Anderson Hospital — Pricing
650 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 650 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Procedures published 650
Lowest published price —
Average published price —
Highest published price —
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Estimate your out-of-pocket cost
Enter what's left on your plan this year, then choose a procedure — click any row below or its “Estimate” button.
Leave blank if unsure — no cap will be applied.
No procedure selected yet — pick a row in the table below to see an estimate here.
Estimate only. Your plan's actual negotiated rate, network status, and benefit rules control what you pay — confirm with your insurer. Professional fees (surgeon, anesthesia) are usually billed separately.
Showing all 650 procedures
Procedures with negotiated rates only
These 650 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 |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $2,558 – $22,566 · median $8,881 | 21 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $3,127 – $67,764 · median $26,852 | 20 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $3,127 – $44,268 · median $17,548 | 20 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $3,127 – $22,823 · median $8,981 | 20 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $3,127 – $30,709 · median $12,135 | 20 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $3,127 – $18,985 · median $7,477 | 20 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $3,127 – $74,062 · median $29,576 | 20 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $3,127 – $36,701 · median $14,551 | 20 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $3,127 – $28,260 · median $11,137 | 20 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $3,127 – $72,182 · median $24,981 | 20 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $3,127 – $96,932 · median $38,783 | 20 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $3,127 – $56,926 · median $22,645 | 20 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $23,547 – $63,537 · median $25,428 | 20 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $15,715 – $43,027 · median $17,225 | 20 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,330 – $36,780 · median $14,753 | 20 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $11,022 – $30,734 · median $12,309 | 20 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $3,127 – $69,245 · median $27,628 | 20 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $3,127 – $52,002 · median $20,653 | 20 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $3,127 – $36,282 · median $14,385 | 20 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $3,127 – $34,663 · median $13,744 | 20 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $3,127 – $66,392 · median $26,474 | 20 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $3,127 – $116,097 · median $45,545 | 20 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $3,127 – $49,546 · median $19,470 | 20 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $3,127 – $32,816 · median $12,994 | 20 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $3,127 – $90,650 · median $36,271 | 20 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $3,127 – $48,170 · median $19,103 | 20 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $3,127 – $34,373 · median $13,628 | 20 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $3,127 – $70,841 · median $28,273 | 20 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $3,127 – $42,598 · median $16,886 | 20 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $3,127 – $31,516 · median $12,464 | 20 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $3,127 – $30,931 · median $12,226 | 20 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $3,127 – $24,779 · median $9,748 | 20 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $3,127 – $27,147 · median $10,676 | 20 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $3,127 – $18,683 · median $7,359 | 20 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $3,127 – $31,314 · median $12,382 | 20 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $3,127 – $24,424 · median $9,609 | 20 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $3,127 – $57,921 · median $23,047 | 20 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $3,127 – $34,364 · median $13,624 | 20 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $3,127 – $27,847 · median $10,969 | 20 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $3,127 – $90,262 · median $35,651 | 20 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $3,127 – $46,785 · median $18,544 | 20 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $3,127 – $28,868 · median $11,385 | 20 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $3,127 – $107,532 · median $43,022 | 20 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $3,127 – $57,886 · median $23,033 | 20 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $3,127 – $44,740 · median $17,734 | 20 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $3,127 – $70,738 · median $28,232 | 20 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $3,127 – $32,534 · median $12,879 | 20 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $3,127 – $42,478 · median $16,839 | 20 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $3,127 – $33,941 · median $13,452 | 20 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $3,127 – $70,680 · median $28,208 | 20 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $3,127 – $41,786 · median $16,565 | 20 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $3,127 – $28,200 · median $11,113 | 20 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $3,127 – $47,962 · median $19,019 | 20 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $3,127 – $34,541 · median $13,696 | 20 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $3,127 – $28,248 · median $11,133 | 20 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $3,127 – $53,246 · median $21,103 | 20 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $3,127 – $111,955 · median $44,791 | 20 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $3,127 – $62,029 · median $24,709 | 20 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,127 – $37,093 · median $14,706 | 20 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $10,815 – $69,985 · median $27,731 | 20 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $10,815 – $54,946 · median $21,776 | 20 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $3,127 – $60,455 · median $23,957 | 20 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $10,815 – $39,125 · median $15,665 | 20 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $3,127 – $58,772 · median $23,291 | 20 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $3,127 – $49,022 · median $19,430 | 20 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $3,127 – $45,823 · median $18,163 | 20 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $3,127 – $49,368 · median $19,587 | 20 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $3,127 – $37,773 · median $14,975 | 20 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $15,635 – $58,120 · median $23,127 | 20 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,447 – $42,323 · median $16,777 | 20 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,029 – $33,371 · median $13,363 | 20 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $3,127 – $55,408 · median $22,031 | 20 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $3,127 – $43,912 · median $16,751 | 20 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $3,127 – $32,119 · median $12,710 | 20 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $3,127 – $36,034 · median $14,287 | 20 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $3,127 – $23,439 · median $9,223 | 20 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $3,127 – $72,786 · median $29,060 | 20 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $3,127 – $50,853 · median $20,188 | 20 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $3,127 – $40,624 · median $16,059 | 20 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $3,127 – $36,710 · median $14,555 | 20 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $3,127 – $25,206 · median $9,916 | 20 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $3,127 – $40,784 · median $16,022 | 20 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $3,127 – $35,633 · median $14,128 | 20 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $3,127 – $27,864 · median $10,976 | 20 plans |
| 504 | FOOT PROCEDURES WITH CC | $3,127 – $37,972 · median $15,054 | 20 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $3,127 – $36,496 · median $14,470 | 20 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $3,127 – $27,928 · median $11,002 | 20 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $3,127 – $31,119 · median $12,302 | 20 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $3,127 – $42,032 · median $16,662 | 20 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $3,127 – $33,842 · median $13,412 | 20 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $3,127 – $32,276 · median $12,774 | 20 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $3,127 – $21,614 · median $8,507 | 20 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $3,127 – $42,007 · median $16,652 | 20 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $3,127 – $31,549 · median $12,478 | 20 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $3,127 – $68,919 · median $27,299 | 20 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $3,127 – $36,577 · median $14,502 | 20 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $3,127 – $53,067 · median $21,084 | 20 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $3,127 – $32,896 · median $13,026 | 20 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $3,127 – $64,420 · median $25,676 | 20 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $3,127 – $35,244 · median $13,974 | 20 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $3,127 – $29,741 · median $11,741 | 20 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $3,127 – $39,080 · median $15,354 | 20 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $3,127 – $35,175 · median $13,947 | 20 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $3,127 – $43,216 · median $17,131 | 20 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $3,127 – $39,129 · median $15,373 | 20 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $3,127 – $37,993 · median $15,063 | 20 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $3,127 – $36,517 · median $14,478 | 20 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $3,127 – $34,401 · median $10,246 | 20 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $3,127 – $43,952 · median $17,422 | 20 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $3,127 – $39,316 · median $11,870 | 20 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $3,127 – $55,937 · median $22,245 | 20 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $3,127 – $110,910 · median $25,249 | 20 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $3,127 – $37,215 · median $14,754 | 20 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $3,127 – $31,841 · median $12,597 | 20 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $3,127 – $27,397 · median $10,786 | 20 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $3,127 – $21,867 · median $8,606 | 20 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $3,127 – $22,089 · median $8,693 | 20 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $3,127 – $58,268 · median $23,188 | 20 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $3,127 – $31,845 · median $12,598 | 20 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $3,127 – $20,744 · median $8,167 | 20 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $3,127 – $83,023 · median $33,201 | 20 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $3,127 – $47,038 · median $18,645 | 20 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $3,127 – $33,572 · median $13,302 | 20 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $3,127 – $40,504 · median $16,057 | 20 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $3,127 – $31,501 · median $12,458 | 20 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $3,127 – $28,932 · median $11,411 | 20 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $3,127 – $42,117 · median $16,696 | 20 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $3,127 – $23,109 · median $9,093 | 20 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $3,127 – $30,906 · median $12,216 | 20 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $3,127 – $22,291 · median $8,773 | 20 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $3,127 – $41,669 · median $16,518 | 20 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $3,127 – $30,232 · median $11,941 | 20 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $3,127 – $36,820 · median $14,598 | 20 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $3,127 – $29,413 · median $11,607 | 20 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $3,127 – $37,307 · median $14,791 | 20 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $3,127 – $25,832 · median $10,161 | 20 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $3,127 – $41,447 · median $16,282 | 20 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $3,127 – $35,244 · median $13,851 | 20 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $3,127 – $35,420 · median $14,044 | 20 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $3,127 – $18,473 · median $7,276 | 20 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $3,127 – $51,462 · median $20,246 | 20 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $3,127 – $30,373 · median $11,998 | 20 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $3,127 – $34,506 · median $13,682 | 20 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $3,127 – $21,235 · median $8,359 | 20 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $3,359 – $49,289 · median $19,356 | 20 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $3,359 – $22,344 · median $8,793 | 20 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,359 – $20,368 · median $8,019 | 20 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $3,359 – $33,728 · median $13,256 | 20 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $3,359 – $23,439 · median $9,223 | 20 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $3,359 – $20,387 · median $8,026 | 20 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $2,558 – $24,408 · median $9,603 | 20 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $2,558 – $21,191 · median $8,341 | 20 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $2,558 – $20,354 · median $8,014 | 20 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $3,127 – $28,059 · median $11,056 | 20 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $2,558 – $22,713 · median $8,938 | 20 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $2,558 – $16,431 · median $6,476 | 20 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,558 – $14,890 · median $5,872 | 20 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $3,127 – $45,628 · median $18,086 | 20 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $3,127 – $27,932 · median $11,004 | 20 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $3,127 – $97,258 · median $38,913 | 20 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $3,127 – $40,461 · median $16,040 | 20 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,127 – $30,786 · median $12,167 | 20 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $3,127 – $89,727 · median $35,901 | 20 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $3,127 – $43,231 · median $17,137 | 20 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,127 – $28,772 · median $11,346 | 20 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $3,127 – $38,847 · median $15,401 | 20 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $3,127 – $24,459 · median $9,623 | 20 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $3,127 – $30,520 · median $11,998 | 20 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $3,127 – $39,809 · median $15,782 | 20 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $3,127 – $76,025 · median $30,370 | 20 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $3,127 – $40,405 · median $16,018 | 20 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $3,127 – $27,223 · median $10,715 | 20 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $3,127 – $47,005 · median $18,632 | 20 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $3,127 – $41,033 · median $16,266 | 20 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $3,127 – $74,551 · median $29,774 | 20 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $3,127 – $92,491 · median $37,007 | 20 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $3,127 – $49,354 · median $19,582 | 20 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $3,127 – $34,974 · median $13,867 | 20 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $3,127 – $68,088 · median $26,961 | 20 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $3,127 – $33,614 · median $13,319 | 20 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $3,127 – $25,030 · median $9,847 | 20 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $3,127 – $117,920 · median $46,259 | 19 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $3,127 – $31,515 · median $12,388 | 19 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $3,127 – $36,792 · median $14,457 | 19 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $3,127 – $43,782 · median $17,197 | 19 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $3,127 – $21,478 · median $8,454 | 19 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $3,127 – $194,190 · median $77,680 | 19 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $3,127 – $97,428 · median $38,971 | 19 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $3,127 – $28,608 · median $11,249 | 19 plans |
| 245 | AICD GENERATOR PROCEDURES | $25,255 – $89,992 · median $35,997 | 19 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $16,096 – $44,023 · median $17,609 | 19 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $3,127 – $53,969 · median $21,309 | 19 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $3,127 – $22,964 · median $9,036 | 19 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $3,127 – $62,558 · median $24,823 | 19 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $3,127 – $40,925 · median $16,077 | 19 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $3,127 – $64,696 · median $25,697 | 19 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $3,127 – $38,383 · median $15,081 | 19 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $3,127 – $33,350 · median $13,108 | 19 plans |
| 265 | AICD LEAD PROCEDURES | $3,127 – $71,754 · median $28,584 | 19 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $3,127 – $198,244 · median $77,746 | 19 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $3,127 – $83,440 · median $33,363 | 19 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $33,503 – $103,781 · median $41,512 | 19 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $3,127 – $70,559 · median $28,095 | 19 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $3,127 – $51,180 · median $20,169 | 19 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $3,127 – $51,755 · median $20,404 | 19 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $3,127 – $64,195 · median $25,199 | 19 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $3,127 – $49,999 · median $19,686 | 19 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $3,127 – $43,923 · median $17,252 | 19 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $3,127 – $65,672 · median $26,096 | 19 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $3,127 – $67,677 · median $26,916 | 19 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $3,127 – $35,428 · median $13,922 | 19 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $3,127 – $28,899 · median $11,363 | 19 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $3,127 – $82,084 · median $32,809 | 19 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $3,127 – $44,127 · median $17,333 | 19 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $3,127 – $30,846 · median $12,126 | 19 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $3,127 – $164,182 · median $64,394 | 19 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $3,127 – $117,047 · median $45,917 | 19 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $3,127 – $82,463 · median $32,360 | 19 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $3,127 – $115,499 · median $45,310 | 19 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $10,815 – $102,412 · median $40,180 | 19 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $15,450 – $119,054 · median $46,704 | 19 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $3,127 – $84,786 · median $33,914 | 19 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,127 – $24,663 · median $9,703 | 19 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $3,127 – $68,594 · median $27,291 | 19 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $3,127 – $64,200 · median $25,494 | 19 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $3,127 – $71,899 · median $28,643 | 19 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $3,127 – $60,138 · median $23,833 | 19 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $3,127 – $62,997 · median $25,002 | 19 plans |
| 503 | FOOT PROCEDURES WITH MCC | $3,127 – $55,778 · median $22,050 | 19 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $3,127 – $36,759 · median $14,444 | 19 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $3,127 – $60,209 · median $23,862 | 19 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $3,127 – $63,424 · median $25,177 | 19 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $3,127 – $74,055 · median $29,525 | 19 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $3,127 – $40,502 · median $15,912 | 19 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $3,127 – $30,723 · median $12,078 | 19 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $3,127 – $57,306 · median $22,675 | 19 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,076 – $42,772 · median $16,801 | 19 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $3,127 – $193,584 · median $75,920 | 19 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $3,127 – $34,501 · median $13,559 | 19 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $3,127 – $24,009 · median $9,446 | 19 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $3,127 – $128,410 · median $51,364 | 19 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $3,127 – $96,536 · median $38,614 | 19 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $3,127 – $69,228 · median $27,550 | 19 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $3,127 – $29,262 · median $11,506 | 19 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $3,127 – $70,615 · median $28,118 | 19 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $3,127 – $73,852 · median $29,442 | 19 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $3,127 – $140,513 · median $55,116 | 19 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $3,127 – $42,750 · median $16,793 | 19 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $3,127 – $50,946 · median $20,073 | 19 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $3,127 – $61,001 · median $24,186 | 19 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $3,127 – $31,231 · median $12,277 | 19 plans |
| 665 | PROSTATECTOMY WITH MCC | $3,127 – $62,155 · median $24,657 | 19 plans |
| 666 | PROSTATECTOMY WITH CC | $3,127 – $35,656 · median $14,012 | 19 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $3,127 – $23,234 · median $9,142 | 19 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $3,127 – $36,539 · median $14,358 | 19 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $3,127 – $22,718 · median $8,940 | 19 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $3,127 – $46,816 · median $18,387 | 19 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $3,127 – $45,082 · median $17,707 | 19 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $3,127 – $30,280 · median $11,905 | 19 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $3,127 – $38,383 · median $15,081 | 19 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,127 – $27,810 · median $10,936 | 19 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $3,127 – $43,009 · median $16,894 | 19 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $3,127 – $27,856 · median $10,954 | 19 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $3,127 – $70,910 · median $28,239 | 19 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $3,127 – $71,070 · median $28,304 | 19 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $3,127 – $78,822 · median $31,474 | 19 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $3,127 – $37,773 · median $14,842 | 19 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $3,127 – $90,424 · median $36,170 | 19 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $3,127 – $82,926 · median $33,153 | 19 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $3,127 – $72,815 · median $29,017 | 19 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $3,127 – $71,953 · median $28,665 | 19 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $13,358 – $36,853 · median $14,756 | 18 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,222 – $20,781 · median $8,247 | 18 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,261 – $31,360 · median $12,509 | 18 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,520 – $21,561 · median $8,556 | 18 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $17,133 – $46,739 · median $18,710 | 18 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,555 – $26,892 · median $10,670 | 18 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,152 – $25,836 · median $10,248 | 18 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,784 – $19,634 · median $7,792 | 18 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,831 – $40,711 · median $16,299 | 18 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,451 – $22,531 · median $8,485 | 18 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,047 – $16,067 · median $5,991 | 18 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,832 – $30,236 · median $12,046 | 18 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,375 – $18,564 · median $7,369 | 18 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,891 – $17,297 · median $6,867 | 18 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,577 – $16,474 · median $6,541 | 18 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,832 – $32,855 · median $13,010 | 18 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,602 – $21,778 · median $8,641 | 18 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $10,943 – $38,905 · median $15,424 | 18 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,086 – $17,806 · median $7,069 | 18 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,605 – $19,166 · median $7,607 | 18 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,049 – $20,329 · median $8,068 | 18 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,607 – $27,030 · median $10,727 | 18 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,746 – $19,535 · median $7,753 | 18 plans |
| 089 | CONCUSSION WITH CC | $8,102 – $23,087 · median $9,160 | 18 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,071 – $17,768 · median $7,053 | 18 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $12,952 – $35,789 · median $14,330 | 18 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,545 – $21,627 · median $8,582 | 18 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,873 – $17,248 · median $6,848 | 18 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $19,022 – $51,686 · median $20,688 | 18 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $18,916 – $51,686 · median $20,525 | 18 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $26,637 – $71,631 · median $28,664 | 18 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $16,925 – $46,194 · median $18,310 | 18 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,048 – $28,183 · median $11,201 | 18 plans |
| 100 | SEIZURES WITH MCC | $14,284 – $39,277 · median $15,726 | 18 plans |
| 101 | SEIZURES WITHOUT MCC | $6,657 – $19,301 · median $7,661 | 18 plans |
| 102 | HEADACHES WITH MCC | $8,267 – $23,518 · median $9,330 | 18 plans |
| 103 | HEADACHES WITHOUT MCC | $6,168 – $18,021 · median $7,154 | 18 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,795 – $17,045 · median $6,767 | 18 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,890 – $17,293 · median $6,865 | 18 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,663 – $16,698 · median $6,630 | 18 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,377 – $26,658 · median $10,482 | 18 plans |
| 149 | DYSEQUILIBRIUM | $5,543 – $16,385 · median $6,506 | 18 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,413 – $16,045 · median $6,371 | 18 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,541 – $24,702 · median $9,718 | 18 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,444 – $16,126 · median $6,356 | 18 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $4,914 – $19,570 · median $7,706 | 18 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,097 – $15,216 · median $6,043 | 18 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,710 – $19,441 · median $7,716 | 18 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,225 – $15,552 · median $6,176 | 18 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,130 – $28,399 · median $11,290 | 18 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,937 – $18,616 · median $6,914 | 18 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,525 – $33,861 · median $12,793 | 18 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,198 – $21,149 · median $8,222 | 18 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,568 – $16,451 · median $6,532 | 18 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $13,024 – $35,978 · median $14,406 | 18 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,899 – $22,554 · median $8,949 | 18 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,559 – $16,606 · median $6,523 | 18 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,283 – $31,418 · median $12,532 | 18 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,848 – $22,421 · median $8,896 | 18 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,800 – $17,059 · median $6,773 | 18 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,494 – $31,970 · median $12,649 | 18 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,295 – $20,972 · median $8,322 | 18 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,289 – $16,228 · median $6,243 | 18 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,111 – $25,730 · median $10,206 | 18 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,169 – $23,263 · median $9,230 | 18 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,217 – $18,150 · median $7,205 | 18 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,735 – $14,268 · median $5,644 | 18 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,694 – $27,256 · median $10,820 | 18 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,944 – $17,434 · median $6,921 | 18 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,635 – $14,007 · median $5,533 | 18 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,918 – $38,319 · median $15,342 | 18 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,000 – $59,739 · median $23,452 | 18 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,282 – $15,701 · median $6,235 | 18 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,010 – $35,942 · median $14,391 | 18 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,107 – $23,101 · median $9,165 | 18 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,274 – $15,680 · median $6,227 | 18 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,163 – $20,626 · median $8,185 | 18 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,941 – $14,809 · median $5,873 | 18 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,955 – $17,463 · median $6,933 | 18 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $13,504 – $37,234 · median $14,908 | 18 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,941 – $20,045 · median $7,955 | 18 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $47,456 – $204,793 · median $80,314 | 18 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $20,272 – $54,960 · median $21,997 | 18 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $11,830 – $36,023 · median $13,122 | 18 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,778 – $25,470 · median $7,787 | 18 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,333 – $16,815 · median $6,288 | 18 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $14,608 – $40,127 · median $16,065 | 18 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,105 – $27,554 · median $6,051 | 18 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,417 – $13,435 · median $5,301 | 18 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $16,319 – $44,608 · median $17,858 | 18 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,892 – $22,537 · median $8,942 | 18 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $19,958 – $54,139 · median $21,669 | 18 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,468 – $26,665 · median $10,577 | 18 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,261 – $18,266 · median $7,251 | 18 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,174 – $13,011 · median $5,052 | 18 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,041 – $33,404 · median $13,349 | 18 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,873 – $22,487 · median $8,922 | 18 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,308 – $15,769 · median $6,262 | 18 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,825 – $24,980 · median $9,910 | 18 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,965 – $14,871 · median $5,899 | 18 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,569 – $16,452 · median $6,533 | 18 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,735 – $19,506 · median $7,742 | 18 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,880 – $25,123 · median $9,896 | 18 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,426 – $16,078 · median $6,384 | 18 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,175 – $12,802 · median $5,053 | 18 plans |
| 311 | ANGINA PECTORIS | $5,177 – $15,425 · median $6,126 | 18 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,428 – $18,703 · median $7,424 | 18 plans |
| 313 | CHEST PAIN | $5,310 – $15,775 · median $6,264 | 18 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $15,378 – $42,144 · median $16,872 | 18 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,104 – $20,474 · median $8,125 | 18 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,030 – $15,042 · median $5,972 | 18 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,376 – $21,187 · median $8,407 | 18 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,168 – $15,404 · median $6,117 | 18 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,077 – $36,115 · median $14,461 | 18 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,530 – $21,588 · median $8,566 | 18 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,365 – $15,917 · median $6,321 | 18 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $8,565 – $43,177 · median $17,116 | 18 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,921 – $25,231 · median $10,009 | 18 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,817 – $19,721 · median $7,827 | 18 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,482 – $37,176 · median $14,885 | 18 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,233 – $20,810 · median $8,258 | 18 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,649 – $14,044 · median $5,549 | 18 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,991 – $22,796 · median $9,044 | 18 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,904 – $17,331 · median $6,881 | 18 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,304 – $18,378 · median $7,295 | 18 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,200 – $20,725 · median $8,224 | 18 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,025 – $15,027 · median $5,966 | 18 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,891 – $30,392 · median $12,110 | 18 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,825 – $17,123 · median $6,798 | 18 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,012 – $12,375 · median $4,886 | 18 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,354 – $26,365 · median $10,458 | 18 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,750 – $16,926 · median $6,720 | 18 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $11,795 – $32,758 · median $13,084 | 18 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,901 – $19,941 · median $7,914 | 18 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,786 – $14,403 · median $5,701 | 18 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,515 – $39,884 · median $15,968 | 18 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,789 – $22,268 · median $8,836 | 18 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,255 – $15,630 · median $6,207 | 18 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,546 – $37,344 · median $14,952 | 18 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,342 – $23,715 · median $9,409 | 18 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,293 – $18,349 · median $7,284 | 18 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,023 – $33,355 · median $13,330 | 18 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,204 – $18,116 · median $7,191 | 18 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,583 – $13,870 · median $5,475 | 18 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,236 – $36,533 · median $14,628 | 18 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,119 – $20,513 · median $8,140 | 18 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,160 – $15,382 · median $6,109 | 18 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,323 – $34,141 · median $13,653 | 18 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,071 – $23,006 · median $9,128 | 18 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,101 – $17,847 · median $7,085 | 18 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,945 – $17,438 · median $6,923 | 18 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,956 – $17,467 · median $6,934 | 18 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,312 – $15,780 · median $6,266 | 18 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,560 – $26,906 · median $10,676 | 18 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,807 – $17,076 · median $6,780 | 18 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,028 – $35,988 · median $14,410 | 18 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,582 – $21,724 · median $8,620 | 18 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,565 – $16,443 · median $6,529 | 18 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $12,537 – $49,802 · median $19,763 | 18 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,506 – $24,146 · median $9,579 | 18 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,167 – $18,019 · median $7,153 | 18 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,903 – $25,185 · median $9,991 | 18 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,275 – $18,751 · median $7,385 | 18 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $8,515 – $34,242 · median $13,575 | 18 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,090 – $20,435 · median $8,110 | 18 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,122 – $17,901 · median $7,106 | 18 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,126 – $17,911 · median $7,110 | 18 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $10,966 – $30,587 · median $12,191 | 18 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,587 – $19,120 · median $7,589 | 18 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,929 – $17,395 · median $6,906 | 18 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,508 – $29,388 · median $11,697 | 18 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,604 – $19,164 · median $7,606 | 18 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,186 – $20,688 · median $8,210 | 18 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $2,473 – $16,340 · median $6,440 | 18 plans |
| 593 | SKIN ULCERS WITH CC | $8,749 – $24,781 · median $9,831 | 18 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,983 – $22,776 · median $8,963 | 18 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,343 – $23,719 · median $9,410 | 18 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,462 – $13,553 · median $5,348 | 18 plans |
| 602 | CELLULITIS WITH MCC | $10,482 – $29,320 · median $11,669 | 18 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,423 – $18,689 · median $7,418 | 18 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,756 – $19,560 · median $7,763 | 18 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,354 – $19,375 · median $7,630 | 18 plans |
| 637 | DIABETES WITH MCC | $10,596 – $29,618 · median $11,792 | 18 plans |
| 638 | DIABETES WITH CC | $6,609 – $19,178 · median $7,612 | 18 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,581 – $13,866 · median $5,473 | 18 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,048 – $27,665 · median $10,895 | 18 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,739 – $16,899 · median $6,709 | 18 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $4,436 – $29,336 · median $11,576 | 18 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,559 – $21,666 · median $8,597 | 18 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,666 – $16,707 · median $6,634 | 18 plans |
| 682 | RENAL FAILURE WITH MCC | $10,922 – $30,473 · median $12,144 | 18 plans |
| 683 | RENAL FAILURE WITH CC | $6,459 – $21,337 · median $7,456 | 18 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,427 – $14,299 · median $5,312 | 18 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,728 – $22,106 · median $8,771 | 18 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,828 – $17,132 · median $6,802 | 18 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,557 – $24,279 · median $9,632 | 18 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,970 – $17,503 · median $6,949 | 18 plans |
| 693 | URINARY STONES WITH MCC | $9,916 – $27,837 · median $11,059 | 18 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,765 – $16,966 · median $6,736 | 18 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,657 – $15,176 · median $5,984 | 18 plans |
| 697 | URETHRAL STRICTURE | $7,949 – $22,686 · median $9,001 | 18 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,201 – $33,823 · median $13,522 | 18 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,486 – $21,473 · median $8,520 | 18 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,088 – $15,193 · median $6,034 | 18 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,836 – $15,326 · median $5,756 | 18 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,983 – $17,536 · median $6,962 | 18 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,956 – $14,847 · median $5,890 | 18 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,023 – $22,879 · median $9,077 | 18 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,250 – $20,420 · median $8,039 | 18 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,220 – $20,777 · median $8,245 | 18 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,894 – $14,685 · median $5,821 | 18 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,430 – $21,328 · median $8,463 | 18 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,207 – $12,887 · median $5,086 | 18 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,828 – $14,513 · median $5,748 | 18 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,336 – $26,319 · median $10,440 | 18 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,719 – $22,083 · median $8,762 | 18 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,357 – $28,992 · median $11,534 | 18 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,772 – $19,603 · median $7,780 | 18 plans |
| 813 | COAGULATION DISORDERS | $11,249 – $31,329 · median $12,496 | 18 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,478 – $21,453 · median $8,513 | 18 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,661 – $14,075 · median $5,562 | 18 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $39,816 – $107,907 · median $43,172 | 18 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $15,383 – $42,155 · median $16,876 | 18 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,994 – $25,423 · median $10,085 | 18 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $23,857 – $64,351 · median $25,753 | 18 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,032 – $33,378 · median $13,339 | 18 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,452 – $21,384 · median $8,485 | 18 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $2,159 – $25,382 · median $9,984 | 18 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,281 – $18,316 · median $7,271 | 18 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,450 – $37,093 · median $14,852 | 18 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,360 – $21,142 · median $8,390 | 18 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,050 – $30,808 · median $12,281 | 18 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,413 – $18,664 · median $7,408 | 18 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,437 – $42,298 · median $16,934 | 18 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,604 – $21,784 · median $8,644 | 18 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,382 – $15,962 · median $6,338 | 18 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $50,975 – $135,371 · median $54,383 | 18 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,326 – $39,388 · median $15,770 | 18 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,547 – $21,633 · median $8,584 | 18 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,081 – $20,414 · median $8,101 | 18 plans |
| 881 | DEPRESSIVE NEUROSES | $5,825 – $20,041 · median $7,891 | 18 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $4,716 – $22,608 · median $8,897 | 18 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $6,895 – $39,847 · median $15,797 | 18 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $11,139 – $32,944 · median $13,046 | 18 plans |
| 885 | PSYCHOSES | $8,149 – $28,847 · median $11,377 | 18 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $8,281 – $41,953 · median $16,631 | 18 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,550 – $13,783 · median $5,438 | 18 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $11,578 – $35,575 · median $14,105 | 18 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,511 – $18,919 · median $7,451 | 18 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,531 – $18,971 · median $7,530 | 18 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,914 – $14,737 · median $5,841 | 18 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $11,567 – $32,162 · median $12,838 | 18 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,321 – $18,423 · median $7,256 | 18 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,502 – $37,230 · median $14,907 | 18 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,392 – $21,227 · median $8,356 | 18 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,077 – $15,164 · median $5,979 | 18 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $3,159 – $21,525 · median $8,472 | 18 plans |
| 935 | NON-EXTENSIVE BURNS | $9,737 – $41,657 · median $16,514 | 18 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,904 – $17,329 · median $6,880 | 18 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,774 – $24,847 · median $9,775 | 18 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,629 – $13,992 · median $5,519 | 18 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,101 – $12,607 · median $4,977 | 18 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $20,162 – $56,420 · median $21,882 | 18 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,303 – $31,470 · median $12,554 | 18 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,936 – $20,034 · median $7,951 | 18 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $21,284 – $57,612 · median $23,058 | 18 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,551 – $26,881 · median $10,666 | 18 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,657 – $25,667 · median $7,662 | 18 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,571 – $26,933 · median $10,687 | 18 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $12,608 – $34,887 · median $13,955 | 17 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $20,334 – $55,122 · median $22,049 | 17 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $12,959 – $35,808 · median $14,323 | 17 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,353 – $28,982 · median $11,468 | 17 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $12,278 – $34,024 · median $13,600 | 17 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $7,567 – $21,685 · median $8,535 | 17 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $13,349 – $36,828 · median $14,731 | 17 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $16,856 – $46,015 · median $18,406 | 17 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,294 – $28,828 · median $11,402 | 17 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,755 – $45,750 · median $18,300 | 17 plans |
| 088 | CONCUSSION WITH MCC | $9,970 – $27,978 · median $11,043 | 17 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $25,956 – $69,846 · median $27,938 | 17 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,579 – $24,337 · median $9,575 | 17 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $9,758 – $27,424 · median $10,808 | 17 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $15,616 – $42,766 · median $17,106 | 17 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,879 – $17,264 · median $6,802 | 17 plans |
| 150 | EPISTAXIS WITH MCC | $9,820 – $27,586 · median $10,877 | 17 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,531 – $32,067 · median $12,772 | 17 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,661 – $35,028 · median $14,011 | 17 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $21,951 – $59,358 · median $23,743 | 17 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $52,587 – $139,594 · median $55,850 | 17 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $44,299 – $117,887 · median $47,171 | 17 plans |
| 277 | CELLULITIS AGE >17 W CC | $34,061 – $91,075 · median $36,451 | 17 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $41,051 – $109,381 · median $43,770 | 17 plans |
| 279 | CELLULITIS AGE 0-17 | $26,597 – $71,526 · median $28,611 | 17 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,588 – $34,837 · median $13,935 | 17 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,857 – $19,825 · median $7,806 | 17 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,519 – $32,036 · median $12,759 | 17 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,676 – $14,113 · median $5,567 | 17 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,356 – $10,658 · median $4,213 | 17 plans |
| 304 | HYPERTENSION WITH MCC | $8,776 – $24,853 · median $9,777 | 17 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,622 – $32,305 · median $12,873 | 17 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $20,066 – $54,421 · median $21,768 | 17 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $13,002 – $35,920 · median $14,368 | 17 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $31,915 – $85,453 · median $34,186 | 17 plans |
| 324 | URINARY STONES W/O CC | $23,239 – $62,730 · median $25,092 | 17 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $11,740 – $32,616 · median $13,004 | 17 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,471 – $39,768 · median $15,907 | 17 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,183 – $28,536 · median $11,279 | 17 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,669 – $32,430 · median $12,926 | 17 plans |
| 397 | COAGULATION DISORDERS | $17,662 – $48,126 · median $19,250 | 17 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $11,163 – $31,103 · median $12,365 | 17 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $8,442 – $23,978 · median $9,434 | 17 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $3,127 – $273,656 · median $67,862 | 17 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $3,127 – $120,006 · median $47,077 | 17 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $3,127 – $146,158 · median $35,639 | 17 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $3,127 – $176,974 · median $50,984 | 17 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $3,127 – $79,729 · median $28,463 | 17 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,562 – $32,148 · median $12,807 | 17 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,455 – $26,630 · median $10,474 | 17 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,038 – $20,300 · median $7,992 | 17 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,527 – $39,913 · median $15,965 | 17 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,240 – $39,163 · median $15,665 | 17 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,560 – $26,906 · median $10,589 | 17 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,748 – $27,398 · median $10,798 | 17 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,754 – $37,889 · median $15,155 | 17 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,305 – $23,618 · median $9,293 | 17 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,384 – $31,683 · median $12,610 | 17 plans |
| 592 | SKIN ULCERS WITH MCC | $14,273 – $39,248 · median $15,699 | 17 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,393 – $18,610 · median $7,330 | 17 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $15,640 – $42,830 · median $17,132 | 17 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,295 – $34,068 · median $13,619 | 17 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,674 – $16,729 · median $6,592 | 17 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,682 – $21,986 · median $8,653 | 17 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,857 – $30,302 · median $12,026 | 17 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,160 – $31,095 · median $12,361 | 17 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,140 – $33,662 · median $13,447 | 17 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,302 – $36,707 · median $14,683 | 17 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,436 – $23,960 · median $9,427 | 17 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $13,347 – $36,822 · median $14,729 | 17 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,427 – $23,939 · median $9,419 | 17 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,630 – $24,470 · median $9,627 | 17 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,325 – $15,813 · median $6,233 | 17 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,936 – $30,510 · median $12,114 | 17 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,808 – $22,317 · median $8,783 | 17 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,583 – $37,441 · median $14,976 | 17 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,560 – $29,525 · median $11,697 | 17 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $2,354 – $36,678 · median $14,412 | 17 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $5,125 – $116,668 · median $46,667 | 17 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $8,399 – $80,268 · median $32,066 | 17 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $6,133 – $49,175 · median $19,349 | 17 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $5,919 – $82,405 · median $32,940 | 17 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,725 – $30,375 · median $11,942 | 17 plans |
| 795 | NORMAL NEWBORN | $1,474 – $5,727 · median $2,280 | 17 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $16,283 – $44,514 · median $17,806 | 17 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,684 – $42,945 · median $17,178 | 17 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,868 – $25,094 · median $9,872 | 17 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,322 – $15,805 · median $6,230 | 17 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,856 – $11,967 · median $4,726 | 17 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $35,432 – $156,039 · median $61,202 | 17 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $15,395 – $42,186 · median $16,875 | 17 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,649 – $29,757 · median $11,795 | 17 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $14,712 – $40,398 · median $16,159 | 17 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $19,120 – $51,942 · median $20,777 | 17 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,648 – $27,136 · median $10,687 | 17 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,264 – $18,274 · median $7,198 | 17 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,547 – $19,014 · median $7,488 | 17 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,898 – $22,552 · median $8,875 | 17 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,055 – $33,440 · median $13,353 | 17 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,402 – $34,348 · median $13,737 | 17 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,902 – $35,658 · median $14,263 | 17 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,362 – $26,386 · median $10,378 | 17 plans |
| 509 | ARTHROSCOPY | $3,127 – $136,253 · median $14,319 | 15 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $10,065 – $25,587 · median $10,266 | 13 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $6,747 – $17,123 · median $6,882 | 13 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $12,475 – $31,735 · median $12,709 | 12 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $8,322 – $21,142 · median $8,473 | 12 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,815 – $14,745 · median $5,915 | 12 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $4,551 – $11,378 · median $5,587 | 4 plans |
| 999 | UNGROUPABLE | $8,706 – $21,765 · median $10,687 | 4 plans |
No procedures match that keyword.