |
| 536 | FRACTURES OF HIP & PELVIS WITHOUT COMORBITY | $6,226 – $13,498 · median $6,226 | 15 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,258 – $16,349 · median $7,258 | 15 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,612 – $12,649 · median $5,612 | 15 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,404 – $34,074 · median $14,404 | 15 plans |
| 540 | OSTEOMYELITIS WITH COMPLICATION | $9,665 – $22,766 · median $9,665 | 15 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,084 – $14,756 · median $6,084 | 15 plans |
| 542 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMORBITY | $12,974 – $31,645 · median $12,974 | 15 plans |
| 543 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMPLICATION | $7,777 – $18,275 · median $7,777 | 15 plans |
| 544 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITHOUT COMPLICATION/COMORBITY | $5,853 – $13,601 · median $5,853 | 15 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $18,007 – $43,813 · median $18,007 | 15 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,659 – $21,140 · median $8,659 | 15 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,427 – $14,593 · median $6,427 | 15 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,131 – $35,877 · median $14,131 | 15 plans |
| 549 | SEPTIC ARTHRITIS WITH COMPLICATION | $9,038 – $21,877 · median $9,038 | 15 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,694 – $15,379 · median $6,694 | 15 plans |
| 551 | MEDICAL BACK PROBLEMS WITH COMORBITY | $12,338 – $28,462 · median $12,338 | 15 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT COMORBITY | $7,308 – $16,497 · median $7,308 | 15 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,665 – $22,243 · median $9,665 | 15 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,384 – $13,865 · median $6,384 | 15 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,844 – $23,938 · median $9,844 | 15 plans |
| 556 | SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITHOUT COMORBITY | $6,388 – $14,149 · median $6,388 | 15 plans |
| 557 | TENDONITIS; MYOSITIS & BURSITIS WITH COMORBITY | $11,006 – $24,474 · median $11,006 | 15 plans |
| 558 | TENDONITIS; MYOSITIS & BURSITIS WITHOUT COMORBITY | $6,828 – $15,069 · median $6,828 | 15 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,666 – $32,627 · median $13,666 | 15 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,467 – $18,818 · median $8,467 | 15 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,200 – $13,858 · median $6,200 | 15 plans |
| 562 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITH COMORBITY | $10,569 – $24,694 · median $10,569 | 15 plans |
| 563 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITHOUT COMORBITY | $6,845 – $15,253 · median $6,845 | 15 plans |
| 564 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMORBITY | $11,405 – $26,644 · median $11,405 | 15 plans |
| 565 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION | $7,400 – $17,652 · median $7,400 | 15 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,816 – $13,155 · median $5,816 | 15 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $21,239 – $49,721 · median $21,239 | 15 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,432 – $28,613 · median $12,432 | 15 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT COMPLICATION/COMORBITY | $8,609 – $19,334 · median $8,609 | 15 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $46,645 – $96,938 · median $46,645 | 15 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $24,971 – $56,812 · median $24,971 | 15 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,188 – $30,851 · median $13,188 | 15 plans |
| 576 | SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS WITH COMORBITY | $35,033 – $88,604 · median $35,033 | 15 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $19,196 – $44,622 · median $19,196 | 15 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,847 – $27,925 · median $11,847 | 15 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $23,332 – $55,024 · median $23,332 | 15 plans |
| 580 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMPLICATION | $12,703 – $30,258 · median $12,703 | 15 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,698 – $24,105 · median $10,698 | 15 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $14,100 – $28,763 · median $14,100 | 15 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,678 – $26,987 · median $12,678 | 15 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $15,607 – $32,146 · median $15,607 | 15 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,118 – $30,455 · median $14,118 | 15 plans |
| 592 | SKIN ULCERS WITH MCC | $14,162 – $29,636 · median $14,162 | 15 plans |
| 593 | SKIN ULCERS WITH COMPLICATION | $8,891 – $20,106 · median $8,891 | 15 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,643 – $14,261 · median $6,643 | 15 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $15,466 – $35,275 · median $15,466 | 15 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT COMORBITY | $8,160 – $17,393 · median $8,160 | 15 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,274 – $28,772 · median $12,274 | 15 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,504 – $19,474 · median $8,504 | 15 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,957 – $11,744 · median $5,957 | 15 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,873 – $17,448 · median $7,873 | 15 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,800 – $12,021 · median $4,800 | 15 plans |
| 602 | CELLULITIS WITH COMORBITY | $10,545 – $25,361 · median $10,545 | 15 plans |
| 603 | CELLULITIS WITHOUT COMORBITY | $6,671 – $14,931 · median $6,671 | 15 plans |
| 604 | TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITH COMORBITY | $10,902 – $25,848 · median $10,902 | 15 plans |
| 605 | TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITHOUT COMORBITY | $6,989 – $15,811 · median $6,989 | 15 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,191 – $26,458 · median $11,191 | 15 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT COMORBITY | $6,921 – $14,492 · median $6,921 | 15 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $15,967 – $41,818 · median $15,967 | 15 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,390 – $27,577 · median $10,390 | 15 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,084 – $69,867 · median $25,084 | 15 plans |
| 617 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMPLICATION | $13,704 – $35,600 · median $13,704 | 15 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,524 – $22,775 · median $10,524 | 15 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $20,862 – $53,583 · median $20,862 | 15 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,804 – $30,858 · median $11,804 | 15 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,158 – $27,963 · median $11,158 | 15 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,589 – $63,322 · median $25,589 | 15 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,167 – $32,816 · median $13,167 | 15 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,353 – $19,229 · median $9,353 | 15 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $21,795 – $49,704 · median $21,795 | 15 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,094 – $28,929 · median $11,094 | 15 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,890 – $20,706 · median $9,890 | 15 plans |
| 628 | OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMORBITY | $26,768 – $64,390 · median $26,768 | 15 plans |
| 629 | OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMPLICATION | $15,875 – $41,137 · median $15,875 | 15 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,813 – $24,654 · median $10,813 | 15 plans |
| 637 | DIABETES WITH COMORBITY | $10,653 – $24,110 · median $10,653 | 15 plans |
| 638 | DIABETES WITH COMPLICATION | $6,849 – $15,437 · median $6,849 | 15 plans |
| 639 | DIABETES WITHOUT COMPLICATION/COMORBITY | $4,914 – $10,680 · median $4,914 | 15 plans |
| 640 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY | $9,942 – $21,532 · median $9,942 | 15 plans |
| 641 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY | $6,019 – $13,197 · median $6,019 | 15 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,550 – $22,572 · median $10,550 | 15 plans |
| 643 | ENDOCRINE DISORDERS WITH COMORBITY | $12,127 – $29,176 · median $12,127 | 15 plans |
| 644 | ENDOCRINE DISORDERS WITH COMPLICATION | $7,756 – $17,840 · median $7,756 | 15 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,949 – $13,451 · median $5,949 | 15 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $33,627 – $79,109 · median $33,627 | 15 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $26,621 – $64,713 · median $26,621 | 15 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $37,110 – $95,527 · median $37,110 | 15 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $20,242 – $50,799 · median $20,242 | 15 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $15,437 – $36,412 · median $15,437 | 15 plans |
| 656 | KIDNEY & URETER PROCEDURES FOR NEOPLASM WITH COMORBITY | $22,947 – $57,488 · median $22,947 | 15 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,421 – $33,868 · median $13,421 | 15 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,463 – $27,627 · median $11,463 | 15 plans |
| 659 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMORBITY | $18,423 – $46,650 · median $18,423 | 15 plans |
| 660 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION | $9,844 – $25,253 · median $9,844 | 15 plans |
| 661 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION/COMORBITY | $7,829 – $18,620 · median $7,829 | 15 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $22,087 – $51,345 · median $22,087 | 15 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,241 – $27,960 · median $11,241 | 15 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,910 – $20,715 · median $7,910 | 15 plans |
| 665 | PROSTATECTOMY WITH MCC | $22,507 – $53,244 · median $22,507 | 15 plans |
| 666 | PROSTATECTOMY WITH CC | $12,853 – $30,447 · median $12,853 | 15 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,327 – $17,455 · median $8,327 | 15 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $21,091 – $49,123 · median $21,091 | 15 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,464 – $27,358 · median $11,464 | 15 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,420 – $17,126 · median $7,420 | 15 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,174 – $31,173 · median $13,174 | 15 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,139 – $20,136 · median $8,139 | 15 plans |
| 673 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMORBITY | $30,110 – $60,695 · median $30,110 | 15 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,000 – $41,703 · median $17,000 | 15 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,093 – $30,727 · median $12,093 | 15 plans |
| 682 | RENAL FAILURE WITH COMORBITY | $10,965 – $25,769 · median $10,965 | 15 plans |
| 683 | RENAL FAILURE WITH COMPLICATION | $6,706 – $15,384 · median $6,706 | 15 plans |
| 684 | RENAL FAILURE WITHOUT COMPLICATION/COMORBITY | $4,767 – $10,640 · median $4,767 | 15 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,236 – $32,806 · median $13,236 | 15 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,916 – $18,373 · median $7,916 | 15 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,104 – $12,002 · median $6,104 | 15 plans |
| 689 | KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY | $8,708 – $19,493 · median $8,708 | 15 plans |
| 690 | KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY | $6,239 – $13,892 · median $6,239 | 15 plans |
| 693 | URINARY STONES WITH COMORBITY | $10,004 – $23,356 · median $10,004 | 15 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,044 – $13,496 · median $6,044 | 15 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,592 – $19,905 · median $8,592 | 15 plans |
| 696 | KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITHOUT COMORBITY | $5,391 – $12,105 · median $5,391 | 15 plans |
| 697 | URETHRAL STRICTURE | $8,127 – $17,472 · median $8,127 | 15 plans |
| 698 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY | $12,185 – $28,180 · median $12,185 | 15 plans |
| 699 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION | $7,685 – $17,971 · median $7,685 | 15 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,398 – $13,060 · median $5,398 | 15 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,619 – $33,660 · median $14,619 | 15 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,339 – $26,115 · median $11,339 | 15 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $16,919 – $40,537 · median $16,919 | 15 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,403 – $28,046 · median $10,403 | 15 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $15,207 – $37,286 · median $15,207 | 15 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,282 – $18,555 · median $8,282 | 15 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,122 – $26,135 · median $11,122 | 15 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,984 – $16,259 · median $7,984 | 15 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $16,287 – $35,380 · median $16,287 | 15 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,894 – $22,351 · median $10,894 | 15 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,846 – $31,498 · median $13,846 | 15 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,994 – $21,611 · median $9,994 | 15 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $13,278 – $29,960 · median $13,278 | 15 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,584 – $19,108 · median $8,584 | 15 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,157 – $11,340 · median $5,157 | 15 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,778 – $22,481 · median $8,778 | 15 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT COMORBITY | $5,624 – $13,032 · median $5,624 | 15 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH COMORBITY | $10,978 – $24,841 · median $10,978 | 15 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,251 – $14,098 · median $6,251 | 15 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,993 – $17,616 · median $7,993 | 15 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,272 – $9,951 · median $5,272 | 15 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $15,532 – $38,941 · median $15,532 | 15 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,011 – $24,750 · median $10,011 | 15 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $25,697 – $74,578 · median $25,697 | 15 plans |
| 737 | UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY WITH COMPLICATION | $15,043 – $36,027 · median $15,043 | 15 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,877 – $25,849 · median $10,877 | 15 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $25,755 – $66,932 · median $25,755 | 15 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,277 – $31,542 · median $13,277 | 15 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,578 – $22,418 · median $10,578 | 15 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,454 – $30,070 · median $13,454 | 15 plans |
| 743 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $9,274 – $19,828 · median $9,274 | 15 plans |
| 744 | D&C; CONIZATION; LAPAROSCOPY & TUBAL INTERRUPTION WITH COMPLICATION/COMORBITY | $14,962 – $31,420 · median $14,962 | 15 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,548 – $20,470 · median $8,548 | 15 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,767 – $28,198 · median $12,767 | 15 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,593 – $16,443 · median $6,593 | 15 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,305 – $23,590 · median $10,305 | 15 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $18,611 – $47,446 · median $18,611 | 15 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,928 – $25,624 · median $10,928 | 15 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,503 – $31,962 · median $13,503 | 15 plans |
| 755 | MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION | $8,198 – $19,759 · median $8,198 | 15 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,302 – $16,062 · median $7,302 | 15 plans |
| 757 | INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY | $10,619 – $26,646 · median $10,619 | 15 plans |
| 758 | INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION | $7,432 – $16,965 · median $7,432 | 15 plans |
| 759 | INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY | $5,213 – $11,958 · median $5,213 | 15 plans |
| 760 | MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH COMPLICATION/COMORBITY | $7,633 – $16,100 · median $7,633 | 15 plans |
| 761 | MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT COMPLICATION/COMORBITY | $4,558 – $10,336 · median $4,558 | 15 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $8,084 – $20,472 · median $8,084 | 15 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,434 – $28,324 · median $12,434 | 15 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,599 – $15,582 · median $7,599 | 15 plans |
| 776 | POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE | $5,150 – $13,540 · median $5,150 | 15 plans |
| 779 | ABORTION WITHOUT D&C | $6,463 – $18,545 · median $6,463 | 15 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $17,820 – $32,804 · median $17,820 | 15 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,003 – $19,177 · median $8,003 | 15 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,283 – $16,051 · median $7,283 | 15 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $12,150 – $27,888 · median $12,150 | 15 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,402 – $18,622 · median $8,402 | 15 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,290 – $15,531 · median $7,290 | 15 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $13,225 – $30,100 · median $13,225 | 15 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $42,367 – $99,258 · median $42,367 | 15 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $29,106 – $67,790 · median $29,106 | 15 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $17,778 – $40,903 · median $17,778 | 15 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $29,884 – $69,634 · median $29,884 | 15 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $10,929 – $24,647 · median $10,929 | 15 plans |
| 795 | NORMAL NEWBORN | $1,949 – $3,337 · median $1,949 | 15 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $8,755 – $18,720 · median $8,755 | 15 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,583 – $16,105 · median $7,583 | 15 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $7,278 – $14,483 · median $7,278 | 15 plans |
| 799 | SPLENECTOMY WITH COMORBITY | $32,413 – $90,097 · median $32,413 | 15 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $20,313 – $51,741 · median $20,313 | 15 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $13,976 – $29,488 · median $13,976 | 15 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $28,579 – $64,992 · median $28,579 | 15 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,624 – $33,028 · median $13,624 | 15 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,085 – $23,912 · median $10,085 | 15 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $8,137 – $18,023 · median $8,137 | 15 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,849 – $12,857 · median $5,849 | 15 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,287 – $11,240 · median $5,287 | 15 plans |
| 808 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMORBITY | $16,080 – $38,269 · median $16,080 | 15 plans |
| 809 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMPLICATION | $9,451 – $21,420 · median $9,451 | 15 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,908 – $16,846 · median $7,908 | 15 plans |
| 811 | RED BLOOD CELL DISORDERS WITH COMORBITY | $10,425 – $24,148 · median $10,425 | 15 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT COMORBITY | $7,004 – $15,416 · median $7,004 | 15 plans |
| 813 | COAGULATION DISORDERS | $11,276 – $27,039 · median $11,276 | 15 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,509 – $33,107 · median $15,509 | 15 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,678 – $17,379 · median $7,678 | 15 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,990 – $11,573 · median $4,990 | 15 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $16,599 – $40,348 · median $16,599 | 15 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,700 – $23,816 · median $8,700 | 15 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,594 – $17,316 · median $6,594 | 15 plans |
| 820 | LYMPHOMA & LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH COMORBITY | $41,814 – $99,591 · median $41,814 | 15 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $16,296 – $37,725 · median $16,296 | 15 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,015 – $21,910 · median $9,015 | 15 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $32,806 – $78,825 · median $32,806 | 15 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $16,486 – $41,388 · median $16,486 | 15 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,039 – $24,540 · median $10,039 | 15 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $33,461 – $88,274 · median $33,461 | 15 plans |
| 827 | MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITH COMPLICATION | $16,807 – $43,757 · median $16,807 | 15 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,533 – $29,297 · median $12,533 | 15 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURE WITH COMPLICATION/COMORBITY | $22,780 – $56,151 · median $22,780 | 15 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,134 – $25,946 · median $11,134 | 15 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMORBITY | $9,005 – $19,640 · median $9,005 | 15 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,621 – $13,617 · median $5,621 | 15 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,223 – $9,389 · median $4,223 | 15 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $39,175 – $105,985 · median $39,175 | 15 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $15,221 – $37,034 · median $15,221 | 15 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,125 – $20,571 · median $9,125 | 15 plans |
| 837 | CHEMO WITH ACUTE LEUKEMIA AS SDX OR WITH HIGH DOSE CHEMO AGENT WITH COMORBITY | $34,351 – $99,782 · median $34,351 | 15 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $15,232 – $39,578 · median $15,232 | 15 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,704 – $26,031 · median $10,704 | 15 plans |
| 840 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMORBITY | $23,307 – $56,369 · median $23,307 | 15 plans |
| 841 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMPLICATION | $12,023 – $28,387 · median $12,023 | 15 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,653 – $19,208 · median $7,653 | 15 plans |
| 843 | OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITH COMORBITY | $14,580 – $33,373 · median $14,580 | 15 plans |
| 844 | OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITH COMPLICATION | $9,110 – $20,711 · median $9,110 | 15 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,536 – $14,852 · median $6,536 | 15 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMORBITY | $18,786 – $46,785 · median $18,786 | 15 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMPLICATION | $9,749 – $23,387 · median $9,749 | 15 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,520 – $18,072 · median $6,520 | 15 plans |
| 849 | RADIOTHERAPY | $19,610 – $43,647 · median $19,610 | 15 plans |
| 853 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY | $35,296 – $86,942 · median $35,296 | 15 plans |
| 854 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION | $14,604 – $37,146 · median $14,604 | 15 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,079 – $26,558 · median $11,079 | 15 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMORBITY | $32,552 – $81,606 · median $32,552 | 15 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMPLICATION | $15,613 – $36,794 · median $15,613 | 15 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITHOUT COMPLICATION/COMORBITY | $10,345 – $23,805 · median $10,345 | 15 plans |
| 862 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITH COMORBITY | $13,376 – $33,185 · median $13,376 | 15 plans |
| 863 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITHOUT COMORBITY | $7,565 – $17,694 · median $7,565 | 15 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,790 – $15,341 · median $6,790 | 15 plans |
| 865 | VIRAL ILLNESS WITH COMORBITY | $11,086 – $25,904 · median $11,086 | 15 plans |
| 866 | VIRAL ILLNESS WITHOUT COMORBITY | $6,662 – $14,681 · median $6,662 | 15 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,273 – $39,160 · median $15,273 | 15 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,799 – $18,657 · median $7,799 | 15 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,678 – $12,745 · median $5,678 | 15 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $49,181 – $112,693 · median $49,181 | 15 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY | $14,212 – $32,762 · median $14,212 | 15 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY | $7,744 – $17,959 · median $7,744 | 15 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $27,740 – $57,153 · median $27,740 | 15 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,300 – $15,127 · median $7,300 | 15 plans |
| 881 | DEPRESSIVE NEUROSES | $7,164 – $14,026 · median $7,164 | 15 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,099 – $14,410 · median $8,099 | 15 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $14,380 – $27,631 · median $14,380 | 15 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $11,865 – $25,310 · median $11,865 | 15 plans |
| 885 | PSYCHOSES | $10,372 – $21,656 · median $10,372 | 15 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $15,147 – $21,862 · median $15,147 | 15 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,079 – $18,881 · median $8,079 | 15 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,884 – $9,608 · median $4,884 | 15 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $10,505 – $27,967 · median $10,505 | 15 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH COMORBITY | $12,823 – $31,145 · median $12,823 | 15 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY | $6,755 – $14,466 · median $6,755 | 15 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $30,074 – $74,704 · median $30,074 | 15 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,015 – $34,386 · median $14,015 | 15 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,773 – $19,868 · median $8,773 | 15 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $26,391 – $65,224 · median $26,391 | 15 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,982 – $28,879 · median $10,982 | 15 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $14,366 – $31,561 · median $14,366 | 15 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMORBITY | $27,560 – $69,097 · median $27,560 | 15 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION | $14,583 – $35,887 · median $14,583 | 15 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,780 – $24,000 · median $9,780 | 15 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,046 – $28,655 · median $12,046 | 15 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,774 – $15,512 · median $6,774 | 15 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,376 – $29,736 · median $12,376 | 15 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,232 – $11,520 · median $5,232 | 15 plans |
| 917 | POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY | $11,580 – $25,874 · median $11,580 | 15 plans |
| 918 | POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY | $6,574 – $13,860 · median $6,574 | 15 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH COMORBITY | $13,426 – $32,268 · median $13,426 | 15 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH COMPLICATION | $7,596 – $17,927 · median $7,596 | 15 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,387 – $12,213 · median $5,387 | 15 plans |
| 922 | OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITH COMORBITY | $12,853 – $27,790 · median $12,853 | 15 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,704 – $16,455 · median $7,704 | 15 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $150,787 – $369,129 · median $150,787 | 15 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $51,017 – $114,273 · median $51,017 | 15 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $23,208 – $52,750 · median $23,208 | 15 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $27,946 – $39,601 · median $27,946 | 15 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $16,099 – $33,957 · median $16,099 | 15 plans |
| 935 | NON-EXTENSIVE BURNS | $15,039 – $33,833 · median $15,039 | 15 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $26,077 – $59,063 · median $26,077 | 15 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,988 – $38,889 · median $16,988 | 15 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $14,812 – $33,672 · median $14,812 | 15 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,440 – $25,925 · median $11,440 | 15 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,613 – $19,703 · median $8,613 | 15 plans |
| 947 | SIGNS & SYMPTOMS WITH COMORBITY | $9,476 – $20,885 · median $9,476 | 15 plans |
| 948 | SIGNS & SYMPTOMS WITHOUT COMORBITY | $6,176 – $13,773 · median $6,176 | 15 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,915 – $19,436 · median $8,915 | 15 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,960 – $12,943 · median $4,960 | 15 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,455 – $9,788 · median $4,455 | 15 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $47,910 – $110,086 · median $47,910 | 15 plans |
| 956 | LIMB REATTACHMENT; HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA | $27,023 – $67,391 · median $27,023 | 15 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $54,164 – $129,840 · median $54,164 | 15 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $30,196 – $73,586 · median $30,196 | 15 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $21,261 – $47,878 · median $21,261 | 15 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY | $19,781 – $47,737 · median $19,781 | 15 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION | $11,328 – $26,084 · median $11,328 | 15 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,161 – $15,957 · median $7,161 | 15 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $43,619 – $101,509 · median $43,619 | 15 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $19,102 – $52,283 · median $19,102 | 15 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH COMORBITY | $20,852 – $47,058 · median $20,852 | 15 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,656 – $22,446 · median $9,656 | 15 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,895 – $16,623 · median $6,895 | 15 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,675 – $23,160 · median $9,675 | 15 plans |
| 981 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $33,559 – $80,736 · median $33,559 | 15 plans |
| 982 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $17,843 – $44,426 · median $17,843 | 15 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,604 – $28,919 · median $12,604 | 15 plans |
| 987 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $24,669 – $57,271 · median $24,669 | 15 plans |
| 988 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $12,109 – $29,867 · median $12,109 | 15 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,982 – $19,654 · median $8,982 | 15 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $197,748 – $505,944 · median $197,748 | 14 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $80,285 – $261,947 · median $80,285 | 14 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $73,098 – $179,120 · median $73,098 | 14 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $33,174 – $82,231 · median $33,174 | 14 plans |
| 007 | LUNG TRANSPLANT | $91,674 – $202,645 · median $91,674 | 14 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $39,983 – $95,086 · median $39,983 | 14 plans |
| 010 | PANCREAS TRANSPLANT | $51,038 – $63,354 · median $51,038 | 14 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $85,113 – $186,771 · median $85,113 | 14 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $42,270 – $117,863 · median $42,270 | 14 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $38,770 – $84,936 · median $38,770 | 14 plans |
| 652 | KIDNEY TRANSPLANT | $23,269 – $55,750 · median $23,269 | 14 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $21,488 – $39,975 · median $21,488 | 13 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $77,064 – $140,019 · median $77,064 | 13 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $50,720 – $91,465 · median $50,720 | 13 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $42,811 – $80,733 · median $42,811 | 13 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $33,043 – $62,171 · median $33,043 | 13 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $39,712 – $57,985 · median $39,712 | 13 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $25,921 – $41,608 · median $25,921 | 13 plans |
| 321 | CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION | $19,689 – $37,371 · median $19,689 | 13 plans |
| 322 | SHOULDER AND ELBOW JOINT REPLACEMENT | $12,949 – $23,704 · median $12,949 | 13 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $30,995 – $53,820 · median $30,995 | 13 plans |
| 324 | NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT | $22,717 – $38,592 · median $22,717 | 13 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $23,135 – $34,376 · median $23,135 | 13 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $17,396 – $29,206 · median $17,396 | 13 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,194 – $19,673 · median $11,194 | 13 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,598 – $14,470 · median $8,598 | 13 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $80,194 – $80,194 · median $80,194 | 12 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $40,703 – $40,703 · median $40,703 | 12 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $47,596 – $47,596 · median $47,596 | 12 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $17,588 – $17,588 · median $17,588 | 12 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $24,740 – $24,740 · median $24,740 | 12 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $17,532 – $17,532 · median $17,532 | 12 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $28,835 – $28,835 · median $28,835 | 12 plans |
| 426 | NON-HYPOVOLEMIC SODIUM DISORDERS | $78,099 – $78,099 · median $78,099 | 12 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $51,340 – $51,340 · median $51,340 | 12 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $40,105 – $40,105 · median $40,105 | 12 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $63,944 – $63,944 · median $63,944 | 12 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $41,126 – $41,126 · median $41,126 | 12 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $47,561 – $47,561 · median $47,561 | 12 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $30,386 – $30,386 · median $30,386 | 12 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $38,047 – $38,047 · median $38,047 | 12 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $23,275 – $23,275 · median $23,275 | 12 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $61,480 – $61,480 · median $61,480 | 12 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT COMPLICATION/COMORBITY | $9,630 – $12,742 · median $12,378 | 3 plans |
No procedures match that keyword.